J-2_-_QASP_2016-03-29-Amendment_1.pdf

J-2 – Quality Assurance Surveillance Plan (QASP)

Functional

Area

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline

Staffing*

Vendor shall have scheduled* and working* on-site*, 100% of the staff positions listed in J- 1-Site Staffing Matrix according to J-3–Position Descriptions.

The number of staff on site and working as per J-13J-11-Site Status Report and existing vacancies* filled/not filled*

A position code will be considered filled for the month if employee works 80 hours within that month and the employee reports for orientation.start date is on or before the 15th day of that month.

A percentage filled below the rates specified in the deduction criteria column for longer than 15 calendar days will result in a deduction of funds.

An employee shall keep the same position code for the duration they are employed on the contract unless otherwise approved by the Contract

J-13J-11-Site Status Report.

Vendor shall provide the competed report to the government weekly.

Other methods of surveillance may be used.

100% of staff at each site as per J-13J-11- Site Status Report will be scheduled and working on-site.

Staffing discipline percentages are evaluated across the entire contract and not at the individual site.

The applied deductions will be the total percentage of all site deductions from all applicable functional areas for the combined sites total monthly invoice.

LVN/LPNs < 85% = 0.25% < 80% = 0.50% < 75% = 1.00%

RNs < 88% = 0.25% < 83% = 0.50% < 78% = 1.00%

MLPs < 90% = 0.25% < 83% = 0.50% < 78% = 1.00%

MHPs < 90% = 0.25% < 83% = 0.50% < 78% = 1.00%

Techs/Assistants < 92% = 0.25% < 87% = 0.50% < 82% = 1.00%

MD/DO-DDS-

Pharm < 75% = 0.25% < 65% = 0.50% < 60% = 1.00%

Additionally, If any functional area falls below

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline

Officer. 50% compliance at any site or a combined total staffing percentage below 50%, a 10% deduction will be applied to the entire invoice for all sites.

Additional deficiencies identified will not exceed a total of 10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

Contract Modification

Staff

Additions

Vacancy

The Vendor will have thirty (30) calendar days from the date of the fully executed contract modification for the submission of e-QIP initiation request (with position code) for qualified candidates for those added positions.

The e-QIP Submission, and Start Date Functional Area timelines are applicable thereafter to staff added under a contract modification.

calendar days from the date of the fully executed contract modification until the submission of e-QIP initiation request for qualified candidates for those added positions.

J-113-Site Status Report. Vendor shall provide the competed report to the government weekly.

Other methods of surveillance may be used.

100% of contract modification staff additions will have e- QIP initiation requests submitted for qualified candidates within thirty

(30) calendar days.

< 85% compliance will result in 0.25% withholding deduction of the monthly invoice.

Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Additionally, if any functional area falls below 50% compliance at any site, a 10% deduction will be applied to the

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total 10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

Backfill* For

Nursing Staff

The Vendor will provide RN and LVN/LPN shift replacements for contractor Shift-Call-Out’s* within two hours of shift start time.

Count of the number of Shift -Call Out’s successfully and unsuccessfully backfilled.

A shift will be considered successfully backfilled if 50% of the shift has been staffed

J-13J-11-Site Status Report.

Vendor shall provide the completed report to the government weekly.

Other methods of surveillance may be used.

100% of Shift -Call Out’s requiring backfill will be backfilled.

< 90% compliance will result in 0.25% withholding deduction of the monthly invoice.

Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Additionally, if any functional area falls below 50% compliance at any site, a 10% deduction will be applied to the combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline

10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

e-QIP Submission

Vendor shall ensure candidate submits a complete (no missing standard documentation) e- QIP security packet (electronic and hard copy) to the Personnel Security Unit (PSU) within ten (10) calendar days after receiving notice of e-QIP initiation.

Hard copy e-QIP packets will be mailed to PSU utilizing a mail tracking method through the U.S.P.S, FedEx, UPS or other service provider of equal scope and ability.

Number of complete (no missing standard documentation) e-QIP’s mailed to PSU within ten (10) calendar days of notification of e-QIP initiation.

J-13J-11-Site Status Report.

Vendor shall provide the competed report to the government weekly.

Other methods of surveillance may be used.

100% of candidates submit complete electronic and hard copy e- QIP (security) packet to the Personnel Security Unit (PSU) within ten (10) calendar days after receiving notice of e- QIP initiation.

< 90% compliance will result in 0.25% deductionwithhold ing of the monthly invoice. Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Additionally, if area falls below 50% compliance at any site, a 10% deduction will be applied to the combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total 10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

Start Dates

Vendor shall schedule staff start date within thirty

(30) calendar days of notification of initial favorable fitness determination or longer only if approved in writing by COR.

Number of calendar days between notification of initial favorable fitness determination and when that employee is on site and working.

J-13J-11-Site Status Report.

Vendor shall provide the competed report to the government weekly.

Other methods of surveillance may be used.

100% of start dates shall be scheduled within thirty

(30) calendar days of notification of initial favorable fitness determination or longer only if approved in writing by

COR.

< 95% compliance will result in 0.25% deductionwithhold ing of the monthly invoice. Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Additionally, if any functional area falls below 50% compliance at any site, a 10% deduction will be applied to the combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total 10%. This deduction will continue until the

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

Credentialing

The Vendor shall submit, to on-site Key Personnel, and for the Government Technical Monitors review, a complete credentialing packet for each qualified candidate hired, no less than three (3) calendar days before the employee is on-site and working.

complete and incomplete credentialing packets received, no less than three calendar days before the employee is on-site and working.

Government Technical Monitor will review credentialing packet documentation received from the vendor through on-site Key Personnel each month.

Government Technical Monitor will document and report their findings to the COR’s via email.

Other methods of surveillance may be used.

100% of credentialing packets are complete when reviewed by the Government Technical Monitor Prior to the start of contract staff.

< 98% compliance will result in 0.25% deductionwithhold ing of the monthly invoice. Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Additionally, if any functional area falls below 50% compliance at any site, a 10% deduction will be applied to the combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total 10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline area amount specific to each CLIN invoice.

Privileging* for Licensed Independent

Providers (LIP’s)

Vendor shall present the government with a complete privileging packet, as per J-6- Credentialing and Privileging, no less than Ten (10) Business days before start date.

Number of complete and incomplete privilege application packets received Ten

(10) Business days before start date of candidate.

J-13J-11-Site Status Report.

Vendor shall provide this competed report to the government weekly.

Other methods of surveillance may be used.

100%. The government will be provided a complete and accurate privileging application ten

(10) Business days prior to granting of privileges.

< 98% compliance will result in 0.25% deduction of the monthly invoicewithholdin

g. Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Additionally, if any functional area falls below 50% compliance at any site, a 10% deduction will be applied to the combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total 10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

Competency Assessment

(CA)

Vendor staff shall complete the Competency Assessment with no discrepancies

Number of successful/unsu ccessful, discipline specific, The Vendor shall report to the government on a weekly basis the status of their

100% of staff completing the competency assessment demonstrates

< 98% compliance will result in 0.25% deduction of the monthly invoicewithholdin

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline between the PD performance requirements and actual demonstrated performance during the CA period within 10 working days.

Staff not successfully completing the CA will be not be considered as qualified.

Position codes assigned to staff unsuccessfully completing their CA will be considered as having been vacant as of the prior effective date of resignation or termination.

competency assessments completed.

staff currently in the competency assessment period by name and position code. To include start date and scheduled end date of the assessment period. Staff not completing the orientation and competency assessment will be clearly identified in J- 13J-11-Site Status Report.

Other methods of surveillance may be used.

no discrepancies between the

PD

performance requirements and actual demonstrated performance.

g. Applied deductions will be the total percentage of all deductions from all applicable functional areas for the entire monthly invoice.

Employees leaving during this time for other reasons will not be considered against this measure.

Additionally, if area falls below 50% compliance at any site, a 10% deduction will be applied to the combined sites total invoice for all sites.

Additional deficiencies identified will not exceed the total 10%. This deduction will continue until the compliance rate is above 50%.Withholdings , when applied will be a sum of applicable withholdings for each functional area amount specific to each CLIN invoice.

Deliverables

100% of deliverables in F-4 – Deliverables Table will be completed

Date of receipt of deliverables and their corresponding

E-mail receipt to

IHSCCOR

mailbox or other method as

100 % receipt of completed deliverables

< 100% compliance will result in 0.25% withholding.

Performance Requirements

Performance Measure

Method of Surveillance

Acceptable Quality Level

Deduction/ Withholding Criteria Per Discipline by due date. due date. required

Note: The contractor is responsible for performance of ALL terms and conditions of the contract. CORs will provide contract progress reports quarterly to the CO reflecting QASP performance. The performance measures outlined in this QASP shall be used to determine Contractor performance in each Functional Area.

The Government performs surveillance to determine Contractor performance and guide the contracting officer as to withholding/deduction, if any. Withholdings/Deductions, when applied will be a sum of applicable withholdings/deductions for each functional area amount specific to each CLIN invoice. Staffing Categories are associated with each position code in the Site Staffing Matrix. For the purpose of the QASP, all contract staff at the Washington, D.C. location are assigned to the Assistants/Technician Staffing Category

Where an asterisk is present next to a word in the QASP there is a corresponding definition in C-33 – Glossary, specific to the implementation of the QASP.