QASP Form.xlsx
XLSX spreadsheet 17 KB Posted
- Attached to
- Outpatient Housing Services Federal contract opportunity
- Solicitation number
- 36C25623Q0069
About this file
This document outlines performance standards and measures for a residential care services contract with the Department of Veterans Affairs. Key requirements include providing beds, meals, transportation, recreational activities, and medication administration and supervision at facilities in Fayetteville, Arkansas and Springfield, Missouri. Contractors must meet certification, training, facility condition, and service delivery standards measured on factors such as response times, safety incidents, cleanliness, and resident satisfaction. Regular reporting and inspections are required to ensure compliance.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25623Q0069 Solicitation.pdf | ||
| APPENDIX D.3 Wage Determination 2015-5109.pdf |
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Text version
Sheet1
| PERFORMANCE STANDARDS | MEASURE OR | |
| INDICATOR | ACCPETABLE | |
| LEVEL | REPORT |
PERIOD
LEVEL
| CONTRACTOR QUALIFICATIONS (all locations) | ||
| Certified Medical Technician (CMT) | Certificate | 100% |
| Level I Medication Aide | Certificate | 100% |
| Administrators shall be licensed by the Board of Nursing Home Administrators | Certificate | 100% |
| Proof of the appropriate certification(s) | Certificate | 100% |
| Staff shall receive training, and regular supervision. If new to residential care, staff shall not provide independent supervision of Veterans | Validated patient safety complaint | ≤ 1 per quarter |
| TRANSPORTATION (all locations) | ||
| Properly licensed transportation staff. | Copy of DL | 100% |
| General Facility Requirements (all locations | ||
| Adequately heated and cooled with working plumbing | DO during EOC Rounds and temperature logs with temperatures between 65-80 | ≤ 1 per quarter |
| Separate sleeping quarters for assigned male and female Veterans are required | DO during EOC Rounds | 100% |
| Indoor and outdoor lounge and recreational activity areas shall be available, onsite | DO during EOC Rounds | 100% |
| 1 bathroom, 1 bedroom and lounge area that is ADA Compliant | DO during EOC Rounds | 100% |
| Space for number of Veterans per bedroom | DO during EOC Rounds | 100% |
| Special temporary accommodations for Veterans who are medically stable but are in need of having no physical contact with others for up to 120 hours or as mandated by CDC | Acceptance as needed and confirmation of temporary accommodations as required by COR | 100% |
| 2 hand towels, 2 face flannels and 2 bath towels (all in good shape) for each assigned Veteran | DO during EOC Rounds | 100% |
| PC/laptop/tablet with internet/Wi-Fi connection that can be connect to large screen monitor/TV provided | DO during EOC Rounds | 100% |
| Quarterly deep cleaning of the facility | DO during EOC Rounds | 100% |
| Room Standards (all locations): | ||
| Clean, sanitary mattresses with the ability to wash the mattress cover | DO during EOC Rounds | 100% |
| New pillow, with pillow cover | DO during EOC Rounds | 100% |
| Carpet shall be kept clean and without trip hazard | DO during EOC Rounds | 100% |
| Secure container for each Veteran | DO during EOC Rounds | 100% |
| CONTRACTOR QUALIFICATIONS (all locations) | ||
| Shower stalls with non-slip floors, stable shower seat, and properly secured handrails | DO during EOC Rounds | 100% |
| Indoor lounge area with TV, DVD player and an assortment of appropriate movies. Accessories in such areas (couches, chairs, carpet, refrigerator, stove, microwave, etc.) shall be kept clean | DO during EOC Rounds | 100% |
| Roomed separately from other residential occupants | DO during EOC Rounds | 100% |
| Transgender Veterans are given the designated space they identify as preferable | DO during EOC Rounds | 100% |
| Payment (all locations): | ||
| Payment for primary beds | IPPS submissions | 100% |
| Payment for secondary beds | IPPS submissions | 100% |
| DIETARY (all locations) | ||
| Morning and evening meal, Monday – Friday, and three (3) meals a day on weekends/holidays/when required to isolated | DO during EOC Rounds | 100% |
| Fresh fruits | DO during EOC Rounds | 100% |
| Fresh, frozen, or canned vegetables | DO during EOC Rounds | 100% |
| Proteins | DO during EOC Rounds | 100% |
| Dairy | DO during EOC Rounds | 100% |
| Grains | DO during EOC Rounds | 100% |
| Nutritious meal plan for those on special diet | Meal plans made available upon request | 100% |
| Sanitary procedures shall be followed by all contractor/subcontractor staff in preparing and serving all food items | DO during EOC Rounds | 100% |
| LAUNDRY (all locations) | ||
| 3 operable washing machines and dryers | DO during EOC Rounds | 100% |
| SPECIFIC TASKS (all locations) | ||
| Completion of the VA Privacy and Information Security Awareness and Rules of Behavior (VA10176) | Course completion certificates | 100% |
| Minimum of 2 employees on-site | Validated patient complaint | ≤ 1 per quarter |
| Safety/bed checks between the hours of 10 pm to 6 with no fewer than 3 checks while Veterans are present | Check logs | 100% |
| Emergency protocol in place for nearest medical facility or call 911 | DO during EOC Rounds | 100% |
| Advise the CO/COR and SUD Director of any missing or safety compromised Veterans | DO of reporting | 100% |
| Criminal conduct/behavior shall be reported to appropriate authorities | DO of reporting | 100% |
| Comply with all local, state, and federal regulations | DO of reporting | 100% |
| VHSO will be allowed inspection access | DO of reporting | 100% |
| Address conditions rendering the facility unlivable or unsafe due to unforeseen events, insect infestations, catastrophes, and/or acts of God. Corrective action plan shall be submitted to the VHSO SUD Director and CO/COR for approval immediately after ensuring all Veterans | DO of reporting | 100% |
| Conduct and document quarterly fire drills and fire inspections | DO of reporting | 100% |
| Provide documentation of pest inspections conducted not less than bi-annually | Documentation provided to the CO/COR | 100% |
| If female is in the program, they shall have access to a private/secure bedroom and bath | DO of reporting | 100% |
| Staff shall show respect towards each other and Veterans and shall refrain from any action that may be perceived as sexual harassment, bullying intimidating, or threatening | Validated patient complaint | ≤ 1 per quarter |
| Staff shall monitor for behavioral changes and shall report anything of concern or suspension to VA | Validated patient complaint | ≤ 1 per quarter |
| THERAPEUTIC AND REHABILITATIVE SERVICES (all locations | ||
| Provide an Environment conducive to recovery | DO of rounds and rounding logs sent to SUD Director and CO/COR | 100% |
| Provide or make available Self-help like recovery meetings | Validated patient complaint | ≤ 1 per quarter |
| Make available suitable healthy activities | Validated patient complaint | ≤ 1 per quarter |
| Provide instructions and assistance with personal hygiene routines | Validated patient complaint | ≤ 1 per quarter |
| Provide supervision of medication administration | DO during EOC Rounds and Controlled Substance log | 100% |
| Ensure all contractor/subcontractor staff members are active in a recovery process | DO during EOC Rounds | 100% |
| Provide informal counseling by staff that encourages the self-help like recovery meetings | DO during EOC Rounds | 100% |
| Random drug screens shall be conducted regularly or when there is suspicion. VHSO to be notified no later than 18 hours after receipt of the test report | DO during EOC Rounds and lab reports | 100% |
| Ensure regular monitoring of Veterans, room searches, and common areas | DO during EOC Rounds | 100% |
| Infection prevention procedures will be followed as recommended by CDC and the State Department of Health | DO during EOC Rounds | 100% |
| RESIDENT CONDUCT AND BEHAVIOR (all locations) | ||
| No shirts/hats/belts/buckles depicting images, advertisements or logos of alcohol products, marijuana, or other illicit drugs or violent or obscene language, or inappropriate sexual images | DO while at VA for programming | 100% |
| Veterans shall show respect towards each other and staff | Validated patient complaint | ≤ 1 per quarter |
| Each Veteran shall notify staff before leaving the facility | DO of reporting | 100% |
| Violence / Destruction of Property / Property Theft / sexual harassment / bullying – contractor has the right to prosecute | Reports from contractor staff | 100% |
| Patients do “daily chores” as a part of their recovery process, this should not be taken as what would serve as “deep cleaning” (i.e., dust fans, moldings, windowsills, under furniture, sanitize trash cans, etc.) | Validated patient complaint | ≤ 1 per quarter |
| RESIDENTAL ACTIVITIES (all locations | ||
| Week-end activities - at least (2) two per weekend (including a self-help recovery group) | Monthly schedule of activities | 100% |
| Safe and clean both indoor and outdoor space including, recreational activities, and the availability of safe exercise equipment | DO during EOC Rounds | 100% |
| MEDICAL NEEDS (all locations) | ||
| Veterans will bring their medications with them to the residential facility and these medications shall be locked in a secure location. The contractor shall provide a minimum of two residential staff members per shift for safety purposes. At least one on-site staff member per shift shall be Life Support (BLS) certified | DO during EOC Rounds | 100% |
| RETURN TO USE PROTOCOL (all locations) | ||
| Collaboration with clinical treatment team for best clinical outcome. Any behaviors, which are considered inappropriate in the supervised residential care, shall be referred to the treatment team for collaborative treatment plan | DO | 100% |
| EMERGENCY/RISK MANAGEMENT (all locations) | ||
| contractor shall take all necessary measures to prevent and deal with any safety concerns, bug infestations (beg bugs, lice etc.) on a continued basis. Advise the CO/COR of all corrective action being taken or that has been taken to deal with safety or infestation. All measures shall be done in accordance with state Department of Health | CDRs | 100% |
| INSPECTIONS | ||
| COR and/or back-up COR shall do unscheduled monthly site visits at all locations to investigate for any safety issues or contract violations | COR rounding logs | 100% |
| INSPECTION REPORTING | ||
| Provide to the CO/COR, within 5 working days, all local, state, and/or federal inspection reports. Reports with findings shall include contractor’s response and a corrective action plan for each identified concern. If identified findings have not been corrected within15 working days, a subsequent corrective action plan. | CDRs | 100% |
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