QASP RMW Station 1.doc
DOC document 93 KB Posted
- Attached to
- S205--RMW and Sharps Management Amendment 0002
- Solicitation number
- 36C25626Q0640
About this file
This is a Quality Assurance Surveillance Plan (QASP) for regulated medical waste disposal services at Central Arkansas Veterans Healthcare System (CAVHS) facilities. The QASP establishes the framework for monitoring contractor performance throughout the contract period, defining what will be monitored, how surveillance will occur, and who will conduct oversight activities. The Contracting Officer (CO) and Contracting Officer's Technical Representative (COR) from the Department of Veterans Affairs, located at 2200 Fort Roots Drive, North Little Rock, AR, are responsible for performance evaluation, with Christopher Davidson serving as the Assistant Chief of Environmental Management Services. The COR is designated to maintain a quality assurance file and conduct ongoing surveillance, though cannot authorize contractual changes.
The QASP establishes eleven specific performance standards with a 100% acceptable quality level across all metrics. Key requirements include providing at least 115 portable 97/100-gallon bio-hazard containers with daily washings and sanitization, conducting container pickups Monday through Saturday between 6:00 AM and noon (excluding federal holidays), ensuring proper segregation and treatment of chemotherapy and pathological waste in compliance with TCEQ, CDC, OSHA, DOT, and EPA regulations, maintaining a contingency plan operable within 12 hours of notification, providing electronically generated medical waste manifests with invoices, and demonstrating proper employee training and Personal Protective Equipment (PPE) compliance per 29 CFR 1910.1030. The contractor must submit monthly invoices electronically to the VA's Tungsten Network including contract number, purchase order number, location, and treatment dates. Performance is assessed through periodic inspections with monthly assessment meetings between the COR and contractor, utilizing a rating system of Excellent (exceeds standards), Satisfactory (meets standards), or Unsatisfactory (fails to meet standards), with unacceptable performance addressed through Contract Discrepancy Reports and required corrective action plans.
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Other files
| File | Type | Posted |
|---|---|---|
| Star Report New Little Rock VAMC.xlsx | XLSX spreadsheet | |
| 36C25626Q0640 0002.pdf | ||
| 36C25626Q0640 0002_1.docx | DOCX document | |
| S05 - Sign in Sheet.pdf | ||
| S05 - 36C25626Q0640 - RMW and Sharps Management Questions Answered.pdf | ||
| 36C25626Q0640 0001.pdf | ||
| 36C25626Q0640 0001_1.docx | DOCX document | |
| WD 2015-5137 Rev 29.pdf | ||
| WD 2015-5121 Rev 28.pdf | ||
| WD 2015-5117 Rev 29.pdf | ||
| WD 2015-5133 Rev 29.pdf | ||
| WD 2015-5123 Rev 29.pdf | ||
| S02 - 36C25626Q0640.pdf | ||
| WD 2015-5113 Rev 27.pdf | ||
| 36C25626Q0640_1.docx | DOCX document |
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Text version
Quality Assurance Surveillance Plan
For: Regulated Medical Waste for Central Arkansas Veterans Healthcare System facilities (CAVHS).
Contract Number: TBD Contract Description: Central Arkansas Veterans Healthcare System has a need for Regulated Medical Waste Disposal Services located within the Arkansas area. Regulated Medical Waste will be transported and disposed/recycled in compliance with Federal, State and Local regulation The Contractor shall provide all labor, tools, materials, equipment, transportation and supervision necessary to complete all work associated with providing regulated medical waste and reusable sharps container management & disposal services. The Contractor will not make any change in where regulated medical waste is hauled to without prior written approval by the Contracting Officer.
Contractor’s name: TBD
1. Purpose:
This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:
· What will be monitored.
· How monitoring will take place.
· Who will conduct the monitoring.
· How monitoring efforts and results will be documented.
This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.
This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.
2. Government Roles and Responsibilities:
The following personnel shall oversee and coordinate surveillance activities.
a. Contracting Officer (CO) - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also ensure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.
Assigned CO:
Organization or Agency:
b. Contracting Officer’s Technical Representative (COR) - The COR is responsible for technical administration of the contract and shall ensure proper Government surveillance of the contractor’s performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.
Primary COR:
Department of Veterans Affairs
2200 Fort Roots Drive
North Little Rock, AR, 72114 Alternate COR:
Department of Veterans Affairs
2200 Fort Roots Drive
North Little Rock, AR, 72114
c. Other Key Government Personnel: Christopher Davidson, Assistant Chief, EMS
3. Contractor Representatives:
The following employees of the contractor serve as Contractor’s Program Manager(s) for this contract.
a. Program Manager:
b. Other Contractor Personnel: N/A
4. Performance Standards:
Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.
| # |
| PWS |
Paragraph
| Indicator/Performance Standard |
| Standard for |
Quality Level Acceptable Quality Level Method of Surveillance 0F
Incentive
| 1 |
| 3.1.1 |
| The contractor shall furnish appropriate and adequate (at least 115) amounts of 97/100-gallon, portable pre-labeled bio-hazard containers with closeable lids for the daily collection, storage and transportation of medical waste, and 20 each for chemotherapy waste containers. All containers shall be washed and sanitized daily before delivery and reuse. Containers shall be maintained per manufactured-design or replaced to meet manufacturer’s specifications, OSHA, DOT, and TCEQ regulations. |
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 2 |
| 3.1.3 |
| Containers shall be picked up daily, Monday through Saturday (and as needed) between the hours of 6:00 am and Noon, excluding Federal holidays. The contractor is responsible for adhering to established methods for picking-up, manifesting, transporting, documenting, labeling, processing, and delivery verification to the treatment and disposal facility VAMC generated |
infectious medical, pathological, and chemotherapy waste per State, Local, CDC, OSHA, DOT, and EPA regulations/laws/codes, etc.
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 3 |
| 3.1.4 |
| The Contractor shall ensure treatment and disposal of VAMC generated chemotherapy (CD) wastes and Pathological Waste are segregated at storage on site, in separate pre-labeled containers provided by the vendor. CD and Pathological Waste shall be treated (incinerated) and disposed in accordance with the approved treatment method enforced by federal, state, and local laws, regulations, and ordinances, including the TCEQ, TDH, OSHA, CDC, and EPA. |
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 4 |
| 3.2.1 |
| The contractor shall furnish appropriate and adequate amounts of containers for the daily collection, storage and transportation of medical waste. Containers shall be maintained per manufactured-design or replaced to meet manufacturer’s specifications, OSHA, DOT, and TCEQ regulations |
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 5 |
| 3.2.3 |
| The Contractor shall ensure the waste stream is managed and picked-up at each facility weekly/as needed on a normal working day between the hours of 10:00 am – 2:00 pm, unless otherwise approved by the Contracting Officer (CO) or COR. |
The off-site VA facilities managed by the MEDVAMC currently include
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 6 |
| 3.3.1.1 |
| The Contractor shall furnish a Contingency Plan |
(CP) in the event any VA facility, listed in the SOW is affected by a major disaster or shut down, planned or unplanned. The contingency plan shall be active within 12 hours of notification from the COR. A copy of this plan shall be provided to the CO with their technical quote submission
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 7 |
| 4.2 |
| The Contractor shall provide evidence that their off-site or on-site medical/special waste treatment and disposition system for processing untreated RMW/special/infectious waste meets the performance standards, as outlined in 25 TAC 226 and TCEQ 30 TAC 330, Subchapter Y, 330.1201330.1221. Failure to meet this requirement shall call for immediate termination of requested service stated and required in this contract. |
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 8 |
| 4.3 |
| The Contractor shall ensure an electronically generated copy of the medical waste manifest or a written record per 30 TAC, Chapter 330.1211 is attached to each electronically generated invoice showing proof of the daily quantity and total monthly amount of medical waste treated in pounds, prior to requesting and receiving payment for services rendered. The inventory report shall include each site listed in this SOW; along with the amount of RMW, Chemotherapy Waste, and Pathological Waste. |
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 9 |
| 4.4 |
| The Contractor shall maintain documentation demonstrating its employees or contractors are properly trained, medical tested and wear an appropriate level of Personal Protective Equipment (PPE). The Contractor shall ensure employee or contractors wear personal protective equipment, prior to engaging in any activities involving maintenance of processing equipment or handling of infectious waste generated by this health care facility per 29 CFR OSHA 1910.1030. |
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
| 10 |
| 4.9 |
| The Contractor shall as a separate contingency option, furnish all services, materials, equipment, transportation, storage and manpower, as necessary to treat and dispose of DOT Infectious Substances, i.e., identified as “Category A and Category B” mixed with medical/infectious waste on a fixed per-drum-fee, in strict compliance with |
Federal (CDC, OSHA, EPA, and DOT) and State (TCEQ) regulations
| 100% |
| 100% |
| Periodic Inspection |
| Positive Past |
Performance Rating
4.12
The contractor shall submit requests for payment electronically to the VA’s Tungsten Network. Invoices shall be paid monthly in arrears for all authorized work performed upon receipt of a properly prepared invoice. Invoices must include contract number, purchase order number, location inspected/treated, and date inspected/treated. Nonperformance or late performance may result in delayed or reduced payment under this contract.
100%
100%
Periodic Inspection
Positive Past Performance Rating
5. Methods Of QA Surveillance:
Various methods exist to monitor performance.
a. DIRECT OBSERVATION
b. PERIODIC INSPECTION
c. USER SURVEY
d. VALIDATED USER/CUSTOMER COMPLAINTS
e. INSPECTION
f. PERIODIC SAMPLING
g. RANDOM SAMPLING
h. PROGRESS OR STATUS MEETINGS
i. ANALYSIS OF CONTRACTOR’S PROGRESS REPORTS
6. Ratings:
Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used:
Excellent = Exceeds Standards Satisfactory = Meets Standards
Unsatisfactory = Fails To Meet Standards
8. DOCUMENTING PERFORMANCE
a. ACCEPTABLE Performance The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.
b. UNACCEPTABLE performance When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file.
When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager with a copy to the Contracting Officer.
The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the COR. The Government shall review the contractor's corrective action plan to determine acceptability.
Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.
9. Frequency of Measurement
a. Frequency of Measurement.
During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.
b. Frequency of Performance Assessment Meetings.
The COR shall meet with the contractor monthly to assess performance and shall provide a written assessment.
<After award, both the contractor’s Program Manager and the COR shall sign this document.>
Signature – Contractor Program Manager
Signature – Contracting Officer’s Representative
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