Quality Assurance Surveillance Plan.docx
DOCX document 20 KB Posted
- Attached to
- V212--Special Mode Transport Federal contract opportunity
- Solicitation number
- 36C24925Q0302
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| WD 2015-4673 REV 28 05.06.2025 02.docx | DOCX document | |
| 36C24925Q0302.docx | DOCX document | |
| PWS Special Mode Transportation.docx | DOCX document | |
| WD 2015-4673 REV 28 05.06.2025.docx | DOCX document | |
| LIMITATIONS ON SUBCONTRACTING CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION.docx | DOCX document | |
| VHA Local BAA MEM VAMC SMT.doc | DOC document |
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Text version
Quality Assurance Surveillance Plan (QASP) and Surveillance Checklist
The Government will evaluate the contractor’s performance under this contract to ensure that the contractor’s QCP is adequate, and that quality is achieved through a Quality Assurance Surveillance Plan (QASP).
The Government shall prepare a QASP after contract award derived from the PWS and contractor’s submitted quality control plan. The QASP is a “living document” and the Government may review and revise it at any time. However, the Government shall coordinate changes to the QASP with the contractor.
The QASP will specify the work requiring surveillance and the Government’s method of surveillance.
The contractor shall maintain performance standards in accordance with the standards outlined in the table below. Failure to meet the Acceptable Quality Levels (AQL) may result in termination of the contract.
The QASP will include the standards below as well as others derived from the successful offeror’s quality control plan.
| Task |
| PWS |
Reference
| Standard |
| Acceptable Quality Level |
| Method of Surveillance |
Provide on- time transport services
| Section 4.5.1.8.3 |
| Scheduled patient pick-ups shall not deviate more than 15 minutes past scheduled pick-up time for scheduled |
orders
| 97% |
| Customer Feedback |
| Incident Reporting |
| Section 4.8 |
| The contractor shall notify the Program Manager, Beneficiary Travel Department, of any accidents and/or safety problems that occur while the patient is being transported. This notification shall occur within one (1) hour by telephone. A written report of the incident shall be delivered to the Program Manager, Benefits Management, by the close of business of the next working day. |
| 97% |
| Customer Feedback |
| Invoice Reports |
| Section 4.9 |
| Provide a monthly invoice including secondary documentation in accordance with Section 4.10 of the PWS |
| 95% |
| 100% inspection |
of monthly invoices/reports
Surveillance Checklist Lt. Col. Luke Weathers Jr. VA Medical Center
| Contract: Special Mode Transportation |
| Date/Time of Inspection: |
Government POC Primary:
Government POC Alternate:
Organization:
Lt. Col. Luke Weathers, Jr. VA Medical Center Location: Bldg. Post
| SS |
| Performance Objective |
| PWS Para |
| Performance Threshold |
| Method of Surveillance |
| Met |
| Not Met |
| Remarks |
| SS 1 |
| The contractor shall provide Wheelchair/Stretcher service, 24 hours per day, 365 days per year, as required in accordance with the terms and conditions contained herein. |
| 1 |
| 95% Compliance |
| 100% Surveillance of each patient pick-up. |
| SS 2 |
| The objective of Standards for Maintenance is to protect veterans and to cause no harm to all parties. The contractor shall maintain all vehicles in a clean and orderly condition, free from debris and accumulations which may create an accident, injury, or fire hazard. |
| 4.4.3 |
| 95% Compliance |
| 100% |
Surveillance
| SS3 |
| The contractor shall maintain (and furnish upon request) procedures that outline preventive maintenance and/or repairs on each vehicle in an individual vehicle file and in chronological order, latest service on top. A statement from the Contractor indication compliance of vehicle maintenance files is in place should be submitted at time of offer for evaluation purposes. Requested submission and verification of these documentation requirements will be a quality assurance procedure during the contract period. |
| 4.4.3 |
| 95% Compliance |
| 100% |
| SS4 |
| The contractor shall furnish qualified personnel as required by contract specifications to accomplish all services under this contract. |
| 4.3.1 |
| 100% Compliance |
| 100% |
| SS5 |
| Have completed training in accordance with the standards published by the Department of Health and Human Services with a minimum curriculum of 150 hours or equivalent including an in-hospital training period. Such training programs must also be acceptable under the regulating requirements for local EMS Systems supported by DHHS under PL 93-154, Federal Register 39:24304. (1974). |
| 4.3.1 |
| 100% Compliance |
| 100% |
| SS6 |
| A licensed MTO shall ensure that sanitation procedures are provided to all personnel in a written document that conforms with current standards as set forth in occupational safety and health administration-blood borne pathogens protocol. |
4.4.3
| 100% Compliance |
| 100% |
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