S02 ATTACHMENT FOUR 4 PAST PERFORMANCE QUESTIONNAIRE.pdf

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Attached to
Q201--Community Based Outpatient Clinic Services Federal contract opportunity
Solicitation number
36C24821R0017
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

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36C24821R0017 0005.docx DOCX document
36C24821R0017 0003.docx DOCX document
36C24821R0017 0001.docx DOCX document
S02 36C24821R0017.pdf PDF
S02 ATTACHMENT FIFTY TWO 52 SOP 119 20 18 ANTICOAGULATION MANAGEMENT PROGRAM.pdf PDF
S02 ATTACHMENT FORTY FOUR 44 VA DIRECTIVE 6371 DESTRUCTION OF TEMPORARY PAPER RECORDS.pdf PDF
S02 ATTACHMENT THIRTY EIGHT 38 VHA DIRECTIVE 1033 ANTICOAGULATION THERAPY MANAGEMENT.pdf PDF
S02 ATTACHMENT THIRTY FIVE 35 VHA Directive 1230 3 OUTPATIENT SCHEDULING PROCESSESS AND PROCEDURES.pdf PDF
S02 ATTACHMENT TWENTY FOUR 24 VHA Handbook 1100 7 NATIONAL PRACTITIONER DATA BANK NPDB REPORTS.pdf PDF
S02 ATTACHMENT NINETEEN 19 VHA HB 1100 18 REPORTING AND RESPONDNG TO STATE LICENSING BOARDS.pdf PDF
S02 ATTACHMENT EIGHTEEN 18 VHA Handbook 1100 19 VHA HANDBOOK CREDENTIALING AND PRIVILEGING.pdf PDF
S02 ATTACHMENT FIFTHTEEN 15 VA DIRECTIVE 1120 02 1 HEALTH PROMOTION AND DISEASE PREVENTION CORE PROGRAM.pdf PDF
S02 ATTACHMENT TEN 10 Pretreatment and Transportation of Soiled Critical and Semi Critical Reusable Medical Equipment.pdf PDF
S02 ATTACHMENT SEVEN 7 WAGE DETERMINATIONS DAVIS BACON ACT.pdf PDF
S02 ATTACHMENT SIX 6 WAGE DETERMINATIONS SERVICE CONTRACT ACT.pdf PDF
S02 ATTACHMENT TWO 2 ORG CONFLICT CERT.pdf PDF
S02 ATTACHMENT FIFTY 50 MATERNITY HEALTH CARE AND COORDINATION VHA HANDBOOK 1330 03 MATERNITY HEALTH CARE AND COORDIMATION.pdf PDF
S02 ATTACHMENT FIFTY ONE 51 MEDICATION RECONCILIATION ACROSS THE CONTINUUM OF CARE CENTER MEMORANDUM 00 19 93 02.pdf PDF
S02 ATTACHMENT FORTY NINE 49 VHA Directive 1608 Comprehensive Environment of Care CEOC.pdf PDF
S02 ATTACHMENT FORTYF FIVE 45 VA DIRECTIVE 1663 8 10 06 HEALTH CARE CONTRACTING BUYING TTILE 38 USC.pdf PDF
S02 ATTACHMENT THIRTY NINE 39 VHA DIRETIVE 2010 033 MILITARY SEXUAL TRAUMA MST PROGRAMMING.pdf PDF
S02 ATTACHMENT THIRTY THREE 33 VHA Dir 2011 012 MEDICATION RECONCILIATIION.pdf PDF
S02 ATTACHMENT THIRTY TWO 32 VHA Dir 2011 020 AUTOMATED SAFETY INCIDENT SURVEILLANE AND TRACKING SYSTEM ASSIST.pdf PDF
S02 ATTACHMENT THIRTY ONE 31 VHA Directive 1199 REPORTING CASES OF ABUSE AND NEGLECT.pdf PDF
S02 ATTACHMENT THIRTY 30 VHA Dir 2012 026 SEXUAL ASSAULTS AND OTHER DEFINED PUBLIC SAFETY INCIDENTS IN VHA 02.pdf PDF
S02 ATTACHMENT TWENTY SEVEN 27 VHA HANDBOOK 1004 07 FINANCIAL RELATIONSHIP BETWEEN VHA HEALTH CARE PROFESSIONAL AND INDUSTRY.pdf PDF
S02 ATTACHMENT TWENTY FIVE 25 VHA HANDBOOK 1050 01 VHA NATIONAL PATIENT SAFETY IMPROVEMENT.pdf PDF
S02 ATTACHMENT SIXTEEN 16 VHA HANDBOOK 1108 05 OUTPATIENT PHARMACY SERVICES.pdf PDF
S02 ATTACHMENT THREE 3 CONTRACTOR RULES OF BEHAVIOR.pdf PDF
36C24821R0017.docx DOCX document
S02 ATTACHMENT FIFTY FOUR 54 SUICIDE PREVENTION POLICY CENTER MEMORANDUM 116A 19 01.pdf PDF
S02 ATTACHMENT FORTY SIX 46 VHA DIRECTIVE 2006 041 VETERANS HEALTH CARE STANDARDS.pdf PDF
S02 ATTACHMENT FORTY TWO 42 VHA Directive 2008 015 Public Access to Automated External Defibrillators AEDs Deployment Training and Policies for use in VHA Facilities.pdf PDF
S02 ATTACHMENT FORTY ONE 41 VHA Directive 1088 Communicating Test Results to Providers and Patients.pdf PDF
S02 ATTACHMENT FORTY 40 VHA DIRECTIVE 2009 038 VHA NATIONAL DUAL CARE POLICY.pdf PDF
S02 ATTACHMENT TWENTY 20 VHA Hbk 1106 01 PATHOLOGY AND LABAORATORY MEDICINE SERVICE PROCEDURES.pdf PDF
S02 ATTACHMENT THIRTEEN 13 VHA HANDBOOK 1160 01 Uniform Mental Health SERVICES N VA MEDICAL CENTERS AND CLINICS.pdf PDF
S02 ATTACHMENT THIRTYFOUR 34 VHA Directive 2010 053 PATIENT RECORD FLAGS.pdf PDF
S02 ATTACHMENT TWENTY NINE 29 VA HANDBOOK 0730 Security and Law Enforcement 02.pdf PDF
S02 ATTACHMENT FIFTY SIX 56 SUICIDE PREVENTION POLICY CENTER MEMORANDUM 116A 19 01.pdf PDF
S02 ATTACHMENT FIFTY FIVE 55 GUIDANCE ON THE MANAGEMENT OF FAILURE TO ATTEND MENTAL HEALTH APPOINTMENT CENTER MEMO 116 13 01.pdf PDF
S02 ATTACHMENT FIFTY THREE 53 ORDERING AND REPORTING OF TEST RESULTS AND DIAGNOSTIC PROCEDURES CENTER MEMORANDUM 11 19 07.pdf PDF
S02 ATTACHMENT FORTY EIGHT 48 VHA HANDBOOK 1101 11 COORDINATED CARE FOR TRAVELING VETERANS.pdf PDF
S02 ATTACHMENT FORTY SEVEN 47 TITLE 21 CFR 900 1 c MAMMOGRAPHY QUALITY STANDARDS.pdf PDF
S02 ATTACHMENT FORTY THREE 43 VHA DIRECTIVE 2007 033 TELEPHONE SERVICE FOR CLINICAL CARE.pdf PDF
S02 ATTACHMENT THIRTY SEVEN 37 VHA Directive 1108 COMMUNICATING TEST RESULTS TO PROVIDERS AND PATIENTS.pdf PDF
S02 ATTACHMENT THIRTY SIX 36 VHA Directive 1108 VHA FORMULARY MANAGEMENT PROCESS.pdf PDF
S02 ATTACHMENT TWENTY EIGHT 28 VHA Directive 1003 VHA PATIENT ADVOCACY PROGRAM.pdf PDF
S02 ATTACHMENT TWENTY SIX 26 VHA Handbook 100 6VHA VHA SITE CLASSIFICATIONS AND DEFINITIONS.pdf PDF
S02 ATTACHMENT TWENTY THREE 23 VHA Handbook 1101 10 PATIENT ALIGNED CARE TEAM PACT.pdf PDF
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EVALUATION: Please rate the company using the guide below. Explanatory narratives for as many responses as possible would be appreciated. These narratives need not be lengthy, just detailed. Attach additional pages if more space is needed.

Assessment Definition

Outstanding (O) The company's performance met contractual requirements and exceeded many requirements to the Client’s benefit. The contractual performance was accomplished with few minor problems for which corrective actions taken by the company were highly effective.

Above Average (A) The company's performance met contractual requirements and exceeded some requirements to the Client’s benefit. The contractual performance was accomplished with some minor problems for which corrective actions taken by the company were effective.

Satisfactory (S) The company's performance met contractual requirements. The contractual performance contained some minor problems for which corrective actions taken by the offeror were satisfactory.

Unacceptable (U) Performance did not meet contractual requirements. The contractual performance reflected a serious problem for which the company has yet to identify corrective actions or the company's proposed actions appear only marginally effective or were not fully implemented.

ATTACHMENT FIVE (5) – PAST PERFORMANCE QUESTIONNAIRE

PAST PERFORMANCE QUESTIONNAIRE

Request for Quote: 36C24820Q0423 Veterans Integrated Service Network 8 (VISN 8)

On-site Complete Intraoperative Neuromonitoring Services Message to the assessor: Your assistance is requested by Mechelle D. Reaser, the Contracting Officer to assist with establishing the performance history for the Company named below. In efforts to expedite receipt of the requested information, the Contracting Office respectfully requests that you do not mail hard copies. Instead, please e-mail the completed past performance questionnaire(s) to: Mechelle.Reaser@va.gov. If not enough space is provided, please attach additional information to this questionnaire.

1. Name of Company /Agency:

Contract or Identifying Number:

Title/Description of Contract:

Based upon the definitions below, indicate your assessment of the company’s performance. Your assessment should consider the company’s performance in accordance with the contractual requirements. Please include the period of performance and contract value:

2. Brief description of scope of work:

Completed scheduled services in a timely manner per the Performance Work Statement (PWS).

O A S U

Compliance with contractual Terms and Conditions. O A S U Provided experienced personnel with the technical and administrative abilities needed to meet contract requirements.

O A S U

Demonstrated ability to hire, maintain, and replace, if necessary, personnel during the contract period.

O A S U

Provided effective quality control and/or inspection procedures to meet contract requirements.

O A S U

Corrected deficiencies in a timely manner and pursuant to the company's quality control procedures.

O A S U

Exhibited knowledge of and compliance with Government (or other) regulations and industry standards.

O A S U

How effective was the company in responding to urgent requests in a timely manner per the Performance Work Statement (PWS)?

O A S U

To what extent was the company able to solve contract performance problems without extensive guidance from procurement or technical personnel?

O A S U

Provides timely and accurate documents, records, and invoices as required by the contract.

O A S U

Would you award similar contracts to this company? Please provide explanation for response.

O A S U

Rate the company's OVERALL quality of performance under this contract O A S U

EXPLANATION OF OVERALL RATING GIVEN:

ADDITIONAL COMMENTS (as required)

Name & Signature of Assessor’s:

Company/Agency: Date:

Position Title/Grade: Phone:

Email: Fax:

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