S02 D.1 Quality Assurance Surveillance Plan (QASP).pdf

36C25723Q0756

D.1 QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

1. TECHNICAL EXHIBIT 1 – PERFORMANCE REQUIREMENTS SUMMARY

An abstract of the Specific Tasks (5 from the Performance Work Statement) in columnar form. The columns are:

Column 1 is the applicable PWS paragraph number where the task is found Column 2 is a brief description of each required task under the contract Column 3 is the standard to which the task is to be performed.

Column 4 is the Acceptable Quality Level Column 5 is the Method of Surveillance to be used

Methods of Surveillance: For example- Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE).

Para Number

Required Services (Tasks)

Performance Standards

AQL Methods of Surveillance

1.4.4 Contract service providers will report and

submit for approval changes in personnel providing services under the current contract to the contracting officer through the COR.

Within ten (10) working days of personnel change.

100% 100 % Inspection

5.3 5.3.6.2 5.4 5.5 5.6

Contract service providers will provide readjustment counseling services to eligible veterans and their families referred by the COR or designee in accordance with the requirements of the contract mechanism Fees/Contract Program Handbook, and VA authorization form (VAF 10-5565b).

Within ten (10) working days upon completion of final assessment.

100% 100 % Inspection

5.3.6 Contract service providers will schedule

the initial Veteran counseling session

Within five (5) working days from the time he/she receives the authorization.

80% - 90%

Random Sampling

5.3.3 The duration of counseling sessions for

billing purposes will be in accordance with applicable contract requirements.

100% 100 % Inspection

5.7 Recordkeeping 100% 100 %

Inspection

5.9 Clients who cannot be counseled by the

contractor are referred appropriately

80% Periodic Surveillance

5.10 Clients’ presenting with homicidal or

suicidal potential are reviewed with the COR immediately and is documented in the veteran’s file.

Within ten (10) working days from the time of incident

100% 100% Inspection

5.11 Follow-up contact is made and is

documented in the client file.

Within sixty (60) days after the last contact with the client

80% Random Sampling

5.12 The contractor immediately notifies the

COR when a Veteran is no longer being seen under this program.

Within thirty (30) days after the last contact with the client

80% Random Sampling

5.13 Client files are placed in inactive status

after 90 days of inactivity unless there are clinical reasons to keep the file active.

80% Random Sampling

5.14 A closing summary is present for inactive

clients fully documenting the degree of success or lack thereof, of counseling plan or goals and prognosis.

Within thirty (30) days after the last contact with the client

100% 100% Inspection

5.17 Contractor conducts periodic assessment

of the effectiveness in providing services to clients and conducts an on-going self-assessment and evaluation of their performance.

80% Random Sampling

5.3.6.2 Contract service provider will be required

to submit initial assessments/counseling, updated counseling plans, and Veterans

DD214.

Within seven (7) days after initial contact with Veteran.

100% 100% Inspection

Section 5 Contractor Provided Facility Contractors will be located in an area that is considered safe and compatible with the veterans and their family readily keeping appointments.

Periodic Surveillance

Contractor’s facility exterior and interior must be clean, neat and presentable as well as in compliance with the policies and regulations of a VA lease property.

Periodic Surveillance

2. REQUIRED REPORTS

Use a Technical Exhibit to list all required reports, drawings, maps, technical information, or other data required to be provided to the Contracting Officer by the contractor.

CONTRACT SUBMITTAL SHEET

PWS/ID No. Description Due To Whom

1.4.1.1. Professional Resume, License

and Certification of all Key employees

With Technical Proposal and Upon request

CO

COR

1.4.3. Professional Insurance Before contract start and

upon renewal

CO

Documentation verifying current certification and licenses

Before Contract Start and as it changes

COR

1.4.4 List of Key Personnel With Technical

Proposal and as it changes

CO

1.4.4.5 & 1.4.4.7 Updated List As Amended CO/COR

5.1 Facility Description and

Location With Technical Proposal

CO

TE 1 Signed QASP After Contract Award

COR

Legend (current individuals - subject to change):

CO Contracting Officer Carlos.Jaquez@va.gov COR Contracting Officer’s Representative, Laredo Angelica.Garza@va.gov ISO Information Security Officer – RCS (COD4Z2) David.Spurgin@va.gov PO Privacy Officer – RCS (COD4Z2) David.Spurgin@va.gov ADDD/A RCS (COD4Z2) Gregory.Jackson@va.gov mailto:Carlos.Jaquez@va.gov mailto:Angelica.Garza@va.gov mailto:David.Spurgin@va.gov mailto:David.Spurgin@va.gov mailto:Gregory.Jackson@va.gov