VA247-17-R-0004-003.docx

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Wheelchair Transportation services requirement Federal contract opportunity
Solicitation number
VA24717R0004
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7

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VA247-17-R-0004 QASP ATTACHMENT#1.docx

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Performance Requirement Summary Attachment#3

Performance Objective
MEASURES

Standard

Acceptable Quality Level
Method of Surveillance
Incentive/Disincentive for meeting or not meeting the performance standards

1) Review next day service schedule.

Confirm service request with transportation office no later than 4:30 pm daily.

95% on time per billing period
95%
Telephone, fax or email conformation to transportation office.
Negative impact will be reflected on past performance evaluation.

2)For Scheduled Services Transport Beneficiaries Transport beneficiary within 15 minutes of scheduled transport time.

95% on time per billing period
95%
Trip ticket and

Random sampling of beneficiary inquiry If contractor is more than 30 minutes late for a transport the Government reserves the right to procure the services from another provider and charge the vendor any excess expense or charge the contractor for wait time as specified in the contract. Negative impact will be reflected on past performance evaluation.

3)For Same Day Trips

Confirm receipt of transportation request and transport time immediately upon receipt of request.

95% on time per billing period
95%
Telephone, fax or email conformation to transportation office
Negative impact will be reflected on past performance evaluation.

4)For Same Day Trips Transport beneficiary within 15 minutes of scheduled transport time.

95% on time per billing period
95%
Trip ticket and random sampling of beneficiary inquiry
If contractor is more than 45 minutes late for a transport; the Government reserves the right to procure the services from another provider and charge the vendor any excess expense. Negative impact will be reflected on past performance evaluation.
5)Delivery of beneficiary to clinic. Deliver beneficiary within 30 minutes of scheduled appointment.
95% per billing period
95%
Random sampling of Check in time at clinic
When the performance standard is missed. Negative impact will be reflected on past performance evaluation.

6)Wait time Contractor shall wait at least 30 minutes after scheduled transport time before requesting wait time. Request received on time

95% of the time per billing period
95%
Telephone, fax or email notification / request for wait time to transportation office
The contractor will be paid the rate stipulated in the contract for wait time over 30 minutes when authorized. If contractor fails to meet the performance it will reflect a negative impact on past performance evaluation.

7) Deliver trip tickets to transportation office.

Deliver trip tickets to the transportation office no later than 4:30 pm each business day for all trips completed between 7:30 and 4:30 of that business day. Deliver tickets on time

95% of the time per billing period.
95%
Delivery date and time annotated and initialed by person delivering tickets on trip log at the transportation office.
When the performance standard is missed. Negative impact will be reflected on past performance evaluation.
8) Patient safety incidents reported to COR and submit written report
100% inspection
95%
All incidents reported immediately (within 24 hours) 100%
When the performance standard is missed. Negative impact will be reflected on past performance evaluation.

9) Qualifications of Drivers

100% inspection
95%
Submit relevant current permits / licenses annually. Submit records of training completed annually
When the performance standard is missed a negative impact will be reflected on past performance evaluation.

10) Vehicle Requirement Compliance Vehicle standards Federal, State, Local requirements

90% of the time per billing period

90%
Routine safety inspection – COR quarterly inspections
Negative impact will be reflected on past performance evaluation.

11) Number of Beneficiaries per trip Only 1 beneficiary and their caregiver

99% of the time per billing period.
99%
Transportation manifesto, beneficiary inquires
Payment of transport for more than 1 beneficiary per trip will not be made to contractor and negative impact will be reflected on past performance evaluation.

12) Economical Routing of Transport Total distance results in most economical charges

99% of the time per billing period.
99%
Mileage according to Bing Maps
Negative impact will be reflected on past performance evaluation.
13) Quality Control Program
Within 30 days after award of contract
100%
Establish and maintain complete QCP
Provided upon request of Contracting Officer or Contracting Officer Representative; if not provided a

negative impact will be reflected on past performance evaluation.

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