A.09.03_Enclosure_1_Quality_Assurance_Surveillance_Plan_20161018.doc

ENCLOSURE 1

QUALITY ASSURANCE AND SURVEILLANCE PLAN

for

Pediatric Intensivist Services

A. OBJECTIVE: This plan provides a quality surveillance strategy for Pediatric Intensivist Services. The primary purpose of this plan is to provide a basis for the Government’s evaluation of the Contractor’s key areas of performance under this contract. The Contracting Officer (KO), in conjunction with input provided by the Contracting Officer’s Representative (COR), will evaluate the Contractor’s performance. Oversight of the Contractor’s performance will assure quality and consistency of contract performance.

B. PERFORMANCE MEASUREMENT OBJECTIVE: The key area(s) of the Contractor’s performance that will be evaluated during the term of the contract. The PWS reference will be provided for each performance measurement objective.

C. ASSESSMENT METHOD: Contractor performance is inspected and evaluated on key areas of performance: fill rate monthly; turnover rate and substantiated patient/staff complaints annually; qualified candidates as needed. Method of surveillance is 100% inspection.

D. ACCEPTABLE QUALITY LEVEL (AQL): The degree to which the Government will allow the Contractor’s key areas of performance to vary; the variance from the standard that the Contractor is allowed and the grading/measurement associated with deviation from the specific performance standard.

E. KEY AREAS OF PERFORMANCE: The following Performance Measurements Requirement Summary applies. The Government may modify inspection methods in accordance with site specific requirements.

Patient and Customer satisfaction. Para 1.5.11.

Provider Credentials and Licensure. Para 1.7.

Provide patient care according to PICU policies and procedures.

Para 5.

STANDARD

MEASUREMENT

PAST PERFORMANCE ASSESSMENT

99% to 100% Exceptional

Document Past Performance

96% to 98% Very Good

Assessment Report, paying particular attention

95%

Satisfactory to performance that exceeds the standard.

92% to 94% Marginal

92% or Less Unsatisfactory

F. CONTRACTOR PERFORMANCE ASSESSMENT REPORT. This report shall be submitted to the Contracting Officer monthly (unless otherwise agreed upon between the Contracting Officer and the Contracting Officer’s Representative).

G. REPERFORMANCE OF SERVICES. If any of the services do not conform with contract requirements, the Government will require the Contractor to reperform the services in conformity with contract requirements, at no additional cost to the Government. When the defects in services cannot be corrected due to circumstances, the Government may (1) require the contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the services performed. The Contracting Officer may exercise appropriate contractual remedy should the Contractor fail to promptly take the necessary action to ensure future performance is in conformity with contract requirements.

When apparent non-satisfactory work is identified, the Contracting Officer’s Representative shall prepare a Contract Discrepancy Report (CDR) and submit to the Contracting Officer for review, use DD Form 2772. The Contractor shall then be required to respond to the CDR. The Contractor shall explain reasons for substandard performance, how performance will be returned to acceptable levels, and how recurrence of the same or like problems will be prevented. The Contracting Officer will evaluate the Contractor's explanation, assess its validity, and determine whether it is acceptable.

The Contractor shall be required to correct/eliminate any deficiencies in services in a timely manner. Notification begins when pertinent documents (e.g., Customer Complaint Record or CDR) are issued to the Contractor. Time of notification and correction of all applicable deficiencies should be entered on all Government documents and retained in the contract file. The Government may execute a deduction in payment for non-compliance when validated by the Contracting Officer.

H. PERFORMANCE RATINGS.

The Government will rate past performance using the following performance standards.

Other performance evaluation factors that will be monitored and documented in the contractor’s performance records but cannot be quantified by numerical measurements:

Contractor providing personnel exceeding the minimum qualification standards, and/or performance above or below the standard, for above factors, will be documented in the Contractor’s Performance Assessment Reporting System (CPARS) for the reporting period.

NOTE: This plan is provided for information purposes only. The QASP is not a part of the solicitation, nor shall it be part of any resulting contract. The Government has the right to change or modify inspection methods at its discretion.

(End of Enclosure 1 ~ QASP)