Solicitation_Enclosure_1_Quality_Assurance_Surveillance_Plan.docx
DOCX document 22 KB Posted
- Attached to
- Radiation Therapy Physicist Federal contract opportunity
- Solicitation number
- W91YU0-16-T-0019
- Issued by
- Department of the Army Medical Command
About this file
ENCLOSURE 1 QUALITY ASSURANCE SURVEILLANCE PLAN
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation_W91YU0-16-T-0019_Radiation_Therapy_Physicist.pdf | ||
| Solicitation_Enclosure_1_Quality_Assurance_Surveillance_Plan.docx | DOCX document | |
| Solicitation_Attachment_3_Compensation_Plan.xls | XLS spreadsheet | |
| Solicitation_Attachment_1__Individual(s)_Authorized_to_Bind__the_Company.docx | DOCX document | |
| Attachment_2__Present_Past_Performance_Information_Sheet.doc | DOC document | |
| Solicitation_Attachment_1__Individual(s)_Authorized_to_Bind__the_Company.docx | DOCX document | |
| Solicitation_Attachment_3_Compensation_Plan.xls | XLS spreadsheet | |
| Solicitation_W91YU0-16-T-0019_Radiation_Therapy_Physicist.pdf | ||
| Attachment_2__Present_Past_Performance_Information_Sheet.doc | DOC document |
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Text version
ENCLOSURE 1
QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)
for Radiation Therapy Physicist Services at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord, WA
1. OBJECTIVE: This plan provides a quality surveillance strategy for Radiation Therapy Physicist 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.
1. 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.
1. 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.
1. 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.
1. KEY AREAS OF PERFORMANCE:
The following Performance Requirements Summary applies. The Government may modify inspection methods in accordance with site specific requirements.
| PERFORMANCE OBJECTIVE |
| STANDARD |
| ACCEPTABLE QUALITY LEVEL |
| METHOD OF ASSESSMENT |
| REMEDY |
| Staffing. PWS Paras. 1.1.1, 1.1.2., 1.3.1., and 1.4. |
| Position shall be 100% filled within 45 days of date of award (defined in SF1449, block 3); in the event a contract service provider vacates a position, the position shall be filled backfilled immediately with qualified personnel. |
| Maintain staffing of Radiation Oncology at Fill Rate of – 95% minimum. |
| Review requested and filled shift data. |
| Document in CPARS. Reduce contract amount by days HCP missing. |
Provide Qualified HCP’s to fill the requirement. PWS 1.2.
| Qualified HCP’s are presented for Government Acceptance and/or Approval. |
| Meets – 100%. |
| Review CV’s, Licenses, and any other pertinent data showing a candidate’s qualifications. |
| Non- compliance documented in CPARS. |
Possible termination.
Patient and Customer satisfaction. PWS 1.5.10.
| Maintain a high level of patient and customer satisfaction. |
| Max of two substantiated complaints per provider per year. |
| Review assessment of customer complaints through Departmental Process Improvement and weekly staff meetings. |
| Non- compliance documented in CPARS. |
Possible termination.
Provider Credentials and Licensure. PWS Para. 1.7.
Maintain all certifications and licenses current. Maintain credentials at MTF.
| All certification documents current. |
| Continuous monitoring of credential documents and licenses. |
| Non- compliance documented in CPARS. |
Possible termination
Manage Equipment Quality Control Program. PWS Paras. 5.3and 5.4.
| Verify daily output checks and perform monthly and annual system calibrations. |
| Meets – 100 % completion of calibrations and documentation. |
| Review records to determine if assessments complete and appropriate. |
| Non- compliance documented in CPARS. |
Validate treatment plans PWS Paras. 5.9 and 5.10.
Verify that calculations in conventional dosimetry plans and measure proper delivery with IMRT/VMAT plans.
| All required documentation completed. No significant omissions. |
| Review charts through Departmental Process Improvement procedures. |
Non- compliance documented in CPARS.
| Provide Brachytherapy support. PWS Para. 5.11. |
| Calculate the appropriated treatment dose of radioactive material required and provide assistance with the procedures. |
| All required documentation completed. No significant omissions. |
| Chart Reviews and compliance with NRC requirements. |
| CDR Issued and Document in CPARS. Possible termination |
| Plan or coordinate maintenance of equipment and provide consulting services for equipment acceptance. PWS Paras. 5.4. and 5.5. |
| Ensure maintenance is scheduled and performed. |
| All required maintenance is performed. |
| Continuous monitoring of equipment reliability and uptime. |
| Bring into immediate compliance. Document in CPARS. |
| OTSG/MEDCOM Policy Memo 13-062. Para. 1.1.5.1. |
| Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP). |
| 100% compliance. |
| COR documentation and program review. Any non-compliance must be brought to the immediate attention of the KO. |
| CDR Issued and Document in CPARS. |
| Sexual Assault Reporting, Paras. 1.1.5.2. and 5.25. |
| Within 24 hours of incident. |
| 100% compliance. |
| COR Documentation. Any non-compliance must be brought to the immediate attention of the KO. |
| CDR Issued and Document in CPARs. |
| Sexual Harassment Reporting, Paras 1.1.5.3. and 5.25. |
| Within 24 hours of incident. |
| 100% compliance. |
| Any non-compliance must be brought to the immediate attention of the KO. |
| CDR Issued and Document in CPARS. |
| Combating Trafficking in persons (awareness program). |
| FAR Clause 52.222-50 and FAR Subpart 22.1703. |
| 100% compliance (zero tolerance) regarding trafficking in persons policy. |
| COR documentation and program review. Any non-compliance must be brought to the immediate attention of the KO. |
| Document in CPARs. Remedies Allowable by FAR 52.222-50 will be taken. |
| Contractor Manpower Report (CMR). PWS 9. |
| Complete Contractor Manpower Report. |
| Reports shall be submitted as required 100% of the time. |
| Review CMR records to ensure was completed. Contract Specialist and COR Monitors. |
| Document in CPARS. Withhold final payment. |
F. CONTRACTOR PERFORMANCE ASSESSMENT REPORT. This report shall be submitted to the KO monthly (unless otherwise agreed upon between the KO and the COR).
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 KO 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 COR shall prepare a Contract Discrepancy Report (CDR) and submit to the KO 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 KO 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 KO.
H. PERFORMANCE RATINGS. The Government will rate past performance using the following performance standards.
| EXCEPTIONAL: |
| Performance meets contractual requirements and exceeds many to the Government’s benefit. |
| VERY GOOD: |
| Performance meets contractual requirements and exceeds some to the Government’s benefit. |
| SATISFACTORY: |
| Performance meets contractual requirements. |
| MARGINAL: |
| Performance does not meet some contractual requirements. |
| UNSATISFACTORY: |
| Performance does not meet most contractual requirements and recovery is not likely in a timely manner. |
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)
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