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Improvements Needed in the Oversight of the Medical-Support Services and Award-Fee Processes under the Camp As Sayliyah, Qatar, Base Operations Support Services Contract
OFFICE OF THE INSPECTOR GENERAL (DEPARTMENT OF DEFENSE) ALEXANDRIA VA
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Our objective was to determine whether DoD officials were properly administering the Camp As Sayliyah, Qatar, Base Operations Support Services QBOSS contract, valued at 143.4 million. This report is one in a series and focuses on the administration of the award-fee process and medical services major functional area of the contract. We found that DoD officials did not administer the medical services area of the QBOSS contract in accordance with the Federal Acquisition Regulation FAR. Specifically, the contracting officer and the administrative contracting officer allowed contractor physician assistants to provide medical services without proper supervision, and Landstuhl Regional Medical Center officials erroneously authorized the Area Support Group-Qatar command surgeon to supervise contractor physician assistants under a nonpersonal services contract. This occurred because the contracting officer did not clarify the contractors responsibility, and Army regulation does not prohibit Government employees from supervising physician assistants who provide services under a nonpersonal health care contract. Furthermore, contracting officials did not verify that the contractor possessed the required authorizing documentation before performing medical services. Specifically, Army officials did not verify that a physician assistants license was active before granting clinical privileges contracting officials and Landstuhl officials did not ensure that the contractor obtained host-country waivers for medical personnel and the contracting officer did not verify that the contractor indemnified the U.S. Government. This occurred because Landstuhl officials did not have a written standard operating procedure for verifying authorizing documentation. In addition, contracting officials and the contractor did not know the requirements for obtaining host-country waivers. Also, contracting officials did not properly administer the award-fee process.
APPROVED FOR PUBLIC RELEASE