Psychiatry Services 04-02-2018 through 03-31-2023 Place of Performance includes the following Zip Codes: 94121, 95422, 95501, 95482, and 95403
Added: Mar 16, 2018 1:12 pm Vers 3.15.18 Page 1 of 14 Scope of Work: Contractor shall provide a state board certified or board eligible Psychiatrist to perform outpatient psychiatry services required in this contract for beneficiaries of the San Francisco VA Health Care System; both its main hospital and Community Based Outpatient Clinics (CBOCs). The place of performance is the San Francisco VA Health Care System; which contains the following stand-alone clinics: Santa Rosa Community Based Outpatient Clinic (CBOC) located at 3841 Brickway Blvd, Santa Rosa, CA 95403. Ukiah CBOC, 6300 Kings Ct, Ukiah, CA 95482 Eureka CBOC, 930 W Harris St, Eureka, CA 95501 Clearlake CBOC15145 Lakeshore Dr, Clearlake, CA 95422 San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA 94121 Psychiatrist must be state board certified or board eligible by the American Board of Psychiatry and Neurology. Proof of certification must be submitted with offer in order for the offer to be considered for award. The position entails providing psychiatric evaluations and consultations, medication evaluations and treatment either in person or via VTEL/Telehealth. The patient population is one seen in a general psychiatry outpatient clinic, representing the full range of diagnostic categories but with an emphasis upon patients presenting with posttraumatic stress disorder. The caseload for this position is a panel size of 400 patients. Patients are seen for 60 minutes for a psychiatric evaluation, consultation or initial medication evaluation. Routine medication appointments are scheduled for 30 minutes. Recent experience in the Department of Veterans Affairs health care system is preferred. Experience in the treatment of PTSD is highly desirable. Physician shall perform all ongoing primary services commonly required in the mental health clinic setting, within the scope of this statement of work, on site using government furnished supplies, facilities and equipment within the assigned unit of the hospital. Workload occurs because of scheduled and unscheduled requirements for care. Contractor s Tasks Include: This position is considered a Key Position in the Service Line and shall not be replaced without prior approval from the properly appointed Contracting Officer s Representative (COR). Should replacement become necessary, the Contractor shall provide the COR with documentation representing the suggested replacement (at minimum this will include an updated resume, proof of licensing, and status of Board Certification. Candidates shall be screened and interviewed by the Contractor prior to recommending the employee to the COR. The Contractor is highly encouraged to submit candidates with previous VA experience and those experienced in the treatment of PTSD. Physician shall: Participate in peer review and performance improvement activities. Demonstrate appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities. Provide training and/or direction as applicable to supporting employees (e.g. RNs, LPNs, technicians, administrative support staff) assigned to the unit during the performance of duties. Such direction and interaction will adhere to government and professional clinical standards and accepted clinical protocol. Complete continuing education to meet his or her professional growth and specialty standards. Attend /complete VA mandatory training requirements. Be certified in basic life support. Participate in scheduled meetings to review and evaluate the services provided to veterans, identify opportunities to improve the services delivered, and recommend corrective action when problems exist. Perform necessary administrative duties which include operation of VISTA and computerized electronic patient record (CPRS). Comply with information security policy and procedures. Interpersonal relationships Physician works effectively with veterans, families, co-workers and other health care professionals. Work schedule is Monday tough Friday, 8 AM-4:30 PM. There is no after hours call schedule. No overtime is authorized unless approved by ACOS, Mental Health Service or his/her designee. 3. Additional Standard Duties: Physician shall provide ongoing psychiatric care services in San Francisco VA Health Care System Mental Health outpatient clinics. Conic medical problems commonly seen in the veteran population are dealt with. Patients often present with complex needs and disorders such as diabetes, hypertension, conic obstructive pulmonary disease, degenerative artitis, depression, congestive heart failure, angina and pain in addition to mental health conditions. Judicious use of laboratory and x-ray services as well as appropriate referral and consultation is obtained. Physician productivity is expected to be comparable to that of other primary care physicians assigned to the mental health primary care clinic and authorized the same scope of practice. Physician shall: Provide knowledge, skills and professional capabilities in psychiatric care services in the outpatient clinic setting such that it distinguishes them from other physicians and enables them to serve as consultants to other physicians and as a primary provider of such services in the outpatient care setting. Diagnose and advise veteran of mental health problems that may be discovered during an examination. Obtain a pertinent medical history and conduct a psychiatric examination of each veteran. Interpret pathology, psychiatric and radiological related material as appropriate. Act as collaborative physician with PAs and NPs as requested by authorized staff. At the request of authorized personnel, respond to emergencies in the clinic. Provide and document medical advice to patients by telephone as appropriate and in accordance with the San Francisco VA Health Care System (SFVAHCS) protocol. Credentialing and Privileging. Initial applications for clinical privileges and applications for renewal of privileges must be submitted to the Contracting Officer s Technical Representative (COTR) upon notice of contract award. The COTR will present such applications to the credentialing and privileging office for review. Prior to providing services at VA, all Contractor personnel must be verified by the COTR as having been credentialed and privileged (this must be documented by the COTR). Additionally, if requested, the Contractor shall make all proposed personnel available for interview prior to commencement of work and during the credentialing and privileging process The qualifications of all personnel shall be subject to review by the San Francisco Veterans Affairs Health Care System (SFVAHCS) Chief of Staff and approval by the SFVAHCS Director. SFVAHCS reserves the right to refuse to accept any Contractor employee who fails to perform in accordance with the contract requirements, or who fails to adapt to the SFVAHCS work environment. Should the personnel proposed by the Contractor to provide services under this contract be denied privileges, or should the privileges of Contractor personnel be suspended, terminated, or revoked, the Contractor, as well as the employee(s) in question, shall be notified of the basis for such actions. Contractor personnel who provide services under this contract will be required to report specific patient outcome information, such as complications, to the Chief, Medical Service or his/her designee. Quality improvement data provided by the Contractor personnel and/or collected by the SFVAHCS will be used to analyze individual practice patterns. This data may be used by SFVAHCS when renewal of clinical privileges is required of Contractor personnel. Contractor personnel who were previously credentialed and privileged by SFVAHCS may be exempt from this contract requirement provided that they can provide documentation to support current and active privileges SFVAHCS reserves the right to refuse or dismiss contract personnel whose personal or professional conduct jeopardizes patient care or the regular and ordinary operation of the facility. Reasons for refusal or dismissal include, but are not limited to, unsatisfactory performance prior to and/or during the term of the contract, failure to receive favorable adjudication during a VA background investigation, failure to satisfy the requirements of the contract, physical or verbal abuse to patients, staff, or visitors, intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, ethical misconduct, conduct resulting in formal complaints by patients or other staff members, and any other valid reason considered objectionable. SECURITY REQUIREMENTS FOR CONTRACTOR EMPLOYEES: Contractor shall insure the confidentiality of all patient and employee information and shall be held liable in the event of breach of confidentiality. Records: Contractor personnel who obtain access to hardware or media which may manipulate or store drug or alcohol abuse data, sickle cell anemia treatment records, records or tests or treatment for or infection with HIV, medical quality assurance records, or any other sensitive information protected under 38 U.S.C. 4132 or 3305, as defined by the Department of Veterans Affairs, shall not have access to the records unless absolutely necessary to perform their contractual duties. Any individual who has access to these data will disclose them to no one, including other employees of the Contractor not involved in the performance of the particular contractual duty for which access was obtained. Violation of these statutory-provisions as stated in department regulations by the Contractor s employees may involve imposition of criminal penalties. System of Records: The Veterans Administration system(s) of records to which the Contractor personnel will have access in order to maintain patient medical records. Contractor will be required to sign and abide by the VA Automated Information Systems Access Agreement and Rules of Behavior for System Access. Contractor Personnel Security Requirements: All Contractor employees who require access to VA computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Security and Investigations Center (SIC) prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA. Contractor personnel who previously received a favorable adjudication as a result of a Government background investigation may be exempt from this contract requirement provided that they can provide documentation to support the previous adjudication. Proof of previous adjudication must be submitted by the Contractor to VA SIC tough the VA Contracting Officer. Position Sensitivity - The position sensitivity has been designated as: Low Risk Background Investigation - The level of background investigation commensurate with the required level of access is: National Agency Check with Written Inquiries (NACI)1 Contractor Responsibilities The Contractor shall bear the expense of obtaining background investigations. If the investigation is conducted by the Office of Personnel Management (OPM), the Contractor shall reimburse VA within 30 days. The cost for investigation and finger prints is approximately $200.00 per employee. The Contractor shall prescreen all personnel requiring access to the computer systems to ensure they are able to read, write, speak and understand the English language. The Contractor shall submit or have their employees submit the following required forms to the VA Contracting Officer within 5 days of contract award (visit http://www1.va.gov/VABackground_Investigations/page.cfm?pg=2 to download items i.-iii.; the VA Contracting Officer will arrange a time for Contractor personnel to complete item iv.): i. Standard Form 85, Questionnaire for Non-Sensitive Position ii. Standard Form 86A, Continuation Sheet for Questionnaires iii. Optional Form 3062, Declaration for Federal Employment iv. FD 258, U.S. Department of Justice Fingerprint Applicant Chart Once the required forms are submitted, the VA Contracting Officer will pre-screen the forms for completeness, and forward them to VA SIC in order to initiate the required background investigation(s) within 14 calendar days of appointment. Only after the VA Contracting Officer notifies the Contractor that the background investigation(s) was initiated shall the Contractor be authorized to provide services under the contract. As previously stated, if the investigation is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA. The Contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract. Failure to comply with the Contractor personnel security requirements may result in termination of the contract for default. 6. Access to and Safeguard of VA Information/Computer Systems 6.1.1. VA may provide contract personnel with access to VISTA (formerly referred to as DHCP) and/or other general files maintained on VA computer systems via personalized VA access codes. These access codes are confidential and are to be protected by the end user. Sharing of these access codes or misuse of VA information/computer systems is a Federal crime and may result in criminal penalties. When contract personnel no longer provides services to VA under the contract or no longer needs access to VA information systems, the Contractor shall immediately inform the COTR so that the appropriate contract person s access codes can be deactivated. The COTR will be responsible for ensuring that such access codes are deactivated. 6.1.2. All contract personnel accessing VISTA, or any other VA information/computer system, will be required to complete VA Cyber Security Awareness and Privacy Training annually and sign all applicable computer user agreements prior to accessing VA systems. The COTR will be responsible for ensuring and documenting that this requirement is satisfied. Contract personnel shall maintain, access, release, and otherwise manage the information contained on VA information/computer systems in accordance with all VA/VHA security policies, applicable VA confidentiality statutes (Title 38 U.S.C. Section 5701 and Title 38 U.S.C Section 7332) and the respective regulations implementing these statutes, and Federal statutes and/or regulations applicable to Federal agency records. Copies of this information discussed in the aforementioned paragraphs can be provided to the Contractor and contract personnel upon request.2 This form will only be used to record the applicant s responses, not for Federal employment purposes. 6.1.3. Contract personnel with access to VA information/computer systems shall take reasonable safeguards, both physical and electronic, to safeguard the information and prevent unauthorized disclosures. Should contract personnel know, or suspect, that VA information/computer security was compromised or that VA information was, or could possibly be, disclosed to an unauthorized party, contract personnel must immediately report such knowledge or suspicion to the COTR, who will then immediately notify the appropriate VA officials. 6.1.4. If contract personnel are authorized by VA to access VA information/computer systems remotely via non-VA issued computers, the Contractor will ensure that such computers are consistent with VA requirements, and will upgrade those computers (hardware and/or software) if instructed to do so by VA in order to ensure compatibility and security when VA information/computer systems are accessed by the end user. Individually identifiable health information will not reside on the contractor s computer hard drives. After contract award, VA reserves the right to inspect the contractor s facilities, installations, operations, documentation, records, databases, and computers to ensure these requirements are met. 6.1.5. The Contractor shall make its internal policies and practices regarding the safeguarding of medical and/or electronic information available to VA, and any other Federal agencies with enforcement authority over the maintenance and safeguard of such records, upon request. 6.1.6. The Contractor shall follow all of the previously mentioned statutes and respective regulations implementing these statutes as well as VA Directive 6504 - Restrictions on Transmission, Transportation and Use of, and Access to VA Data Outside a VA Facility, VA Directive 6601 Removable Storage Media, and any other VA/Veterans Health Administration (VHA) policies and procedures governing the information discussed in this section of the contract. Copies of the information discussed in the aforementioned paragraphs may be viewed by contract personnel in the Office of Information Security (see the Information Security Officer). 6.1.7. Any changes in the laws, regulations, or VA/VHA policies or procedures governing the information covered by this section of the contract, during the term of this contract, shall be deemed to be incorporated into this contract. CPRS Contract personnel are required to enter all patient care information into CPRS in accordance with Health Care System Memorandum No. 11-06-93 - Patient Care Orders Using the Computerized Medical Records System (see the COTR to obtain a copy of this document) and any other VHA/medical center policies, procedures, or memorandums that address this topic. The COTR will be responsible for ensuring and documenting that these requirements are satisfied. If patient records are not properly documented within CPRS, VA reserves the right to withhold payment to the Contractor until such records are properly documented. Handling of Records By performing services under this contract, the Contractor is considered part of the VA healthcare activity for purposes of the following statutes and respective regulations implementing these statutes: Title 5 U.S.C Section 552a (Privacy Act), Title 38 U.S.C. Section 5701, Title 38 U.S.C. Section 5705, Title 38 U.S.C Section 7332, and Public Law 104-191 (HIPAA). Contract personnel shall have access to patient medical records and general files only to the extent necessary to perform their contractual duties. Contract personnel shall only release information obtained during the course of this contract to those VA medical staff members involved in the necessary care and treatment of the individual patient in which the information pertains. Notwithstanding any other clause and/or provision of this contract, if a request for release or disclosure of information is not necessary for the care and treatment of an individual patient, the Contractor and contract personnel shall not disclose any information contained in general files, patient records, and/or any other individually identifiable health information, including information and records generated by the Contractor in performance of this contract, except pursuant to explicit instruction and written approval from VA. For the purposes of this paragraph, instruction to disclose or copy such records and/or information may only be provided by the following: VA Regional Counsel and Chief, Health Information Management Service/Privacy Officer tough the VA Contracting Officer. Violation of the aforementioned statutes may result in criminal and/or civil penalties. Contract personnel who obtain access to hardware or media which may manipulate or store drug or alcohol abuse data, sickle cell anemia treatment records, records or tests or treatment for or infection with HIV, medical quality assurance records, or any other sensitive information protected under the statues and implementing regulations previously mentioned in paragraph 6.1, above, shall not have access to the records unless absolutely necessary to perform their contractual duties. Any contract person who has access to the previously mentioned data and/or information must not disclose it to anyone, including other contract personnel not involved in the performance of the particular contractual duty for which access to this data and/or information was obtained. Information or records accessed and/or created by the Contractor in the course of performing services under this contract are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable federal law, regulations, and/or VA/VHA policy. The Contractor will not copy information contained in VA information systems, either by printing to paper or by copying to another digital format, without the explicit instruction and written approval from of the officials listed in paragraph 6.1., above, except as is necessary to make single copies in the ordinary course of providing patient care. The Contractor will not commingle the data from VA information systems with information from other sources. Contractor shall report any unauthorized disclosure of VA information to the officials listed in paragraph 6.1., above. If this contract is terminated for any reason, the Contractor will provide VA with all individually identifiable VA patient treatment records or other information in its possession, as well as any copies made pursuant to paragraph 6.3., above, within seven (7) calendar days of the termination of this contract. The Contractor shall follow all VA policies regarding the retention of records. As an alternative, the Contractor may deliver the records to VA for retention. The Contractor shall follow all of the previously mentioned statutes and respective regulations implementing these statutes as well as VHA Handbook 1605.1 - Privacy and Release of Information and any other VA/VHA policies and procedures governing the information discussed in this section of the contract. Copies of the information discussed in the aforementioned paragraphs may be viewed by contract personnel in the Office of Health Information Management (see the Privacy Officer). All contract personnel with access to any of the previously mentioned records (electronic or paper) will be required to complete VHA Privacy Policy Training before accessing such record systems. This training must also be completed annually. The COTR will be responsible for ensuring and documenting that this requirement is satisfied. Any changes in the laws, regulations, or VA/VHA policies or procedures governing the information covered by this section of the contract, during the term of this contract, shall be deemed to be incorporated into this contract. VA has unrestricted access to the records generated by the contractor pursuant to this contract. HIPAA Compliance Under HIPAA Privacy and Security Rules, the Contractor providing services under this contract is considered to be a covered entity, and thus is not required to enter into a Business Associate Agreement with VA. However, the Contractor must observe Public Law 104-191 and all respective regulations implementing this law while providing services under this contract. Monitoring Procedures: The established productivity standards used for all SFVAHCS physicians will be used to monitor the Contractor employee(s). Personnel Policy: The Contractor shall be responsible for protecting the personnel furnishing services under this contract. The Contractor shall provide the following: Workers Compensation Professional liability insurance Income tax withholding Social Security payments The Contractor shall verify, and document, that all employees who provide patient care services at the VA have the following before they provide any service related to this contract: Health examinations including annual TB skin test result Either has received the Hepatitis B vaccine series, or are immune as a result of acquired infection, or have been offered and refused the vaccinations. Received measles-mumps-rubella (MMR) vaccine. (Combined vaccine (MMR) is the vaccine of choice if individuals are likely to be susceptible to more than one of the tee diseases and is required for all persons born after 1956. A negative PPD within the last year, or, if a known reactor, a negative chest X-Ray within the past year. A history of varicella (chicken pox) or, if unknown, results of a varicella antibody test. If non-immune, must be vaccinated with Varivax (Chicken pox). Received training in Universal Precautions and Blood Borne Pathogens, Hazardous Material Management, and Life Safety Management (fire preparedness). Successfully completed cardiopulmonary resuscitation (BLS) training. Responsibility: The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). Quality assurance measures are defined in the Quality Assurance Surveillance Plan. Organizational Relationship: The Parties agree that Contractor personnel working under this contract shall not be considered Government employees. The Contractor employees shall work under the direction of the Chief, Mental Health Service or Designee. Routine work is performed with a minimum of supervision; the Contractor's employee(s) will be required to perform duties on their own initiative. The Contractor employees shall act in a thoroughly professional manner at all times. They shall work in harmony with other members of the professional and technical staff, in keeping with the established patterns of interaction within SFVAHCS. Tact and courtesy are mandatory when interacting with patients and staff. Qualifications: Contractor personnel performing under this contract shall meet or exceed recognized National Standards as established by the Joint Commission and shall perform the services in accordance with the ethical, professional, and technical standards of the VA, American Society of Psychology and Neurology and American Society of Addiction Medicine and health care industry. Psychiatrist must be Board Certified or Board Eligible by the American Board of Psychiatry and Neurology. Psychiatrist must also be eligible for or will have ABPN Certificate of Added/Qualifications in Addiction Psychiatry and/or Certification by the American Society of Addiction Medicine. Contractor personnel shall perform services in accordance with ethical, professional, and technical standards of the healthcare industry consistent with VA policy, regulations, procedures and protocol. Contractor Personnel shall be technically proficient in the skills necessary to fulfill the requirements stated herein including the ability to understand, speak, read and write the English language. Contractor personnel shall be licensed in a State, Territory, or Commonwealth of the United States or the District of Columbia and be licensed to practice Psychiatry in the State of California. Documentation/Records: All records will remain the property of the VA under their exclusive control. Control and jurisdiction ofthe patient shall remain with the VA. Contractor shall document patient care in the patient chart via the Computerized Patient Record System. The SFVAHCS will provide training regarding the use of the Computerized Record System. All documentation shall be completed in accordance with SFVAHCS policy and procedures. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI) Quality Management/Quality Assurance Surveillance: Contract personnel shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, proper utilization of the Emergency Department Integration Software (EDIS) used for patient tracking and Peer Reviews. Methods of Surveillance: Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE). Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted. Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. In the event that The Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The CO and COR shall deal with issues raised concerning Contractor s conduct. The final arbiter on questions of acceptability is the CO. Performance Standards. Measure: Provider Quality Performance Performance Requirement: All contract physician (s) shall perform in accordance with clinical standards Standard: 100% of care provided within clinical standards of care Acceptable Quality Level: 100% Surveillance Method: OPPE (Clinical review of provider performance), which shall consist of the following elements: Patient Care Performance Medical/Clinical knowledge Practiced Based Learning and Improvement Interpersonal and Communication Skills Professionalism System Based Practice Incentive. Favorable contractor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Measure: Qualifications of Key Personnel Performance Requirement: All contract physician (s) shall perform in accordance with clinical standards Standard: All (100%) contract physician (s) are board certified. Acceptable Quality Level: 100% No deviations accepted. Surveillance method: Random Inspection of qualification documents Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Measure: Scope of Practice / Privileging Performance Requirement: Contract physician(s) perform within their individual scopes of practice/privileging Standard: All (100%) contract physician (s) perform within their scope of practice/privileges 100% of the time. Acceptable Quality Level: All (100%) contract physician (s) perform within their scope of practice/privileges 100% of the time. No deviations accepted. Surveillance Method: Random inspection of records. Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Measure: Patient Access Performance requirement: Contract physician (s) shall be available and in location as needed to properly perform tasks as specified. Standard: All (100%) contract physician (s) are on time and available to perform services. Acceptable quality level: Contract physician (s) are on-time and available to perform services 97% of the time Surveillance method: Periodic sampling of time and attendance sheets. Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Measure: Patient Safety Performance requirement: Patient safety incidents shall t be reported using Patient Safety Report. All incidents reported immediately (within 24 hours.) Standard: All (100%) of patient safety incidents are reported using Patient Safety Report within 24 hours of incident. Acceptable quality level: All (100%) of patient safety incidents are reported using Patient Safety Report within 24 hours of incident. No acceptable deviation. Surveillance method: Direct Observation Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation Measure: Maintains licensing, registration, and certification Performance requirement: Updated Licensing, registration and certification shall be provided as they are renewed. Licensing and registration information kept current. Standard: All (100%) licensing, registration(s) and certification(s) for contract physician (s) shall be provided as they are renewed. Licensing and registration information kept current. Acceptable quality level: All (100%) licensing, registration(s) and certification(s) for contract physician (s) shall be provided as they are renewed. Licensing and registration information kept current. No acceptable deviation. Surveillance Method: Periodic Sampling and Random Sampling Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Measure: Mandatory Training Performance requirement: Contractor shall complete all required training per VAMC policy Standard: All (100%) of required training is complete on time by contract physician(s). Acceptable quality level: 100% completions, no deviations. Surveillance method: Periodic sampling. Incentive: Favorable contractor performance evaluation. Disincentive: Suspension or termination of all physical and/or electronic access privileges and removal from contract until such time as the training is complete Measure: Privacy, Confidentiality and HIPAA Performance requirement: Contractor is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA and complies with all standards Zero breaches of privacy or confidentiality Standard: All (100%) contractor physician (s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA Acceptable Quality Level: 100% compliance; no deviations. Surveillance method: Contractor shall provide evidence of annual training required by VAMC, reports violations per VA Directive 6500.6. Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s)
36C26118Q0320 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21
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