36C24120Q0295-009.docx

36C24120Q0295

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C24120Q0295 04-28-2020 Johanne Menard 413-685-5109 05-11-2020 8:00 am 00241 Department of Veterans Affairs

VA CENTRAL WESTERN MASSACHUSETTS HCS

Acquisitions-90 421 North Main Street Leeds

MA

01053-9764 X X 621399 N/A X Department of Veterans Affairs VA Boston Healthcare System West Roxbury Campus 1400 VFW Parkway West Roxbury

MA

02132-4927 00241 Department of Veterans Affairs VA Central Western Massachusetts HCS Acquisitions-90 421 North Main Street Leeds

MA

01053-9764

Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin

TX

78714-9971 See CONTINUATION Page This is a solicitation for quotes for Board Certified Perfusionists for the VA New England Healthcare Systems.

Contractor shall provide all necessary personnel & supervision necessary to provide these services pursuant to the Performance Work Statement described herein.

This BPA will expire on May 30, 2021,or a later ending date as determined by the exercise of an option.

Pricing should be identified in A.5 Price/Cost Schedule attached to the solicitation beginning on page 6.

All quotes shall be emailed to Johanne.Menard@va.gov no later than May 11, 2020.

This solicitation is 100% set aside for SDVOSBs.

See CONTINUATION Page X X

JOHANNE MENARD

Contracting Officer Table of Contents

A.2 ADMINISTRATIVE DATA

A Blanket Purchase Agreement (BPA) is hereby established between and the Department of Veterans Affairs under the following terms and conditions incorporated in this BPA:

Primary Point of Contact:

Alternate Point of Contact:

DUNS NUMBER:

Cognizant Office (Include complete address):

Department of Veterans Affairs

VA CENTRAL WESTERN MASSACHUSETTS HCS

Acquisitions-90 421 North Main Street Leeds MA 01053-9764

A.3 NOTIFICATION TO OFFERORS

1. Authority: Under the authority of 38 U.S.C. 8153, and Federal Acquisition Regulation (FAR) Part 12—Acquisition of Commercial Items, and FAR Part 13—Simplified Acquisition Procedures, the VA New England Healthcare System requires a Contractor to provide Perfusionist services in accordance with the terms and conditions contained herein to eligible beneficiaries of the Department of Veterans Affairs (VA) New England Healthcare System (HCS).

2. It is the Government’s intent to make a single Blanket Purchase Agreement (BPA) award in response to this solicitation. However, the Government reserves the right to make multiple BPA awards if it determines it is in the Government’s best interest to do so.

3. Offerors shall complete and return all information designated in the enclosed FAR clause 852.212-1, Instructions to Offerors – Commercial Items, paragraph b, and the addendum to FAR clause 52.212-1, prior to the time specified in block 8 of standard form (SF) 1449 to be considered for award. Offerors shall also respond to each evaluation factor listed in the enclosed VAAR clause 852.273-73, Evaluation—Health-Care Resources and addendum to 852.273-73. Failure to do so may preclude the offeror from consideration for award.

4. TECHNICAL INQUIRES: Direct all technical inquiries via email to Johanne Menard, Johanne.Menard@va.gov no later than May 6, 2020, at 8:00 am. An amendment will be posted to beta.sam.gov in response to questions. The Contractor shall acknowledge an amendment in section A.2 above.

5. DUNS NUMBER: Provide the Dun and Bradstreet Number assigned to your business in the space provided below; (refer to FAR provision 52.212-1, Instructions to Offerors – Commercial Items):

5.1. ____________________________________

6. This requirement is set-aside 100% for Service-Disabled, Veteran-Owned Small Businesses (SDVOSBs). Only SDVOSBs verified in the VA’s Vendor Information Pages (VIP) site at https://www.vip.vetbiz.gov/ at the time of proposal submission will be considered for award.

7. Post-Award Conference. The BPA-awardee shall participate in a post-award orientation conference to review the on-boarding process for candidates and other post-award management procedures. The conference will include the CO, Contract Specialist (CS), Contracting Officer Representative (COR), BPA-awardee, and others designated.

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite Perfusion/Autotransfusion Services to eligible beneficiaries of the Department of Veterans Affairs New England Healthcare System (hereinafter referred to as VANEHCS). The Contractor’s physician(s) care shall cover the range of Perfusion/Autotransfusion Services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American Board of Cardiovascular Perfusion http://www.abcp.org Place of Performance: Services shall be provided on site at multiple possible VA Medical Centers (MC) and Healthcare Systems (HCS) within the VA New England Healthcare System. See paragraph 1.2 of Performance Work Statement for MC and HCS addresses.

Pricing Instructions: The offeror is instructed to complete pricing to correspond with the contract line item number (CLIN). Commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted on individual task orders.

The offeror is instructed to include all price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to FAR 852.273.73 and/or Section D- Contract Documents, Exhibits, or attachments, VA Directive.

The Contractor shall propose a minimum of 3 Perfusionists to be credentialed and be available for scheduling to meet the requirements of the contract.

Periods of Performance: This will be a five-year Basic Purchasing Agreement (BPA) beginning June 1, 2020, through May 31, 2025.

A.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Services of one (1) FTE Chief Board Certified Perfusionist iaw Performance Work Statement.

Year 1 - POP 6/1/20 - 5/31/21

Services of one (1) Full Time Board Certified Perfusionist iaw Performance Work Statement. Task Orders may include requests for part-time Perfusionists.

On-Call - It is required by the contractor that one (1) Perfusionist be part of the rotation to be in an on-call status for 24 hours a day and seven (7) days a week including all Federal Holidays and be within 45 minutes of the facility to support these emergent cases as well as provide for coverage during vacation, illness, etc. Hourly rate will include phone consultations. Individual must carry a beeper or cell phone and answer calls.

Note: Any hours worked during an on- call status for an emergency procedure shall be paid the same rate as regular tour hours.

Call Back - Individual will be paid the regular hourly rate with 1 hour minimum billable and will apply once the individual is physically on site and begins work.

Services of one (1) FTE Chief Board Certified Perfusionist iaw Performance Work Statement.

Year 2 - POP 6/1/21 - 5/31/22

Services of one (1) Full Time Board Certified Perfusionist iaw Performance Work Statement. Task Orders may include requests for part-time Perfusionists.

On-Call - It is required by the contractor that one (1) Perfusionist be part of the rotation for on-call status for 24 hours a day and seven (7) days a week including all Federal Holidays and be within 45 minutes of the facility to support these emergent cases as well as provide for coverage during vacation, illness, etc. Hourly rate will include phone consultations. Individual must carry a beeper or cell phone and answer calls.

Note: Any hours worked during an on- call status for an emergency procedure shall be paid the same rate as regular tour hours.

Call Back - Individual will be paid the regular hourly rate with 1 hour minimum billable and will apply once the individual is physically on site and begins work.

Services of one (1) FTE Chief Board Certified Perfusionist iaw Performance Work Statement.

Year 3 - POP 6/1/22 - 5/31/23

Services of one (1) Full Time Board Certified Perfusionist iaw Performance Work Statement. Task Orders may include requests for part-time Perfusionists.

On-Call - It is required by the contractor that one (1) Perfusionist be part of the rotation for on-call status for 24 hours a day and seven (7) days a week including all Federal Holidays and be within 45 minutes of the facility to support these emergent cases as well as provide for coverage during vacation, illness, etc. Hourly rate will include phone consultations. Individual must carry a beeper or cell phone and answer calls.

Note: Any hours worked during an on- call status for an emergency procedure shall be paid the same rate as regular tour hours.

Call Back - Individual will be paid the regular hourly rate with 1 hour minimum billable and will apply once the individual is physically on site and begins work.

Services of one (1) FTE Chief Board Certified Perfusionist iaw Performance Work Statement.

Year 4 - POP 6/1/23 - 5/31/24

Services of one (1) Full Time Board Certified Perfusionist iaw Performance Work Statement.

Task orders may include requests for part-time Perfusionists.

On-Call - It is required by the contractor that one (1) Perfusionist shall be part of the rotation in an on-call status for 24 hours a day and seven (7) days a week including all Federal Holidays and be within 45 minutes of the facility to support these emergent cases as well as provide for coverage during vacation, illness, etc. Hourly rate will include phone consultations. Individual must carry a beeper or cell phone and answer calls.

Note: Any hours worked during an on- call status for an emergency procedure shall be paid the same rate as regular tour hours.

Call Back - Individual will be paid the regular hourly rate with 1 hour minimum billable and will apply once the individual is physically on site and begins work.

Services of one (1) FTE Chief Board Certified Perfusionist iaw Performance Work Statement.

Year 5 - POP 6/1/24 - 5/31/25

Services of one (1) Full Time Board Certified Perfusionist iaw Performance Work Statement.

On-Call - It is required by the contractor that one (1) Perfusionist shall be part of the rotation in an on-call status for 24 hours a day and seven (7) days a week including all Federal Holidays and be within 45 minutes of the facility to support these emergent cases as well as provide for coverage during vacation, illness, etc. Hourly rate will include phone consultations. Individual must carry a beeper or cell phone and answer calls.

Note: Any hours worked during an on- call status for an emergency procedure shall be paid the same rate as regular tour hours.

Call Back - Individual will be paid the regular hourly rate with 1 hour minimum billable and will apply once the individual is physically on site and begins work.

E001

Services of one (1) FTE Chief Board Certified Perfusionist iaw Performance Work Statement.

If extension required - POP 6/1/25 - 11/30/25

E002

Services of one (1) Full Time Board Certified Perfusionist iaw Performance Work Statement.

POP Begin: 6/1/25 POP End: 11/30/25

E003

On-Call - It is required by the contractor that one (1) Perfusionist be part of the rotation for on-call status for 24 hours a day and seven (7) days a week including all Federal Holidays and be within 45 minutes of the facility to support these emergent cases as well as provide for coverage during vacation, illness, etc. Hourly rate will include phone consultations. Individual must carry a beeper or cell phone and answer calls.

Note: Any hours worked during an on- call status for an emergency procedure shall be paid the same rate as regular tour hours.

E004

Call Back - Individual will be paid the regular hourly rate with 1 hour minimum billable and will apply once the individual is physically on site and begins work.

B.2 Schedule of Services Conclusion

TOTAL FOR FIRST YEAR __________ Hours $_________________________ 6/1/2020 – 5/31/2021

TOTAL FOR SECOND YEAR __________ Hours $_________________________ 6/1/2021 – 5/31/2022

TOTAL FOR THIRD YEAR __________ Hours $_________________________ 6/1/2022 – 5/31/2023

TOTAL FOR FOURTH YEAR __________ Hours $_________________________ 6/1/2023 – 5/31/2024

TOTAL FOR FIFTH YEAR __________ Hours $_________________________ 6/1/2024 – 5/31/2025

TOTAL FOR FIRST PERFORMANCE PERIOD AND ALL ADDITIONAL YEARS $ ________________________

A.4 PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

PERFUSION SERVICES

VA NEW ENGLAND HEALTHCARE SYSTEMS

1. GENERAL:

1.1. Services Provided:

The contractor shall furnish all personnel to provide Perfusion Services in accordance with the terms and conditions contained herein to eligible beneficiaries of the Department of Veterans Affairs (VA) VISN 01 New England Healthcare Systems.

1.2. Place of Performance - Contractor shall furnish services for the VA New England Healthcare Systems (HCS) at one of the locations below:

1.2.1 VA Central Western Massachusetts HCS, 421 N. Main St., Leeds, MA 01053

1.2.2 VA Bedford Medical Center (MC), 200 Springs Rd., Bedford, MA 01730

1.2.3 VA Boston HCS

1.2.4 VA Connecticut HCS

1.2.5 VA Maine HCS, 1 VA Center, Augusta, ME 04330

1.2.6 VA Manchester MC, 718 Smyth Road, Manchester, NH 03104

1.2.7 VA Providence MC, 830 Chalkstone Ave., Providence, RI 02908

1.2.8 VA White River Junction MC, 215 North Main St., White River Junction, VT 05001

1.3. Authority - Title 38 USC 8153, Health Care Resources (HCR) sharing Authority https://www.govinfo.gov/app/details/USCODE-2010-title38/USCODE-2010-title38-partVI-chap81-subchapIV-sec8153/context and Federal Acquisition Regulations (FAR) Part 12 Acquisition of Commercial Items https://www.acquisition.gov/content/part-12-acquisition-commercial-items in combination with FAR Part 13.

1.4. Policy/Handbooks - The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.2. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.4.3. VHA Handbook 1100.17: National Practitioner Data Bank Reports - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.4. VHA Directive 1220(1) “Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting https://www.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID=8365

1.4.5. VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.6. VHA Handbook 1100.19 Credentialing and Privileging - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.7. VHA Handbook 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.8. Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.9. Joint Commission –

http://www.jointcommission.org/standards/

1.4.10. HHS Office of Inspector General (OIG) Website –

https://exclusions.oig.hhs.gov/

1.4.11. American Journal for Infection Control - AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

1.5. Definitions/Acronyms: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. ABCP American Board of Cardiovascular Perfusion

1.5.2. ACGME: Accreditation Council for Graduate Medical Education

1.5.3. ACLS: Advanced Cardiac Life Support

1.5.4. BLS: Basic Life Support

1.5.5. CDC: Centers for Disease Control and Prevention

1.5.6. CDR: Contract Discrepancy Report

1.5.7. CEU: Certified Education Unit

1.5.8. CME: Continuing Medical Education

1.5.9. CMP: Civil Monetary Penalty

1.5.10. CMS: Centers for Medicare and Medicaid Services

1.5.11. CO: Contracting Officer – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.12. COR: Contracting Officer’s Representative – A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.13. COS: Chief of Staff

1.5.14. CPARS: Contractor Performance Assessment Reporting System

1.5.15. CPB - Cardiopulmonary Bypass

1.5.16. DEA: Drug Enforcement Agency

1.5.17. ED: Emergency Department

1.5.18. ECMO: Extracorporeal Membrane Oxygenation

1.5.19. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.20. EMR: Electronic Medical Record

1.5.21. FSMB: Federation of State Medical Boards

1.5.22. FTEE: Full Time Equivalency Employee is defined by VA as a minimum of 80 hours every two weeks and does not include holidays

1.5.23. HHS: Department of Health and Human Services

1.5.24. HIPAA: Health Insurance Portability and Accountability Act

1.5.25. HR: Human Resources

1.5.26. ISO: Information Security Officer

1.5.27. JCAHO: The Joint Commission (https://www.jointcommission.org)

1.5.28. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.5.29. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

1.5.30. Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors.

1.5.31. NP: Nurse Practitioner

1.5.32. NPPES: National Plan and Provider Enumeration System

1.5.33. OSHA: Occupational Safety and Health Administration

1.5.34. OIT: Office of Information and Technology

1.5.35. OPM: Office of Personnel Management

1.5.36. OPPE: Ongoing Provider Practice Evaluation

1.5.37. OR: Operating Room

1.5.38. PA: Physician Assistant

1.5.39. PIV: Personal Identity Verification

1.5.40. POP: Period of Performance

1.5.41. PPD: Purified Protein Derivative

1.5.42. PWS: Performance Work Statement

1.5.43. QASP: Quality Assurance Surveillance Plan

1.5.44. RFP: Request for Proposal

1.5.45. TB - Tuberculosis

1.5.46. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a specific VA Medical Center, for the purpose of this contract, this term shall mean one of the healthcare systems or medical centers listed in 1.2 above.

1.5.47. Veterans Health Administration (VHA): The central office for administration of the VA medical centers throughout the United States. The VHA is in Washington, D.C.

1.5.48. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.5.49. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.5.50. VISTA (see above)/CPRS - - VistA Computerized Patient Record System - is an open source electronic health record (EHR) system developed by the United States Department of Veterans Affairs (VA). The record system is part of the Veterans Health Information Systems and Technology Architecture (VistA), the government agency's healthcare network.

1.5.51. VetPro: a federal web-based credentialing program for healthcare providers.

1.5.52. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a specific VA Medical Center, for the purpose of this contract, this term shall mean the VA Healthcare Systems and Medical Centers referenced in 1.2.

2. QUALIFICATIONS:

2.1. Staff/Facility – The contractor shall provide Full-Time Equivalency Employees (FTEEs) or Part-Time (.8), consisting of Board Certified Chief Perfusionists and Board Certified Perfusionists as required located throughout the VA New England Healthcare System. (See 1.2 above.)

2.1.1. License - All licenses held by the personnel working on this contract shall be full and unrestricted license to the services covered by this contract issued in any State, Territory, or Commonwealth of the United States or the District of Columbia except for Perfusionists hired for VA Boston HCS who will require Commonwealth of Massachusetts licensing (or eligible upon hire) and a certificate as a certified clinical perfusionist issued by the ABCP. Contract personnel shall submit evidence of current, full and unrestricted licenses, registration, certification, and/or other relevant credentials for verification prior to appointment and throughout the employment process, as requested by the COR. Contractor is responsible for keeping the COR informed of anything that would adversely affect or otherwise limit their clinical privileges. Failure to meet this requirement may result in termination of the contract.

2.1.2. Board Certification – The contractor’s employees and any subcontractors shall have all licenses, permits, and certifications as required by law and this contract.

All Perfusionists shall be certified with at least a minimum of five (5) years of experience. All Perfusionists shall be a graduate of an accredited Allied Health Education Program School of Perfusion Technology and shall be certified by the American Board of Cardiovascular Perfusion, demonstrate evidence of meeting continuing education requirements and shall have performed a minimum of 1000 clinical cases. Experience shall be demonstrated in the following areas: Open heart surgery, autotransfusion, heart lung machine, membrane oxygenation, left/right heart bypass, intra-aortic balloon pumping and centrifugal ventricular assist device.

1. All continuing education courses required for maintaining certification must always be kept up to date. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance. All perfusionists will be board certified or board eligible according to American Board of Cardiovascular Perfusion standards. The contract Chief or Acting Chief must be board certified. Board eligible perfusionists must become board certified within 18 months of graduation.

1. All perfusionists will have completed a training program approved by the Commission on Accreditation of Allied Health Education Programs.

1. All perfusionists will show individual evidence of a minimum of 40 CPB cases per year.

1. All perfusionists will show individual evidence of low dose heparin CPB with heparin-bonded circuits with a minimum of 10 cases per year within 6 months of starting under this contract.

1. All perfusionists will show individual understanding of myocardial preservation with a minimum of 20 cases per year.

1. All perfusionists will be supervised by the Chief Perfusionists until competencies are documented in low dose heparin and myocardial preservation.

1. The Chief Perfusionist must demonstrate experience in quality management.

1. All perfusionists must be able to provide emergency coverage 24 hours/day, 7 days/week on a rotating basis and be able to respond to an emergency within 45 minutes.

1. All perfusionists will maintain and provide documentation of an updated and valid unrestricted Perfusion license to the services covered by this agreement issued in any State, Territory, or Commonwealth of the United States or the District of Columbia and a certificate as a certified clinical perfusionist issued by the ABCP. Additional information can be found on American Board of Cardiovascular Perfusion (ABCP) (https://abcp.org/).

1. All perfusionists will regularly utilize the VA email system in order to receive pertinent information and communication purposes.

1. All perfusionists will comply with VA regulations regarding the need for TB Testing, fingerprint documentation and background information.

1. A folder with the stated qualifications will be maintained by the COR.

2.1.3. Credentialing and Privileging - Contract Perfusionist fulfilling the conditions of the contract shall be subject to all bylaws, rules and regulations of the VAMC. Each Perfusionist shall be credentialed and privileged prior to providing services and must be found acceptable by the Medical Executive committee and Governing Body. Credentialing and privileging is to be completed in accordance with VHA Handbook 1100.19 referenced above. The ability for an individual Perfusionist to continue to render services under the contract shall be dependent upon demonstration of clinical competence. Clinical competency shall be assessed on an ongoing basis, is true for all Perfusionist, and to the reported as provider specific practice information at the time or an accreditation body with equal or better standards Joint Commission.

2.1.3.1. If a contract personnel is not licensed or has their license suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency - Contract personnel shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract personnel and contract personnel shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract personnel registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the Credentials Office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract personnel.

2.1.6. Training (BLS, ACLS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s perfusionist(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor:

List of Training required by the VA for Contracted Perfusionists:

VISTA Imaging VA Computer Training (VISTA/EHR)

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for perfusionists within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s perfusionist (s) (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

2.1.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor perfusionists {This is applicable to all health care workers}.

2.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor perfusionists {This is applicable to all health care workers}.

2.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor perfusionists {This is applicable to all health care workers}.

2.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor perfusionists have received the annual Influenza vaccine unless it is contraindicated. If the Contractor perfusionist has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season. (This is applicable to all health care workers).

2.1.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s perfusionist(s) (This is applicable to all health care workers); provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.7.7. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8. National Provider Identification (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) and provide to the Contracting Officer with the proposal.

2.1.9. Conflict of Interest: The Contractor and all contract personnel are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.10. Citizenship related Requirements:

2.1.10.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.10.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.10.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.10.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.10.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offeror’s response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.11. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.11.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site referenced above to ensure that the proposed contract perfusionist(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.11.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non- Personal Healthcare Services: The parties agree that the Contractor and all contract personnel shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contractor’s perfusionists are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contract personnel shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contract personnel furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations to include:

2.7.4. Annual TB Skin Test and recent chest X-ray if there is a history of positive TB skin test

2.7.5. Evidence of Hepatitis B immunity (hepatitis immune titer, if the individual has had the series of shots; if no immunity, evidence that the individual has started the Hepatitis B vaccination series

2.7.6. Evidence of a Hepatitis C titer

2.7.7. Varicella titer if contracted employee has not had chicken pox

2.7.8. Income tax withholding, and

2.7.9. Social security payments

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract personnel. When Contractor or contract personnel has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract provider’s) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE): FTE is defined by VA as a minimum of 80 hours every two weeks (2080 hours) and does not include holidays. The VA defines .8 as a minimum of 64 hours every two weeks (1664 hours) FTE. (1.0 FTE = 2080 hours, 0.8 FTE = 1664 hours) All cases requiring perfusion support may be covered by the contracted staff, not to exceed the requirements which can be safely supported by requirements of the individual task orders.

2.9.2. The number of Board Certified Perfusionist required to be on site daily will be described in individual task orders. Staffing should be appropriate to the amount/time of surgeries scheduled.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled provider is unable to complete an assigned shift, the contractor shall provide replacement provider coverage within 2 hours and notify the Contracting Office Representative (COR) at the VA New England Healthcare System immediately of the schedule change.

2.9.4. Contractor shall provide the names of the contracted employee(s) assigned to the performance:

(i.e.; 1.0, .5,) National Provider Identifier Number

Substitutes

2.10. Emergency Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.10.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.10.2. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.10.3. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance. VA COs may request, without cause, immediate replacement of said contract personnel.

2.10.4. The CO and COR shall deal with issues raised concerning Contract personnel conduct. The final arbiter on questions of acceptability is the CO.

2.10.5. Contingency Plan: Because continuity of care is an essential part of VA New England HCS’s medical services, the Contractor shall have a contingency plan in place to be utilized if the contract personnel leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

2.10.6. Note: Evidence of completion of required licensure, credentials, required training, current competencies and background investigations must be validated for all contractor personnel referred to perform services under this contract prior to providing direct patient care.