36C24124Q0229 0003.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) Department of Veterans Affairs VA Boston Healthcare System Contracting Officer (90C) 940 Belmont Street Brockton

MA

02301 Department of Veterans Affairs VA Boston Healthcare System Contracting Officer (90C) 940 Belmont Street Brockton

MA

02301 To all Offerors/Bidders

36C24124Q0229 02-05-2024

X

02/07/2024 14:00 EST.

See CONTINUATION Page The purpose of this amendment is to provide revised answers to previous questions.

The submission is on 02/07/2024 at 14:00hrs EST.

Jeffrey S. Fleming Contracting Officer

1. Some of the scope of work can be done remotely but does not specify if some meeting, training and other tasks are permitted to be done remotely. Are any of these items are able to be performed remotely?

Answer:

Remote work is authorized.

1. Is remote work to reduce time onsite allowed before and after? It would allow better preparation for review with faster turn-around for identifying issues that will need to be addressed in a Corrective Action Plan. It would also reduce expenses.

Answer:

Remote work is authorized.

1. Is remote work to reduce time onsite allowed before and after? It would allow better preparation for review with faster turn-around for identifying issues that will need to be addressed in a Corrective Action Plan. It would also reduce expenses.

Answer:

Remote Work is authorized.

Remote Examples below:

· Policy and procedures

· Previous TJC recommendations

· Review of PI Program

· Minutes from Critical Committee Meetings

· Personnel File Audits to Analyze for trends to allow HR Compliance time to correct issues

· Medical Records Delinquency Rates for Each facility

· Medical Staff, Medical Executive Committee, Infection Control Reports (if separate), Quality Reports

· Agenda of Board or CEO Reports

· TJC Compliance Critical Elements currently in process, if any

· Competency, Orientation, and Annual Evaluations Requirements

· Extensive Review of Life Safety with Logs of required documentation, Emergency Plans/Usage/Drills (3 Years), and Environment of Care.

· We have 2 individuals to identify each area non-compliant. *Oral recommendations of Imminent Threat to Life are made onsite, especially for Suicide Precautions Onsite:

· Peer Review and Sentinel Event Issues would need to be onsite for Privacy

· Validation of Medical Staff Credentialing

· Physician Meetings at each campus or centralized

· Extensive Review of Life Safety, Emergency Plans/Usage, and Environment of Care. We have 2 individuals to identify each area non-compliant. Oral recommendations of Imminent Threat to Life are made onsite, especially for Suicide Precautions

· Patient Safety

· Need top 10 diagnosis in each service area, and least used for low volume

· Meet with Chief of Staff, CNOs, CEOs/Leadership, Safety Officer/s, Managers, and others to provide update on new 2024 standards

· Exit reviews with our staff and leadership (determined by VA)

· We use crosswalk with both Medicare Conditions of Participation and The Joint Commission Standards.

· Our tools are designed for maximum review of High Risk Areas.

· We meet at the end of each work day to validate the need to look for trends of issues identified.

· We provide a full report in 10 business days with Correction Action Plans.

· We are available to do Video Conference to present Report/corrective Action Plans so a Q&A can be done.

Amendment 0003 to 36C24124Q0229