36C24218R0404-002.docx

36C24218R0404

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 IDENTIFI

ED 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

36C24218R0404 2-28-2019 Jeanette Crooks, Contracting Officer 585-393-7853 04-05-2019

4:00 PM EST

Department of Veterans Affairs 400 Fort Hill Ave.

Canandaigua NY 14424 X X 561320 $11 Million X N/A X Department of Veterans Affairs Stratton VA Medical Center 113 Holland Avenue Albany NY 14208 Department of Veterans Affairs Network Contracting Activity 400 Fort Hill Ave.

Canandaigua NY 14424

Tungsten Network http://www.tungsten-network.com/us/en /veterans-affairs

INTERNAL MEDICINE PHYSICIANS TO PERFORM PRIMARY CARE SERVICES

FOR THE STRATTON VA MEDICAL CENTER, ALBANY NY AS DESCRIBED HEREIN.

PWS IS LOCATED ON PAGES 13-4

X X

JEANETTE CROOKS

CONTRACTING OFFICER

Page 1 of

Page 1 of Table of Contents

36C24218R0404

Page 1 of Page 1 of Page 1 of

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINSTRATION DATA (Continuation of SF 1449 Blocks 5-18)

1. Contract Administration: All contract administration matters will be handled by the following individual(s):

a. Contractor _____________________________________________

Address _____________________________________________

City/State/Zip _____________________________________________

Point of Contact (Name) _____________________________________________

Telephone Number _____________________________________________

Fax Number _____________________________________________

Email Address _____________________________________________

TAX ID Number _____________________________________________

DUNS NUMBER _____________________________________________

b. Government:

Jeanette Crooks, Contracting Officer Department of Veterans Affairs, Canandaigua VA Medical Center 400 Fort Hill Avenue, Bldg. 34A Room 148 Canandaigua, NY 14424

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests:

5. SOLICITATION/CONTRACT: This solicitation and resulting contract adheres to the format defined in Federal Acquisition Regulation (FAR) Parts 12 and 15. An official copy of the FAR can be obtained at https://www.acquisition.gov/far/ .

6. POST AWARD ORIENTATION (Awards over $1M): The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by IL 003A3-12-04, which is available at http://www.va.gov/oal/docs/library/ils/il12-04.pdf.

7. THE FOLLOWING STATEMENT IS REQUIRED ON ALL FAX SHEETS: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

8. TECHNICAL INQUIRIES: Direct all technical inquiries in writing to Contracting Officer, Jeanette Crooks via email at: Jeanette.Crooks@va.gov. ALL inquiries must be in writing.

9. PROPOSAL DELIVERY: Offers should be sent to the Contracting Officer, Jeanette Crooks via email at: Jeanette.Crooks@va.gov. Late submissions, modifications and withdrawals will be handled as described in 52.212-1 “Instructions to Offerors – Commercial Items.” Faxed or mailed offers will not be accepted.

Offeror shall address the evaluation factors listed in Section E.1 Addendum to 52.212-1 – Instructions to Offerors – Commercial Items, to be considered for award.

10. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

11. CONTRACT COORDINATOR: The Contractor shall identify in writing to the CO their contact person(s) who shall serve as liaisons between the Contractor and VA and who shall ensure that services are performed in accordance with the contract specifications. The Contractor’s contact person(s) shall be available during VA regular administrative work hours, exclusive of national holidays.

12. AUTHORIZED NEGOTIATORS: The offeror represents that the following persons are authorized to negotiate on its behalf with the Government in connection with this Request for Proposals:

B.2 SCHEDULE OF SERVICES

36C24218R0404

Page 1 of Page 1 of

SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform on-site Primary Care Physician Services to eligible beneficiaries of the Stratton VA Medical Center, Albany, New York. Hereinafter, referred to as VAMC.

The Contractors physician(s) shall cover the range of primary care services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of quality, meeting or exceeding currently recognized national standards as established by: American Board of Internal Medicine Guidelines: http://www.abim.org. Contract physicians will meet VHA performance and quality standards.

Place of Performance: Services shall be provided on-site at the Stratton VAMC or one of its 6 Community Based Outpatient Clinics (CBOC) staffed by VA Personnel. The potential locations are:

Pricing Instructions:

The offeror is instructed to edit the number of SUB-CLINs to correspond with the number of Key Personnel submitted for each contract line item number (CLIN). Offerors shall identify each physicians level of experience. Also, renumber SUB-CLINs if adding or removing Key Personnel.

One FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

FAR 52.217-8 Option to Extend Services, allows additional services for a period up to six months only if the award of a follow-on contract is delayed due to circumstances beyond the control of the Contracting Officer.

Except when it is determined to be in accordance with FAR 17.206(b) not to be in the Government’s best interests, the Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement utilizing the pricing agreed upon in the in the last option period.

The specified rates under this clause will be those rates in effect under the contract each time an option is exercised under this clause.

Period of Performance:

BASE YEAR: July 1, 2019 to June 30, 2020

Annual Cost

KEY PERSONNEL

NAME: ___________________

LEVEL OF

EXPERIENCE: _______________

NAME: ___________________

NAME: ___________________

NAME: ___________________

TOTAL FOR BASE

4,160

Hours

OPTION YEAR 1: July 1, 2020 to June 30, 2021

Annual Cost

KEY PERSONNEL

NAME: ___________________

NAME: ___________________

NAME: ___________________

NAME: ___________________

TOTAL FOR OPTION YEAR 1

OPTION YEAR 2: July 1, 2021 to June 30, 2022

Annual Cost

KEY PERSONNEL

NAME: ___________________

NAME: ___________________

NAME: ___________________

NAME: ___________________

TOTAL FOR OPTION YEAR 2

OPTION YEAR 3: July 1, 2022 to June 30, 2023

Annual Cost

KEY PERSONNEL

NAME: ___________________

NAME: ___________________

NAME: ___________________

NAME: ___________________

TOTAL FOR OPTION YEAR 3

OPTION YEAR 4: July 1, 2023 to June 30, 2024

Annual Cost

KEY PERSONNEL

NAME: ___________________

NAME: ___________________

NAME: ___________________

NAME: ___________________

TOTAL FOR OPTION YEAR 4

Total for base performance period and all option years: $_________________________

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Required: The Contractor shall provide physicians who are Board Certified /Board Eligible in Internal Medicine to provide Primary Care Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Stratton VA Medical Center, Albany, NY. A contractor providing onsite Primary Care Physician Services shall provide services that meet or exceed the American Board of Internal Medicine Guidelines: http://www.abim.org.

1.2. Place of Performance - Contractor shall furnish services at the Stratton VA Medical Center or one of its 6 VA staffed CBOC’s. Locations and addresses can be found in Section B.1.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority and FAR Parts 12 and 15.

1.4. Policy and Regulations: The Contractor is required to meet VHA performance and quality criteria and standards including, but not limited to, access, customer satisfaction, prevention index, chronic disease index and clinical guidelines. Performance and quality standards may change during the contract. New or revised quality/performance criteria or standards will be provided to the Contractor before implementation date and throughout the life of the contract through unilateral or bi-lateral modifications, as applicable. Copies of current VA and VHA publications can be located at http://www.va.gov/vhapublications/ or at http://www.va.gov/vapubs/. Compliance with mandated performance is required as a condition of this contract. Contractor shall comply with all relevant VA policies and procedures, including those related to quality, patient safety and performance, including, but not limited to, the following:

1.4.1. Title 21 C.F.R 900.12(c), “Mammography Quality Standards” http://www.gpo.gov/fdsys/pkg/CFR-2012-title21-vol8/pdf/CFR-2012-title21-vol8-sec900-12.pdf

1.4.2. Title 21 CFR, “Food and Drugs” Section 1300-end”. https://www.deadiversion.usdoj.gov/21cfr/cfr/index.html

1.4.3. 38 USC. Section 7332, regarding a timely special consent for any medical treatment for drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus (HIV), or sickle cell anemia, to a Veteran with health insurance. A special consent from the Veteran is needed to allow VA to release bills and medical records associated with the treatment. http://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html

1.4.4. 42 CFR Part 482, “Conditions of Participation” http://www.gpo.gov/fdsys/pkg/CFR-2010-title42-vol5/pdf/CFR-2010-title42-vol5-part482.pdf

1.4.5. 42 CFR 493.15(b), “Laboratories Performing Waived Tests” https://www.gpo.gov/fdsys/pkg/CFR-2003-title42-vol3/pdf/CFR-2003-title42-vol3-sec493-17.pdf

1.4.6. Clinical Laboratory Improvement Amendments (CLIA): http://cms.hhs.gov/Regulations-and-Guidance/Legislation/CLIA/index.html?redirect=/clia/appendc.asp

1.4.7. VA Directive 1663, “Health Care Resources Contracting – Buying” https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.8. VA Directive 6371, “Destruction of Temporary Paper Records” http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=742&FType=2

1.4.9. VHA Record Control Schedule 10-1

http://www1.va.gov/vhapublications/rcs10/rcs10-1.pdf

1.4.10. VHA Directive 6300, “Records Management” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8113

1.4.11. "Patient Medical Records-VA" 24VA10P2 https://www.oprm.va.gov/privacy/privacy_SOR.aspx

1.4.12. VHA Handbook 1101.11(2), “Coordinated Care for Traveling Veterans” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3099

1.4.13. VHA Directive 2007-033, "Telephone Service for Clinical Care," http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1605

1.4.14. VHA Directive 1088, “Communicating Test Results to Providers and Patients” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

1.4.15. VHA Directive 2009-038 “VHA National Dual Care Policy” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058

1.4.16. VHA Directive 1033, “Anticoagulation Therapy Management”http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3129

1.4.17. VHA Directive 1108.08, “VHA Formulary Management Process” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3291

1.4.18. VHA Directive 1230 “Outpatient Scheduling Processes and Procedures” https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3218

1.4.19. VHA Directive 1115, “Military Sexual Trauma (MST) Program” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=6402

1.4.20. VHA Directive 2010-053, “Patient Record Flags”.

www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2341

1.4.21. VHA Directive 2011-012, “Medication Reconciliation” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2390

1.4.22. VHA Directive 2011-020, “Automated Safety Incident Surveillance and Tracking System (ASISTS)” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2407

1.4.23. VHA Directive 1199, “Reporting Cases of Abuse and Neglect”,

1.4.24. http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2782 VHA Directive 2012-026, “Sexual Assaults and Other Defined Public Safety Incidents in VHA” The directive specifically includes contracted sites of care and defines procedures specific to patient disruptive behavior.

https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2797

1.4.25. VHA Directive 1605.01, “Privacy and Release of Information” www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233

1.4.26. VA Handbook 0730, “Security and Law Enforcement”

http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=755&FType=2

1.4.27. VHA Directive 1003.04, "VHA Patient Advocacy," https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.4.28. VHA Handbook 1004.07, “Financial Relationships between Health Care Professionals and Industry” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3059

1.4.29. VHA Handbook 1006.02, “VHA Site Classifications and Definitions” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2970

1.4.30. VHA Handbook 1050.01, “VHA National Patient Safety Improvement Handbook” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2389

1.4.31. VHA Handbook 1100.17, “National Practitioner Data Bank Reports”- http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.32. VHA Handbook 1100.18, “Reporting and Responding to State Licensing Boards” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.33. VHA Handbook 1108.11, “Clinical Pharmacy Services”

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3120

1.4.34. Amendment to VHA Handbook 1100.18, “Reporting and Responding to State Licensing Boards” https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5962

1.4.35. VHA Handbook 1100.19, “Credentialing and Privileging” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.36. VHA Directive 1306, “Querying State Prescription Drug Monitoring Programs (PDMP)” www.va.gov/vhapublications/viewpublication.asp?pub_id=3283

1.4.37. VHA Handbook 1101.10, “Patient Aligned Care Team (PACT)” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2977

1.4.38. VHA Directive 1105.03, “Mammography Program Procedures and Standards” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=6423

1.4.39. VHA Directive 1106, “Pathology and Laboratory Medicine Service (P&LMS) Procedures” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7477

1.4.40. VHA Handbook 1108.05, “Outpatient Pharmacy Services” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3209

1.4.41. VHA Directive 1120.02 Health Promotion and Disease Prevention Core Program Requirements https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5965

1.4.42. VHA Handbook 1122, “Podiatric Medical and Surgical Services” https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5959

1.4.43. VHA Directive , “1330.01(2) Health Care Services for Women Veterans” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5332

1.4.44. VHA Handbook 1160.01, “Uniform Mental Health Services” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762

1.4.45. VHA Handbook 5005, Part 2, Appendix G15, “Licensed Pharmacist Qualification Standards” http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=512&FType=2

1.4.46. VHA Handbook 5005, part 2, Appendix G20, “Dietitian Qualification Standard” www.va.gov/vapubs/viewPublication.asp?Pub_ID=764&FType=2

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

1.4.48. Title 38 CFR §17.107, “VA Response to Disruptive Behavior of Patients” (2010) www.gpo.gov/.../pdf/CFR-2012-title38-vol1-sec17-107.pdf

1.4.49. Title 38 CFR § 1.203, “Information to be reported to VA Police” (2003) https://www.gpo.gov/fdsys/granule/CFR-2011-title38-vol1/CFR-2011-title38-vol1-sec1-203

1.4.50. “Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers,” Occupational Safety and Health Administration (OSHA) OSHA 3148-01R 2004) https://www.osha.gov/Publications/osha3148.pdf

1.4.51. “Violence: Occupational Hazards in Hospitals, National Institute for Occupational Safety and Health” (NIOSH) NIOSH 2002-101, April 2002. http://www.cdc.gov/niosh/docs/2002-101/default.html

1.4.52. VA Assistant Secretary OSP Memo, Clarification of Policy for Sexual Assault Reporting, June 2011.

http://www.diversity.va.gov/products/files/DAW/v10i05.docx

1.4.53. VHA Directive 1231 Outpatient Clinic Practice Management https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3296

1.4.54. VHA Directive 1315 Access to VHA Clinical Programs for Veterans Participating in State-Approved Marijuana Programs https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5711

1.4.55. VHA Directive 1406, Patient Centered Management Module (PCMM) for Primary Care https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5430

1.4.56. VHA Directive 1134 Provision of Medical Statements and Completion of Forms by VA Health Care Providers https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=4300

1.4.57. VHA Directive 1192 Seasonal Influenza Prevention Program for VHA Health Care Personnel https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.4.58. VHA Handbook 1660.03 Conflict Of Interest For The Aspects Of Contracting For Sharing Of Health-Care Resources (HCR) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3152

1.4.59. VA Directive 6008 Acquisition and Management of VA Information Technology Resources https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=891&FType=2

1.4.60. VA Handbook 6500.6 Contract Security

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=471&FType=2

1.4.61. VHA Directive 1300.01 National Viral Hepatitis Program https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=6421

1.4.62. VHA Directive 1210 Chiropractic Care https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=6425

1.4.63. VHA Directive 1341 Providing Health Care for Transgender and Intersex Veterans https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=6431

1.4.64. VHA Directive 1177 Cardiopulmonary Resuscitation

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7487

1.4.65. VHA Directive 1108.10 Promotion of Drugs and Drug-related Supplies by Pharmaceutical Company Representatives https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=6435

1.4.66. VHA Directive 1608 Comprehensive Environment of Care (CEOC) Program https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3171

1.4.67. VHA Directive 1003 VHA’s Veteran Customer Service Program https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=268

1.4.68. VHA Handbook 1003.1 Key Elements of VHA’s Veteran Customer Service Program https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=422

1.4.69. VHA Handbook 1003.2 Service Recovery in the Veterans Health Administration https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=433

1.4.70. VHA Handbook 1330.03, Maternity Health Care and Coordination www.va.gov/vhapublications/viewpublication.asp?pub_id=2803

1.4.71. VHA Directive 1330.02 Women Veterans Program Manager https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7484

1.4.72. VHA Directive 1004.08 Disclosure of Adverse Events to Patients https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8120

1.4.73. VA Handbook 6500 Risk Management Framework for VA Information Systems - Tier 3: VA Information Security Program https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=793&FType=2

1.4.74. VHA Directive 1005(1) Informed Consent for Long-Term Opioid Therapy for Pain https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3005

1.4. 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.

1.4.1. ABIM: American Board of Internal Medicine

1.4.2. ABMS: American Board of Medical Specialties

1.4.3. ACLS: Advanced Cardiac Life Support

1.4.4. ACGME: Accreditation Council for Graduate Medical Education

1.4.5. ACPE: American Council on Pharmaceutical Education

1.4.6. ACO: Administrative Contracting Officer

1.4.7. ADE: adverse drug events

1.4.8. AED: Automatic External Defibrillator

1.4.9. AIS: Automated Information Security

1.4.10. ANA: American Nurses Association

1.4.11. AOA: American Osteopathic Association

1.4.12. ARRT: American Registry of Radiologic Technology

1.4.13. ASC: Ambulatory Surgery Clinic

1.4.14. Assigned: A Veteran is “assigned” to an outpatient clinic via PCMM (i.e. CBOC) where the patient receives their primary care after the patient’s eligibility is determined through registration and enrollment.

1.4.15. BAA: Business Associate Agreement

1.4.16. BI-RADS: Breast Imaging-Reporting and Data System; a quality assurance tool designed to standardize mammography reporting

1.4.17. BLS: Basic Life Support

1.4.18. BOS: Bureau of Osteopathic Specialists

1.4.19. CAHEA: Committee on Allied Health Education and Accreditation

1.4.20. CAP: College of American Pathologists

1.4.21. CARF: Commission on Accreditation of Rehabilitation Facilities

1.4.22. CBO: VA Central Billing Office.

1.4.23. CDC: Centers for Disease Control and Prevention

1.4.24. CEU: Certified Education Unit

1.4.25. CLIA: Clinical Laboratory Improvement Amendments

1.4.26. CME: Continuing Medical Education

1.4.27. CMS: Center for Medicare and Medicaid Services

1.4.28. CO: Contracting Officer

1.4.29. COPD: chronic obstructive pulmonary disease

1.4.30. COR: Contracting Officer’s Representative

1.4.31. COS: Chief of Staff

1.4.32. CPA: Collaborative Practice Agreement

1.4.33. CPS: Clinical Pharmacy Specialist

1.4.34. CPT: Current Procedural Terminology

1.4.35. CRNP: Certified Registered Nurse Practitioners

1.4.36. CSWE: The Council on Social Work Education the CSWE website is http://www.cswe.org/.

1.4.37. CPARS: Contractor Performance Assessment Reporting System

1.4.38. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.4.39. CVT: Clinical Video Telehealth

1.4.40. DICOM: Digital Image and Communication in Medicine

1.4.41. DIGMA: Drop in Group Medical Appointment

1.4.42. DRG: Diagnostic Related Group

1.4.43. DSS: Decision Support System

1.4.44. ECC Extended Care Center

1.4.45. Enrollment: The process of establishing eligibility for VA’s “Medical Benefits Package.” Most Veterans are required to “enroll” into the VA Health Care System to be eligible for VA health care and to be assigned to an outpatient clinic like a CBOC, however some can still receive care without enrolling. Applicants are only required to “enroll” once for VA health care unless they are determined ineligible for care at time of application or they have disenrolled.

1.4.46. EPRP: External Peer Review Program

1.4.47. FDA: Food and Drug Administration

1.4.48. FSMB: Federation of State Medical Boards

1.4.49. HCC: Health Care Center A HCC is a VA-owned, VA-leased, contract, or shared clinic operated at least 5 days per week that provides primary care, mental health care, on site specialty services, and performs ambulatory surgery and/or invasive procedures which may require moderate sedation or general anesthesia.

1.4.50. HHS: Department of Health and Human Services

1.4.51. HCFA: HealthCare Financing Administration

1.4.52. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.53. HT: Home Telehealth

1.4.54. ICAVL: Intersocietal Commission for the Accreditation of Vascular Laboratories

1.4.55. INR: International Normalized Ratio

1.4.56. ISO: Information Security Officer

1.4.57. LIP: licensed independent practitioner

1.4.58. MCCR: Medical Care Cost Recovery

1.4.59. Mental Health Services: Per VHA Handbook 1160.01 is meant to include services for the evaluation, diagnosis, treatment, and rehabilitation of both substance use disorders and other mental disorders.

General Mental Health Services include:

(a) Diagnostic and treatment planning evaluations for the full range of mental health problems;

(b) Treatment services using evidence-based pharmacotherapy, or primary evidence-based psychotherapy for patients with mental health conditions and substance use disorders;

(c) Patient education;

(d) Family education when it is associated with benefits to the Veterans;

(e) Referrals as needed to inpatient and residential care programs; and

(f) Consultation about special emphasis problems including Post Traumatic Stress Disorder (PTSD) and Military Sexual Trauma (MST).

Specialty Mental Health Services include:

(a) Consultation and treatment services for the full range of mental health conditions;

(b) Evidence-based psychotherapy;

(c) Mental Health Intensive Case Management (MHICM);

(d) Psychosocial Rehabilitation Services, including: PRRCs, family psycho-education, family education, skills training, peer support, and Compensated Work Therapy (CWT) and supported employment;

(e) PTSD teams or specialists;

(f) MST special clinics;

(g) Homeless programs; and

(h) Specialty substance abuse treatment services.

1.4.60. MQSA: Mammography Quality Standards Act

1.4.61. MSN: Master of Science in Nursing

1.4.62. NCCPA: National Commission on Certification of Physician Assistants

1.4.63. NLN: National League for Nursing

1.4.64. NSQIP/CICSP: National Surgical Quality Improvement Program/Continuing Improvement in Cardiac Surgical Program

1.4.65. OTC: Over the Counter

1.4.66. PA: Physician Assistant

1.4.67. PACS: Picture Archiving and Communications System

1.4.68. PACT: Patient Aligned Care Team Background & Introduction: VA has implemented a PCMH model at all VA Primary Care sites which is referred to as PACT. This initiative supports VHA’s Universal Health Care Services Plan to redesign VHA healthcare delivery through increasing access, coordination, communication, and continuity of care. PACT provides accessible, coordinated, comprehensive, patient-centered care, in team based environment including the active involvement of other clinical and non-clinical staff. PACT allows patients to have a more active role in their health care and is associated with increased quality improvement, patient satisfaction, and a decrease in hospital costs due to fewer hospital visits and readmissions.

1.4.69. Parent Facility: VAMC responsible for performance monitoring and payment for contracted Outpatient Site of Care services.

1.4.70. PCMH: Patient-Centered Medical Home

1.4.71. PCMM: Primary Care Management Module- a software program used to track Primary Care Clinic Veteran rosters.

1.4.72. PCP: Primary Care Provider

1.4.73. Phar.D.: Doctor of Pharmacy

1.4.74. POC: Point of Care Testing

1.4.75. PRIMARY CARE VISIT: an episode of care furnished in a clinic that provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. Primary care includes, but is not limited to, diagnosis and management of acute and chronic biopsychosocial conditions, health promotion, disease prevention, overall care management, and patient and caregiver education. The VHA site classification defines primary care as those encounters that occur within the primary care class of encounters.

1.4.76. PCMHI: Primary Care-Mental Health Integration

1.4.77. PWS: Performance Work Statement

1.4.78. QAPI: Quality Assessment and Performance Improvement

1.4.79. QASP: Quality Assurance Surveillance Plan

1.4.80. RME: reusable medical equipment

1.4.81. SOP (Clinical): Scope of Practice

1.4.82. SELF- REFERRAL: Referring patients to Contractor’s facility for follow-up care. Self-referral for outpatient services at the Contractor’s facility is prohibited.

1.4.83. SFT: Store and Forward Telehealth

1.4.84. SMA: Shared Medical Appointments

1.4.85. SPD: Sterile Processing Division

1.4.86. SPE: Senior Procurement Executive

1.4.87. SPECIALTY CARE VISIT: A specialty care outpatient visit is an episode of care furnished in a clinic that does not provide primary care, and is only provided through a referral.” These services are generally divided into two sub-categories: medicine specialties and surgery specialties. The VHA site classification defines specialty care as those encounters that occur within the geriatric medicine; allergy; cardiology; dermatology; emergency; employee health; endocrinology; gastroenterology; general medicine; hematology or oncology; infectious disease; nephrology; neurology; outreach; pulmonary or respiratory disease; rheumatology; amputation follow-up; amputation; anesthesia; cardio-thoracic; ear, nose, and throat (ENT); eye; general surgery; gynecology (GYN); neurosurgery; orthopedics; plastic surgery; urology; or vascular clinic stops.

1.4.88. SUPPORT STAFF: staff present in the clinic area assisting providers in the actual delivery of care to patients. It consists of RNs, LPNs, Medical Assistants, Health Technicians, and Medical Clerks in the clinic.

1.4.89. TJC: The Joint Commission

1.4.90. TIU: Text Integration Utility

1.4.91. TCT: Telehealth Clinical Technicians

1.4.92. VA: Veterans Affairs

1.4.93. VAMC: Veterans Affairs Medical Center

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

1.4.95. VHA: Veterans Health Administration

1.4.96. VISTA: Veterans Health Information Systems and Technology Architecture

2. QUALIFICATIONS:

2.1. License - The Contractor’s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property.

2.1.1. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract

2.1.2. Board Certification - All contractor’s physician(s) shall be Board Certified /Board Eligible in Internal medicine by the American Board of Internal Medicine http://www.abim.org and be currently certified in Basic Life Support (BLS) by the American Heart Association. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging –Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contractor’s physician(s) prior to obtaining approval by the Stratton VA Medical Center Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. If a contractor’s physician(s) is not credentialed and privileged or has credentials/ privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency - Contractor’s physician(s) 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 contractor’s physician(s) and contractor’s physician(s) 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. Contractor’s physician(s) 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 contractor’s physician(s).

2.1.6. Training (BLS, CPRS 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 physician(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians 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 physician(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 physicians. This is applicable to all health care workers.

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

2.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician 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 physician(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 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). 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) be provided to the Contracting Officer with the proposal.

2.1.9. DEA: Contractor shall provide copy of current DEA certificate.

2.1.10. Prescription Drug Monitoring Program: Contractor’s providers shall register with the state prescription drug monitoring program in accordance with VHA Directive 1306, Querying State Prescription Drug Monitoring Programs (PDMP).

2.1.11. Conflict of Interest: The Contractor and all contractor’s physician(s) 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.

2.1.12. Citizenship Related Requirements:

2.1.12.1. 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.

2.1.12.2. 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.

2.1.12.3. 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…