36C24221R0107 0003.docx

36C24221R0107

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)

MSO-2022-COM-0019

Department of Veterans Affairs 400 Fort Hill Ave.

Canandaigua NY 14424 Department of Veterans Affairs Network Contracting Activity 400 Fort Hill Ave.

Canandaigua NY 14424 To all Offerors/Bidders

36C24221R0107 05-13-2022

X

Due to a faulty upload, RFP 36C24221R07017 is being re-issued. RFP due date has been extended to June 17, 2022 at

10:00 AM EST.

All proposals must be submitted in accordance with Amendment A0003 and RFP 36C24221R0107 uploaded on May 13, 2022.

Jeanette Crooks Contract Specialist

AMENDMENT A0003 ISSUED MAY 13, 2022:

RFP 36C24221R0107 BEGINS ON PAGE 3 OF 133

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C24221R0107 5-02-2022 Jeanette Crooks, Administrative CO 585-474-0720 06-03-2022-31-2022 10:00

EDT

Department of Veterans Affairs 400 Fort Hill Ave.

Canandaigua NY 14424 X 561320 $30 Million N/A X Department of Veterans Affairs Canandaigua VA Medical Center 400 Fort Hill Avenue Canandaigua NY 14424-1159 Department of Veterans Affairs Network Contracting Activity 400 Fort Hill Ave.

Canandaigua NY 14424

Tungsten Network https://www.tungsten-network.com/ customer-campaigns/veteransaffairs/

4.6 FTE Hospitalists for the Hudson Valley Healthcare

System as described herein.

B.2. Schedule of Services begins on page 6.

B.3. Performance Work Statement begins on page 18.

X Allan Preston Contracting Officer

Table of Contents

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (NOV 2021) 119

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 _____________________________________________

Telephone Number _____________________________________________

Email Address _____________________________________________

TAX ID Number _____________________________________________

DUNS NUMBER _____________________________________________

EUI NUMBER _____________________________________________

b. Government:

Jeanette Crooks, Administrative Contracting Officer Department of Veterans Affairs, Canandaigua VA Medical Center 400 Fort Hill Avenue Canandaigua, NY 14424

Allan Preston, Contracting Officer Department of Veterans Affairs 2875 Union Road, #3500 Cheektowaga, NY 14227

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

[X] 52.232-33, Payment by Electronic Funds Transfer – System for Award Management [ ] 52.232-34, Payment by Electronic Funds Transfer – Other than System for Award Management [ ] 52.232-36, Payment by Third Party

INVOICES: Invoices shall be submitted in arrears:

SECURE FAX: VA Handbook 6500 requires the following statement on all fax cover sheets be included:

“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.”

2. CONTRACT MODIFICATIONS: The Contractor is advised that only the Contracting Officer, acting within the scope of the contract and his/her duties and responsibilities and after advice and consultation with the Contracting Officer’s Representative (COR), has the authority to make changes that will affect contract prices, quantity, quality, delivery terms and conditions, or the term of the contract. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Officer.

3. 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/

POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

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

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

36C24221R0107

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B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform Hospitalist Physician Services on weekends, holidays, evenings and nights (WHEN) to eligible beneficiaries of the Department of Veterans Affairs Medical Center, VA Hudson Valley Healthcare System hereinafter referred to as HVHCS in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Services. Contractor will be paid for actual hours worked as documented by sign-in/sign-out sheets.

The HVHCS is accredited by The Joint Commission (TJC) and follow the standards & guidelines set forth by American Board of Internal Medicine, American College of Emergency Physicians or American Board of Family Medicine. A contractor providing onsite hospitalist physician services shall provide services that meet or exceed the guidelines set forth by the American Board of Internal Medicine, http://www.abim.org , American College of Emergency Physicians http://www.acep.org/ or American Board of Family Medicine https://www.theabfm.org/.

Place of Performance: Services shall be provided on site, at the following locations:

Castle Point Medical Center 41 Castle Point Rd.

Wappingers Falls, NY 12590

Franklin D Roosevelt VA Medical Center 2094 Albany Post Rd.

Montrose, NY 10548

Pricing Instructions:

The offeror is instructed to edit the number of SUB-LINs to correspond with the number of Key Personnel submitted for each contract line item number (LIN). Offerors shall identify key personnel by name and re-number SUB-LINS if adding or removing Key Personnel.

The Contractor shall propose a minimum of 10 key personnel to be credentialed and available for scheduling to meet the requirements of the contract. The contractor shall be required to provide as a minimum, enough appropriately qualified physicians to be credentialed and privileged that exceed twice the number of FTE required to fulfill this contracts obligations.

ESTIMATED QUANTITIES: All quantities listed herein are estimated annual quantities. The Government is not obligated to purchase any specified amount of services under this contract beyond the contract minimum but will be obligated to make payment for all services requested and received in the quantities and of the quality requested.

GUARANTEED MINIMUM: The Government will order at least $250,000.00 in services during the base year of the contract. Note: The guaranteed minimum order amount applies to the base year only. Award of the additional option years is not guaranteed nor is there a guaranteed minimum order amount in any given option year that is exercised.

MAXIMUM TOTAL CONTRACT AMOUNT: The potential aggregate contract total over the term of the entire contract (base year and four potential option years) is $15,000,000.00.

ORDERING PROCEDURES: A task order in the amount of the estimated quantity will be issued for each performance period.

AWARD BASED ON INITIAL OFFERS: Offerors are advised of the possibility that award may be made without discussion. Accordingly, offerors are cautioned to submit their initial offers based on their most favorable terms, pricing and technical factors.

Period of Performance: BASE YEAR: September 1, 2022 to August 31, 2023

LIN

SUB

LIN

KEY PERSONNEL

NAME: ___________________________________

NAME: ___________________________________

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Period of Performance: OPTION YEAR 1: September 1, 2023 to August 31, 2024

LIN

SUB

LIN

KEY PERSONNEL

NAME: ___________________________________

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Period of Performance: OPTION YEAR 2: September 1, 2024 to August 31, 2025

LIN

SUB

LIN

KEY PERSONNEL

NAME: ___________________________________

NAME: ___________________________________

NAME: ___________________________________

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Period of Performance: OPTION YEAR 3: September 1, 2025 to August 31, 2026

LIN

SUB

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KEY PERSONNEL

NAME: ___________________________________

NAME: ___________________________________

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Period of Performance: OPTION YEAR 4: September 1, 2026 to August 31, 2027

LIN

SUB

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KEY PERSONNEL

NAME: ___________________________________

NAME: ___________________________________

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CONTRACT TOTALS

B.3. PERFORMANCE WORK STATEMENT (PWS)

1. GENERAL

0. Services Provided: The Contractor shall schedule and provide 9,632 hours of Hospitalist coverage. Hospitalist shall be Board Certified or Board Eligible in Internal Medicine, Emergency Medicine or Family Medicine for performance of Hospitalist Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Hudson Valley Healthcare System (HVHCS). Contract Hospitalists shall meet or exceed the American Board of Internal Medicine http://www.abim.org , American College of Emergency Physician http://www.acep.org or American Board of Family Medicine https://www.theabfm.org/ guidelines.

0. Place of Performance: Contractor shall furnish services at:

Castle Point Medical Center 41 Castle Point Rd.

Wappingers Falls, NY 12590

Franklin D Roosevelt VA Medical Center 2094 Albany Post Rd.

Montrose, NY 10548

0. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority and in accordance with FAR parts 12 and 15.

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

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

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

3. VHA Handbook 1100.20: Credentialing of Healthcare Providers: http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9444

3. VHA Directive 1003.04: VHA Patient Advocacy:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

3. VHA Directive 1088: Communicating Test Results to Providers and Patients:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

3. VHA Directive 1192.01: Seasonal Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

3. 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

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

3. VHA Directive 1907.01: VHA Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

3. VHA Directive 2012-030 Credentialing of Health Care Professionals: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815

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

3. VHA Directive 1157: Out of Operating Room Airway Management:

VHA Publications (va.gov)

0. 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.

4. ABIM: American Board of Internal Medicine

4. ABFM: American Board of Family Medicine

4. ACEP: American College of Emergency Physician

4. ACLS: Advanced Cardiac Life Support

4. BLS: Basic Life Support

4. CDC: Centers for Disease Control and Prevention

4. CDR: Contract Discrepancy Report

4. CEU: Certified Education Unit

4. CME: Continuing Medical Education

4. CMS: Centers for Medicare and Medicaid Services

4. Community Living Center: Also known as Nursing Home

4. Contracting Officer (CO) – 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.

4. Contracting Officer’s Representative (COR) – 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.

4. COS: Chief of Staff

4. CPARS: Contractor Performance Assessment Reporting System

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

4. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

4. DEA: Drug Enforcement Agency

4. EDIS: Emergency Department Integration Software

4. E & M: Evaluation and Management

4. FPPE: Focused Provider Practice Evaluation

4. Full Time Equivalent (FTE): VA’s definition of full-time (i.e. working the equivalent of 80 hours every two weeks, 2,080 hours per year). In calculating FTE, any hours not worked on national holidays shall not be included.

4. HHS: Department of Health and Human Services

4. HIPAA: Health Insurance Portability and Accountability Act

4. Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

4. 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).

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

4. NPPES: National Plan and Provider Enumeration System

4. OORAM: Out of Operating Room Airway Management

4. OPPE: Ongoing Provider Practice Evaluation

4. PPD: Purified Protein Derivative

4. PWS: Performance Work Statement

4. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s Clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

4. QA: Quality Assurance

4. QI: Quality Improvement

4. QM: Quality Management

4. QASP: Quality Assurance Surveillance Plan

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

4. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Upstate New York.

4. 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.

4. VetPro: A federal web-based credentialing program for healthcare providers.

4. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA Medical Center, for purposes of this contract, this term shall mean the VA Hudson Valley Healthcare System

4. WHEN: Weekends, Holidays, Evenings and Nights

1. QUALIFICATIONS

1. Staff/Facility

1.0.1. 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.

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.

0. Board Certification/Eligibility: All contract hospitalist(s) shall be board certified and/or eligible in Internal Medicine, Emergency Medicine or Family Medicine and be currently certified by the American Heart Association in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). ACLS is not a substitute for BLS certification. 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.

0. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.20 and VA Directive 2012-030 referenced above. Contractor is responsible for ensuring that proposed hospitalist(s) possess the requisite credentials enabling the granting of privileges. No services shall be provided by any contract hospitalist(s) prior to obtaining approval by the VAMC HVHCS Professional Standards Board, the Credentialing Session of Executive Committee of Medical Staff, and Medical Center Director.

3. if a contract hospitalist 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.

0. Technical Proficiency – Contractor’s hospitalists 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 Hospitalists Contract Hospitalists shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

0. 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 Hospitalist 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 hospitalist(s).

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

0. 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.

7. 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.

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

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

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

7. 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}.

7. COVID-19: Contractors shall comply with VHA Supplemental Contract Requirements for Combatting COVID-19 {This is applicable to all health care workers}. – See Section D attachment.

7. 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.

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.

0. 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.

0. DEA (as required) - Contractor shall provide a copy the hospitalist(s) current and valid DEA certificate from any state. NOTE: For on-station procurements that require a Drug Enforcement Agency (DEA) registration, DEA granted VA’s request for an exception to all on-station Locum Tenens Hospitalist to continue to use VA’s institutional DEA registration numbers with suffix when prescribing or administering controlled substance, provided they are professionally licensed in any state to prescribe controlled substances.

0. Conflict of Interest: The Contractor and all contract Hospitalist 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. With its proposal, the Contractor shall provide the names of all Contractor employees and family members of Contractor employees, who are also employed by the Department of Veterans Affairs. 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 Attachment 2 in Section D of the solicitation document.

0. Citizenship Related Requirements

11. 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;

11. 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.

11. 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…