S02 36C24222Q0821v2 07112011.pdf

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. UEI: EFT:

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

36C24222Q0821 06/27/2022

Sciortino, Kathleen kathleen.sciortino@va.gov 315-425-6702 07/26/2022

4:30PM EST

Department of Veterans Affairs Network Contracting Office (NCO) 2 20 Madison Avenue Extension Albany NY 12203

X 100

X

541690

$16.5 Million

N/A

James J. Peters VA Medical

130 West Kingsbridge Road Bronx New York 10468

Network Contracting Office (NCO) 2 20 Madison Avenue Extension Albany NY 12203

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

See CONTINUATION Page

This solicitation is IAW FAR Part 12, 13 and 19 for Board Certified Diagnostic Medical Physicist services for equipment testing and annual inspections requested for the Department of Veteran Affairs, James J. Peterson Medical Center. All services shall be conducted on-site at the Bronx VAMC.

Estimate Period of Performance: 10/01/2022 - 09/30/2027.

Schedule of Healthcare Resources: 6 Performance Work Statement: 11 Instructions to Offerors: 59

See CONTINUATION Page

X 1

Kathleen Sciortino

VA-VHA-SAOC-2019-1257353F

36C24222Q0821

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF HEALTHCARE RESOURCES

B.3 PERFORMANCE WORK STATEMENT

B.4 INFORMATION SECURITY LANGUAGE

B.5 MANDATORY TMS TRAINING

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.7 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.8 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2022) (JUL 2020) (DEVIATION)

C.11 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 Active Equipment List D.2 Organizational Conflicts of Interest D.3 Immigration D.4 Key Personnel

D.5 CDR

D.6 QASP

D.7 Certification Vaccination

SECTION E - SOLICITATION PROVISIONS

E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.3 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.5 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. Contractor:

Company Name:

Street address:

City:

State and full USPS Zip Code ________- _____

Contact person(s) name:_____________________

Contact person(s) email:_____________________

Contact person(s) direct telephone:_______________

Contact person(s) fax number: _______________

UeiSAM: _______________

TIN Number: _______________

b. Government:

Kathleen Sciortino, Contracting Officer NCO 02 Kathleen.sciortino@va.gov

(315) 425-6702

Department of Veterans Affairs Network Contracting Office (NCO) 02 1304 Buckley Rd.

Syracuse, NY 13212

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with FAR 52.232-33, Payment by Electronic Funds Transfer –System for Award Management.

3. INVOICES: Invoices shall be submitted in arrears: Submission will be monthly for the previous 30-day period and no later than seven (7) calendar days of close of the month being invoiced. Invoices will be based on the applicable fixed rates for services provided to referred Veterans in accordance with the contract. The Contracting Officer’s Representative (COR) will review all invoices submitted. The COR is responsible for certifying invoices for payment only for services received and deemed acceptable.

Payment will not be authorized unless a proper invoice is submitted, reviewed and accepted.

a. Quarterly []

b. Semi-Annually []

c. Other [x] Monthly 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 mailto:Kathleen.sciortino@va.gov

Requests. Invoicing shall be in accordance with the requirements of the Department of Veterans Affairs (VA) Financial Services Center (FSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current invoicing information is located at: http://www.fsc.va.gov/einvoice.asp.

Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin TX

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

6. 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.

7. SOLICITATION/CONTRACT: This solicitation and resulting contract adheres to the format defined in Federal Acquisition Regulation (FAR) Parts 12, 13, and 19. An official copy of the FAR can be obtained at: https://www.acquisition.gov.

8. SYSTEM FOR AWARD MANAGEMENT (SAM): Per FAR 4.1102, offerors must be listed in SAM at the time of offers due AND at the time of award. SAM includes the functionality of the previous Central Contractor Registration (CCR) and Online Representations and Certifications Applications (ORCA). No contract will be entered into with an unregistered contractor. Internet access allows registration by completing an electronic online registration application at: http://www.beta.sam.gov/.

9. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Procurement Policy Memorandum (PPM) 2019- 01.

https://www.va.gov/oal/docs/business/pps/ppm201901.pdf

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

AMENDMENT NO DATE

http://www.fsc.va.gov/einvoice.asp https://www.acquisition.gov/ http://www.beta.sam.gov/ https://www.va.gov/oal/docs/business/pps/ppm201901.pdf

B.2 SCHEDULE OF HEALTHCARE RESOURCES

Department of Veterans Affairs (VA) intends to enter into a single, award, Indefinite quantity contract with an Offeror who provides the best overall quote that is in the best interest to the Government for Board-Certified Diagnostic Medical Physicists services for equipment testing and inspections. The contractor agrees to provide non-personal healthcare resources in accordance with the attached Performance Work Statement (PWS), to furnish to and at the Department of Veterans Affairs, Bronx VA Medical Center, (VAMC) the services and prices specified. The contractor’s Board-Certified Diagnostic Medical Physicists shall cover the range of services specified within the PWS 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 listed within the Policy/Handbook section of the PWS.

The Contractor shall furnish all labor, material, equipment, and personnel to provide Radiation Physicist Services to include radiographic equipment inspection, testing and reporting in support of the Bronx VA Medical Center.

Estimated Period of Performance: October 1, 2022 – September 30, 2027

All services shall be performed on-site at the James J. Peters Medical Center. Any services provided off site shall not be compensated. The services are for one (1) base period with four ordering periods.

Place of Performance:

Department of Veterans Affairs James J. Peters VA Medical Center

Bronx New York 10468

Contract Minimum and Maximum: In accordance with FAR Clause 52.216-22, the overall guaranteed minimum amount $15,000 for the base year. The minimum amount will be offered for each ordering period. The overall maximum amount for the life of the contract is $300,000.00. No services shall exceed the maximum allowable.

Pricing Instructions:

The Offeror is instructed to fill in each unit price and total price for each contract period. At the end of Contract Ordering period #4, the offeror is required to complete the summary totals and grand total.

The offeror is instructed to include all price information supporting the services that are lumped into one sum for the Line Items 0001a-e. Line Items 0001f-g are to be priced at an hourly rate.

Contractor shall provide at a minimum of four (4) board certified Diagnostic Medical Physicist to be vetted in order to provide services through the life of the contract.

For each period of performance, the Government will issue a Task order by the Contracting Officer based on the approved pricing for each Line Item. Task Orders will be issued from the effective date of contract award through the day before the commence date of the next Ordering period. Issuing of Task Orders will accompany the contract modification for each period based on the agreed amounts for each line items.

Task Orders will be issued only by the Contracting Activity Office, NCO 2. At the time of each period of performance option renewal, the CO will issue the Task Order based on the agreed pricing annotated in the Schedule of Healthcare Resources and sent electronically to the Contracted Agency POC identified under Section B, page 4.

CONTRACT BASE YEAR 1: One (1) year from the date of contract award

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES QTY UNI

T

UNIT

PRICE

TOTAL

PRICE

0001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING/INSPECTIONS, INCLUDING

EMERGENT TESTING/INSPECTION. Testing shall be conducted IAW the PWS for all pieces of equipment annotated in the Active Equipment List.

0001a Radiology and Radiation Oncology Department Equipment, (Includes all Nuclear Medicine, Ultrasound equipment) – see active equipment listing

4 QTR

0001b Portable – see active equipment listing 4 QTR

0001c Dental Initial, Annual and Testing, Inspection and Reporting -

1 QTR

0001d Operating Room - see active equipment listing 1 JOB

0001e

Urology - see active equipment listing

QTR

0001f

Emergency Room - see active equipment listing

0001g Board-Certified Medical Physicists assistant to RSO Duties

20 Hr.

0001h

Research Department – performed only during base year only - see active equipment listing job

BASE ORDERING PERIOD TOTAL: $

ORDERING PERIOD 1: One (1) year commencing on the day following the last day of the base year

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES QTY UNI

T

UNIT

PRICE

TOTAL

PRICE

1001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING/INSPECTIONS, INCLUDING

EMERGENT TESTING/INSPECTION. Testing equipment annotated in the Active Equipment List.

1001a Radiology and Radiation Oncology Department Equipment, (Includes all Nuclear Medicine, Ultrasound equipment) – see active equipment listing

4 QTR

1001b Portable – see active equipment listing 4 QTR

1001c Dental Initial, Annual and Testing, Inspection and Reporting -

1001d Operating Room - see active equipment listing 1 JOB

1001e

1001f

1001g Board-Certified Medical Physicists assistant to RSO

ORDERING PERIOD 1 TOTAL: $

ORDERING PERIOD 2: One (1) year commencing on the day following the last day of Ordering Period

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES QTY UNI

T

UNIT

PRICE

TOTAL

PRICE

2001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING/INSPECTIONS, INCLUDING

EMERGENT TESTING/INSPECTION. Testing

2001a Radiology and Radiation Oncology Department equipment) – see active equipment listing

4 QTR

2001b Portable – see active equipment listing 4 QTR

2001c Dental Initial, Annual and Testing, Inspection and Reporting -

2001d Operating Room - see active equipment listing 1 JOB

2001e

2001f

2001g Board-Certified Medical Physicists assistant to RSO

ORDERING PERIOD 2 TOTAL: $

ORDERING PERIOD 3: One (1) year commencing on the day following the last day of Ordering Period Two (2)

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES QTY UNI

T

UNIT

PRICE

TOTAL

PRICE

3001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING/INSPECTIONS, INCLUDING

EMERGENT TESTING/INSPECTION. Testing

3001a Radiology and Radiation Oncology Department equipment) – see active equipment listing

4 QTR

3001b Portable – see active equipment listing 4 QTR

3001c Dental Initial, Annual and Testing, Inspection and Reporting -

3001d Operating Room - see active equipment listing 1 JOB

3001e

3001f

3001g Board-Certified Medical Physicists assistant to RSO

ORDERING PERIOD 3 TOTAL: $

ORDERING PERIOD 4: One (1) year commencing on the day following the last day of Ordering Period Three (3)

LINE

ITEM

Sub- Line Items

DESCRIPTION OF SERVICES QTY UNI

T

UNIT

PRICE

TOTAL

PRICE

4001 CERTIFIED DIAGNOSTIC MEDICAL

PHYSICIST SERVICES FOR EQUIPMENT

TESTING/INSPECTIONS, INCLUDING

EMERGENT TESTING/INSPECTION. Testing

4001a Radiology and Radiation Oncology Department equipment) – see active equipment listing

4 QTR

4001b Portable – see active equipment listing 4 QTR

4001c Dental Initial, Annual and Testing, Inspection and Reporting -

4001d Operating Room - see active equipment listing 1 JOB

4001e

4001f

4001g Board-Certified Medical Physicists assistant to RSO

ORDERING PERIOD 4 TOTAL: $

Summary of Period Totals:

Base Ordering Period Total $

Ordering Period #1 Total $

Ordering Period #2 Total $

Ordering Period #3 Total $

Ordering Period #4 Total $

The Contractor shall provide the estimated grand total for all periods of performance listed below.

KEY PERSONELL

None Primary Board Certified Diagnostic Medical Physicist

Name:

Title:

None Alternate Board Certified Diagnostic Medical Physicist

B.3 PERFORMANCE WORK STATEMENT

For onsite Diagnostic Physicist Services for Equipment Testing and Inspections for

Bronx VAMC

1. General:

1.1. Introduction: As part of a federal agency, multiple VAMCs located throughout VISN 2 Southern Region, are subject to NRC regulation.

Regulations issued by the NRC are found in Title 10 Code of Federal Regulations (CFR), Chapter 1, Parts 0 through 199. VAMCs are required to abide by the terms and conditions of the Veterans Health Administration (VHA) Master Materials License (MML) agreement with the Nuclear Regulatory Commission (NRC). The MML sets forth the required administrative and operational procedures for safe management of all radioactive materials, regardless of source or method of production, and required application of the standards for acquisition, receipt, storage, distribution, use, transfer, and disposal of radioactive materials. The purpose of this contract is to procure, by way of contract, Diagnostic Medical Physicist services that can perform all services necessary to ensure that the respective VAMCs, are in compliance with requirements of the MML and NRC and other regulatory bodies, e.g., OSHA, DOT, and EPA.

The Contractor shall provide Board certified Diagnostic Physicists to provide equipment testing services and provide back-up assistance with Radiation Safety duties on an as needed basis. The contractor shall furnish all labor, material, supplies, equipment, and qualified personnel to provide on-site diagnostic medical physics support services for medical physicist services for Diagnostic imaging specified in the scope of work section below. All services will be provided under the direct supervision of a Board-Certified Medical Physicist.

The FDA, New York State Department of Health, and New York City Department of Health require testing of diagnostic x-ray equipment to ensure diagnostic imaging quality, and a safe environment of radiation safety for patients, staff, and visitors. The VA requires that these requirements be satisfied.

Contractor shall offer a diverse, multi-modality experienced team of qualified Board Certified Diagnostic Medical Physicist professionals.

1.2. Place of Performance: Services for the Board Certified Diagnostic Medical Physicist will be at the: Department of Veterans Affairs, James J. Peters VA Medical Center, Biomedical Engineering, Room 6A05, 130 West Kingsbridge Road, Bronx, NY 10468.

1.3. Terms of Service: The contract will be written for a one (1) base period with four (4) one (1)-year ordering periods.

1.3.1. This contract is issued subject to the availability of appropriations for FY 2023 and ensuing fiscal years.

1.3.2. Option years, if deemed necessary, will be exercised via a unilateral modification by serving appropriate notice and approved by the Contracting Officer.

1.4. Authority: Title 38 USC 7301(b), FAR 12 and

1.5. Policy/Handbooks:

1.5.1. VHA Directive 1129 Radiation Protection for Machine Sources of Ionizing Radiation: VHA Directive 1129

1.5.2. VHA Directive 1105 Management of Radioactive Materials: VHA Directive 1105

1.5.3. VHA Directive 1129.01 Transmittal Sheet March 21, 2019; Mandatory Reporting for Misadministration of Therapy Machine Sources of Ionizing Radiation:

1.5.4. VHA Directive 1105.04 Fluoroscopy Safety: VHA Directive 1105.04 (Fluoroscopy Safety)

1.5.5. VHA Directive 1105.02 Nuclear Medicine and Radiation Safety Administrative Service: VHA Directive 1105.02 Nuclear Medicine and Radiation Safety Administrative Service

1.5.6. 10 CFR Part 20, Standards for Protection Against Radiation and 10 CFR Part 35, Medical Use of Byproduct Material

1.6. Definitions: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation.

1.6.1. Contracting Officer: The person with the authority to enter into, administer, and/or terminate contracts and make related determinations & findings.

1.6.2. Contracting Officer Representative: Any person or persons authorized to act for the contracting officer within specific limits of the contract, normally to provide technical assistance and advice, coordination of workload, and certification of invoices.

1.6.3. Contractor: An individual, partnership, corporation, or organization having a contractual relationship with the Government for provision of services.

1.7. Acronyms/Abbreviations:

1.7.1. ABHP: American Board of Health Physics

1.7.2. ABRB: American Board of Radiology

1.7.3. ACR: American College of Radiology

1.7.4. ALARA: As Low as Reasonable Achievement

1.7.5. ADP: Automated Data Processing

1.7.6. AMA: American Medical Association

1.7.7. CO: Contracting Officer

1.7.8. COR: Contracting Officer Representative

1.7.9. CQI: Continuous Quality Improvement

1.7.10. D&T: Diagnostics & Therapeutic Care Line

1.7.11. DHCP: Decentralized Hospital Computer Program

1.7.12. FAR: Federal Acquisition Regulation

1.7.13. ISO: Information Security Officer

1.7.14. IRMS: Information Resources Management Service

1.7.15. JCAHO: Joint Commission on Accreditation of Healthcare Organizations

1.7.16. NCQA: National Committee for Quality Assurance

1.7.17. NRC: Nuclear Regulatory Commission

http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&sqi=2&ved=0ahUKEwi_s7qYj-nLAhXCHh4KHTl3CosQFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3081&usg=AFQjCNFQUUGA0SXpYqxCgPDwqz__UXOjYQ&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&sqi=2&ved=0ahUKEwi_s7qYj-nLAhXCHh4KHTl3CosQFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3081&usg=AFQjCNFQUUGA0SXpYqxCgPDwqz__UXOjYQ&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwiKuavkiOnLAhVEkh4KHfMvDQ4QFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3080&usg=AFQjCNGLPxfsrcd5szyaVz-TXTRfzUwi8A&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwiKuavkiOnLAhVEkh4KHfMvDQ4QFggcMAA&url=http%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D3080&usg=AFQjCNGLPxfsrcd5szyaVz-TXTRfzUwi8A&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjip_SujenLAhXHHB4KHeX3B9MQFggcMAA&url=http%3A%2F%2Fwww1.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2764&usg=AFQjCNFreWnZTzCWpZIquTj5qPhiAFShjA&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjip_SujenLAhXHHB4KHeX3B9MQFggcMAA&url=http%3A%2F%2Fwww1.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2764&usg=AFQjCNFreWnZTzCWpZIquTj5qPhiAFShjA&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjip_SujenLAhXHHB4KHeX3B9MQFggcMAA&url=http%3A%2F%2Fwww1.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2764&usg=AFQjCNFreWnZTzCWpZIquTj5qPhiAFShjA&bvm=bv.118353311%2Cd.dmo http://www.google.com/url?sa=t&rct=j&q&esrc=s&source=web&cd=1&ved=0ahUKEwjip_SujenLAhXHHB4KHeX3B9MQFggcMAA&url=http%3A%2F%2Fwww1.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D2764&usg=AFQjCNFreWnZTzCWpZIquTj5qPhiAFShjA&bvm=bv.118353311%2Cd.dmo

1.7.18. OSHA: Occupational Safety and Health Administration

1.7.19. PO: Privacy Officer

1.7.20. PO: Purchase Order

1.7.21. QA: Quality Assurance

1.7.22. QI: Quality Improvement

1.7.23. RSO: Radiation Safety Officer

1.7.24. SDB: Small Disadvantaged Business

1.7.25. USC: United States Code

1.7.26. VA: Department of Veterans Affairs

1.7.27. VAMC: VA Medical Center

1.7.28. VA NHPP: VA National Health Physics Program

1.7.29. VISN: Veterans Integrated Service Network

1.7.30. VISTA: Veterans Health Information Systems & Technology Architecture

2. Qualifications:

2.1. Staff/Facility

2.1.1. Certification: All contract personnel that will provide services on this contract shall be Board Certified Diagnostic Medical Physicists by the American Board of Radiology, ABR (theabr.org).

2.1.2. All certifications of contract personnel shall also be subject to review prior to execution of the contract for approval, by the Department of Veterans Affairs. All certifications of the contract personnel shall be full and unrestricted certifications.

2.1.3. The selected awardee will inquire with to the Contracting Officer Representative (COR) for a list of vaccinations that may be required. It is the responsibility of the COR to notify the Contractor if any new vaccinations have been identified through the life of the contract.

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

2.1.4.1. 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.

2.1.4.2. Conflict of Interest: The Contractor and all Contractor’s physicist(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 https://www.theabr.org/about/abr-board-certification/our-certificates#diagnostic-rad http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf 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.

2.1.5. Citizenship related Requirements:

2.1.5.1. 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.

2.1.5.2. 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.

2.1.5.3. 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.

2.1.5.4. 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.

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

2.1.6. 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.

2.1.6.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at https://oig.hhs.gov/exclusions/index.asp to ensure that the proposed Contractor’s Certified Medical Diagnostic Physicist (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.

2.1.6.2. 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. Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor’s physicist (s) shall not be considered VA employees for any purpose.

2.3. Inherent Government Functions: Contractor and Contractor’s Certified Medical Diagnostic Physicist (s) 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.

2.4. No Employee status: The Contractor shall be responsible for protecting Contractor’s Certified Medical Diagnostic Physicist (s) 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:

2.4.1. Workers’ compensation

2.4.2. Professional liability insurance

2.4.3. Health examinations

2.4.4. Income tax withholding, and

2.4.5. Social security payments.

2.5. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor’s Certified Medical Diagnostic Physicist (s). When a Contractor or Contractor’s Certified Medical Diagnostic Physicist (s)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 Contractor’s Certified Medical Diagnostic Physicist (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.6. Key Personnel:

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

2.6.1. The contractor is not filling in for the VA Radiation Safety Officer but is expected to provide monitoring, reporting, etc as per the scope of work when called during the contract period.

2.6.2. Key personnel, Education, Licensure and competency requirements:

2.6.2.1. All Diagnostic Medical Physicists must be board certified, licensed and must maintain continuing education as required by their certifying agency. They must be able to speak the English language proficiently. They are also required to meet the standards:

2.6.2.1.1. New York State Department of Health, Radiation Safety. Quality Assurance Program for large x-ray facilities

2.6.2.1.2. New York State Department of Health regulations for CT

2.6.2.1.3. FDA regulations

2.6.2.1.4. 10 NYS PART.16 https://regs.health.ny.gov/volume-title-10/content/part-16-ionizing-radiation)

2.6.2.1.5. Contractor shall have a minimum of three (3) Certified Diagnostic Medical Physicists to be fully vetted for the duration of the contract to provide services.

2.7. Personnel 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 day (s) 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 90 calendar days prior to making any permanent substitutions.

2.7.1. 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 seven (7) 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.

2.7.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive workdays 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.

2.7.3. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s Certified Medical Diagnostic Physicist (s), s/he may request, without cause, immediate replacement of said Contractor’s Certified Medical Diagnostic Physicist (s) .The CO and COR shall deal with issues raised concerning Contractor’s Certified Medical Diagnostic Physicist (s) conduct. The final arbiter on questions of acceptability is the CO.

https://regs.health.ny.gov/volume-title-10/content/part-16-ionizing-radiation https://regs.health.ny.gov/volume-title-10/content/part-16-ionizing-radiation

2.7.4. Contingency Plan: Because continuity of care is an essential part of VAMC’s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor’s Certified Diagnostic Medical Physicist(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

2.8. Hours of Operation

2.8.1. VA Business Hours: The medical center hours are from 8:00 a.m. to 4:30 p.m. Monday through Friday, except for Federal Holidays.

2.8.1.1. Federal Holidays are:

o New Year’s Day o Martin Luther King Jr. Day o Presidents Day o Memorial Day o Juneteenth o Independence Day o Labor Day o Veterans Day o Columbus Day o Thanksgiving Day o Christmas Day o And any other day that the President of the United States determines is a Federal Holiday.

2.9. Work Hours:

2.9.1. The contractor will be required to construct a schedule with the COR that is in accordance with the Nuclear Regulatory Commission (NRC) and will need it approved by the COR and Radiology staff prior to commencing work for the given contract. Any changes with approved schedule will be communicated with COR and new schedule to be submitted for approval. The contractor will perform support services during normal hours that are identified under section 2.8.1. Routine testing, such as Quality Assurance (QA) and Radiation Safety Surveys will generally be conducted during business hours; however, it must not interfere with the clinical service. Schedule of services shall be completed within the first fourteen (14) days of contract award.

2.9.2. Contractor shall leave all documentation with Biomedical Engineering during business hours.

2.9.3. Certified Medical Diagnostic Physicists shall be available for phone consultations.

2.9.4. Contractor’s will be required to sign in and out for all services provided when onsite.

Processes and procedures will be provided during post-award meeting.

Time and Attendance sheets shall be required upon contract award.

2.10. Contractor Responsibilities:

2.10.1. Services Required: Provision of a Certified Diagnostic Medical Physicist to support the respective VAMCs’ radiation safety program as specified in sections 2.10.3 to 2.10.7. It is at the discretion of the Bronx’s RSO to determine what assisted duties shall be performed off site by the Contractor. All duties performed on, and off site will be tracked and logged using time sheets for billing purposes.

2.10.2. Standards of Practice: The Contractor’s care shall cover the range of services for radiation safety management, including the provision of a contractor to act as a backup for the Radiation Safety Officer, as described above, if needed due to, per the requirements contained in this PWS.

2.10.3. Required Tasks of the contracted Certified Medical Diagnostic Physicists:

2.10.3.1. The contracted Certified Medical Diagnostic Physicists serves as the functional and operational arm of the facility’s RSO and Radiation Safety Committee for assistance in implementing policy, development of procedures and ongoing oversight of local uses of radioactive materials as described in a permit. New policies and procedures may be indicated when the Radiation Safety Committee reaches a consensus that existing ones do not achieve their intended results; when a new regulation affects, or is affected by, the routine operation of each VAMC; or when a deficiency in the radiation safety program has been identified by the committee. The committee will summarize the results of its deliberations in the quarterly meeting minutes or when emergency situations arise.

2.10.3.2. The contracted Certified Medical Diagnostic Physicists assists the RSO as he/she investigates overexposures, accidents, spills, losses, thefts, and unauthorized receipt, use, transfer or disposal of radioactive materials, medical mis-administrations and other deviations from approved radiation safety practices and implements corrective actions as necessary. The RSO will generate a report whenever an investigation occurs. Documentation specified in 10 CFR Part 20, Standards for Protection Against Radiation and 10 CFR Part 35, Medical Use of Byproduct Material, will be generated.

2.10.3.3. The contracted Certified Diagnostic Medical Physicists develops and recommends to the VAMCs’ Radiation Safety Committee local procedures in writing for acquisition, receipt, storage, inventory, safe use, emergency procedures, surveys, equipment performance checks, disposal, personnel training, and user and facility record keeping requirements. These procedures are established in the VAMCs’ radioactive materials license application and are documented in each VAMCs’ Radiation Safety Handbook. Modification of one of these procedures constitutes a modification of the organization’s radioactive materials license agreement and must be approved by the committee, which meets quarterly.

2.10.3.4. The contracted Certified Diagnostic Medical Physicists briefs healthcare system management at least once each year on the status of the facility Radiation Safety Program. The medical diagnostic physicist in conjunction with the RSO performs an annual review in collaboration with a designated member of the Radiation Safety Committee; the result is submitted in a written report for approval by the committee.

Refer to Scope of Work section. Due September 30, annually,

2.10.3.5. The contracted Certified Diagnostic Medical Physicists develops and recommends to the Radiation Safety Committee investigational action levels for personnel exposures, contamination, and surveys immediately, no later than 72 hours once contacted.

2.10.3.6. The contracted Certified Diagnostic Medical Physicists will provide technical assistance and oversight to the development of imaging protocols for Computed

Tomography for dose optimization and will review all written protocols on an annual basis.

2.10.3.7. The contracted Certified Diagnostic Medical Physicists assists the Radiation Safety Committee in the performance of its functions, including its annual evaluation of the facility radiation safety program.

2.10.3.8. The contracted Certified Diagnostic Medical Physicists performs periodic on-site evaluations of all activities involving the use of radioactivity in the healthcare system including, but not limited to, visits to all areas of use, examination of required records, and evaluations of radiation safety procedures. Laboratories are inspected quarterly and documented in laboratory survey reports. X-ray equipment is inspected Semi-annually and documented in x-ray survey reports.

2.10.3.9. The contracted Certified Diagnostic Medical Physicists set trigger reporting thresholds for fluoroscopic dose exposure and reviews all events exceeding the thresholds for deterministic effects of radiation exposure.

2.10.3.10. The contracted Certified Diagnostic Medical Physicists provide instruction principles of radiation safety and techniques for safe handling of radiation generating equipment or radioactive isotopes and compounds.

2.10.3.11. The contracted Certified Diagnostic Medical Physicist (s) agrees to perform all testing required by The Joint Commission and reports will demonstrate The Joint Commission verbiage.

2.10.4. The contracted Certified Diagnostic Medical Physicists will provide assistance in management of radiation disasters and acts of radiation terrorism, including the following:

2.10.4.1. Participation in VA radiation disaster planning and inclusion in VA radiation disaster training exercises.

2.10.4.2. Responding to VA radiation disaster incidents including acts of terrorism involving radiation within one hour during regular business hours and within three hours outside of regular business hours.

2.10.4.3. Assisting VA staff in identifying personnel contaminated with radioactive material during radiation disaster incidents or terrorist actions and supervising decontamination of contaminated personnel.

2.10.4.4. Analyzing radioactive contaminants to identify the radioactive material involved.

2.10.5. The contracted Certified Diagnostic Medical Physicists will not recommend or administer policies, procedures and methods of oversight that differ substantially from those already developed by the Contractor, except where specifically required to meet regulatory requirements applicable only to the VA and NRC or where required to comply with recommendations made by the Radiation Safety Committee.

2.10.6. The contracted Certified Diagnostic Medical Physicists must agree, in writing, to be responsible for implementing the radiation protection program in accordance with 10 CFR Part 35, Medical Use of Byproduct Material, Subpart B, paragraph 35.24.

2.10.7. Reporting and Documentation Requirements: The contracted Certified Diagnostic Medical Physicists performs or supports in the performance of the following tasks in connection with reporting and documentation:

2.10.7.1. Assists in the preparation of the annual radiation safety report for the Environmental Protection Agency (EPA).

2.10.7.2. Prepares the annual report on the Radiation Materials Safety Program for management.

2.10.7.3. Assists in the preparation of quarterly reports on the Radiation Materials Safety Program for the VAMCs’ Environment of Care Committee.

2.10.7.4. Provides the following reports to the Radiation Safety Committee for quarterly review:

2.10.7.4.1. Refer to Scope of work section for this data

2.10.7.5. Assistance in reviewing each of the VAMCs’ Radiation Safety Management Program, including:

2.10.7.5.1. Incidents of misadministration.

2.10.7.5.2. Report on fluoroscopy users training

2.10.7.5.3. Summary exposure reports for personnel working with radioactive materials.

2.10.7.5.4. Results of surveys for the ALARA program conducted in restricted areas.

2.10.7.5.5. Quarterly inventory on nuclides in research areas and assessment of levels against allowable license limits.

2.10.7.5.6. Reports of radioactive spills and other incidents, including remedial action recommended or taken.

2.10.7.5.7. Results of unannounced inspections conducted by the RSO.

2.10.7.5.8. Report on radioactive waste; The contracted Certified Diagnostic Medical Physicists are required to provide a report of low-level radioactive waste, including red bag waste, liquid waste, decay in storage, and long-life radioactive waste. Such reports will include quantities of waste identified as contaminated with radioactive material, disposition plans, monitoring activity and disposal actions taken.

2.10.7.5.9. Summary of status of radiation safety training.

2.10.7.5.10. Approval of new users and requests by authorized users of radioactive materials; the RSO is required to report on the training and experience of proposed new users and authorized users to allow for a determination by the Radiation Safety Committee that their qualifications are sufficient to enable them to perform their duties safely and in accord with VA regulations and the Master Material License (MML).

2.10.7.5.11. Status of radiation safety surveys of x-ray units and recommendations for remedial action as necessary.

2.10.7.5.12. Other subjects pertaining to Radiation Safety that may arise.

2.10.7.6. Prepares compliance reports on radioactive waste for regulatory bodies.

2.10.7.7. Maintains records and documentation of all training provided to staff.

2.10.7.8. Ensures that any incidents regarding noncompliance with VA or NRC regulations, whether found by the NRC or by the respective VAMCs’ personnel, are corrected as soon as possible and that corrective actions are fully documented and kept on record.

2.10.8. Radiation Safety Training for the Bronx VAMC Radiation Staff will be provided by the Certified Diagnostic Medical…