36C24223R0024 0003.docx

5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE

OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D 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 amendmen t, 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-2023-COM-0010

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

36C24223R0024 03-23-2023

X

X Amendment 0003 is being issued in response to vendor questions.

The RFP due date remains April 19, 2023 at 1PM EST.

Jeanette Crooks Contracting Officer

CONTINUATION PAGE

Amendment 0003 – Response to Vendor Questions Through 3/23/23: Finger Lakes VA Healthcare System – MOD/UCC/Hospitalist Q&A

RFP: 36C24223R0024

Who is the incumbent contract holder? For how long? Is this a new requirement? The incumbent for the past 13-years has been Workfit Medical. This is not a new requirement.

Does this include on call or is it all on site coverage? There is no on-call.

What Board certification is required? All contract physicians shall be Board Certified/Board Eligible in accordance with ABIM or ABFM Standards.

Which RFP am I supposed to complete? Due to a faulty upload of the original RFP, Amendment 0001 was issued. The correct RFP is an attachment to Amendment 0001.

Specifically, what are the shift hours for the MOD/Hospitalist if the department wants 24/7 coverage? The awardee will be responsible for ALL scheduling. The awardee will determine the shift hours.

How many MOD/Hospitalist can you have working at one time? There will be 1 contract MOD/Hospitalist on duty 24/7. The VA does not currently have an MOD/Hospitalist on staff and will not provide any type of back-up coverage.

How many admissions happen daily/weekly to the inpatient floor with 10 beds? Variable. Typically there are 1-4 admissions daily.

How many days of orientation and training does this client require to onboard new providers? Orientation typically lasts 4-5 days which includes training and shadowing. Orientation timeline may decrease if physician has prior VA experience.

Please clarify which duties will be at which locations - Pricing schedule reflects that MOD/Inpatient services, UC and PC all are needed at Bath VA? Scope implies MOD needs at Canandaigua, UC needs at Bath, and PC need at Rochester? MOD/Hospitalist duties are physically performed at the Bath VA only. However, MOD/Hospitalist is expected to respond to calls from the Canandaigua Domiciliary (DOM) and Community Living Center (CLC) and the modality of care may include phone, VVC and CVT.

Urgent Care (UCC) duties are performed at Bath only.

Unscheduled Primary Care duties could be provided at any of the 3 sites, if needed.

Max number of consecutive hours / shifts a provider can work? There is no formal policy. Typically, the maximum consecutive shifts is 3 days or 72 hours.

Describe how many physicians cover MOD shifts day/night; how many Urgent Care providers per shift, how many Primary Care physicians per shift. 1 physician per MOD shift and 1 physician per UCC shift

Does the MOD have to perform invasive procedures? MOD and UCC physician may perform the following invasive procedures:

Arterial puncture for blood testing Emergency vascular access Incision and drainage for abscess Suturing superficial wounds Gastric lavage and placement of nasogastric tube Arthrocentesis and joint injection Cardioversion/Defibrillation/Transcutaneous Pacing Joint reduction Epistaxis control Cervical spine immobilization Splinting Emergent airway management Endotracheal intubation

Does the MOD manage ventilators? No.

Is there ICU at any of the locations? Does the MOD cover ICU? There is not an ICU.

Number of beds on the inpatient service for each facility? There are 10 acute care beds and a 17 bed CLC at the Bath VA.

Does the MOD manage / run the code blue response? Is there a response team? Yes, the MODs manage the code blue response. Yes, there is a response team.

Number of patients per day shift:

Response Acute Care/Inpatient: 1-8 Response Community Care Center (CLC): 5-10 Response Primary Care: 8-12 Response UCC 8A – 10P: Up to 25

Number of patients per night shift - MOD / Urgent Care / Clinic? Each location?

Acute Care/Inpatient: 1-8

CLC: 5-10

How many hospital physicians on staff, including Urgent Care? Do they have a respiratory team? There is no VA back-up for MOD/hospitalists. There is 1 back-up physician in UCC.

What subspecialty support staff are available? There are 2 respiratory therapists on duty during administrative hours. There is no respiratory team. During administrative hours on rotating days: Cardiac NP, Podiatry, Optometry, Dental, Psychiatry, Cardiology, Social Work, Psychology, Orthopedics, Dermatology

Do they have MRI or CT onsite? Do they have x-ray and ultrasound? CT, X-ray and Ultrasound available on site. No MRI.

Are labs and pharmacy available 24 hours a day? If not, what are the available hours? No 24-hour pharmacy support but there is access to a Pyxis machine. Pharmacist is on-call. No 24-hour lab support. They are available 8A – 830P.

Does the MOD cover floor call at night? Yes.

Do they round on Saturdays and Sundays? Yes.

If so, in which units? Round in Acute Care Bath

How often is the MOD called back to physically report to the CLC or DOM units for a patient issue? MOD is occasionally called to the CLC and DOM Units at the Bath VA.

Are RNs able to call 911? Yes.

Do Nurse Practitioners have full scope practice authority to diagnose, treat, and write prescriptions? Yes.

Does the VA want to retain incumbent contract providers for the new contract term? Yes, however there should be no expectation that incumbent providers will agree to continue providing services under the new contract.

Amendment 0003 – Response to Vendor Questions 3/23/23: Finger Lakes VA Healthcare System – MOD/UCC/Hospitalist Q&A

RFP: 36C24223R0024

RFP 36C24223R0024 – Amendment 0003