36C24224Q1001.docx

SUBJECT*

FY25 NJHCS COC Accreditation (1x)

GENERAL INFORMATION

Network Contracting Office 2 James J. Peters VA Medical Center 130 West Kingsbridge Road Bronx NY 10468-3904

POINT OF CONTACT*

Contract Specialist Tiffany Vazquez-Simon tiffany.vazquez-simon@va.gov

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

EMAIL DESCRIPTION

DESCRIPTION

PSC: U005 – Education/Training- Tuition/Registration/Membership Fees

SOL: 36C24224Q1001

DUE: October 04, 2024 12:00PM EST

SET ASIDE: N/A

NAICS: 813920 – Professional Organizations

POP: 10/31/2024-10/31/2025

AGENCY: VA New Jersey Healthcare System - located at 385 Tremont Avenue East Orange, NJ 07018-1023

POC: Tiffany Vazquez-Simon, Contract Specialist tiffany.vazquez-simon@va.gov

DESCRIPTION: NOTICE OF INTENT TO AWARD A SOLE SOURCE CONTRACT TO AMERICAN COLLEGE OF SURGEONS

Market research was conducted and determined that AMERICAN COLLEGE OF SURGEONS is the only vendor capable of meeting the requirement at VA New Jersey Healthcare System.

This Notice of Intent is not a request for Proposals or Quotations. No solicitation document exists, and no telephone or email inquiries will be accepted. No contract award will be made on the basis of proposals, or quotations received in response to this notice. The government MAY consider all Expressions of Interest (EOI) received prior to October 04, 2024 12:00PM EST.

A determination by the Government not to compete this proposed contract based upon responses to this notice is solely within the discretion of the Government.

Information received will be considered solely for the purpose of determining whether to conduct a competitive procurement.

Responses to this notice must be emailed to tiffany.vazquez-simon@va.gov and received by 12:00PM EST on October 04, 2024. Submitters are responsible for ensuring their EOI reaches the designated contracting officer on-time.

See attached Statement of Work below for additional details.

If you have any questions or concerns, please contact me.

Special Notice Special Notice

Special Notice

STATEMENT OF WORK - DRAFT

East Orange VA Medical Center American College of Surgeons’ Commission on Cancer

Introduction and Overview The East Orange VA Medical Center wishes to contract for American College of Surgeons’ Commission on Cancer Triennial Cancer Program Survey. The Survey provides an external peer review of all processes involved in the care of Veterans with cancer in the East Orange VA Medical Center catchment area and is necessary for accreditation. CoC accreditation is granted to facilities that are committed to providing the best in cancer care and demonstrate compliance with the CoC standards. CoC accreditation provides real value to cancer programs. The East Orange VA Medical Center cancer program can proudly demonstrate to our veteran community, providers, and payors that we have invested in systems aimed toward cancer patients receiving high-quality, coordinated care, and that we have made the efforts for supportive services and resources addressing the full continuum of care are available to our patients.

Background The American College of Surgeons’ Commission on Cancer is a consortium of professional organizations dedicated to improving survival and quality of life for cancer patients through standard-setting, prevention, research, education, and the monitoring of comprehensive quality care. This history of the Commission on Cancer and standards for cancer care begins with the American College of Surgeons (ACoS). From its creation in 1913, the ACoS has focused on improving the care of the surgical patient through the advancement of surgical skills and physician education. Because surgical intervention was the only available treatment for cancer at that time, it is logical that the ACoS also took the lead to improve cancer care by establishing the Commission on the Treatment of Malignant Diseases (Committee) in 1922. Over time, the Committee has transformed from its original surgical focus to one that involves all aspects of cancer care. In order to recognize this transformation, the name of the Committee was changed to the Commission on Cancer in the mid-1960s.

The initial work was focused on establishing cancer clinics within hospitals where patients could expect to receive consistent diagnostic and cancer treatment services. By 1930, the first set of standards had been developed and released, and an Approvals Program (Accreditation Program) had been established that evaluated a cancer clinic’s performance against the standards. By 1933, 140 clinics had gained accreditation. Since accreditation of this initial group, the number of Accredited Programs has slowly and steadily increased to encompass more than 1,500 hospitals, freestanding cancer centers, and cancer program networks nationwide. CoC-accredited programs represent 30% of the general medical-surgical hospitals in the United States and Puerto Rico and provide care to close to 70% of patients who are newly diagnosed with cancer each year. Veterans Health Administration (VHA) presently has 60 CoC accredited cancer programs.

Scope:

The contractor must provide all labor, travel, and lodging to evaluate and accredit the East Orange VA Medical Center Cancer program. A member of the cancer committee will confirm the agenda for the survey with the site visit reviewer(s) at least 14 days before the on-site visit. The site visit reviewer’s role is to define the standards and verify that the cancer program is in compliance.

To accomplish this task on the day of site visit, the site visit reviewer(s) will:

· Meet and provide education to key members of facility administrative leadership on the value of CoC accreditation and how to market this achievement.

· Meet the cancer committee to discuss the activities and responsibilities of the cancer committee in relationship to the cancer program and to verify the accuracy of the data recorded in the PRQ.

· Attend a cancer conference to observe the program’s multidisciplinary patient management and discussions.

· Meet with the Cancer Liaison Physician to discuss his or her role and responsibilities, including opportunities to use National Cancer Database data.

· Meet with the Cancer Program Administrator and cancer registry representatives to discuss cancer registry functions and cancer committee operations.

· Review medical records to determine relevant standard compliance.

Scope of Survey The review process will specifically include the following items:

Eligibility requirements:

1. Review and assess cancer committee responsibilities

2. Facility accreditations

3. Cancer committee authority documents

4. Cancer conference policies

5. Oncology nursing leadership

6. Cancer registry policies and procedures

7. Diagnostic imaging availability

8. Radiation oncology services

9. Systemic services

10. Clinical trial information and education

11. Psychosocial services availability and referral patterns

12. Rehabilitation services

13. Nutrition services

Specific standards for accreditation:

1. Physician credentials

2. Cancer committee membership

3. Cancer committee attendance

4. Cancer committee meetings

5. Goals established

6. Cancer registry quality control plan

7. Monitoring cancer conference activity

8. Monitoring community outreach

9. Clinical trials accrual

10. Annual educational activity

11. Cancer registrar education

12. Public reporting of outcomes

13. College of American Pathologists’ protocols

14. Nursing care

15. Risk assessment and genetic testing and counseling

16. Palliative care services

17. Patient navigation

18. Psychosocial distress screening

19. Survivorship care plan

20. Prevention program

21. Screening program

22. CLP responsibilities

23. Accountability measures

24. Quality improvement measures

25. Assessment of evaluation and treatment planning

26. Studies of quality

27. Quality improvements

28. Cancer registrar credentials

29. Abstracting timeliness

30. Follow-up of all patients

31. Follow-up of recent patients (within 5 years)

32. Data submissions to the National Cancer

33. Data Base 5.6 Accuracy of data

34. Commission on Cancer special studies

Information Security

Period of Performance Estimated 10/31/2024 – 10/31/2025

Place of Performance VA NJHCS East Orange VAMC 385 Tremont Avenue East Orange, NJ 07018-1023

Contract Type Firm Fixed Price

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