36C24420Q0437-001.docx

36C24420Q0437

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

529-21-1-020-0001 36C24420Q0437 04/2 /2020 Brandi Shellhammer 05- -2020

3:00 PM EST

00244 Department of Veterans Affairs Network Contracting Office 4 1010 Delafield Road Pittsburgh PA 15215

X X 621512 $16.5 Million N/A X

00244 Department of Veterans Affairs Network Contracting Office 4

Austin Payment Center Department of Veterans Affairs PO Box 149971 Austin TX 78714-9971

(877) 353-9791

(512) 460-5429 See CONTINUATION Page Mobile Lithotripsy Services On-site at the Lebanon VAMC In accordance with the Performance Work Statement.

See Price schedule on page Period of Performance is 10/1/2020 – 9/30/2025 See CONTINUATION Page X X X Table of Contents

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 individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C244 MARK KNORR @ Mark.Knorr@va.gov Department of Veterans Affairs Network Contracting Office 4

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

3. INVOICES: Invoices shall be submitted in arrears:

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

Austin Payment Center Department of Veterans Affairs PO Box 149971 Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Mobile Lithotripsy Services On-Site in accordance with performance work statement Contract Period: Base POP Begin: 10-01-2020 POP End: 09-30-2021

Mobile Lithotripsy Services On-Site in accordance with performance work statement Contract Period: Option 1 POP Begin: 10-01-2021 POP End: 09-30-2022

Mobile Lithotripsy Services On-Site in accordance with performance work statement Contract Period: Option 2 POP Begin: 10-01-2022 POP End: 09-30-2023

Mobile Lithotripsy Services On-Site in accordance with performance work statement Contract Period: Option 3 POP Begin: 10-01-2023 POP End: 09-30-2024

Mobile Lithotripsy Services On-Site in accordance with performance work statement Contract Period: Option 4 POP Begin: 10-01-2024 POP End: 09-30-2025

B.3 PERFORMANCE WORK STATEMENT LITHOTRIPSY SERVICES

SECTION 1

DESCRIPTION OF SERVICES: LITHOTRIPSY SERVICES

1. SCOPE AND OBJECTIVES:

a. The Contractor shall provide Extracorporeal Shock Wave Lithotripsy (ESWL) services with necessary vendor deliverables for the Lebanon Veterans Affairs Medical Center (Lebanon VAMC) located at 1700 South Lincoln Avenue, Lebanon, PA 17042. Performance shall be according to the requirements contained in this Performance Work Statement (PWS).

b. ESWL services shall be provided at Lebanon VA Medical Center on a case by case basis. Scheduled coverage will be communicated to the vendor with not less than two (2) weeks’ notice, when possible. In emergent cases, not less than three (3) hours’ notice will be given.

c. Evidence of completion of required certification, required training, current competencies and background investigations must be validated for all Contractor personnel referred to perform services under the Contract prior to providing direct patient care.

d. The Contractor shall not have any personnel report to duty until written notification is received from the Contracting Officer (CO) advising that the candidate(s) presented has met all requirements for Contract performance.

e. Performance shall be according to the requirements contained in this Performance Work Statement (PWS).

f. The resulting Contract is a non-personal health care services contract under which the Contractor is an independent contractor. The Parties agree that the Contractor, Contract staff, agents and sub-contractors shall not be considered VA employees for any purpose.

2. AUTHORITY: Under the authority of Public Law 104-262 and 38 United States Code (U.S.C.) 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, the services and prices specified in Section B, see Price/Cost Schedule of the Contract.

3. PERIOD OF PERFORMANCE: The Period of Performance (PoP) of this contract is for one (1) Base period and four (4) option years.

Base Period: 10-01-2020 thru 09-30-2021 Option Year (1): 10-01-2021 thru 09-30-2022 Option Year (2): 10-01-2022 thru 09-30-2023 Option Year (3): 10-01-2023 thru 09-30-2024 Option Year (4): 10-01-2024 thru 09-30-2025

4. DESCRIPTION OF SERVICES:

Extracorporeal shock wave lithotripsy (ESWL) is a common, non-invasive treatment for kidney stones. Kidney stones are solid pieces of material that form from dietary elements found in urine. Larger kidney stones may cause painful ureteral obstruction for patients as they move through the ureter. A kidney stone that manages to become lodged in a patient’s ureter may prevent drainage of urine from the kidney that causes swelling (hydronephrosis) that could lead to kidney damage.

ESWL is the most common type of lithotripsy. ESWL utilizes focused, high intensity acoustic pulses to treat kidney stones. These acoustic pulses break kidney stones into small enough pieces so that patients may pass them without discomfort. The duration of an average procedure is approximately one hour. Procedures with ESWL do involve patients receiving anesthesia. Patients are generally able to return home the same day as their procedure.

The Lebanon VAMC has a requirement to procure a contract for the services of a transportable ESWL system (inclusive of Shock Wave Lithotripsy Unit, Treatment Table, X-Ray C-Arm, ESWL Workstation and Display Monitors, Licensed Radiological Technologists for Diagnostic Radiographic/X-Ray; Any and all ESWL Equipment/Materials Necessary for Procedures).

A State Licensed radiologic technologist who is licensed in diagnostic radiography/X-ray is also required.

4.1 Specific Tasks

4.1.1 Required Equipment and Technical Specifications

4.1.1.1 Lithotripter and Treatment Table Requirements

The contractor must be able to consistently provide a transportable lithotripter with treatment table for each ESWL procedure. The lithotripter provided by the contractor must be able to achieve a minimum penetration depth of 165mm in order to meet the needs of the Lebanon VAMC. The lithotripsy treatment table must have a minimum weight limit of 500 lbs. The treatment table must be able to move efficiently in three dimensions (x, y, z coordinate directions) and must also be able to easily accommodate a Trendelenburg position/inclination.

4.1.1.2 X-Ray C-Arm Fluoroscopy Unit Requirements

The contractor must be able to consistently provide a transportable X-ray C-arm fluoroscopy unit for each ESWL procedure. The fluoroscopy unit generator must be able to provide a minimum power of 15kW. In order to provide a proper degree of both radiographic contrast and density, the contractor provided X-ray fluoroscopy unit must be able to provide a peak kilovoltage (minimum requirement) of 120KVp and provide a kVp range of 40kVp to 120kVp. The contractor provided fluoroscopy unit must be able to provide an electric current range of 0.2mA to 10mA during normal fluoroscopy function. The contractor’s fluoroscopy shall be capable of continuous high-level fluoroscopy at a current magnitude of up to 10mA.

The contractor must provide the Lebanon VAMC Operating Room (OR) (specifically the Contracting Officer’s Representative (COR) and/or OR Point of Contact (POC)) with the cleaning/disinfecting requirements for all ESWL equipment. The cleaning/disinfecting requirements must specify which chemical solutions may be used to clean/disinfect each unique piece of ESWL equipment (including lithotripsy unit, treatment table, workstation/monitors, and X-ray C-arm).

4.1.1.3 Video Imaging System and Computer Workstation Requirements The contractor must be able to consistently provide a transportable workstation that enables operating room personnel to easily use the ESWL system. The workstation shall have monitors with a high resolution of 1280x1024 (or contractor must prove their monitors have a superior resolution) and the monitors shall be able to be viewed by users on all sides of the workstation.

4.1.2 Procedure Scheduling, Contractor Deliverables, and Licensing Radiologic Technologist Requirements and Protocols

4.1.2.1 Procedure Scheduling Requirements Protocol

The contractor shall coordinate a service schedule with the COR or the OR POC, at the Lebanon VAMC. The OR POC must notify the contractor a minimum of two (2) weeks prior to any scheduled surgical case. In case of an emergency, the COR or the OR POC is required to inform the contractor a minimum of three (3) hours prior to a scheduled surgical case; such emergencies may include cancellations, rescheduled procedures, or necessary scheduling of emergency procedures. Multiple surgical cases may be scheduled in one day and in different operating rooms. There may also be days in which only one (1) surgical case may be scheduled for the day. The Lebanon VAMC currently anticipates that ESWL services will be needed approximately three (3) six(6) days per month for ESWL procedures.

The contractor must report to the OR POC upon arrival at the Lebanon VAMC facility. The COR and OR POC will be the only individual authorized to coordinate and schedule services. No other individual shall be authorized to coordinate schedule from the contractor. The COR and ORPOC shall maintain a record keeping system that will record all surgical services provided by the contractor’s employees. The Lebanon VAMC will provide the contractor with the name, title, and telephone number of the COR at the time of contract award. The COR will then provide the name and contact information of the OR POC.

4.1.2.2 Radiologic Technologist Requirements and Related Protocol The contractor must provide a State licensed radiologic technologist (licensed in diagnostic radiography/X-ray) for each ESWL procedure. On the day of the procedure, the licensed radiologic technician shall transport the ESWL equipment to the operating room and shall provide ongoing technical support for its usage until all scheduled ESWL cases for the day are completed. The contractor’s licensed radiologic technologists shall be expected to arrive with all necessary ESWL a minimum of one (1) hour before procedures are scheduled to commence. On the day of scheduled services, the contractor must be able to provide all necessary ESWL equipment (including lithotripsy unit, treatment table, workstation/monitors, and X-ray C-arm) for use during the entire day. The contractor shall not be required, except in cases of emergency, to furnish services during off-duty hours as described below.

4.1.3 Equipment Maintenance and Radiation Safety Compliance

4.1.3.1 Preventative Maintenance and Radiation Safety Compliance The contractor shall maintain all the ESWL equipment (including lithotripsy unit, treatment table, workstation/monitors, and X-ray C-arm) in safe and operating condition at all times. The contractor is responsible to ensure that all components of the ESWL system (including lithotripsy unit, treatment table, workstation/monitors, and X-ray C-arm) will operate at optimum performance to provide the best possible treatment to the patients and minimize downtime. The Biomedical Engineering Department (Biomed) will be contacted by the Licensed Radiologic Technologist immediately upon arrival to the Lebanon VAMC facility to check in the equipment. Current radiation compliance testing and calibration documentation must be presented to the Biomed Department for each individual fluoroscopy/radiographic unit brought to the Lebanon VA Medical Center OR at this check-in, before procedures commence. Up to date preventive maintenance and corrective maintenance records for the ESWL equipment must also be made available to the Lebanon VAMC Biomed Department the day of any procedure(s) prior to procedure start times.

4.1.3.2 Radiation Safety and Compliance

The contractor is required to maintain a written record of procedure/study summaries for each procedure/study conducted with the ESWL equipment at the Lebanon VAMC. The written records for each procedure/study must display air kerma and dose area product values. All written records for procedures/studies must permanently reside at the Lebanon VAMC.

5. POLICY AND REGULATIONS:

a. Contractor should thoroughly review the specifications and become familiar with the areas of coverage in order to become fully aware of the scope of requirements. Failure to understand the contract requirements shall not relieve the Contractor from performing in accordance with the meaning and intent of the specifications. Costs not incorporated into the Contractor’s price will NOT be reimbursed by the Government.

b. Prior to providing services, the contractor will have employees comply with all mandatory education requirements stipulated by the Department of Veterans Affairs. New providers must complete ‘New Provider Orientation’. Annual education will include, but is not limited to, VHA Privacy Policy, VHA Information Security Training (Cyber Security), and Ethics Training. All providers must have current Basic Life Support (BLS) certification.

c. The services provided by the contractor shall be performed within the VA policies and procedures, including but not limited to: informed consent, conscious sedation, utilization review, infection control and the use of barrier protection; and the regulations of the Medical Staff Bylaws and the Resident Supervision Handbook of the VA Medical Center, and OSHA requirements. (See attached Medical Staff Bylaws)

6. RELEVANT DIRECTIVES/PUBLICATIONS: The Contractor is required to meet Veterans Health Administration (VHA) performance and quality criteria and standards including, but not limited to, customer satisfaction, prevention index, chronic disease index and clinical guidelines. Performance and quality standards may change during the course of the contract. New or revised quality/performance criteria or standards will be provided to the Contractor before implementation date. Compliance with mandated performance is required as a condition of this contract. Contractor shall comply with all relevant Veterans Affairs (VA) policies and procedures, including those related to quality, patient safety and performance, including all policies referenced throughout the Contract and the following:

a. Medical Staff Bylaws, attached

i. The care provided by the Contractor should be patient centered, continuous, accessible, coordinated, and consistent with VA standards, including the thirteen service standards detailed in VHA (Veterans Health Administration) Directive 2006-041, “Veterans Health Care Service Standards,” dated 27 June 2006 (or subsequent revisions thereto). (2006-041 expired on June 30, 2011 but will still be effective until a revision or rescission is published and/or subsequent revisions thereto.

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

ii. 42 CFR Part 482 Conditions of Participation http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr;sid=aceca18b9fbe0110ffa37c08075c2b0e;rgn=div5;view=text;node=42%3A5.0.1.1.1;idno=42;cc=ecfr

iii. VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

iv. VHA Record Control Schedule 10-1 http://www1.va.gov/vhapublications/rcs10/rcs10-1.pdf

v. "Patient Medical Records-VA" 24VA10P2 http://vaww.vhaco.va.gov/privacy/SystemofRecords.htm

vi. VHA Directive 2009-019, “Ordering and Reporting Test Results,” www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1864

vii. VHA Directive 2010-027 "VHA Outpatient Scheduling Processes and Procedures” (Note: Lebanon VAMC does not utilize the Electronic Wait List (EWL)) http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2252

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

ix. VHA Handbook 1003.4, "VHA Patient Advocacy Program," http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1303.

x. VHA Handbook 1100.17: National Practitioner Data Bank Reports – http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

xi. VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

xii. VHA Handbook 1100.19 Credentialing and Privileging – http://www.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID=2910

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

b. The Joint Commission (TJC) compliance: The ESWL staff shall cover the range of lithotripsy services as would be provided in a state-of-the-art health care facility, on a mobile unit setting, and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the professional standards of the Joint Commission:

http://www.jointcommission.org/standards_information/standards.aspx

7. CONTRACTOR REQUIREMENTS:

a. The Contractor will be responsible to ensure that Contractor personnel (service provider) providing work on this contract are fully trained and completely competent to perform the required work. All certifications need to be current through the term of the contract. If renewal is required it will be the contractor’s responsibility to insure it is accomplished without interruption to services being provided.

b. The Contractor is required to maintain records that document competence/performance level of Contractor personnel (service provider) working on this contract in accordance with TJC and other regulatory body requirements. (See Key Personnel Section below)

c. When changes in Contractor personnel are approved in accordance with the "Key Personnel" section of this PWS, the Contractors must provide the providers name, a current address and telephone number, Social Security Number, list of references, list of all training, evidence of an unrestricted license, the current competence assessment, and current performance evaluation that supports “b” above.

d. The Contractor must be poised to respond quickly to VA policy and procedure changes.

e. Contractor staff agrees to treat all Veteran patients with respect and dignity, however, should there be a complaint, notification should be reported to the COR and OR POC within twenty-four (24) hours.

f. Veterans shall be seen according to previously listed VHA Directive 2010-020.

g. The Contractor personnel shall be required to provide and complete a timesheet when they are on-site at the Lebanon VAMC providing care. The timesheet shall be signed by the COR or OR POC. Timesheets shall be submitted with each invoice. Monthly invoices of billed services will be forwarded to the Surgery Service Office COR for tracking. Invoices should be submitted within two weeks of completion of billing month, using correct PO#.

8. PEFORMANCE MONITORING:

a. The COR shall be the official responsible at the Lebanon VAMC for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the CO. The performance monitoring criteria are as follows:

· Availability of the contractor to meet the Lebanon VAMC’s OR’s needs. For example, the frequency of unavailability of the ESWL equipment when it is required will be monitored.

· Timeliness of arrival at the Lebanon VAMC OR.

· Frequency of equipment malfunctions that result in cancellations of surgical cases.

· Accurate and timely monthly invoicing.

· Random safety inspections.

· Periodic checks of the service records on the equipment brought in and used in the OR. The contractor shall make equipment service records (preventive maintenance and corrective maintenance records) available to the Federal Government upon request by the COR.

· Availability of any ancillary materials or equipment necessary for ESWL procedures.

b. Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

c. The Performance Requirements Summary Matrix, paragraph B (General Requirements) in the Performance Work Statement (PWS) includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

d. Failure to meet the cancellation performance standard will result in a 10% reduction in payment of rate per procedure on all invoices for a minimum of three (3) months. In the event that the cancellation standard is not met, the Lebanon VAMC shall have the right to determine such failure as non-compliance and can use such non-compliance as grounds for termination of this service of the contract.

e. Contractor and Lebanon VAMC agree to collaboratively resolve any operational issues that are identified and presented to each other. In the event that Lebanon VAMC determines that the contractor is not meeting any of its obligations, the Lebanon VAMC shall notify contractor in writing and identify such deficiency. The contractor shall respond and cure such deficiency in the stated timeframe by the Contracting Officer.

9. HOURS OF OPERATION: The services covered by this contract shall be furnished by the contractor as defined herein.

a. Services furnished approximately 1-3 days per month, with planned procedures being scheduled at a minimum of two (2) weeks prior and emergent cases, notification given within three (3) hours of procedure.

b. Service will not be needed on the following Federal holidays:

c. When one of the holidays falls on Sunday, the following Monday shall be observed as a national holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a national holiday by U.S. Government Agencies. Also included would be any day specifically declared by the President of the United States of America as a National holiday.

10. ESTIMATED WORKLOAD AND SUPPORT STAFF PROVIDED BY LEBANON VAMC:

a. Annual Visits: The following information is provided as an estimate only and cannot be taken as a guarantee of work to be awarded under this contract.

· Approximately 30 procedures per year

b. Support Staff/Medical staff that ESWL service providers will need to work with:

· Urologist

· Certified Registered Nurse Anesthetist

· RN

SECTION 2

GOVERNMENT FURNISHED PROPERTY AND SERVICES

1. GOVERNMENT FURNISHED PROPERTY AND SERVICES:

The Government will provide the equipment, supplies, and services listed below:

a. PROPERTY: The Contractor shall have joint use of the Lebanon VAMC for performance of this contract.

b. COMPUTER ACCESS (If Applicable): The Veterans Affairs (VA) will provide, if applicable, access to systems, applications, and information on the VA network required to perform the services identified in the PWS.

c. OFFICE/WORK/LOCKER AREA (If applicable): The Contractor shall maintain areas (office, exam room, etc) provided for contractor use in a neat, orderly appearance. Contractor personnel shall ensure these areas are tidy and any decorative items present a professional, modest appearance in keeping with community standards. Contractor personnel must maintain security and confidentiality of patient information. The Government will not be responsible for loss or damage of personal items brought into the Lebanon VAMC.

d. EQUIPMENT: Contractor personnel shall provide all available equipment required to provide Lithotripsy Services.

e. PERSONAL PROTECTIVE EQUIPMENT (PPE): The Government will furnish appropriate PPE. The Government will be responsible for any repair, cleaning and inventory required for the PPE. This does not include any type of uniform or laboratory coat, which the Contractor shall provide.

f. FORMS: The Lebanon VAMC will provide required Government forms used in the performance of services.

g. SUPPLIES: The Lebanon VAMC will provide medical and non-medical supplies commonly used in the facility for the care and management of patients.

h. ADMINISTRATIVE SUPPORT: Contractor personnel shall be authorized to use all administrative support available to the Government employees. This will include, but is not limited to computers, printers, copy machines, fax machines, medical library and telephone lines. The same restrictions to limit use of these items for official Government business apply.

SECTION 3

GENERAL INFORMATION

1. QUALIFICATIONS:

a. Providers offered under this contract shall:

i. have a full and unrestricted license in a US state, territory or US commonwealth;

ii. speak English proficiently;

iii. be a US citizen;

iv. Submit evidence of a minimum of twenty-four (24) months of experience within the last thirty-six (36) months providing Lithotripsy Services in a direct patient care setting.

v. provide evidence of current professional liability insurance; be board certified (if applicable).

vi. provide evidence of current privileges (if applicable);

vii. provide names of most current employer(s) and two peer reference contacts as identified in the Medical Center Bylaws;

viii. successfully complete the VAMC Lebanon's Credentialing and Privileging process

ix. Contractor and contractor’s personnel are responsible for keeping the Lebanon VAMC COR apprised of anything that would adversely affect or otherwise limit their clinical privileges. Note: Failure to keep VA fully informed on these matters may result in removal from contract or termination of contract.

x. Contractor staff shall have a current Drug Enforcement Administration (DEA) licensure. Contractor shall provide copies of DEA cards for all staff providing services under this Contract (if applicable).

xi. Contractor shall provide proof of the following tests for their staff within five (5) calendar days after contract award and prior to the first duty shift to the COR and CO. Tests shall be current within the past year.

· TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all Contractor staff. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

· RUBELLA TESTING: Contractor shall provide proof of immunization for all Contractor staff for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

· OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractors shall provide generic self study training for all Contractor staff; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

xii. The Lebanon VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractors 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. Contractors shall provide follow up documentation of clearance to return to the workplace prior to their return.

xiii. Evidence of completion of required licensure, credentials, required training, current competencies and background investigations shall be validated for all Contractor personnel providing services under this Contract.

xiv. The Contractor shall not have any schedule personnel until written notification is received from the CO or COR advising that the candidate(s) presented has met all requirements for Contract performance.

xv. CONFLICT OF INTEREST: The Contractor and all Contractor staff are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or sub-Contractors 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. (See Conflict of Interests Attachment to Solicitation/Contract)

xvi. Citizenship related Requirements: While performing services for the VA, 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. The Contractor must return a signed certification at the time of proposal 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 the VA. 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 and is applicable to the entire POP. (See Immigration Statement Attachment to Solicitation/Contract)

2. ANNUAL OFFICE OF INSPECTOR GENERAL (OIG) STATEMENT:

In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the VA 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.

a. Therefore, all Contractors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed Contractors and/or firm(s) are not listed. Contractors 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 or entity 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 Contractors and entities that employ or enter into contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries.

b. By submitting their proposal, the Contractor certifies that the 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.

c. TECHNICAL DIRECTION: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Technical direction of all clinical personnel covered by this contract will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request during the administration of the resultant contract.

d. NON-PERSONAL SERVICES: The parties agree that The Contractor, all Contractor staff, agents and sub-Contractors shall not be considered VA employees for any purpose.

e. Government Inherent Functions: Contractor and Contractor staff 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, 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.

f. No Employee status: The Contractor shall be responsible for protecting the Contractor’s staff 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:

i. Workers’ compensation

ii. Professional liability insurance

iii. Health examinations

iv. Income tax withholding, and

v. Social security payments.

g. TORT: The Federal Tort Claims Act does not cover Contractors or Contractor’s staff. When a Contractor or a member of their staff has been identified as a provider in a tort claim, The Contractor is responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or Contractor’s staff) action or non-action is the responsibility of The Contractor and/or insurance carrier.

h. KEY PERSONNEL AND EMERGENCY SUBSTITUTIONS: THE POSITION OF RADIOLOGIC TECHNOLOGIST HAS BEEN DESIGNATED AS A KEY PERSONNEL FOR THIS CONTRACT.

i. During the first ninety (90) 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 fifteen (15) calendar days after the occurrence of any of these events and provided the information required by paragraph (c) below. After the initial ninety (90)-day period of the contract the Contractor shall submit the information required by paragraph (c) to the CO at least (15) days prior to making any permanent substitutions.

ii. 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 15 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.

iii. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive work days or more, the Contractor will 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.

iv. The contractor shall have two (2) Radiological Technologists credentialed at the Lebanon VAMC for this contract. This way, the Key Personnel position is always met regardless of which Radiological Technologist provides services on the scheduled lithotripsy service days.

v. Because continuity of care is an essential part of the Lebanon VAMC’s medical services, The Contractor is to have a contingency plan in place to be utilized if and Contractor staff member leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract. A copy of this contingency plan shall be submitted with the proposal and updated throughout the period of performance.

vi. Contractor shall submit a listing of key personnel in the following format:

Provider Name: ____________________ Title/Rank: ____________________ Curriculum Vitae of each key personnel shall be submitted with the proposal.

3. CREDENTIALING:

a. DEPENDENT:

i. Contractor dependent healthcare professionals shall be credentialed in accordance with VHA policy on Credentialing and Privileging previously referenced. Contractor dependent healthcare professionals shall be responsible for completion of online entry of his or her credentials into the VetPro electronic database. This is an attestation to the individual’s credentials, and it requires an electronic signature as verification that the individual has completed the online VetPro submission and the statements of credentials are true. A form shall be completed for each contractor dependent healthcare professional. The Contractor shall return the completed form(s) to the CO, who will then sign the form and forward it to Credentialing. A Credentialing Technician will provide further instruction on the credentialing process to the Contractor dependent healthcare professionals. The credentialing process shall be completed in accordance with Veterans Health Administration (VHA) Directive 2012-030, “Credentialing of Health Care Professionals,” dated 11 October 2012 (or subsequent revisions thereto), prior to any contracted dependent healthcare professional providing treatment to VA patients.

ii. Contractor dependent healthcare providers will be credentialed and granted privileges through the end of the base period. If option periods are included in the contract and exercised, the Contractor shall submit all paperwork required to perform re-credentialing. The Contractor shall submit all required documentation within two (2) business days of request. If required, documentation will be provided via overnight delivery at no expense to the Government.

4. CONTRACTOR FURNISHED PROPERTY: The Contractor is required to assess the full extent of support necessary to provide the required services, equipment and personnel for this Contract as described in the requirements of this PWS.

a. The Contractor shall furnish and maintain all equipment and supplies necessary to provide Lithotripsy services as described in the PWS.

i. The COR shall be notified immediately of any equipment malfunctions that would hinder contract performance.

ii. Equipment quality control shall be performed by the Contractor in accordance with manufacturer's specifications. Records of equipment quality control activities shall be made available to VA for review upon request.

5. PERFORMANCE OF WORK: No work shall be performed outside of the United States.

6. CONTINUITY OF SERVICES: The Contractor shall ensure sufficient staffing and resources to provide all required services and support through the entire Period of Performance of this Contract. The Contractor is responsible to have a succession plan in place should contractor personnel leave their employment so that there are no gaps in performance on this contract.

7. POST AWARD CONFERENCE: The Contractor shall not commence Contract performance until the CO has conducted a post award conference or has advised the Contractor that a kick off meeting is waived and a Post Award Letter in lieu of Conference is sent instead.

a. Contractor: After receipt of Contract award, the Contractor shall provide the name and telephone number of an individual to act as his/her representative. The designated representative shall be responsible for the administration and coordination of this Contract and shall be available to respond to questions/requests Monday through Friday from 8:00 a.m. to 4:30 p.m.

8. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS:

a. All Contractor employees who require access to the Department of Veterans Affairs’ computer systems shall be the subject of a background investigation. This requirement is applicable to all subcontractor personnel requiring the same access. The CO shall include applicable requirements from the Information System Security and Privacy Language expressed in Veterans Affairs (VA) Handbook 6500.6, “Contract Security,” dated 12 March 2010 (or subsequent revisions thereto). In all cases, access (physical and computer) cannot be granted until officially notified by Security Investigations Center (SIC), Little Rock, Arkansas. Access can be granted prior to receiving final adjudication results.

i. Position Sensitivity – The position sensitivity for each Contractor position is determined by the VA utilizing the Position Designation System and Automated Tool (PDAT). Each position will be designated at the high, moderate, or low risk level, depending on the position’s potential for adverse impact to the integrity and efficiency of the services (CFR 731.106). Risk levels determine what level of investigation is required.

Note: The Department of Veterans Affairs (VA) Personal Identity Verification (PIV) Program Office began implementing the rollout of the PIV Program across the enterprise to more than 200 VA sites in 2009. This new policy will most likely require all contractors to be fingerprinted at a minimum, regardless of their position at VA.

ii. Background Investigation - The level of background investigation commensurate with the required level of access may be either a Special Agreement Check (SAC), National Agency Check with Written Inquiries (NACI) (low risk), Moderate Background Investigation (MBI) (moderate risk), or Background Investigation (high risk). Non-citizen contract personnel appointed to low risk positions will be subject to a National Agency Check with Law Enforcement and Credit Check (NACLC).

iii. Contractor Responsibilities:

1) The Contractor shall bear the expense of the background investigation(s), regardless of the final adjudication determination. A Bill of Collections shall be generated by the VA after final adjudication determination has been received. Final adjudication results may take up to six (6) months but are normally received within ninety (90) days after submission. It has been determined this contract requires the following level of investigations and associated costs (per person):

*RECIP stands for reciprocation meaning an existing VA clearance can be used.

2) The amounts stated above are current for fiscal year 2019, but are subject to annual price changes as established by the Office of Personnel Management (OPM) in the Federal Investigations Notices. Contractors shall be billed per OPM/SIC guidelines and should anticipate annual increases. All fee schedule questions should be directed to the SIC at 501-257-4490 or VHALITBackgroundInvestigations@va.gov.

3) The Contractor shall prescreen all personnel requiring access to the computer systems to ensure they are able to read, write, speak, and understand the English language.

4) The Contractor employees shall download, complete, and mail the documents required for any risk positions within three (3) calendar days of receipt of e-mail or the investigation will be cancelled. E-mail notifications will be received by the Contractor from the VA Security Investigations Center (SIC) explaining specific instructions once an investigation has been ordered. Access to the VA cannot be granted until the SIC has received all the required documents from the Contractor. Documents and further instruction will be provided after award.

5) The employee must be fingerprinted as part of an investigation. Electronic fingerprinting can be performed at the nearest VA Medical Center. Please contact the CO so he/she can make arrangements. The VA uses electronic fingerprint machines which require the employee to fill out the Electronic Fingerprint Verification Letter on the VA's Security Investigations Website. If electronic fingerprinting is not feasible, please contact the local police department or sheriff’s office. If you choose to utilize the local police department or sheriff’s office, you must use the FD 258 fingerprint cards which must be requested from the SIC. (Fingerprint cards are not mailed unless requested.) The hard fingerprint card or verification letter must be included in the same package with all the other forms when sent to the Security Center for processing. Do not send packages without the hard card prints or verification letter, or the package will be returned.

6) The Contractor, when notified of an unfavorable determination by the Government, will withdraw their employee from consideration from working under this Contract.

7) Failure to comply with the Contractor personnel security requirements shall result in termination of this Contract for default.

8) Upon contract award, the Contractor shall furnish the Information Security Office and the…