36C24518R0020-002.docx

36C24518R0020

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

688-18-1-048-0003 36C24518R0020 12-12 -2017 Paschal L. Dawson, paschal.dawson@va.gov

(410) 637-1508 01-03-2018

1200 EST

36C688 Department of Veterans Affairs Washington DC VA Medical Center Paschal L. Dawson, Contracting (90C) 50 Irving Street Washington DC 20422 Robert Smith, (202) 745-8000 Ext. 57599 Robert.Smith4b481@va.gov X X 561320 $27.5 Million

NET 30

X N/A X 36C512 Department of Veterans Affairs

VAMC (512

) Warehouse 10 North Greene Street Paschal L. Dawson, Contracting (90C) Baltimore MD 21201 36C245 Department of Veterans Affairs Baltimore VA Medical Center (VAMC) Paschal L. Dawson, Contracting (90C) 209 West Fayette Street, Suite D605 Baltimore MD 21201

Department of Veterans Affairs VA Financial Services Center (VAFSC) Post Office Box 149972 ATTN: East Team Austin TX 78714

(254) 297-5490

(521) 460-5545 Radiology Specialties for the Washington DC VA Medical Center (DCVAMC) : BPA Multi-Award Requirement X X Paschal L. Dawson FAC-C Level III Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(Continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Paschal L. Dawson, Contracting Officer (90C) Department of Veterans Affairs Washington DC VA Medical Center Paschal L. Dawson, Contracting (90C) 50 Irving Street Washington DC 20422

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address:

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.

Department of Veterans Affairs VA Financial Services (VAFSC) Post Office Box 149972 ATTN: East Team Austin TX 78714

*Note: OB10 Electronic Invoicing Services Mandates Invoice Submission to:

http://www.federalregister.gov/articles/2012/11/27/2012/va-acquisition-regulation-electronic-submission-of-payments-requests

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

B.2 BPA ORDER INTRODUCTORY LANGUAGE

(1) Description of Agreement. The BPA holder (s) (vendor) shall supply the service of the Schedule Item Numbers (SINS) and sub-sub-specialties, which are included in the price/cost schedule of paragraph B.5. The Government reserves the right to use multiple awards of this BPA to satisfy this requirement. The BPA holder, upon receipt of a call against a given SIN, shall provide the Contracting Officer (CO) with qualified candidates to fill the need as described with that call. The period of the contemplated BPA is up to five years, dependent upon the remaining term of the offeror’s Federal Supply Schedule (FSS) pricelist. If the offeror’s FSS pricelist will expire prior to five years from award, an option will be included in the BPA to allow for the extension of the BPA beyond the initial expiration date. Conditions for exercise of a given option:

1. After notification, to the CO of the BPA, of the exercise of the FSS option and,

2. solely at the Government’s discretion.

(2) Extent of Obligation. There is no initial obligation to the Government upon award of the contemplated BPA. Obligation may be made if a task order is placed against the contemplated BPA and funds are obligated. There is no minimum guaranteed value under this contemplated BPA.

(3) Purchase Limitation. IAW 13.303-5(b)(1) and 13.303 (c)(3) – BPAs established against FSS contractors are not required to adhere to the limitations of order limits as defined at 13.305-(b).

(4) Individuals authorized to purchase under the BPA. The current administrative CO at the time that a need arises has the authority to place against the contemplated BPA.

(5) Delivery Tickets. Delivery tickets are not required under the contemplated BPA.

(6) Invoices. An itemized invoice shall be submitted at least monthly in arrears or upon expiration of the subject task order, whichever occurs first, for all services provided during a billing period and for which payment has not been received.

(7) Services Provided. The Contractor (s) shall provide Board Certified or Board Eligible physicians, physician assistants, and /or nurse practitioners for CLINS as awarded from the price/cost Schedule in paragraph B.5 to the Martinsburg Veterans Administration Medical Center or any of the Community-Based Outpatient Clinics (CBOC) to beneficiaries of the Department of Veterans Affairs and Martinsburg VA Medical Center.

(8) Subsequent BPA Calls. All calls made off subsequent BPA awards will contain a Performance Work Statement with applicable selection, credentialing, privileging, and training criteria per VHA Handbook 1100.19 as they apply to the specific provider (s) required.

a. VHA Handbook 1100.19, Credentialing and Privileging http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

B.3 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes FAR 52.219-4 Notice of Price Evaluation Preference for Hub-Zone Small Business Concerns. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

B.4 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments.

VA245-17-Q-0366

B.5 PRICE/COST SCHEDULE

The Department of Veterans Affairs Medical Center in Washington DC (DC VAMC) seeks a locally-based company located within 50 miles of the DCVAMC in the tristate area, (DC, VA, MD) 8A, small business with prior government contract experience) for the following services: Medical Ultra-Sonographer, (1.6) General Diagnostic Radiologic Technologist, (4 Technologist), Mammography Technologist, ( 3 Technologist), Interventional Technologist, ( 1 Technologist), Cat Scan Technologist, (2 Technologist), MRI Technologist ( 6 Technologist) as well as at least 2 Technologists submitted for each modality for PRN work for the period January 08, 2017 to July 07, 2018--tentatively. All technologists will be ready to work and be ARRT advanced certified if needed in the modality being considered for. Resumes will be submitted at time of proposal for all modalities.

The VADC Radiology Services are accredited by ACR and follow the standards & guidelines set forth by American college of Radiology (ACR). A contractor providing contracting Radiology services shall provide services that meet or exceed the American College of Radiology Guidelines http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality

Place of Performance: Services shall be provided at Veterans Affairs Medical Center, 50 Irving Street NW, Washington, DC 20422.

Period of Performance: A six-month BPA.

Pricing Instructions:

Offerors must fill out the cells in the following columns in the Price Schedule for each Contract Line Item Number (CLIN). The same rates must be entered for option years.

Throughout the life of the contract the VA will pay the awarded firm fixed rate effective at the time the service is provided by the Contractor.

This basis of the contractor’s proposed firm rate will be used by the Government for future pricing of additional codes/procedures and for reimbursement under the contract. The basis of estimate used for your fixed price, i.e. the way that your price is calculated, shall remain the same throughout the life of the contract and may be validated by post award audits.

The Offeror shall complete the attached price schedule for the performance location proposed

All spreadsheets must be submitted in Microsoft Excel and without protected/locked portions or other methods which prevent or do not facilitate expeditious pricing validation. PDF files and similarly constructed files are not acceptable.

Period of Performance: BASE – January 08, 2018 – July 07, 2018.

B.6 ITEM INFORMATION

QUANTITY

UNIT

UNIT PRICE

AMOUNT

22851

HR

GRAND TOTAL

1. Payment:

a. The VAMC agrees to reimburse the Contractor on a unit basis for resources furnished at the price listed in the schedule of this contract.

b. The Contractor will be paid monthly, in arrears, upon receipt of a properly prepared invoice. The invoice shall include at a minimum: invoice number, invoice amount, Contractor’s name and address, contract number, purchase order number and period of performance. Provide backup document to COR for verification of amount invoiced. Backup document shall include: invoice number, Contractor’s name and address, the contract number, purchase order number, date of exam, type of exam, referring physician’s name, invoice amount and any additional cases. Invoices will be reconciled with VA records prior to disbursement of payments.

2. Administration:

The contractor shall contact the Contracting Officer on all matters pertaining to the administration of this contract. Only the Contracting Officer is authorized to make changes that will affect the price, quantity, quality, or delivery terms of this contract.

3. Conflict of Interest:

The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of Veterans Affairs. Nor shall the Contractor employ any person who is a member of the immediate family of a VA employee, if the employment of that family member would create a conflict of interest, or the appearance of a conflict of interest, particularly with regard to influencing the contract negotiations, terms of the contract or the work carried out under the contract. In any such case VA must review the matter and give its approval in accordance with agency ethics rules.

4. Contract Monitoring Procedures:

a. At the time of contract award the Contracting Officer will appoint a Contracting Officer Technical Representative (COR) to assist with the contract monitoring requirements. The COR will monitor such items as quality of service, timeliness of performance, customer service, cost control and business relations. In accordance with FAR 1.601 (a) “Contracts may be entered into and signed on behalf of the Government only by contracting officers.” A COR is not authorized to modify the stated terms of the contract, including extending the length of the contract period. Quality of service will be monitored through a continuous review of requested studies vs. performed studies, the appropriateness of images produced and morbidity and mortality figures. These factors will be rated by a consensus of radiologists interpreting the studies and through a radiologist or resident in the MRI suite setting protocols for scan and observing patients and procedures throughout the study process. Timeliness of performance will be measured through daily workload counts compared to daily number of studies ordered. Customer service will be monitored through periodic unannounced visits to the MRI suite and through patient satisfaction surveys complete by patients. Cost control will be monitored through a comparison of overtime hours worked and the type and number of studies completed per day. Appropriate regulatory and accrediting standards will apply and all adverse events will be reported in accordance with Medical Center and other applicable guidelines.

c. The delegated COR will notify the Contracting Officer of any non-compliance immediately upon his/her gaining knowledge of any such situation or incident. Initiate communication may be communicated by telephone. After such communication, the COR will provide a written statement to the contracting officer along with any supporting documentation regarding the performance failure noted.

d. Upon receipt of a proper invoice, the COR shall certify that the services identified have been performed. Once certification has been made, the invoice will be forward through the proper billing channels and payment shall be made to the Contractor.

e. Both parties shall jointly conduct a review of contractor’s performance to evaluate if services being provided are in accordance with the contract terms and payments and billings are being properly handled. This review shall include, but not be limited to: analyze all billings, payments, costs, administrative issues, patient satisfaction, quality of care and other related documentation that identifies that services has been received. Any concerns need to be brought to the contractor/COR ‘s attention at the time noted rather than an agreement reached prior to expiration of services provided and consideration being received are satisfactory.

f. Upon conclusion of the initial contract period and all option periods, and in coordination with the Contracting Officer, the using service shall provide a statement to the Contracting Officer providing a summary of contractor actions and a statement that all requirements of the contract were fulfilled as agreed. This information shall be forwarded by the COR to the Contracting Officer at least 90 days prior to end of base period and each option period if option periods are included.

5. Method of Award

Award will be made to the offeror who demonstrates the best overall value to the government proposal best conforms to the requirements of the solicitation and all factors in accordance with Evaluation factors in FAR 52.212-2 being considered. Award may be made without discussions.

6. Identification, Parking, Smoking, and VA Regulations:

All personnel shall abide by all DC VAMC station policies and regulations. All employees shall wear visible identification at all times while on the premises of all VA facilities serviced. It is the responsibility of contracted personnel to park in the appropriate designated parking areas. Information on parking is available from the DC VAMC Police/Security Service. DC VAMC will not validate or make reimbursement for parking violations of personnel under any conditions. Smoking is prohibited inside any buildings at all DC VAMC facilities. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of DC VAMC regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

QUALIFICATIONS: Personnel servicing this contract shall provide credentials (i.e. certification, license) to the DC VAMC COR when required and at time of submittal.

B.7 PERFORMANCE WORK STATEMENT

0. Place of Performance – Washington DC VAMC

0. Policy/Handbooks:

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

1. VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

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

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

1. - VHA Handbook 1100.19 Credentialing and Privileging - http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1. VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

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

0. Definitions/Acronyms- Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

2. ACLS: Advanced Cardiac Life Support

2. AOD: Admitting Officer of the Day

2. BLS: Basic Life Support

2. CDC: Centers for Disease Control and Prevention

2. CDR: Contract Discrepancy Report

2. CEU: Certified Education Unit

2. CME: Continuing Medical Education

2. CMS: Centers for Medicare and Medicaid Services

2. Contracting Officer (CO) – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

2. Contracting Officer’s Representative (COR) – A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

2. COS: Chief of Staff

2. CPARS: Contractor Performance Assessment Reporting System

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

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

2. ED: Emergency Department

2. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

2. HHS: Department of Health and Human Services

2. HIPAA: Health Insurance Portability and Accountability Act

2. HR: Human Resources

2. ISO: Information Security Officer

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

2. MOD: Medical Officer of the Day

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

2. NPPES: National Plan and Provider Enumeration System

2. PALS: Pediatric Advanced Life Support

2. POP: Period of Performance

2. PPD: Purified Protein Derivative

2. PWS: Performance Work Statement

2. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

2. QASP: Quality Assurance Surveillance Plan

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

2. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Michigan and Indiana.

2. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

2. VetPro: a federal web-based credentialing program for healthcare providers.

2. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the DCVAMC.

0. Staff/Facility

3. Credentialing and Privileging –Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed technician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract Technician(s) prior to obtaining approval by the (DCVAMC) Professional Standards Board, Medical Executive Board and Medical Center Director.

0. If a contract personnel is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

3. Technical Proficiency - Contract personnel shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract technician(s) and contract technician (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

3. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract technician (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract technician(s).

3. Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract personnel as required by the VA. The technicians performing the services of this task order must be certified in Advanced Cardiac Life Support (ACLS). If the technicians are not ACLS certified (i.e., certification expires/expired), then the technicians have 60 days to get ACLS recertified.

List all training required, frequency, and associated time

CPR

ARRT

HIPPA

Privacy and Security

3. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for technicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

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

4. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract technicians 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.

4. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contract technicians; 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. 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.

3. Conflict of Interest: The Contractor and all contract technician(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 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.

3. Citizenship related Requirements:

6. 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;

6. 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.

6. 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.

6. 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.

6. 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.

0.3.7. 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.

7. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract technicians 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.

7. 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.

0. Clinical/Professional 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. Clinical/Professional 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 and/or make changes to the contract during the administration of the resultant contract.

0. Non Personal Healthcare Services: The parties agree that the Contractor and all contract technician (s) shall not be considered VA employees for any purpose.

0. Inherent Government Functions: Contractor and Contract personnel 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.

0. No Employee status: The Contractor shall be responsible for protecting Contract technicians 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:

7. Workers’ compensation

7. Professional liability insurance

7. Health examinations

7. Income tax withholding, and

7. Social security payments.

0. Key Personnel:

8. The number of technicians required to be on site on a daily basis is defined in paragraph Hours of Operation in this section and dependent on scheduling by the DCVAMC.

0. Emergency 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 days 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 15 calendar days prior to making any permanent substitutions.

9. 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.

9. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days 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.

9. 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 contract technician (s), s/he may request, without cause, immediate replacement of said contract technician (s).

9. The CO and COR shall deal with issues raised concerning Contract technicians conduct. The final arbiter on questions of acceptability is the CO.

0. 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 contract technician leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

0. GENERAL REQUIREMENTS

All modality technologists work under the general supervision of a Nuclear Medicine physician, Radiation Oncologist, Radiologist or other medical officers. Examinations are frequently made additionally complex due to serious illness, injuries and mental or physical incapacity of the patient. The technologist may be required to devise non-standard positioning or equipment set-ups

0. SPECIFIC REQUIREMENT

1. Medical Ultra-Sonographer will utilize sound waves in the performance of General Ultrasound exams to include more complex Ultrasound guided biopsies. Must have experience with GE, Philips, and Siemens US. IV certification.

1. Computed Tomography Technologist with five year experience certify in CT by ARRT shall perform of highly complex CT examinations as part of a medical team, under the general direction of a supervising radiologist. Must have experience with GE and Siemens 64 and 128 slice CT units, preferred Cardiac CT experience.

1. General Diagnostic Radiologic (X-ray) Technologist must perform General Diagnostic procedures to include Fluoroscopy, OR, and portables. Must have experience in GE, Phillips, Siemens, and Cannon X-ray units.

1. Magnetic Resonance Imaging Technologist MRI) shall perform highly complex examinations utilizing magnetic resonance. Must have experience in Phillips 3 Tesla an Siemens 1.5 Magneton, and 3 Tesla Skyra MRI units with preferred MRI Cardiac, Breast MRI, and MRI prostrate experience.

1. Mammography Technologist shall be comfortable performing 2D/3D Mammography and complex procedures to include stereotactic biopsies and ultrasound-guided biopsies as well as scheduling and reporting MRS (Mammography Reporting System). Must have experience in GE Hologic Selenia Dimensions, Siemens Ultrasound experience is a plus.

1. Interventional Technologist shall perform interventional procedures as required by Interventional Radiologist. Must have experience in Siemens and Siemens CT.

1. All technologists will be advanced certified by the ARRT in their prospective modalities being considered for.

1. All technologists will have 3 years’ experience or more in their prospective areas being considered for as well as equipment in prospective modalities.

1. All technologists will have 3 years’ experience in a VA system or equivalent hospital setting equal to size and level.

0. SPECIFIC REQUIREMENTS for All Modalities:

2. Appropriate dress, lab coat and/or scrubs.

2. ID badge must be worn at all times while on station.

2. Maintains courteous customer service skills toward patients, visitor and staff.

2. Secures patient's confidence cooperation

2. Operates ionizing and/or sealed source radiation equipment

2. Calculates and maintain records of therapeutic and cumulative doses

2. Receives patients by checking name, social security number or date of birth and explaining the procedures to be performed per the request and assessment.

2. Archiving and documentation of procedure and other pertinent information.

2. Image annotation, evaluation, labeling, and image quality for optimal demonstration of anatomic region, pathology and exam completeness for timely interpretation.

2. Exam protocol, including patient positioning and image display.

2. Evaluation of requisition or medical record

2. Explain and confirm patient's preparation prior to radiographic/fluoroscopic examinations.

2. Examine radiographic requisitions and radiation oncology prescriptions to verify accuracy and completeness of information.

2. Responsible for medical equipment attached to patients during the radiographic procedures.

2. Provide for patient safety, comfort, and modesty.

2. Practice standard precautions; assures the cleanliness of the room, and re-stocks supply cabinet at the end of the tour.

2. Select immobilization devices, when indicated, to prevent patient's movement and/or ensure patients safety.

2. Use proper body mechanics and/or mechanical transfer devices when assisting patients.

2. Recognize need for prompt medical attention and administer emergency care.

2. Maintain confidentiality of patient's information.

2. Take appropriate precautions to minimize radiation exposure to patient and staff.

2. Check equipment for working conditions prior to patient’s examination. Notifies the supervisor of any equipment problems.

2. Greet patients arriving in the department and may assists in scheduling appointment, verifying appointment, and or answering the phone and providing general information as needed or requested.

2. Calls down scheduled in-patients for examination.

2. Records the nature of, and circumstances surrounding events occurring in the Radiology Service during the assigned tour and notifies the Radiologist "On-Call" or supervisory technologist.

2. Remains on duty until relieved by the next shift of employees.

2. Report for duty on time or call your supervisor to report absence/tardiness no later than one hour before the beginning of the tour scheduled.

2. When working without the benefit of radiologist on duty, and an inappropriate examination request is received, the contract technologist will contact the radiologist on-call to recommend a more appropriate examination.

2. Enters required data in the Decentralized Hospital Computer Program (DHCP).

2. Selects technical factors and appropriate…