36C24519R0091-0003001.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. 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

36C24519R0091 07-23-2019

Jabbar Pringle/Contracting Officer (304)263-0811 x2031 08-09-2019

8:00AM EST

Department of Veterans Affairs

VA Maryland Health Care System

Network Contracting Office 5

510 Butler Ave

Martinsburg WV 25401 x 100 x

561320

$27.5 Million

N/A

X

Department of Veterans Affairs

Martinsburg VAMC

Department of Imaging Service

510 Butler Ave

Martinsburg WV 25405

Department of Veterans Affairs

VA Maryland Health Care System

Network Contracting Office 5

510 Butler Ave

Martinsburg WV 25401

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

See CONTINUATION Page

TO PROVIDE ULTRASOUND TECHNICIAN SERVICES TO THE

MARTINSBURG VETERANS AFFAIRS MEDICAL CENTER.

PLEASE SEE PAGE 6 FOR PRICE SCHEDULE.

See CONTINUATION Page x X

X 1

Jabbar Pringle

36C24519R0091

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.2 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST DEC 2011

C.3 52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON POSTCONSUMER FIBER

CONTENT PAPER (MAY 2011)

C.4 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.5 52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.8 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997) . 49

C.9 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.10 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 50

C.11 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.12 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED

SMALL BUSINESS SET-ASIDE (JUL 2016) (DEVIATION)

C.13 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.14 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.15 52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (APR 2014)

C.16 52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE

(JUL 2016)

C.17 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.18 52.227-14 RIGHTS IN DATA—GENERAL (MAY 2014)

C.19 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

C.20 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.21 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (MAY 2019)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN

D.2 CONTRACTOR RULES OF BEHAVIOR

D.3 ORGANIZATIONAL CONFLICT OF INTEREST

D.4 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952, AS AMENDED

D.5 PAST PERFORMANCE INFORMATION & SURVEY…………………….……………. 68

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

E.3 52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (JUL

2016)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016) (DEVIATION)

E.9 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.10 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.11 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

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.

b. Government: Contract Officer/Jabbar Pringle

Department of Veterans Affairs

Network Contracting Office 5

510 Butler Ave

Martinsburg, WV 25401

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [x]30 Days from 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.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

CONTRACTOR

ADDRESS

POINT OF

CONTACT

PHONE

NUMBER

EMAIL

DUNS

NUMBER

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

BASE PERIOD: **SEPTEMBER 9TH, 2019 – MARCH 8TH, 2020**

TOTAL AMOUNT FOR BASE PERIOD

OPTION PERIOD 1: **MARCH 9TH, 2019 – SEPTEMBER 8TH, 2020**

ITEM

NUMBER

DESCRIPTION

OF SERVICES

QUANTITY UNIT UNIT PRICE AMOUNT

1001 Locum Tenens

Ultrasound

Technologist

1,040 HR

1002 Locum Tenens

Ultrasound

Technologist

1,040 HR

1003 On-Call 110 HR

TOTAL AMOUNT FOR OPTION PERIOD 1

TOTAL AMOUNT OF CONTRACT: _______________________________________

**ACTUAL DATES WILL BE INSERTED PRIOR TO AWARD OF CONTRACT**

ITEM

NUMBER

DESCRIPTION

OF SERVICES

QUANTITY UNIT UNIT PRICE AMOUNT

0001 Locum Tenens

Ultrasound

Technologist

1,040 HR

0002 Locum Tenens

Ultrasound

Technologist

1,040 HR

0003 On-Call 110 HR

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

The Martinsburg VA Medical Center is a division of the United States Government’s Department of

Veterans Affairs (VA), and has a requirement for healthcare resources to be furnished by a Contractor.

The healthcare resources required are to provide for an Emergency department director, Emergency department providers and mid-level emergency department provider services at the Martinsburg VA

Medical Center, Martinsburg, WV. The Contractor shall provide services to eligible beneficiaries in accordance with the requirements herein. The services to be performed by the Contractor shall be under the supervision of the VAMC Emergency Department’s Medical Director in conjunction with the Office of the Chief of Staff.

1.1 SERVICES REQUIRED:

The MARTINSBURG VA MEDICAL CENTER IMAGING SERVICE DEPARTMENT is currently a level 2 trauma facility that serves 126,000 veterans living in 22 counties in Western Maryland, West

Virginia, South Central Pennsylvania, and Northwest Virginia of the VISN 5 area.

1.1.2. Contract personnel shall provide compassionate care with respect for the special needs of the veteran population served.

1.1.3. Contract personnel shall personify the VA’s core values of trust, respect, excellence, compassion and commitment, and will incorporate a philosophy of organizational stewardship, i.e.; utilizing the

VAMC approved formulary, coordinating safe alternatives to inpatient admission when clinically appropriate and when such alternatives are available, and seeking consultative and follow-up care for patients within the VA system-of-care when that care is available.

1.1.4. Contractor and contract personnel shall adhere to the Department of Veterans Affairs regulations, policies, and procedures relating to accreditation, public relations, quality assurance and improvement, personnel management and medico-legal issues.

1.2 PLACE OF PERFORMANCE

The primary location of the Contracted Ultrasound Technician providers is The Department of Imaging

Service Martinsburg Veteran Affairs, Martinsburg WV 501 Butler Avenue, 25405. The primary goal of the Imaging Service is to provide safe optimal care for patients presenting with medical x-rays and scans.

This requires careful attention to individual medical problems, efficient management of patient flow, and utilization of facility clinical guidelines where available, e.g. contract and mid-level providers (defined as

Ultrasound Technicians) are expected to participate in facility-wide collection of performance measure data as appropriate in the Imaging Service setting.

Patient workload varies significantly depending on the shift and day of the week. Mondays and the days following Federal holidays are the heaviest days for Imaging Service utilization; Roughly 15,500

Veterans triage-in to Imaging annually.

Ultrasound Technicians are expected to communicate effectively with House-staff, Attending’s, and other providers to facilitate patient dispositions, admissions, and general patient flow.

1.3 POLICY AND REGULATIONS:

Contractor shall comply with all applicable policy and regulations, including, but not limited to, the following:

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

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

1.3.3 VHA Handbook 1100.19 Credentialing and Privileging –

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.3.4. Privacy Act of 1974 (5 U.S.C. 552a) as amended

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.3.5 Collaborative Care Agreement Version 14.0 (dated March 2011) (attached)

1.3.6 VHA Compliance and Business Integrity (CBI) Contractor Handout (attached)

1.4 DEFINITIONS/ACRONYM:

1.4.1. ACGME: Accreditation Council for Graduate Medical Education

1.4.2. BAA: Business Associate Agreement

1.4.3. CDC: Centers for Disease Control and Prevention

1.4.4. CEU: Certified Education Unit

1.4.5 CME: Continuing Medical Education

1.4.6. CMS: Centers for Medicare and Medicaid Services

1.4.7. CO: Contracting Officer

1.4.8. COR: Contracting Officer’s Representative

1.4.9. COS: Chief of Staff

1.4.10. CPARS: Contractor Performance Assessment Reporting System

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

VA.

1.4.12. FSMB: Federation of State Medical Boards

1.4.13. Full Time Equivalent (FTE): Contractor 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.

1.4.14. HHS: Department of Health and Human Services

1.4.15. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.16. HIPAA: Health Insurance Portability and Accountability Act

1.4.17. ISO: Information Security Officer

1.4.18 MIT: Medical Instrument Technologist

1.4.19. PIV: Personal Identity Verification

1.4.20. POP: Period of Performance

1.4.21. PWS: Performance Work Statement

1.4.22. QASP: Quality Assurance Surveillance Plan

1.4.23. QMP: Quality Management Program

1.4.24. TJC: The Joint Commission

1.4.25. VA: Department of Veterans Affairs

1.4.26. VAMC: Veterans Affairs Medical Center

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

1.4.28. VHA: Veterans Health Administration

OBJECTIVES:

➢ Fully Staffed and Functional Imaging Department

➢ 100% Joint Commission Compliant

2.0 QUALIFICATIONS:

Education: Associate degree, Graduation from an applicable program.

Certifications: ARDMS, RVT

BLS certification

Experience: Minimum twelve months experience

References: Minimum of 2 professional references

2.1 STAFF/FACILITY:

The Contractor shall be a company or group practice, which has the qualifications, experience, and expertise in providing quality emergency medical care services to meet the requirements of this contract.

Examinations include, but are not limited to, US examinations of the chest, abdomen, pelvis, extremities, neck, etc. The incumbent will also assist the radiologist or other privileged providers in performing invasive or interventional procedures under US guidance.

Prepare room, equipment and material needed for patient procedures. Prepares injectable contrast and other chemical mixtures as necessary. Administer contrast material, under the direction of the radiologist or other physician, according to protocols. Follows prescribed protocols required to perform procedures.

Is aware of safety issues related to radiation and the injection of contrast materials. Incumbent performs safely screening, observes patient s during procedures and reports complications or unusual events.

Manages inventory control to ensure adequate quantities of supplies are available to meet the workload demands. Helps to coordinate new product evaluation and recommends methods and products to reduce costs and/ or improve quality.

Works new or with cross-training technologists, students, residents in computed tomography and associated special procedures.

Maintain a clean work area and adequate level of supplies within their assigned rooms at all times and reports equipment problems to the supervisor immediately.

Practices hospital safety, radiation safety, infection control and universal precautions at all times in accordance departmental and hospital procedures.

The incumbent may be cross-trained in special procedures to maximize the utilization or personnel.

Continually reviews new developments in the field of ultrasonography. Is continually alert to improve quality of exams utilizing the new technologies available.

May be required to perform diagnostic radiology procedures when workload warrants.

Completes Mandatory training to maintain licensure and meet the Medical Center education requirements, to include maintaining a current certification in basic Life Support.

2.1.1 LICENSE: Contract Ultrasound Technician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license in any State, Territory, or Commonwealth of the

United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract Ultrasound Technicians(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2. BOARD CERTIFICATION: All contract ultrasound technician(s) shall be board certified in

American Registry of Radiologic Technology and meet current Credentialing and Delineation of

Privileges guidelines. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VAMC COR on an annual basis for each year of contract performance.

2.1.3 CREDENTIALING AND PRIVILEGING: Contractor will ensure that all ultrasound technician(s) to be employed under this contract participate in the Credentialing and Privileging process.

No services will be provided by any contract ultrasound technician(s) prior to obtaining approval by the

MARTINSBURG VA MEDICAL CENTER Medical Executive Board and Director. The Contractor will be provided copies of current requirements and updates as they are published. Privileges will require renewal at least every two (2) years in accordance with Medical Center and The Joint Commission requirements. Ultrasound Technician(s) assigned by the Contractor to work at the Medical Center will be required to report specific patient outcome information, such as complications, to the Chief of Imaging.

Quality improvement data provided by the ultrasound technician(s) and/or collected by the Service will be used to analyze individual practice patterns. The Chief of Imaging will utilize the data to formulate recommendations for the Medical Executive Board to consider in the renewal of clinical privileges. If a contract technician(s) 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.

The Contractor shall be responsible to ensure that all Contractor employees providing services under this contract are fully trained and completely competent to perform the required services. The Contractor is required to maintain records that document competence/performance level of Contractor employees providing services under this contract in accordance with The Joint Commission, NCQA and other regulatory body requirements. The Contractor shall provide a current copy of the competence assessment checklist and annual performance evaluation of Contractor employees providing services under this contract to the Contracting Officer’s Representative (COR). When changes in Contractor personnel are approved in accordance with this contract, the Contractor shall provide evidence of orientation, the current competence assessment, and current performance evaluation that supports the requirements above.

If the Contractor is not Joint Commission or NCQA accredited, the Contractor shall develop and maintain the following documents for each Contractor employee providing services under the contract: credentials and qualifications for the job, a current competence assessment checklist (an assessment of knowledge, skills, abilities and behaviors required to perform a job correctly and skillfully, including knowledge and skills required to provide care for certain patients.

2.1.4 TECHNICAL PROFICIENCY:

Ultrasound Technician(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all 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.

Ultrasound Technician(s) shall provide a full range of Diagnostic Care. The care provided shall be continuous, accessible, and coordinated and will reflect the VA Medical Center’s mission, vision, and values.

Contract personnel shall provide compassionate care with respect for the special needs of the veteran population served.

Contract personnel shall personify the VA’s core values of trust, respect, excellence, compassion and commitment, and will incorporate a philosophy of organizational stewardship, i.e.; utilizing the VAMC approved formulary, coordinating safe alternatives to inpatient admission when clinically appropriate and when such alternatives are available, and seeking consultative and follow-up care for patients within the

VA system-of-care when that care is available.

Contractor and contract personnel shall adhere to the Department of Veterans Affairs regulations, policies, and procedures relating to accreditation, public relations, quality assurance and improvement, personnel management and medico-legal issues.

2.1.5 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 ultrasound technician(s) registered or certified by American Registry of Radiologic Technology shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credential’s 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).

2.1.6 TRAINING:

(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 technician

(s) as required by the VA.

All ultrasound technician(s) must have current certification in BLS. The VA will provide BLS training venues at no cost to all technician(s); however, any certification and re-certification training will be provided at the Contractor’s expense.

2.1.7 STANDARD PERSONNEL SERVICES:

It is the responsibility of the Contractor to provide annual tuberculosis screenings for ultrasound technician(s) providing services under this contract and to report new conversions to positive PPD, positive serology, or to report new symptoms related to tuberculosis, if previously positive PPD or positive serology, to the MARTINSBURG VA MEDICAL CENTER Employee Health Section within ten

(10) working days.

It is the responsibility of the Contractor to provide appropriate immunizations, including Hepatitis B vaccine, as indicated for health care workers with potential exposure to blood or body fluids, for ultrasound technician(s)providing services under this contract, if previously positive HepB, to the

MARTINSBURG VA MEDICAL CENTER Employee Health Section within ten (10) working days.

The Contractor must provide documentation of compliance for all personnel performing services under this agreement:

Documentation of PPD or TB Serologic Testing

Documentation of current Tetanus Toxoid

Immunity to Rubeola, rubella, varicella

Documentation of current Hepatitis B Vaccination

Contractor shall provide proof of the following tests for ultrasound technician(s) 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.

2.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD or

TB serologic testing for all contract ultrasound technicians (s). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD or serologic results. The PPD test shall be repeated annually.

2.1.7.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract ultrasound technician(s) 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.

2.1.7.3. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contract technician (s); 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.

2.1.8 NATIONAL PROVIDER IDENTIFICATION:

NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health

Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for

Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.9 DEA:

DEA (as required) - Contractor shall provide copy of current DEA certificate.

2.1.10 CONFLICT OF INTREST:

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.

2.1.11 CITIZENSHIP RELATED REQUIREMENTS:

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;

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.

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.

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.

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.

2.1.12 ANNUAL OFFICE OF INSPECTOR GENERAL OIG STATEMENT:

To ensure that the individuals providing services under the contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the

Contractor is required to check the HHS - OIG, List of excluded individuals/entities on the OIG Website www.hhs.gov/oig for each person providing services under this contract. Further, the Contractor is required to certify in its proposal that all persons listed in the Contractor’s proposal have been compared against the OIG list and are not listed. During the performance of this contract, the Contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities.

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.

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 ultrasound technician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded

Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2 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.

Clinical/Professional direction of all clinical personnel covered by this contract will be provided day-to-day by the contracted ED medical director with ultimate oversight by the MVAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the Contracting Officer is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3 NON-PERSONNEL SERVICES:

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

2.4 Inherent Government Functions: Contractor and Contract technician (s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of

Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.5. No Employee status: The Contractor shall be responsible for protecting Contract technician (s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.5.1. Workers’ compensation

2.5.2. Professional liability insurance

2.5.3. Health examinations

2.5.4. Income tax withholding, and

2.5.5. Social security payments.

2.6. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract ultrasound technician(s). When a Contractor or contract ultrasound technician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier.

Any settlement or judgment arising from a Contractor’s (or contract technician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.7. Key Personnel:

2.7.1. The VA Full Time Equivalency (FTE) for the services required is 1 FTE. FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. This equates to 2080 hours yearly.

2.7.2. The number of Ultrasound Technician(s) located within the VA Medical Center, on a daily basis

(be on site) is # 3.1 Business Hours as defined in paragraph 3.0 Hours of Operation.

2.7.3. 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.

2.7.4. VA must receive notification of proposed additions to the core group no less than 30 days prior to a new ultrasound technician(s) performing services at the Medical Center. A schedule indicating which ultrasound technician(s)will perform for the first 90 days of the contract must be provided within 21 days after notification of award. In addition, these technician(s) shall be made available to VA for a telephonic discussion and information exchange during the privileging and credentialing period. Any changes to the schedules for the remainder of the contract period are to be provided, 30 days in advance.

2.7.5. 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.

2.7.6 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.

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

2.7.8. The CO and COR shall deal with issues raised concerning Contract ultrasound technician(s) conduct. The final arbiter on questions of acceptability is the CO.

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

3.0 HOURS OF OPERATION:

3.1 BUSINESS HOURS:

Regular Operating Hours of 8:00 am to 4:30 pm, On Call Hours of 4:30 pm-7:30 am, and the below

Federal Holiday’s.

• New Year’s Day

• President’s Day

•Martin Luther King’s Birthday

•Memorial Day

• Independence Day

• Labor Day

• Columbus Day

•Veterans Day

• Thanksgiving

• Christmas

•Any day specifically declared by the President of the United States to be a national holiday.

3.2 WORK SCHEDULE: The Contractor shall furnish ultrasound technician services: Monday through

Friday, variable tours as needed. Contractor shall be responsible for providing ultrasound technician(s) coverage for the duration of the contract. The Contractor will provide monthly ultrasound technician schedules to the COR at least 5 days prior to the beginning of each month.

3.3. FEDERAL HOLIDAYS: The following holidays are observed by the Department of Veterans

Affairs:

• New Year’s Day

• President’s Day

•Martin Luther King’s Birthday

•Memorial Day

• Independence Day

• Labor Day

• Columbus Day

•Veterans Day

• Thanksgiving

• Christmas

•Any day specifically declared by the President of the United States to be a national holiday.

3.4. CANCELLATIONS: Unless a state of emergency has been declared or clinics are otherwise cancelled by the VAMC, the Contractor shall be responsible for providing services.

4.0 CONTRACTOR RESPONSIBLITIES:

The Contractor shall be responsible for ensuring documentation is complete, timely, and reported in compliance with CMS guidelines, MARTINSBURG VA MEDICAL CENTER policies, Medical Center bylaws, and The Joint Commission standards. The MARTINSBURG VA MEDICAL CENTER policies shall be followed by the Contractor.

4.0.1 The Contractor shall ensure that all Contractor employees providing services under this contract fulfill all duties in Section 4.0, as appropriate, within their individual scopes of practice/privileging.

4.0.2 All required certifications/requirements will be at Contractor’s expense and must be obtained prior to performing work under this contract.

4.0.3 The COR for this contract is accorded the responsibility to assure that the conduct and monitoring of contract employee training in in the use of. MARTINSBURG VA MEDICAL CENTER provided and owned Automated Information Systems and related applications meet VA standards. The Contractor is responsible to make available those employees granted access to government provided and owned

Automated Information Systems and related applications training as provided by MARTINSBURG VA

MEDICAL CENTER ISO.

4.0.4 Contractor’s providers must adhere to and comply with the VA formulary.

4.0.5 The Contractor shall be responsible to ensure that all Contractor employees providing services under this contract are fully trained and completely competent to perform the required services. The Contractor is required to maintain records that document competence/performance level of Contractor employees providing services under this contract in accordance with The Joint Commission, NCQA and other regulatory body requirements. The Contractor shall provide a current copy of the competence assessment checklist and annual performance evaluation of Contractor employees providing services under this contract to the Contracting Officer’s Representative (COR). When changes in Contractor personnel are approved in accordance with this contract, the Contractor shall provide evidence of orientation, the current competence assessment, and current performance evaluation that supports the requirements above.

If the Contractor is not Joint Commission or NCQA accredited, the Contractor shall develop and maintain the following documents for each Contractor employee providing services under the contract: credentials and qualifications for the job, a current competence assessment checklist (an assessment of knowledge, skills, abilities and behaviors required to perform a job correctly and skillfully, including knowledge and skills required to provide care for certain patient populations, as appropriate), a current performance evaluation supporting the ability of the Contractor employee to successfully perform the work required in the contract, and a listing of relevant continuing education for the last two years. The Contractor shall provide current copies of these records at the time of contract award and annually thereafter on the anniversary date of the contract term to the COR, and upon request as needed.

4.0.6 The Contractor shall comply with applicable health standards for employment of personnel as specified by VA regulation and OSHA (Occupational Safety and Health Administration). The Contractor shall be responsible for maintaining documentation as required by OSHA and to provide copies to

MARTINSBURG VA MEDICAL CENTER upon the request of the COR.

4.0.7 The Contractor shall verbally notify the MARTINSBURG VA MEDICAL CENTER COR immediately when a Sentinel Event has occurred, which is to be followed by written notification within 3 working days.

4.0.8 The Contractor shall participate actively in completion of any and all case reviews, Protected Peer

Reviews and Root Cause Analyses (RCAs) arising from incidents involving Contractor personnel, according to MARTINSBURG VA MEDICAL CENTER policy when requested to do so, within established timeframes and completed RCAs will be provided to the MARTINSBURG VA MEDICAL

CENTER COR.

4.0.9 Verbal, written or electronic communications between any MARTINSBURG VA MEDICAL

CENTER/VISN staff and contracted staff shall not be restricted by the Contractor.

4.0.10 VHA Handbook 1660.03, “Conflict of Interest Aspects of Contracting for Scarce Medical

Specialist Services, Enhanced Use Leases, Health Care Resource Sharing, Fee Basis and

Intergovernmental Personnel Act Agreements (IPAs)”, dated September 22, 2008, is incorporated into this contract as Attachment #1. Any VA employee who is employed by the Contractor is prohibited from participating on behalf of the Government in a VA contract with the Contractor.

4.0.11 Provide credentialing documentation to the VA within 15 calendar days after contract award.

Ensure ultrasound technician(s) have completed all prerequisite Credentialing and Privileging paperwork to the extent determined necessary by the VA. VA Facility ID (station number) is 613 for enrolling in

VET-PRO at website http://fcp.vetpro.org.

4.0.12 The contractor shall assure that the scheduled qualified Provider(s) is/are present at the start of every assigned shift. Contractor will replace Providers who do not appear for scheduled duty for any reason within two hours, or Contractor will be responsible for any consequent costs of imaging services sent to other VAMC facilities which could have been provided at the Martinsburg VAMC if the

Contractor’s Provider had been present, as scheduled.

4.0.13 If an influx of patients to the VAMC Imaging Service occurs which overwhelms the ability of VA

Providers on-duty to render safe and timely care; Imaging service/Medical Center leadership may contact the Contractor’s 24-hour point-of-contact and request augmentation. Contractor will provide augmentation/surge Provider(s) to the VAMC Imaging Service under such circumstances within 1.5 hours.

4.0.14. The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract.

4.0.15 The C&A requirements do not apply in the case of this contract, and a Security Accreditation

Package is not required.

4.1 SERVICES REQURIED:

4.1.1. Clinical Personnel Required: The Contractor shall provide contract ultrasound technician(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

http://fcp.vetpro.org/

4.1.2. Contract Ultrasound Technician(s): Shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.1.3. Standards of Care: The contract technician(s)’ care shall cover the range of Imaging Services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

The American Registry of Radiologic Technology: https://www.arrt.org /

VA Standards: 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

The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_requirements.aspx

The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and;

The requirements contained in this PWS

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contract ultrasound technician (s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a

(Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C.

5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts

160, 162, and 164 (HIPAA).

4.3.2. HIPAA:

Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and

Accountability Act (HIPPA) of 1996 and the National Standards to Protect the Privacy and Security of

Protected Health Information.

This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment.

Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19)

(http://www.rms.oit.va.gov/SOR_Records/24VA19.asp)

Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.rms.oit.va.gov/SOR_Records/24VA19.asp the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.3.3. Disclosure: Contract technician(s) may have access to patient medical records: however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA

Handbook 1907.1, Health Information management and Health Records

(http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469) and VHA Handbook 1605.1, Privacy and Release of Information

(http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423). The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.3.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA

Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub…