36C24618R0920-001.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 92

659-18-3-053-0091

36C24618R0920 09-13-2018

Katie Lavely 757-315-3963 09-20-2018 08:00 am EST

36C246

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

X 100

X

561320

$7.5 Million

N/A

X

Salisbury, VAMC

1601 Brenner Ave Salisbury NC 28144

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin TX 78714-9971

See CONTINUATION Page

Prospective offerors shall submit an offer that conforms to all requirements of this solicitation. Please refer to the Performance Work Statement, Schedule, Addendums to 52.212-1 Instructions to Offerors and 52.212-2 Basis for award for additional details.

All questions submitted in response to this solicitation shall be submitted via email by no later than 1:00 PM EST 17 Sept 2018 to katie.lavely@va.gov.The Government makes no assurance that questions received after the established date and time will be addressed. All answers in response to questions shall be published via solicitation amendment and no direct responses will be provided.

See CONTINUATION Page

X X x 1

Marchelle Peyton 413024

36C24618R0920

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 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN

2011)

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 Performance Work Statement

B.5 SPECIAL CONTRACT REQUIREMENTS

SECTION C - CONTRACT CLAUSES

C.1 52.216-18 ORDERING (OCT 1995)

C.2 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.3 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.5 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.6 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.7 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED

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

C.8 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2012)

C.9 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(JAN 2008)

C.10 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.11 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018)

C.13 MANDATORY WRITTEN DISCLOSURES

C.14 IT CONTRACT SECURITY

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 PAST PERFORMANCE QUESTIONAIRE

D.2 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952, AS AMENDED

D.3 Quality Assurance Surveillance Plan (QASP)

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017)

E.2 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

ITEMS

E.3 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.4 ADDENDUM to FAR 52.212-2 EVALUATION-COMMERCIAL ITEMS

E.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013)

E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (NOV 2017)

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.10 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

E.11 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(JAN 2008)

E.12 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998)

E.13 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) 91

E.14 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO

BENEFICIARIES (JAN 2008)

E.15 VAAR 852.273-72 ALTERNATIVE EVALUATION (JAN 2003)

E.16 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C246 Marchelle Peyton Marchelle.Peyton@va.gov

Contract Specialist Katie Lavely katie.lavely@va.gov

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

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] NTE 1 Invoice Per Month

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 Financial Services Center

PO BOX 149971

Austin TX 78714-9971

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

AMENDMENT NO DATE

mailto:Marchelle.Peyton@va.gov mailto:katie.lavely@va.gov

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND

COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.219-10 VA Notice of Total Service- Disabled Veteran-Owned Small Business Set-Aside. 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.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVICE

S

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

2,080.00 HR _____________ _______________

One (1) full time

Neurologist M-F 7:30am- 5:00pm Salisbury, NC

VAMC

Contract Period: Base POP Begin: 09-21-2018 POP End: 09-20-2019

152.00 HR _____________ _______________

One (1) Full time

Neurologist On-Call Service Salisbury, NC

VAMC

Contract Period: Base POP Begin: 09-21-2018 POP End: 09-20-2019

Neurologist M-F 7:30am- 5:00pm Salisbury, NC

VAMC

Contract Period: Option 1 POP Begin: 09-21-2019 POP End: 09-20-2020

Neurologist On-Call Service Salisbury, NC

VAMC

Contract Period: Option 1 POP Begin: 09-21-2019 POP End: 09-20-2020

Neurologist M-F 7:30am- 5:00pm Salisbury, NC

VAMC

Contract Period: Option 2 POP Begin: 09-21-2020 POP End: 09-20-2021

152.00 HR _____________

One (1) Full time Neurologist On-Call Service Salisbury, NC

VAMC

Contract Period: Option 2 POP Begin: 09-21-2020 POP End: 09-20-2021

2,080.00 HR _____________

One (1) full time Neurologist M-F 7:30am- 5:00pm Salisbury, NC

VAMC

Contract Period: Option 3 POP Begin: 09-21-2021 POP End: 09-20-2022

Neurologist On-Call Service Salisbury, NC

VAMC

Contract Period: Option 3 POP Begin: 09-21-2021 POP End: 09-20-2022

Neurologist M-F 7:30am- 5:00pm Salisbury, NC

VAMC

Contract Period: Option 4 POP Begin: 09-21-2022 POP End: 09-20-2023

152.00 HR _____________

One (1) Full time Neurologist On-Call Service Salisbury, NC

VAMC

Contract Period: Option 4 POP Begin: 09-21-2022 POP End: 09-20-2023

GRAND

TOTAL

B.4 Performance Work Statement

Performance Work Statement Neurologist Locums for the Salisbury VAMC

1.0 Description of Services

The Salisbury, VAMC requires one (1) Board-Certified Neurologist to assist in maintaining the medical centers standard of care. The contractor shall be responsible for providing Basic Life Support (BLS), and Advanced cardiac life support (ACLS) Board-Certified Neurologists to assist in day to day neurology services. The candidate will primarily be responsible for outpatient care, inpatient consultations and possible On-Call services.

Place of Performance - Contractor shall furnish Primary Services at the Salisbury VAMC 1601 Brenner Ave, Salisbury, NC 28144 and its outlying areas that fall within the purview of the Salisbury VAMC.

Period of Performance – The Government anticipates the award of a firm fixed price type contract for a base period plus four (4) option year periods. The based year Period of Performance is expected to begin on Sept 14, 2018.

1.1 Definitions and Acronyms

1.1.1 Definitions

1.1.2 Contracting Officer (CO) - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

1.1.3 Contracting Officer’s Representative (COR) - The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance.

The COR shall keep a quality assurance file. At the conclusion of the contract or when requested by the CO, the COR shall provide documentation to the CO. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

The contractor shall refer any changes they deem may affect contract price, terms, or conditions to the CO for action. The COR shall be appointed via separate letter. The COR shall be responsible for the effective oversight of this contract to ensure satisfactory contractor performance and protect the public trust. A copy of the COR Appointment letter shall be provided to the Contractor after contract award and shall contain detailed information in regard to the COR and their associated duties, responsibilities and authorities.

1.1.4 Contractor Performance Assessment Reporting System (CPARS) - CPARS is a web-enabled application that collects and manages the library of automated Contractor Performance Assessment Reports (CPARs). A CPAR assesses a contractor's performance and provides a record, both positive and negative, on a given contractor during a specific period of time. Each assessment is based on objective facts and supported by program and contract management data, such as cost performance reports, customer comments, quality reviews, technical interchange meetings, financial solvency assessments, construction/production management reviews, contractor operations reviews, functional performance evaluations, and earned contract incentives

1.1.5 Government-furnished property - means property in the possession of, or directly acquired by, the

Government and subsequently furnished to the contractor for performance of a contract.

Government-furnished property includes, but is not limited to, spares and property furnished for repair, maintenance, overhaul, or modification. Government-furnished property also includes contractor-acquired property if the contractor-acquired property is a deliverable under a cost contract when accepted by the Government for continued use under the contract.

1.1.6 Government Property - Means all property owned or leased by the Government. Government property includes both Government-furnished property and contractor-acquired property.

Government property includes material, equipment, special tooling, special test equipment, and real property. Government property does not include intellectual property and software.

1.1.7 Indefinite Quantity Contract - An indefinite-quantity contract provides for an indefinite quantity, within stated limits, of supplies or services during a fixed period. The Government places orders for individual requirements. Quantity limits may be stated as number of units or as dollar values.

1.1.8 Loss of Government Property - means unintended, unforeseen or accidental loss, damage, or destruction of Government property that reduces the Government’s expected economic benefits of the property. Loss of Government property does not include occurrences such as purposeful destructive testing, obsolescence, normal wear and tear, or manufacturing defects. Loss of Government property includes, but is not limited to—

(a). Items that cannot be found after a reasonable search;

(b). Theft:

(c). Damage resulting in unexpected harm to property requiring repair to restore the item to usable condition; or

(d). Destruction resulting from incidents that render the item useless for its intended purpose or beyond economical repair.

1.1.9 Nonpersonal Service Contract - means a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

1.1.10Performance Work Statement (PWS) - means a statement of work for performance-based acquisitions that describes the required results in clear, specific, and objective terms with measurable outcomes.

1.1.11 Quality Assurance Surveillance Plan (QASP) - provides the Government and contractor with evaluation criteria that determines whether or not the performance standards for a specific contract have been met. This does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

1.1.12 “Services Summary” or “Acceptable Quality Levels” (AQL) The minimum level of acceptable performance that the contractor must meet and still be considered a satisfactory performer

1.1.13 “Task-Order Contract” means a contract for services that does not procure or specify a firm quantity of services (other than a minimum or maximum quantity) and that provides for the issuance of orders for the performance of tasks during the period of the contract.

1.1.14 Task Order (TO) - An individual requirement for services issued against an existing contract.

Note: additional definitions can be found throughout the FAR (2.101) and Sups,

1.2 Acronyms-list and spell out acronyms used in PWS

ADL Activity Daily Living AQL Acceptable Quality Levels ACEP American College of Emergency Physicians ACGME Accreditation Council for Graduate Medical Education AOD Admitting Officer of the Day ACLS Advanced cardiac life support BLS Basic life Support CDC Centers for Disease Control and Prevention CDR Contract Discrepancy Report CEU Certified Education Unit (CEU) CME Continuing Medical Education CMS Centers for Medicare and Medicaid Services CO Contracting Officer COR Contracting Officer Representative CPARS Contractor Performance Assessment Rating System CPRS Computerized Patient Recordkeeping System DEA Drug Enforcement Agency FAR Federal Acquisition Regulation

FSMB Federation of State Medical Boards HHS Department of Health and Human Services HIPAA Health Insurance Portability and Accountability Act GFP Government Furnished Property GP Government Property NPI National Provider Identifier NPPES National Plan and Provider Enumeration System PPD Purified Protein Derivative PWS Performance Work Statement QASP Quality Assurance Surveillance Plan TO Task Order VAMC Veteran Affairs Medical Center VAHCS Veterans Affairs Health Care System

2.0 Services Summary

The Contractor shall be responsible for providing one (1) full time Board-Certified Neurologist to the Salisbury VAMC and its outlying areas. At a minimum, the contractor shall be responsible for providing Neurological services, including, but not limited to: providing comprehensive specialty care for patients with Dementia, Multiple Sclerosis, Neuromuscular disease, Epilepsy, Headaches, Movement disorder and consultations to assist in diagnosis and management of all other types of neurological conditions. The neurology clinic is also equipped to do outpatient EEG testing, and EMG/NCS testing. At a minimum, the contractor support personnel shall be required to:

2.1 Tasks to be Performed

2.1.1 The Neurologist, at the level specified, with a minimum of 8-hour notice by the VA of specific tours required, to perform neurology services, to include providing outpatient/inpatient services for the Department of Veteran Affairs (VA), Salisbury VA Medical Center (Salisbury VAMC).

2.1.2 Performs Electroneurodiagnostic tests such as Electroencephalograph gram (EEG) (Records electrical impulses of the brain) and Electromyogram (EMG) (Evaluates nerve and muscle function in the extremities, arms/legs etc.) used in the diagnosis and treatment of suspected brain disorders or neuro disorders associated with the brain or spinal column.

2.1.3 Provides sleep medicine

2.1.4 Provides Outpatient infusion services.

2.1.5 Provides Botox treatment.

2.1.6 Provides Inpatient Consultation. Contract neurologists shall be available for consultative care 24/7 for all inpatient care. All consultations requested before 5:00 pm shall be resolved on the same calendar day, except for weekends. The contract physician(s) shall be reachable by pager or other telecommunication device(s), at the request of a referring physician, to discuss a patient’s case to ensure the patient is seen in a timely fashion and to expedite any required neuro-diagnostic tests.

2.1.7 Provides on-call services. At least eight (8) weekdays a month and one (1) weekend a month.

2.1.8 Shall provide review of consults and next- day patient cases for minimum of two hours daily.

2.1.9 Medications: Contractor physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.

2.1.10 Discharge education: Provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients.

2.1.11 Contractor physician(s) shall provide post-procedure evaluation, follow-up and clinical consultation regarding complications of procedures.

2.1.12 Clinical Notes & Encounters: All notes and encounters must be completed with two calendar days of the encounter.

2.1.13 Assist in mobilization of Salisbury VAMC contingency plans to accommodate emergency situations should they arise.

2.1.14 Participate in mandatory VA Training Requirements, including Information Security, Privacy Training, and CPRS Training.

2.1.15 Adhere to all VHA safety policies and comply with service-specific Joint Commission Patient Safety Goals or equivalent.

2.1.16 Contract physician(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.

2.1.17 Maintain appropriate communication and relationship with other members of the team.

2.1.18 Contractor physician(s) shall be present on time for any scheduled clinics as documented by physical presence in the clinic at the scheduled start time.

2.1.19 The contract physician(s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations.

2.1.20 The contract physician(s) shall be available to perform peer reviews.

2.1.21 Shall attend staff meetings as required by the VAMC Chief of Service, Chief of Staff, or designee.

Must attend: Operative and Invasive Committee and Surgical Morbidity & Mortality Committee.

Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.

2.1.22 Neurologist shall follow all established patient safety and infection control standards of care.

Contract Neurologist(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the COR VA Safety Policy. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested.

2.2 Contractor Responsibilities

2.2.1 The Contractor shall be responsible for the following, to include but not limited to:

2.2.2 Providing Neurologists that are technically proficient in the skills necessary to fulfill the requirements of this PWS. Additionally, candidates shall possess the ability to speak, understand, read and write English fluently.

2.2.3 Contract physician(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.

2.2.4 Providing documents upon request of the Contracting Officer (CO)/ Contracting Officers Representative (COR) to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract Neurologists shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.2.5 Communications with 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.

2.2.6 The Contractor shall 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 Veterans Affairs Acquisition Regulation (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.

2.2.7 Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC.

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 Certified Neurologist.

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

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

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

c. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractors shall provide generic self-study training for all Contractor staff; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan;

maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

d. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractors shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractors shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.2.9 Because continuity of care is an essential part of SVAHCS’s medical services, the Contractor shall have a contingency plan in place to be utilized if the contract physician (s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

2.3 Support Personnel Requirements and Qualifications

The Contractor Shall only submit resumes of potential personnel who meet the minimum qualification requirements detailed within which include, but are not limited to:

2.3.1 All Contractor Personnel to perform work at the Salisbury VAMC, shall be US citizens and shall provide proof of citizenship/naturalization.

2.3.2 Licenses – Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia. (SPECIAL NOTE: For procurements that require a Drug Enforcement Agency (DEA) registration, contract providers must have a medical license and be individually registered with the DEA in the state where they will provide services under the contract). All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract physician(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.

2.3.3 Possess Residency, fellowship and be Board-Certified.

2.3.4 Neurologists, will not be permitted to work until they have completed the Veterans Administration Orientation, have been fingerprinted and have a VA Identification (ID) Badge or Personal Identity Verification (PIV) in process, pending issuance.

2.3.5 All contract Neurologists shall be Board-Certified in accordance with American Board of

Psychiatry and Neurology Standards.

2.3.6 Offeror must provide proof/certification that all persons are compared against and are not listed on the OIG excluded parties list.

2.3.7 Provide names of most current employer(s) and two (2) peer reference contacts.

2.3.8 All Contract Neurologists shall be certified in BLS and ACLS. 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 VA COR on an annual basis for each year of contract performance.

2.3.9 Contract Neurologists 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 Contracting Officer (CO)/ Contracting Officers Representative (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 Neurologists. Shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

3.0 Quality Assurance Surveillance Plan QASP

3.1.1 Quality Management/Quality Assurance Surveillance: Contract personnel shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, and Peer Reviews. Methods of Surveillance: Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE). Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.

Below is a matrix table listing a summary of the performance objectives and performance thresholds required by the government in contractor performance.

3.2 Measurable Terms

Performance Requirements Reference Output/Outcome

Provider Quality Performance 3.1.1 95% See Full QASP in Section D

Qualifications of Key Personnel.

2.3 95% See Full QASP in Section D

Scope of Practice/Privileging 2.1 95% See Full QASP in Section D

Patient Access 7.0 95% See Full QASP in Section D

Mandatory Training 2.1.14 90% See Full QASP in Section D

Privacy, Confidentiality and HIPAA Located in Special Requireme nts.

98% See Full QASP in Section D

7.0 Hours: The Neurologist will be required to work 9hr shifts from 7:30am-5:00pm Monday through

Friday.

7.1 Government agencies will not be available during scheduled holidays, inclement weather, weekends, and after duty hours. All chargeable work will be directly attributable to the task being performed by the individual.

7.2 Scheduled Holidays. New Year’s Day; Dr. Martin Luther King, Jr. Birthday; President’s Day;

Memorial Day; Independence Day; Labor Day; Columbus Day; Veteran’s Day; Thanksgiving Day;

Christmas Day.

7.2.1 Contractor services will not be required for holiday coverage.

7.2.2 Contractor must make the contractor’s Neurologist available for On-Call

Services for a minimum of eight (8) weeknights and (1) weekend per month.

Additional on-call times will be handled on a case by case basis.

7.2.3 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.

7.2.4 In the event the assigned contract Neurologist cannot report to duty, for three (3) consecutive work days or more, the contractor shall provide another Neurologists with comparable qualifications to the key person. The proposed temporary substitute shall meet all requirements outlined in Section 2.3 of this PWS. Any period exceeding two weeks will require the procedure as stated in Section 7.2.5

7.2.5 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 proposed substitute shall meet all requirements outlined in Section

2.3 of this PWS. 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.

7.2.6 Adjustments to schedules may be coordinated by the VA and the Contractor with

24 hours’ notice to provide for normal workload variations and personnel practices.

8.0 Invoicing

The Contractor shall be responsible for timely invoice submissions not to excess 30 days after the invoicing cycle. At a minimum, invoices shall contain the follow information:

a. Contract Number and Purchase Order Number (If applicable)

b. Name of Neurologist

c. Hourly Rate

d. Total Hours worked per Month

e. Weekly timesheets must be signed by COR

VA’s Electronic Invoice Presentment and Payment System (IPPS) – The FSC uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. Please go to this website: http://ob10.com/us/en/veterans-affairs-us/ to begin submitting electronic invoices, free of charge.

9.0 Other Regulations or Compliance Requirements:

9.1 Policy/Handbooks- the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

9.2 VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347 http://ob10.com/us/en/veterans-affairs-us/ http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

9.3 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

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

9.5 VHA Handbook 1100.19 Credentialing and Privileging -

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

9.6 VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

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

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

9.8 Standards of Care: The Contract Neurologist care shall cover the range of

Neurology/Neurological 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:

9.8.1 The American College of Surgeons Guidelines:

https://www.facs.org/about-acs/governance/advisory-councils/vascular

9.8.2 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

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

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

9.8.5 The requirements contained in this PWS and Special Requirements.

https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm https://www.facs.org/about-acs/governance/advisory-councils/vascular https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www.jointcommission.org/standards_information/standards.aspx http://www.hpoe.org/resources?show=100&type=8

B.5 SPECIAL CONTRACT REQUIREMENTS

1. Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, the services and prices specified in the Section entitled Schedule of Supplies/Services of this contract.

a. The services specified in Section B. - Schedule of Supplies/Services may be changed by written modification to this contract. The modification shall be prepared by the Contracting Officer (CO) and, prior to becoming effective, shall be signed by both parties.

b. Contractor shall provide scheduled services throughout the contract period. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the Contractor at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming.

c. If required providers must maintain current and active Drug Enforcement Agency (DEA) and

Basic Life Support (BLS) certification, and provide copy of BLS certification to COR every two years.

d. The services to be performed by the contractor shall be performed in accordance with VA policies, procedures and regulations of the medical staff by laws of the VA facility.

e. The Government reserves the right to refuse acceptance of Contractor, if personal or professional conduct jeopardizes patient care. 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.

Standards for conduct shall mirror those prescribed by current federal personnel regulations.

The Contracting Officer and Contracting Officer Representative (COR) shall deal with issues raised concerning contract personnel’s conduct. The final arbiter on questions of acceptability is the Contracting Officer.

f. The Contracting Officer shall resolve complaints concerning Contractor relations with the

Government employees or patients. The Contracting Officer is the final authority on validating complaints. In the event that the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

g. Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.

2. CREDENTIALING AND PRIVILEGES

a. Contractor and applicant should provide all necessary documents and complete the Vet Pro application process (30) days in advance for full privileges-which requires three (3) current references, plus application for VA privileges to include a copy of privileges from most recent work assignment from another hospital. Providers referred to provide services under the contract must obtain an individual NPI number. Number must be provided with the offer to the Contracting Officer along with a copy of current license and malpractice insurance certificate.

b. Name of individuals providing services under the contract and their applicable licenses must be submitted to the Contracting Officer with the offer, including individual Social Security Numbers, dates of birth, place of birth (city, state and country and addresses in order to comply with VA Credentialing and Privileging requirements.

c. The National provider identifier (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 ensure that the health care practitioners and/or medical center providing service under the contract obtains a NPI and provides it to the Contracting Officer.

3. BADGES:

Contractor is required to wear I.D. badge during the entire time he/she is on VAMC grounds. I.D.

badges MUST have an identification picture and shall be issued by VAMC.

4. PERSONNEL POLICY

The Contractor shall assume full responsibility for the protection of its personnel furnishing services under this contract. To carry this out the Contractor shall provide the following for these personnel:

Worker’s compensation Professional liability insurance Health examinations Income tax withholding, and Social Security payments

5. QUALITY ASSURANCE

a. Contractor will provide evidence of participation and preparation in meeting or exceeding all Joint Commission for Accreditation of Hospital standards.

b. The Department of Veterans Affairs is allowed according to public law 99-272 and 101-508, to seek reimbursement from health insurance carriers for the cost of medical care and treatment provided to veterans for their non-service connected conditions. The contractor is not allowed to bill health insurance carriers for the services provided to Veterans while employed by or working under contract with the Department of Veterans Affairs.

c. The contractor may not bill any veteran or their health insurance carrier for care provided to a veteran while employed by or working under contract with the Department of Veterans Affairs, nor may the contractor keep any reimbursement for the erroneous billing of a veteran or their Third- Party insurance. Such reimbursements or billing errors should such occur, must be returned to the Medical Care Cost Fund (MCCF) section for processing.

6. TORT CLAIMS

Contractor employees are not covered by the Federal Tort Claims Act. When a Contractor employee has been identified as a provider in a tort claim, the Contractor employee is responsible for notifying the Contractor’s legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor employee’s action or non-action is the responsibility of the Contractor and/or insurance carrier.

7. JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE

ORGANIZATIONS (JCAHO), AND VHA (VETERANS HEALTH ADMINISTRATION)

STANDARDS

a. Contractor must meet or exceed Joint Commission or equivalent standards and maintain the standards for the duration of the contract.

b. The contractor shall be responsible to ensure that Contractor employees providing work on this contract are fully trained and competent to perform the work required.

c. The contractor shall be required to maintain records that document competence/performance level of contractor employees working on this contract in accordance with JCAHO and other regulatory body requirements.

d. The VA will monitor the contractor employees' work to ensure contract compliance.

e. If the contractor is not Joint Commission accredited, the contractor must perform the required work in accordance with Joint Commission hospital standards. A copy of these standards may be obtained from the Joint Commission, One Renaissance Blvd., Oakbrook Terrance, IL 60181.

f. Contractor shall ensure contractor staff are trained on, and comply with, the current Joint Commission Environment of Care standards and related Standard Operating Procedures.

g. The local VAMC may be surveyed by Joint Commission as part of the accreditation process during the term of this contract. The Contractor’s facility may also be subject to a site visit and review by Joint Commission as part of the local VAMC survey process.

The contractor agrees to cooperate with the local VAMC and Joint Commission during the survey process.

h. The contractor(s) must perform the required work in accordance with Joint Commission standards. The contractor(s) must comply with all annual updates as issued.

i. The contractor(s) shall meet all federal, state, and local fire and life safety codes.

j. The contractor(s) shall comply with the policies of VA.

8. HIPAA COMPLIANCE

Contractor and any subcontractors must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996. This includes both Privacy and

Security Rules published by the Department of Health and Human Services (HHS). As required by HIPAA, HHS has promulgated rules governing the use and disclosure of protected health information by covered entities. The covered entity component of the Department of Veterans Affairs is the Veterans Health Administration (VHA). In accordance with HIPAA, the contractor may be required to enter into a Business Associate Agreement (BAA) with VHA.

9. CONFIDENTIALITY

a. To the extent permitted by federal privacy statutes, rules and regulations, the VA shall provide the Contract with access to pertinent medical information for the purpose of providing coordinated comprehensive health care to veterans. The Contractor shall access only those records of the enrolled veterans and shall maintain the confidentiality of all such patient information and shall be held liable in the event of a breach of confidentiality by the Contractor.

b. The Contractor shall not release any medical records directly to a veteran. The Contractor acknowledges that all records are subject to the Privacy Act and that the VA is the sole entity authorized to release such information and implementing regulations.

c. The VA acknowledges that in receiving, storing, processing or otherwise dealing with any patient information received from the Contractor, the VA is fully bound by federal confidentiality statutes and implementing regulations.

d. Contractor shall provide health care to patients seeking such care from or through VA. As such, contractor is considered a part of the Department health activity for purposes of the following statutes and the VA regulations implementing these statutes: the Privacy Act, 5.S.C. sec 552a, and U.S.C. sections 5701, 7705, and 7332. Contractor and its’ employees are subject to the penalties and liabilities provided in the statutes and regulations mentioned in the paragraph for unauthorized disclosures of such records and their contents.

e. Records created by the contractor in the course of treating VA patients under this agreement are the property of the VA and shall not be accessed, released, transferred or destroyed except in accordance with applicable federal law and regulations. Upon expiration of this contract or termination of the contract, the contractor will promptly provide the VA with individually identified VA patient treatment records. VA has unrestricted access to the records generated by the contractor pursuant to this contract.

f. Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.

10. CONTRACTOR SECURITY REQUIREMENTS:

All Contractors and Contractor personnel shall be subject to the same Federal laws, regulations, standards and VA policies as VA, and VA personnel, regarding information and information system security. Contractor must follow policies and procedures outlined in VA Directive 6500, Information Security Program and its handbooks to ensure appropriate security controls are in place.

http://www.iprm.oit.va.gov/docs/VA_Handbook_6500_6_Contract_Security_030210_Final.pdf http://www.iprm.oit.va.gov/docs/VA_Handbook_6500_6_Contract_Security_030210_Final.pdf

11. REQUIRED REGISTRATION WITH CONTRACTOR PERFORMANCE

ASSESSMENT REPORTING SYSTEM (CPARS):

As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates Contractor past performance on all contracts that exceed $250,000, and shares those evaluations with other Federal Government contract specialists and…