36C24619Q0601-0001001.pdf

36C24619Q0601 (Hampton Psychiatric Physician Services)

B.2 SCHEDULE OF SUPPLIES/SERVICES

The government is not obligated nor is the contractor guaranteed to be issued hours totaling those estimated.

BASE YEAR: 1 OCTOBER 2019 - 30 SEPTEMBER 2020

CLIN DESCRIPTION EST. UNIT RATE TOTAL

QTY COST

Standard Hourly Rate for three (3) Board Certified / Board Eligible Psychiatrists to provide all-inclusive clinical Psychiatric care 4882 HOURS to VA patients from 8:00am - 4:30pm, 0001 Monday through Friday IA W the PWS.

Weekends and Holiday Rate for Board Certified Psychiatrists to provide all-inclusive inpatient Psychiatric care to VA patients from 731 HOURS 8:00am - 4:30pm, Saturday and Sunday and

0002 Government Holidays IA W the PWS.

Travel and Lodging: Not to Exceed Cost Reimbursement and Per Diem. (See Note 365 DAYS NTE $100,000.00

0003 Below) Telephone Consultations Rate for Board Certified Psychiatrists to provide all Consultations via telephone with attending physicians or nurses which occur during off duty hours on Holidays and Weekends for VA patients IA W the PWS for managing medications, psychiatric emergencies/crises, 1531 HOURS restraint and seclusions, consultation about transfers, clarification of orders, or general questions regarding patient care during a:fterhours. A laptop with remote access can be authorized for access to the medical record

0004 from home.

Call Back Rate for Board Certified Psychiatrists to provide all-inclusive inpatient

20 HOURS

call back Psychiatric care to VA patients on

0005 Weekends and Holidays JAW the PWS.

TOT AL BASE YEAR NTE PRICE:

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OPTION YEAR 1: 1 OCTOBER 2020 - 30 SEPTEMBER 2021

CLIN DESCRIPTION EST. UNIT RATE TOTAL

QTY COST

Standard Hourly Rate for three (3) Board Certified / Board Eligible Psychiatrists to provide all-inclusive clinical Psychiatric care 4882 HOURS to VA patients from 8:00am - 4:30pm, 1001 Monday through Friday IA W the PWS.

Weekends and Holiday Rate for Board Certified Psychiatrists to provide all-inclusive inpatient Psychiatric care to VA patients from 731 HOURS 8:00am - 4:30pm, Saturday and Sunday and

1002 Government Holidays IA W the PWS.

Travel and Lodging: Not to Exceed Cost Reimbursement and Per Diem. (See Note 365 DAYS NTE $100,000.00

1003 Below) Telephone Consultations Rate for Board Certified Psychiatrists to provide all Consultations via telephone with attending physicians or nurses which occur during off duty hours on Holidays and Weekends for VA patients IA W the PWS for managing medications, psychiatric emergencies/crises, 1531 HOURS restraint and seclusions, consultation about transfers, clarification of orders, or general questions regarding patient care during afterhours. A laptop with remote access can be authorized for access to the medical record

1004 from home.

Call Back Rate for Board Certified Psychiatrists to provide all-inclusive inpatient

20 HOURS call back Psychiatric care to VA patients on 1005 Weekends and Holidays IAW the PWS.

NTE TOTAL PRICE FOR OPTION YEAR 1:

OPTION YEAR 2: 1 OCTOBER 2021 - 30 SEPTEMBER 2022

CLIN DESCRIPTION EST. UNIT RATE TOTAL

QTY COST

Standard Hourly Rate for three (3) Board Certified / Board Eligible Psychiatrists to provide all-inclusive clinical Psychiatric care 4882 HOURS to VA patients from 8:00am - 4:30pm, 2001 Monday through Friday IA W the PWS.

Weekends and Holiday Rate for Board Certified Psychiatrists to provide all-inclusive inpatient Psychiatric care to VA patients from 731 HOURS 8:00am - 4:30pm, Saturday and Sunday and

2002 Government Holidays IAW the PWS.

Travel and Lodging: Not to Exceed Cost Reimbursement and Per Diem. (See Note 365 DAYS NTE $100,000.00

2003 Below) Telephone Consultations Rate for Board Certified Psychiatrists to provide all Consultations via telephone with attending physicians or nurses which occur during off duty hours on Holidays and Weekends for VA patients IA W the PWS for managing medications, psychiatric emergencies/crises, 1531 HOURS restraint and seclusions, consultation about transfers, clarification of orders, or general questions regarding patient care during afterhours. A laptop with remote access can be authorized for access to the medical record

2004 from home.

Call Back Rate for Board Certified Psychiatrists to provide all-inclusive inpatient

20 HOURS

call back Psychiatric care to VA patients on

2005 Weekends and Holidays JAW the PWS.

NTE TOTAL PRICE FOR OPTION YEAR 2:

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OPTION YEAR 3: 1 OCTOBER 2022 - 30 SEPTEMBER 2023

CLIN DESCRIPTION EST. UNIT RATE TOTAL

QTY COST

Standard Hourly Rate for three (3) Board Certified / Board Eligible Psychiatrists to provide all-inclusive clinical Psychiatric care 4882 HOURS to VA patients from 8:00am - 4:30pm, 3001 Monday through Friday IAW the PWS.

Weekends and Holiday Rate for Board Certified Psychiatrists to provide all-inclusive inpatient Psychiatric care to VA patients from 731 HOURS 8:00am - 4:30pm, Saturday and Sunday and

3002 Government Holidays IAW the PWS.

Travel and Lodging: Not to Exceed Cost Reimbursement and Per Diem. (See Note 365 DAYS NTE $100,000.00

3003 Below) Telephone Consultations Rate for ;Board Certified Psychiatrists to provide all Consultations via telephone with attending physicians or nurses which occur during off duty hours on Holidays and Weekends for VA patients IA W the PWS for managing medications, psychiatric emergencies/crises, 1531 HOURS restraint and seclusions, consultation about transfers, clarification of orders, or general questions regarding patient care during afterhours. A laptop with remote access can be authorized for access to the medical record

3004 from home.

Call Back Rate for Board Certified Psychiatrists to provide all-inclusive inpatient

20 HOURS

call back Psychiatric care to VA patients on

3005 Weekends and Holidays IA W the PWS.

NTE TOTAL PRICE FOR OPTION YEAR 3:

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36C246 l 9Q060 I (Hampton Psychiatric Physician Services)

OPTION YEAR 4: 1 OCTOBER 2023 - 30 SEPTEMBER 2024

CLIN DESCRIPTION EST. UNIT RATE TOTAL

QTY COST

Standard Hourly Rate for three (3) Board Certified / Board Eligible Psychiatrists to provide all-inclusive clinical Psychiatric care 4882 HOURS to VA patients from 8:00am - 4:30pm, 4001 Monday through Friday IAW the PWS.

Weekends and Holiday Rate for Board Certified Psychiatrists to provide all-inclusive inpatient Psychiatric care to VA patients from 731 HOURS 8:00am - 4:30pm, Saturday and Sunday and

4002 Government Holidays IA W the PWS.

Travel and Lodging: Not to Exceed Cost Reimbursement and Per Diem. (See Note 365 DAYS NTE $100,000.00

4003 Below) Telephone Consultations Rate for Board Certified Psychiatrists to provide all Consultations via telephone with attending physicians or nurses which occur during off duty hours on Holidays and Weekends for VA patients IA W the PWS for managing medications, psychiatric emergencies/crises, 1531 HOURS restraint and seclusions, consultation about transfers, clarification of orders, or general questions regarding patient care during afterhours. A laptop with remote access can be authorized for access to the medical record

4004 from home.

Call Back Rate for Board Certified Psychiatrists to provide all-inclusive inpatient

20 HOURS

call back Psychiatric care to VA patients on

4005 Weekends and Holidays IA W the PWS.

NTE TOTAL PRICE FOR OPTION YEAR 4:

NTE TOTAL PRICE FOR BASE YEAR PLUS OPTION YEARS 1-4:

NOTE: Travel, Lodging and Per Diem: Relocation Lodging, Per Diem and Travel costs are authorized for and shall be reimbursed in accordance with the Federal Travel Regulation.

Payment for relocation shall be based on actual expenses incurred and shall be reimbursed at rates not to exceed the maximum locality per diem rates (the combination of lodging, meals and incidentals) in effect at the time of travel, as set forth in the Federal Travel Regulations. Travel shall be approved in advance by the COR in each case. All invoices for travel reimbursement shall be accompanied by supporting receipts. Airline tickets shall be non-refundable only.

Lodging and Per Diem costs are authorized while working at the facility.

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Mileage is authorized for personnel living outside a 50-mile radius of Hampton VAMC in Hampton, VA.

Mileage reimbursement will not be authorized for personnel living within the 50-mile radius of Hampton V AMC in Hampton, VA.

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B.3 PERFORMANCE WORK STATEMENT

ON-SITE PSYCHIATRIC SERVICES

1. GENERAL

1.1. Contractor shall provide Board Certified / Board Eligible Physicians for on-site clinical and inpatient Psychiatric coverage for Weekdays, and Board Certified Physicians for Weekends and Holidays on a 365 days per year basis to include Board Certified Physicians for Call-Back coverage for weekend and Holiday evenings and a coverage for Consultations via telephone with attending physicians or nurses for weekend and Holiday evenings.

1.2. Place of Performance: Hampton V AMC, 100 Emancipation Drive, Hampton, Virginia 23667. One provider may be required to work at an alternative location: The Virginia Beach Community Based Outreach Clinic located at 244 Clearfield Avenue, Virginia Beach, VA 23462.

1.3. Coverage shall include all week days, weekends, Federal and other holidays observed by the facil ity from 8:00am to 4:30pm. Coverage shall include a minimum of 24 physician working hours of coverage per day Tuesday through Friday ( except when a holiday falls on Friday then there will be 8 physician working hours of coverage); 16 physician working hours of coverage for Mondays (except when a holiday falls on Monday then there will be 8 physician on-site working hours of coverage); and 8 physician working hours of coverage per day for Weekends and Holidays. Coverage shall also include "Call Back" and "Consultation via telephone with attending physicians or nurses" for weekend and Holiday evenings.

2. CONTRACT PERSONNEL QUALIFICATIONS:

2.1 . Contractor personnel shall be Board Certified /Board Eligible Psychiatrist proficient in the diagnosis and treatment of psychiatric conditions. All personnel shall have a full and unrestricted license to practice Psychiatry issued by the Commonwealth of Virginia, 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. The qualifications of such personnel shall also be subject to review and approval by the Chief of Staff and Service Chief. Personnel shall be technically proficient in the skills necessary to fulfill the government' s requirements, including the ability to speak, understand, read and write English fluently. Contract staff and/or agency will provide documents as needed to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

2.2. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements:

The Contractor shall meet all VA educational requirements. All mandatory courses must be completed by each contractor by September 30th of each fiscal year or as mandated by the Education Service, Quality Management or Service Chief. Contract Providers shall maintain CME and review pertinent journals, books and publications. Health care providers registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current CME hours shall be reported to the credentialing office for tracking by the Chief of Staff. Failure to provide will result in loss of privileges.

3. CONTRACTOR RESPONSIBILITIES

3 .1. The Contractor shall provide all-inclusive Psychiatric care to VA patients by Board

Certified Psychiatrists proficient in the diagnosis and treatment of all psychiatric

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On call: Available by telephone during the scheduled period and be available to come into the hospital, if necessary, within thirty (30) minutes.

3. TERMS OF THE CONTRACT:

The contract is effective from date of award through 30 September 2020 with four-year 1-year option periods thni 30 September 2025. T he contract is subject to availability ofVAMC appropriations. The Contractor shall perform no services after September 301b each year unti l the contracting officer authorizes such services in writing.

a. The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local V AMC and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

b. The COR will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

4. KEY PERSONNEL AND TEMPORARY EMERGENCY SUBSTITUTIONS:

1. The Contractor shall assign to this contract the following key personne l:

a. During the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer, in writing, within 5 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

b. The Contractor shall provide a detailed explanation of the c ircumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor with in 5 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract wi ll be modified to reflect any approved changes of key personnel.

c. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive work days or more, the Contractor shall provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person.

5. NATIONAL PROVIDER IDENTIFIER:

The National provider identifier (NPI) is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPls in all HIPAA-standard e lectronic transactions for individual (health care practitioners) and organ izational entities (medical centers). The contractor shall ensure that the health care practitioners and/or medical center providing service under the contract obtains an NPI and provides it to the Contracting Officer.

6. CREDENTIALING AND PRIVILEGES:

Contractor's employee(s) shall be fully credentialed and privileged by The Medical Executive Board of this V AMC prior to performing any work under this contract.

a. Prior to acceptance, all contract providers must comply with hospital credentialing guidelines, providing all required information on the timeline established by the Medical Center Credentialing Officer. Credentialing and privileging shall be completed in accordance with the

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36C246 I 9Q060 I (Hampton Psychiatric Physician Services)

9. RECORD KEEPING:

a. Contractor's employee(s) shall report to the COR or Administrative Officer, Medicine

Service, upon arrival at the VA Medical Center. V AMC personnel shall brief Contractor employee(s) on V AMC policies and procedures on the first scheduled duty day.

b. The V AMC, Medicine Service, shall establish and maintain a record keeping system that will record the services performed by the Contractor's employee(s). This recordkeeping system shall consist of time and attendance reports to ensure that required services have been received by the VA Medical Center. Any incidents of Contractor non-compliance as evidenced by the monitoring procedure shall be forwarded immediately to the Contracting officer.

c. Documentation of services performed shall be reviewed prior to certifying payment. Contractor shall be present at the V AMC and shall be performing the required services as specified in the contract in order to receive reimbursement. The V AMC shall pay for services performed and in strict accordance with Section B, Schedule of Supplies/Services above. Contract monitoring and record keeping procedures shall be sufficient to ensure proper payment and allow audit verification that services were provided.

d. Contractor's employee must complete dai ly shift and perform the required services as specified according to the work schedule. The Contractor' s in11oice 1Nill be decreased accordingly and adjustments 1Nill be ffiade b)' subtracting the 1,•alue of the schedule not performed (calculated based on number of hours not prefoFffied). If the amount o:wed to the government eKceeds the total amount due on the fina l invoice, the goyernment will issue a claim for reimbursement to the Contractor for the difference."

e. d. Should the V AMC, in case of emergency, require services to be performed by the Contractor during non-work hours or on a federal holiday as described above, the V AMC shall be responsible for payment to the Contractor in accordance with the prices outlined in the Schedule.

10. QUALITY ASSURANCE:

a. The Contractor shall provide accreditations that meet or exceed the standards set by The Joint

Commission (TJC).

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 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 Affair

11. TORT CLAJMS:

lndividual(s) providing the services under the contract are not covered by the Federal Tort Claims Act.

When an individual(s) providing the services has been identified as a provider in a tort claim, the individual(s) providing the services is responsible for notifying the Contractor's legal counsel and/or insurance carrier. Any settlement or judgment arising from an individual(s) providing the services action or non-action is the responsibility of the Contractor and/or insurance carrier.

12. ADP SECURITY RESPONSIBILITIES:

In performance of official duties, the Contractor's employee(s) have regular access to printed and electronic files containing sensitive data, which must be protected under the provisions of the Privacy Act of 1974 (5 U .S.C. 552a), and other applicable laws, Federal Regulations, Veterans Affairs statutes and policies. The Contractor's employee(s) are responsible for(]) protecting that data from unauthorized release or from loss, alteration, or unauthorized deletion and (2) following all applicable regulations and instructions regarding access to computerized fi les, release of access codes, etc., as set out in a computer access agreement which the Contractor's employee(s) signs.

13. COMPUTERIZED PATIENT MEDICAL RECORD SYSTEM:

a. Contractor's employee(s) shall document all patient services through E lectronic Medical Record and scanned into the VA Computerized Patient Record System (CPRS). All documentation must

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3 6C246l9Q0601 (Hampton Psychiatric Physician Services)

(iii) In an administrative proceeding, a finding of fault and liability that results in

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(l)(i), (c)(l)(ii), or (c)(l)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(l) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the infonnation in paragraphs (c)(l)(i) through (c)(l)(iv) of this provision in

FAPIIS as required through maintaining an active registration in the System for Award Management, which can be accessed via https:llwww.sam.gov (see 52.204-7).

(End of Provision)

E.3 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS

COMMERCIAL ITEMS

Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following provisions are incorporated into 52.212-1 as an addendwn to this solicitation:

INSTRUCTIONS FOR PROPOSAL SUBMISSION

Offerers shall provide one copy of their proposal via email to larry.lapp@va.gov (PDF or MS Word) which includes separate volume sections addressing 1) Past Performance, 2) Technical and 3) Pricing. Offerors shall indicate on the cover page of each volume their firm's name, RFQ number, Project Title, DUNs, TIN, and Socio - Economic Status.

Offerors should thoroughly review the specifications, clauses and provisions and be fully aware of the services and supplies required. Failure to do so will not relieve the contractor from performing in accordance with the strict intent and meaning of these specifications without causing additional cost to the Government

Offerers shall indicate pricing for CL!Ns 0001-0005, 1001-1005, 2001-2005, 3001-3005 and 4001-4005 as listed in the Schedule or no further consideration will be given to the offer and it will not be considered for award. Pricing should be FOB destination to the Hampton VAMC.

A complete offer shall include:

1. A completed and signed SF 1449 (Inelude FSS Sehedule Number and Expiration Date)

2. Corporate Experience (Include DUNS#, TIN #, Socio-Economic Status)

3. Personnel Qualification/Staffing Plan

4. Completed Section B of the solicitation indicate pricing for CLINs 0001, 1001 , 200 I, 3001 and 4001

5. Copies of licensure/certifications, documentation of experience, education and training and peer references with current phone numbers;

6. Contingency Plan due to absence of Physician;

7. Proof of Insurance;

8. Proof/certification that all Physicians have been compared against the OIG list and are not listed

9. Completed and signed copy of the "CONTRACTOR CERTIFICATION: Immigration and

Nationality Act of 1952, As Amended" located in Section D I 0. Documentation (letters, surveys etc.) of Company' s Past Performance

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