36C24619R0161-0002000.docx

36C24619R0161 (Psychiatric Physician Services – Fayetteville VAMC) Amendment 0002

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 08-13-2019 n/a Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C24619R0161 07-08-2019

X X X

X The purpose of this amendment is to answer solicitation questions and correct the solicitation as needed. See following:

a. Solicitation Questions and Answers are attached.

b. Becuase of the quantity and depth of questions a revised solicitation is attached with all changes noted in Green.

c. The Solicitation proposal due date is extended to 23 Aug 2019 at 2:30 pm ET.

Mario L. Santiago Contracting Officer Attachment 1- Solicitation 36C24619R0161 Questions and Answers Psychiatric Physician Services for Fayetteville VAMC

1. Question: FBO submission and archive deadline shows 7/31/19, however SF1449 indicates 8/6/19 but no time listed. Please clarify.

Answer: Proposals are due changed to 23 Aug 2019 at 2:30pm.

1. Question: SOW page 7, item 1.4 indicates: "The contract psychiatrist may also be utilized in the Inpatient Psychiatric Unit at Fayetteville, NC in the event a staff psychiatrist reports to duty prior to completion of the contract period. It is the VA’s intention to solicit quotes under the Federal Supply Schedule 621 and to award the contract that is determined to be the best value to the Government and pending availability of funds." This appears to be in conflict with this open market solicitation. Will you consider removing this 1.4 section? Otherwise, it implies Vendors would be required to meet the Federal Supply Schedule 621 I requirements in order to submit a proposal for this opportunity.

Answer: The wording “under the Federal Supply Schedule 621” has been replaced by “via Open Market”.

1. Question: SOW page 13, item d. indicates "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" However, few candidates will be willing to provide this information at the proposal phase, but would comply upon award. Please consider removing this requirement for the proposal?

Answer: This wording and requirement is provided in all of our Locums solicitations. Part of the Technical Evaluation is the review of the physician’s CVs, which are requirement as part of your proposal.

1. Question: SOW on page 8, Section 4, item a. indicates: "Contractor personnel shall be Board Certified Psychiatrist proficient in the diagnosis and treatment of psychiatric conditions....and licensed in State of North Carolina, commonwealth of the US or D.C...." However, in other sections of the solicitation it indicates Board Eligible candidates will be considered. Please clarify if you are asking for only Board Certified candidates for this solicitation and whether or not ANY State Medical license is accepted including U.S. Territories and D.C.?

Answer: A global find and replace was performed and all references to Board Certified now includes Board Eligible.

1. Question: SOW indicates travel to CBOC's may be required. I do not see a CLIN for mileage between facilities listed. Will you consider adding verbiage to contract to indicate mileage will be reimbursed if the provider(s) on contract are assigned to work at one of the CBOC clinics listed? (Separate from the CLIN 1002 on the pricing sheet.)

Answer: If a physician is assigned to work at on of the CBOC clinics mileage is authorized. But the expectation is and was that the Physician would be assigned for a longer period or even permanently, so they would acquire residence in the CBOC location.

1. Question: Is there an incumbent vendor providing these services? If so, what is the contract award number?

Answer: Yes, 36C24618C0008.

1. Question: SOW on page 9 indicates 12-15 patients per day (to include weekends on a rotational basis) to inpatients. Please clarify the patient volume expected per day for outpatient is 12-15 and it could be 12-15 for inpatient coverage on rotating weekends? If not the same patient count for inpatient on weekends, what are those inpatient volumes? And, please clarify if any inpatients are to be seen during normal clinical hours in addition to the 12-15 daily outpatient count?

Answer: Patient expectation for outpatient volume is 12-15 per day for the 8:00 AM – 4:30 PM shift. Locums don’t rotate weekends nor cover the inpatient unit, to include during normal clinical hours.

1. Question: What is rotation schedule? 1 in 2 or 1 in 3, etc.

Answer: Locums don’t rotate weekends. They work weekdays as noted above covering outpatient veterans’ appointments & walk-ins.

1. Question: We noticed Past Performance Questionnaires are being requested. Due to fast turn-around and challenges with obtaining these from our clients, will you consider using our CPARS and a listing of our contact for recent/current contracts in lieu of the PPQ's?

Answer: Past Performance Questionnaires are required for all of our requirements. We also may us CPARS, your submittal and we may call your references.

1. Question: (Past Performance Questionnaires are very difficult to obtain from our commercial clients and Federal clients. In most cases, our clients are required to have legal department review before the client can respond (subject to legal approval) which can take as long as 3 weeks. In other cases, our clients refuse to complete these as it is of no benefit to them and is time consuming which takes them away from their current job tasks. In addition, they consider these as a liability concern. Since there is no FAR requirement requiring PPQ's, we appreciate your consideration if we cannot include these in our proposal but you will still be able to accept our proposal for evaluation.)

Answer: Past Performance Questionnaires are required for all of our requirements. We also may us CPARS, your submittal and we may call your references.

1. Question: Is Board Certification a requirement?

Answer: See first paragraph of the Performance Work Statement, i.e., Six (6) “Board Certified/Board Eligible Psychiatrist”.

1. Question: What is the minimum # of psychiatrists required in order to submit?

Answer: See first paragraph of the Performance Work Statement, i.e., Six (6) “Board Certified/Board Eligible Psychiatrist”.

1. Question: Can the contracting team please comment on / provide context for why the hours/travel, lodging & Per diem/Rental car units are all different from Option years 1 & 2?

Answer: We realize that it takes time to credential and get candidates through the PIV process at the beginning of the contract period before they can work. These figures are estimated and will be appropriately adjusted as needed.

1. Question: Will this be Outpatient and Inpatient? If so, can the contracting team please comment on what percentage of each can be expected?

Answer: Outpatient

1. Question: Will there be any call hours associated with this project?

Answer: Locums don’t rotate on weekends, so no call hours will be required

1. Question: Is there an existing contract currently in place that covers the services outlined in this solicitation?

Answer: Yes, 36C24618C0008.

1. Question: If there is an existing contract and vendor currently performing these services. Does this new solicitation vary in terms of the scope of work?

Answer: Each requirement we solicit stands on its own. This requirement may or may not have enhancements or reductions to the current or last contract.

1. Question: Are the not to exceed (NTE) costs for CLIN 0002 to be considered for the “total base year price’ on page 5 of the RFQ?

Answer: Yes

1. Question: Are the NTE costs from CLIN 1002 to be consider for the ‘total option year 1 price’ per page 5 of the RFQ?

Answer: Yes

1. Question: Is there a maximum a vendor can be reimbursed for relocation per page 6: ‘Payment for relocation shall be based on actual expenses incurred” Answer: Yes, “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 each case. All invoices for travel reimbursement shall be accompanied by supporting receipts. Airline tickets shall be non-refundable only.”

1. Question: Page 7 reads ‘Contract psychiatrist may also be utilized at any of the four (4) Community Based Outpatient Clinics (Hamlet, Wilmington, Jacksonville and Robeson County) or at the FVAMC, Fayetteville, NC

a. Question: Should a provider be expected to work in any of these locations any day?

i. Example: Will the provider be asked to work Monday at the Main Campus in Fayetteville then Tuesday in Jacksonville followed by Hamlet on Wednesday. This would make for a logistical challenge for lodging.

Answer: Locum provider will be assigned to one location only. Locums will not be expected to work at multiple locations during the work week.

b. Question: Will the VA be agreeable to a provider being assigned a single location for a 3-month period to offer the provide stability?

Answer: Not needed. Locums are assigned to single location only.

1. Question: Section 1.4 on page 7 mentions the 621-I FSS. Can you confirm this is an open market procurement not subject to the 621-I FSS?

Answer: The wording “under the Federal Supply Schedule 621” has been replaced by “via Open Market”.

a. Question: FSS pricing is also noted on page 61, will the VA remove the references to the 621-I?

Answer: This was changed via amendment 0001.

1. Question: Since this is not applicable to the 621-I FSS would the VA be willing to consider pricing responses that ‘ALL INCLUSIVE firm-fixed prices including per diem, housing, and costs of all required security clearances’ and remove the CLINs 0001 and 1001?

Answer: No, we do not do Cost Type contracts.

1. Question: Page 61 reads: ‘No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Salem VAMC in Salem, VA.’. Should this reference the Fayetteville VAMC and associate clinics?

Answer: Yes, it should be Fayetteville. This was corrected via Amendment 0001.

1. Question: Is this requirement consistent with a non-personal services agreement that is listed on page 7: ‘Other duties, as assigned by mutual agreement between the locum tenens and the Chief and/or Medical Director, Mental Health Service Line”. Considering the non-personal service nature of this project wouldn’t this be more appropriate between the vendor and the COR?

Answer: Agree. This has been changed to COR or Contracting Officer.

1. Question: Page 6, section 6 states ‘Services shall include Psychiatric coverage Monday through Friday from 8:00 a.m. to 4:30 p.m. for 12-15 patients each day and to include weekends for inpatient coverage on a rotational basis.

25. Question: Can the VA clarify the hours?

Answer: Monday – Friday 8:00 AM to 4:30 PM

25. Question: Are weekend hours required?

Answer: No

25. Question: What are the weekend hours?

Answer: N/A

25. Question: Are there any hours required Monday through Friday after 4:30pm?

Answer: By exception and on occasion based off needs of situation

25. Question: Considering patient abandonment concerns what are the procedures for a provider if a consult request or other clinical request (walk-in) requires the provider to work past 4:30pm?

Answer: In the event of an unscheduled walk in that requires the provider to work beyond their normal schedule with direct patient care then that time would be paid. Documentation is not considered direct patient care.

25. Question: Is there on-call Answer: No

1. Question: Page 61 states ‘have a minimum of 3 years of experience in the field.” Can the VA expand upon what would be considered 3 years of experience? Would residency training meet this requirement?

Answer: No residency training does not meet the requirement. Locum candidate must have minimum 3 years of post-residency experience.

1. Question: Are past performance questionnaires required?

Answer: Past Performance Questionnaires are required for all of our requirements. We also may us CPARS, your submittal and we may call your references.

27. Question: Is it the responsibility of the vendor to ensure the questionnaires are completed and returned to Mr. Lapp?

Answer: No, you fill out the top portion of the PPQ and send to your evaluator. The instructions tell them to send their evaluation to Larry Lapp.

27. Question: What is the due date for past performance questionnaires?

Answer: Prior to your proposal due date to be considered.

27. Question: Will subcontractor past performance be considered equal to prime vendor past performance?

Answer: Yes.

1. Question: The Schedule B, CLIN 0002/1002 allocates $4,452.00 per week. I have a few questions concerning the calculation.

28. Is $4,452 based on $106 lodging per day x 6 FTE x 7 days per week?

28. If this is the calculation, per diem is not included. Is that correct?

Answer: Schedule B, CLIN 0002/1002 allocations are incorrect. New figures have been added to the attached Schedule.

For your convenience a revised copy of the solicitation follows with all changes noted in Green.

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

565-20-1-017-0002 36C24619R0161 07-29-2019 Larry Lapp 757-315-3988 08-23-2019 2:30pm ET Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 X X N 561320 $27.5 Million

NET 30

N/A X Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

THE CONTRACTOR SHALL SUBMIT PAYMENT

REQUESTS IN ELECTRONIC FORM VIA VA'S

ELECTRONIC INVOICE PRESENTMENT & PAYMENT

SYSTEM. SEE WEBSITE AT

HTTP://WWW.FSC.VA.GOV/INVOICE.ASP

See CONTINUATION Page

SEE ATTACHED SCHEDULE FOR PRICING

See CONTINUATION Page X X X

MARIO L. SANTIAGO

CONTRACTING OFFICER

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 00246 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:

3. INVOICES: Invoices shall be submitted in arrears:

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

The contractor shall submit payment requests in electronic form via VA's Electronic Invoice Presentment & Payment System. See Website at http://www.fsc.va.gov/einvoice.asp

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

B.2 SCHEDULE OF SUPPLIES/SERVICES

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

Base Period: 1 Oct 2019 through 30 Sep 2020 P.O. # for billing purposes is:

COST

Travel, lodging and per diem (Lodging and Per Diem costs are authorized while working at the facility.)

Rental Car is not authorized.

Mileage when travel exceeds a 50-mile radius from the Fayetteville VAMC.

No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Fayetteville, NC VAMC (See Note Below)

20,000

Weeks

Miles

ESTIMATED

4,452.00 / $6,804.00

NTE

ESTIMATED

$155,820.00/ $238,140.00

$11,600.00

ESTIMATED TOTAL BASE YEAR PRICE = ___________________

OPTION YEAR 1: 1 Oct 2020 through 30 Sep 2021 P.O. # for billing purposes is: PO#

QTY

COST

Travel, lodging and per diem (Lodging and Per Diem costs are authorized while working at the facility.)

Rental Car is not authorized.

Mileage when travel exceeds a 50-mile radius from the Fayetteville VAMC.

No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Fayetteville, NC VAMC (See Note Below)

25,000

Weeks

Miles

ESTIMATED

$6,804.00 $4,452.00

NTE

ESTIMATED

$353,808.00 $231,504.00

$14,500.00

ESTIMATED TOTAL OPTION YEAR 1 PRICE = __________________________

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 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.

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

No mileage reimbursement will be authorized for personnel living within the 50-mile radius of Fayetteville VAMC in Fayetteville, NC.

36C24619R0161 (Psychiatric Physician Services – Fayetteville VAMC) Amendment 0002

B.3 PERFORMANCE WORK STATEMENT

ON-SITE PSYCHIATRIC SERVICES

1. GENERAL

0. The Department of Veteran Affairs Mid-Atlantic Health Care Network, (VISN 6) has an immediate need for the services of Six (6) Board Certified/Board Eligible Psychiatrist to work at the Fayetteville VA Medical Center (FVAMC), NC out Patient Clinic to both ongoing and newly referred veterans until able to hire permanent psychiatrist.

0. Contract psychiatrist may also be utilized at any of the four (4) Community Based Outpatient Clinics (Hamlet, Wilmington, Jacksonville and Robeson County) or at the FVAMC, Fayetteville, NC in the event a staff psychiatrist reports to duty prior to completion of the contract period.

0. The contract psychiatrist would assist with the enrollment of the new patients, established patients as well as insuring the ability to see all veterans within (14) days at the FVAMC.

0. The contract psychiatrist may also be utilized in the Inpatient Psychiatric Unit at Fayetteville, NC in the event a staff psychiatrist reports to duty prior to completion of the contract period. It is the VA’s intention to solicit quotes via Open Market under the Federal Supply Schedule 621 and to award the contract that is determined to be the best value to the Government and pending availability of funds.

1. DESCRIPTION/SPECIFICATIONS/WORK STATEMENT – PSYCHIATRIST

Provide the services of six (6) Board Certified/Board Eligible Psychiatrist to perform all duties and responsibilities of a staff psychiatrist.

Duties will include:

· Treatment and professional direction of outpatient/inpatient care as well as outpatient/inpatient care consultations.

· Provide professional direction and participate in the treatment team to evaluate, develop and implement treatment plans.

· Develop and implement follow-up plans.

· Participate in organization meetings and duties of the VA Medical Center as required.

Clinical competence will include:

· Psychiatric Examinations

· Diagnostic Formulation

· Therapeutic Plan

· Patient Management

· Consultations

· Discharge summaries

· Record Keeping/electronic medical records

· Current practice experience with acute outpatient and inpatient treatment with working knowledge of current pharmacology

· Current practice experience in completion of involuntary commitment procedures per North Carolina state statues

· The psychiatrist may answer inpatient consultations. Other duties, as assigned by mutual agreement between the locum tenens and the COR or Contracting Officer. Chief and/or Medical Director, Mental Health Service Line

· Contractor will act in compliance with all “Medical Staff Bylaws” of the VAMC Fayetteville. The contract physician will be required to enter all reports and incorporation into the patient’s record and will satisfy VHA and medical center policies. The psychiatrist must meet the requirements for appointment to the medical staff, VAMC Fayetteville, as outlined in the practice in one of the states or territories of the United States or Districts of Columbia. The qualifications of such personnel shall also be subject to the review by the Chief of Staff and approval by the VA Medical Center Director. Personnel must meet the credentialing/privileging requirements of the VAMC Fayetteville.

1. PERSONNEL QUALIFICATIONS

· Personnel assigned by the contractor to perform the services covered by this contract shall be licensed in a state, Territory, or Commonwealth of the United States or the District of Columbia. Qualified personnel must be American citizens (or offer evidence of a green card) and be proficient in the English language. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA facility Director.

· Personnel assigned by the contractor to perform the services covered by this contract must meet the credentialing/privileging requirements of the VAMC Fayetteville before commencing work.

· 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.

1. CONTRACT PERSONNEL QUALIFICATIONS:

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 State of North Carolina, 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.

1. 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 credential’s office for tracking by the Chief of Staff. Failure to provide will result in loss of privileges.

1. CONTRACTOR RESPONSIBILITIES

1. The contractor shall perform services under the direction of the Fayetteville, VAMC Chief of Staff, Chief, Medical Care Service Line, and Chief, Mental Health Service Line.

1. The Contractor shall provide all all-inclusive Psychiatric care to VA patients by Board Certified / Board Eligible Psychiatrists proficient in the diagnosis and treatment of all psychiatric conditions in accordance with current VA and equivalent to Joint Commission (JC) or equivalent compliance guidelines. The quality of psychiatric practice shall meet or exceed reasonable standards of professional practice for psychiatric services as determined by the same authority that governs the Fayetteville VAMC medical professionals and will be audited by the processes established for that purpose.

1. Contractor shall provide a board-certified Psychiatrist for coverage of outpatient clinics, emergency department, or in-patient consultations.

1. Government Responsibilities

1. The VA Office of Security and Law Enforcement will provide the necessary forms to the contractor or to the contractor’s employees after receiving a list of names and addresses.

1. Upon receipt, the VA Office of Security and Law Enforcement will review the completed forms for accuracy and forward the forms to OPM to conduct the background investigation.

1. The VA facility will pay for investigations conducted by the Office of Personnel Management (OPM) in advance. In these instances, the contractor will reimburse the VA facility within 30 days.

1. The VA Office of Security and Law Enforcement will notify the Contracting Officer and Contractor after adjudicating the results of the background investigations received from OPM.

1. The Contracting Officer will ensure that the Contractor provides evidence that investigations have been completed or are in the process of being requested.

1. PROVIDER COVERAGE

Services shall include Psychiatric coverage Monday through Friday from 8:00 a.m. to 4:30 p.m. for 12-15 patients each day. and to include weekends for inpatient coverage on a rotational basis. Psychiatric coverage will be weekdays to cover outpatient veterans’ appointments & walk-ins. In the event of an unscheduled walk in that requires the provider to work beyond their normal schedule with direct patient care then that time would be paid. Record documentation will not be considered direct patient care.

1. A Contract Psychiatrist must be present at the VA facility and must be actually performing the required services for the period specified in the contract.

1. The contractor is required to provide coverage for all scheduled hours. Patients must be seen by the provider in a timely manner in accordance with the policy established by the Medical Center. Contract providers are to communicate with the Contracting Officer Representative (COR) at least monthly about any obstacles to meeting this performance measure.

1. CLINICAL TASKS

Contractor shall be responsible for:

1. Providing direct patient care in the outpatient mental health clinic for patients with psychiatric disorders.

1. Outpatient clinic coverage to include new evaluations, consultations, and routine follow up visits.

1. Being physically present on clinic days to see patients, providing oversight of clinical activities of psychiatric residents and co-sign notes in real time.

1. The order of diagnostic tests as appropriate.

1. Quality: Contractor shall be responsible for fully meeting professional commitments to the Fayetteville VAMC and meet all VA performance measures. Contractor shall ensure documentation in the Computerized Patient Record System (CPRS). Contractor shall ensure that patient intake assessments, progress notes, and medication reconciliation notes are written in the CPRS system within 24-hours and meet Fayetteville VAMC requirements.

1. The Contractor shall use Fayetteville VAMC computer software/program (CPRS) for entering and signing of medical orders, records and any other documentation as required.

1. The Contractor shall maintain familiarity and comply within guidelines established by Federal, State, Department of Veterans Affairs, the VAMC Medical Director (or designee), Chief of Staff and Service Chief.

1. The Contract Provider shall maintain familiarity and comply with hospital safety policies and procedures.

1. The Contract Provider will ensure a safe work environment and safe work habits.

1. OTHER ADMINISTRATIVE TASKS

1. Contract Personnel shall attend service staff meetings as required by Chief of Staff and/or Chief of Service (up to 2 hours per week).

1. Contract Personnel shall participate in VAMC quality improvement programs and activities relating to Psychiatric Services as required by the Chief of Staff and/or Service Chief.

1. GOVERNMENT RESPONSIBILITIES:

The VA administrative support personnel will be available when clinic is in session.

B.4 SPECIAL CONTRACT REQUIREMNTS

1. Under the authority of Public Law 104262 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.

1. 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.

1. 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.

1. If required providers must maintain current and active Drug Enforcement Agency (DEA) and Basic Life Support (BLS) and Advance Cardiac Life Support (ACLS) certification and provide copy of certifications to COR as renewed.

1. 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.

1. 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.

1. 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. If 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.

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

2. WORK HOURS:

1. The services covered by this contract shall be furnished by the contractor as defined herein.

1. The following terms have the following meanings:

(1) Normal working hours: Monday through Friday, 8:00 am - 4:30 pm with a 30-minute unpaid lunch break. Work will also be performed on Federal Holidays per the hours listed above.

(2) Federal Holidays: The 10 holidays observed by the Federal Government are:

New Year’s Day Martin Luther King’s Birthday President’s Day Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas

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Any other day specifically declared by the President of the United States to be a federal holiday.

When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

Off Duty hours: Not Applicable.

3. TERMS OF THE CONTRACT:

The contract is effective from date of award through 30 September 2020 with a one-year option period thru 30 September 2021. The contract is subject to availability of VAMC appropriations. The Contractor shall perform no services after September 30th each year until 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 VAMC 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 personnel:

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 circumstances 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 within 5 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.

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 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.

6. CREDENTIALING AND PRIVILEGES:

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

1. 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 provisions of VHA Handbook 1100.19 dated October 2, 2007 found at the web address: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806.

1. This Veterans Health Administration (VHA) Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; the Expedited Medical Staff Appointment Process; credentialing during activation of the facility Disaster Plan; requirements for querying the Federation of State Medical Boards (FSMB); credentialing and privileging requirements for Telemedicine and remote health care; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights; and the credentialing requirements for medical personnel. The credentialing, but not privileging, requirements of this Handbook apply to physicians, dentists, and other practitioners allowed by law and the facility to practice independently who are assigned to Research or administrative positions not involved in patient care.

1. Contractor and/or applicant shall 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. Contractor shall also provide a copy of current license and malpractice insurance certificate.

1. 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.

7. CONTRACTING WITH PARTIES LISTED ON THE OIG LIST OF EXCLUDED INDIVIDUALS/ENTITIES:

a. In accordance with The Health Insurance Portability and Accountability Act (HIPAA) and the Balanced Budget Act (BBA) of 1977, the Office of Inspector General 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.

b. Therefore, all offerors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed candidate(s) and/or firm(s) are not listed. Offerors 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 minimum and maximum Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person or entity was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against health care providers and entities that employ or enter into contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries.

By signing the offer, the Contractor certifies that he/she has reviewed the OIG List of Excluded Individuals/Entities and that the proposed candidate(s) and/or firm are not listed as of the date the offer was signed.

8. MANAGEMENT AND SUPERVISION:

a. The Contractor shall be responsible for supervising the daily services provided under this contract by the Contractor’s staff.

b. The Contractor shall have written policies and procedures regarding staff credentials.

c. The VAMC will provide to the Contractor policies, procedures and processes necessary to allow cooperative functioning between the agency and VAMC. Updates and refreshers will be provided to the Contractor upon request and when policy procedures or process changes.

d. The Contractor shall complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

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. VAMC personnel shall brief Contractor employee(s) on VAMC policies and procedures on the first scheduled duty day.

b. The VAMC, 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 VAMC and shall be performing the required services as specified in the contract in order to receive reimbursement. The VAMC shall pay for services performed and in strict accordance with Section B, Schedule of Supplies/Services above.