36C24621Q0391.docx

Contract Opportunity Sources Sought Notice

PRODUCT SERVICE CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

RESPONSE DATE/TIME/ZONE

ARCHIVE

DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

NAICS CODE

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

DESCRIPTION

See Attachment

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

GENERAL INFORMATION

PLACE OF PERFORMANCE

* = Required Field Contract Opportunity Sources Sought Notice V119

AMBULANCE UNIT STAND BY/INTERVENTIONAL SERVICES

23667 36C24621Q0391 03-05-2021

4 PM

EASTERN TIME, NEW YORK, USA

N 621910 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Rodney Wilson rodney.wilson2@va.gov Department of Veterans Affairs Salem VA Medical Center 1970 Roanoke Blvd Salem

Virginia 24153 rodney.wilson2@va.gov

SOURCES SOUGHT NOTICE ONLY

This notice does NOT constitute a request for proposal, request for quote, or invitation for bid. No formal solicitation document exists at this time. We are seeking information for market research purposes only. The Government will not pay for any information solicited

The VHA Network Contracting Office 6 (NCO 6) is conducting a market survey to find qualified vendors who can provide Standby Ambulatory Services for the Department of Veterans Affairs, Salem VA Medical Center (VAMC), 1970 Roanoke Blvd, Salem, VA 24153:

DESCRIPTION OF SERVICE

Performance Work Statement: (Please See Attachment)

Period of Performance:

April 1 ,2021- September 30, 2021.

All interested parties should respond, in writing via email to rodney.wilson2@va.gov. No telephone inquiries will be accepted. In response, please include the following:

· Company/individual name

· Address

· Point of contact with phone number

· Company Socio-Economic SIZE (example…large, small, SDVOSB, VOSB, WOSB etc.)

· Information describing your interest

· Indicate FSS/GSA contract number

· FSS Category you qualify for

· Tax ID number

· DUNS number

· NAICS code (if different than below)

· Capabilities statement

If your firm is a Service-Disabled Veteran Owned or Veteran Owned Small Business, you must be CERTIFIED in VetBiz (see internet site: http://vip.vetbiz.gov) to be recognize as such.

The NAICS 621910 is applicable to this acquisition; with a size standard of $16.5.

Interested firms are reminded that in accordance with FAR 4.1201(a) Prospective contractors shall complete electronic annual representations and certifications at the System for Award Management (SAM) as a part of required registration in conjunction with FAR 4.1102(a) that states, Prospective contractors shall be registered in the (SAM) database prior to award of a contract or agreement. Therefore, due to time constraints, vendors will be required to be registered in System for Award Management (SAM) at http://www.sam.gov to be considered for an award.

Your response is required by 4:00 PM, Friday March 5, 2021.

B.3 PERFORMANCE WORK STATEMENT

1.0 PURPOSE:

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items necessary to provide Advanced Life Support (ALS) standby transportation services at the Department of Veterans Affairs Salem VA Medical Center (VAMC), 1970 Roanoke Boulevard, Salem, Virginia 24153 as defined in this Performance Work Statement. The contractor shall perform to the standards in this contract subject to applicable law and regulations of Title 38 Code of Federal Regulations § 17.52 (a)(8).

Applicable Documents:

State Board of Health, Virginia Emergency Medical Services Regulations Federal Specification for the Star of Life Ambulance Code of Virginia Title 46.2 Motor Vehicles VHA Directive 1601 NON-VA Medical Care Program

2.0 BACKGROUND

Veterans Health Administration (VHA) is committed to providing timely and high-quality cardiac care across the VHA Network. Cardiac catheterization is a common, relatively painless, non-surgical procedure. During a cardiac catheterization, long narrow tubes called catheters are passed into a blood vessel in the arm or leg. There are approximately 73 VHA facilities that have cardiac catheterization capability, including 50 that perform interventional procedures. The Salem VA Medical Center provides cardiac catheterization procedures and requires an Advanced Life Support ambulance to stand by on the Salem VAMC Campus during these procedures to provide transport, if needed, to nearest cardio thoracic facility.

3.13 Standard of Care - The established approach to the provision of basic and advanced medical care that is considered appropriate, prudent and in the best interests of patients within a geographic area as derived by consensus among the physicians responsible for the delivery and oversight of that care. The standard of care is dynamic with changes reflective of knowledge gained by research and practice.

4.0 REQUIREMENTS:

a. The Contractor shall provide an Advance Life Support (ALS) Ambulance and crew to standby on the Salem VA Medical Center Campus while cardiac catheterization procedures are being performed on patients in the hospital. Advanced life support transport requirements are:

i. A ground ambulance equipped with an ALS equipment package. An ALS equipment package may be transferred to a ground ambulance not otherwise equipped to provide the needed level of ALS patient care from another appropriately equipped EMS vehicle. This transfer must include all items required for the type of ALS equipment package that the attendant-in-charge is authorized to use.

ii. The attendant-in-charge must be certified as an advanced life support level provider or an equivalent approved by the Office of EMS.

iii. An attendant must be certified as an emergency medical technician or an equivalent approved by the Office of EMS in addition to the attendant-in-charge. The attendant must not serve as the attendant-in-charge. An operator may serve as the attendant if certified as an emergency medical technician or an equivalent approved by the Office of EMS.

iv. An ALS provider may provide care in the event that the required EMS personnel do not respond to a call to fully staff the ambulance that has responded to the scene. The extenuating circumstances of the call must be documented in writing. Based on extenuating circumstances and documentation, the EMS agency or the EMS provider may be subject to enforcement action.

b. The contractor will be contacted by telephone each day services are required; a minimum of one (1) hour notice prior to the requested time of arrival will be provided.

c. It is estimated that services may be required daily, Monday – Friday.

d. The contractor shall dispatch ALS ambulance in such a fashion as to ensure timely arrival (i.e. within ten (10) minutes of requested time due.)

e. Upon arrival the contractor will check in with the Contracting Officer Representative located in the Catheterization Lab, Building 143, Room IEF 169.

f. When transport becomes necessary the contractor shall transport the patient to Lewis Gale Medical Center, 1900 Electric Road, Salem, Virginia or to another facility approved by the Salem VA Medical Center Chief of Medicine or Chief of Cardiology.

g. Contractor cannot refer patients to any other facility other than those approved by Salem VA Medical Center Chief of Medicine or Chief of Cardiology.

h. The contractor will remain until they are released by the Contracting Officer Representative or designated personnel.

5.0 EMS VEHICLE:

a. Ambulances used in performance of this contract shall comply with the Virginia Emergency Medical Services, all applicable Federal, State, and local regulations.

b. Ambulances shall be certified to meet the minimum requirements of the Star-of-Life Ambulances Federal Specifications.

c. Ambulances shall be equipped with all of the items required for vehicle classification and any ALS equipment package carried in accordance with the Virginia Emergency Medical Services Regulations.

d. Ambulance shall have space to accommodate an intra-aortic balloon pump and respirator.

e. Contractor shall make all ambulances that will be used to perform the requested service vehicle available for inspection by the CO or COR if requested.

f. Contractor shall provide copies of valid permits for each emergency medical service vehicle that will be used in performance of this service.

6.0 CERTIFICATION:

a. Contractor shall have valid EMS agency licensure and EMS certification to provide the services in this performance work statement

b. All attendants providing EMS services shall be certified in accordance with the Virginia Office of Emergency Medical Services http://www.vdh.virginia.gov/OEMS/Training

c. Contractor shall provide evidence of personnel recertification completion

d. Contractor/Contractor’s facility shall have a current accreditation from The Joint Commission.

e. Contractor employees shall be trained and skilled in the performance and usage of an Intra-aortic balloon pump and respirators.

7.0 PATIENT WELFARE AND ABUSE:

7.1 The contractor shall be held responsible for patient welfare during transport. The contractor shall be held responsible for patient and/or Government property during transport. Any damaged or lost wheelchairs, walkers, crutches or personal belongings shall be replaced by the contractor.

7.2 The contractor shall exercise extreme caution and care in the handling of patients. Any abuse of patients shall be grounds for default action or termination of the contract.

7.3 Any adverse events incurred during the transport of our patients shall be recorded and reported to the COR and CO within one (1) hour of transport. If the COR is unavailable the contractor shall inform the Chief Cardiology Section and the Medical Care Service Chief. The Contracting Officer shall be contacted immediately.

8.0 INCIDENT REPORTING:

8.1 Contractor shall immediately report all medical incidents or accidents, including those where there is no apparent injury to the patient, which occurs while transporting VA beneficiaries. A written report from the driver documenting the facts of the incident and or accident shall be provided to the Contracting Officer Representative within 24 hours of the occurrence. The written report shall include the names, addresses, and telephone numbers of any witnesses as well as any applicable Police Reports.

8.2 Any accident involving major damage, serious personal injury or loss of life shall be reported to the Contracting Officer Representative and the Contracting Officer immediately. Records shall be kept for three (3) years for each accident a vehicle is involved in, including the repair work required to return the vehicle to service.

9.0 INVOICING PROCEDURES:

The Contractor shall invoice for loaded (patient onboard) services and mileage only. Contractor shall submit an electronic invoice by the tenth day of each month for services that occurred the preceding month. Electronic invoices shall be submitted to the VAFSC (see pg. 4); invoices shall not include patient information. Also, a copy of the invoice along with secondary documentation shall be sent to Beneficiary Travel and must include the following information:

UNDER NO CIRCUMSTANCES ARE VA BENEFICIARIES, THIRD PARTY INSURANCES, MEDICARE OR MEDICAID TO BE BILLED FOR SERVICES PERFORMED UNDER THIS AGREEMENT WHICH ARE AUTHORIZED BY Salem VAMC.

10.0 CONTRACTOR’S QUALITY CONTROL PROGRAM:

Contractor shall establish and maintain a complete Quality Control Program (QCP) to ensure the requirements of this agreement are provided as specified. The QCP shall address processes and procedures to ensure services are performed in accordance with all state and local standards and codes. Contractor’s QCP shall include the following at a minimum:

12.0 THE JOINT COMMISSION (TJC) AND OTHER SPECIAL REQUIREMENTS:

Where the agreement does not require Joint Commission accreditation or other regulatory requirements regarding worker competency, the Contractor must perform the required work in accordance with Joint Commission standards. The Contractor is required to develop and maintain the following for each Contractor employee working on this agreement:

Contractor will provide current copies of these records to the COR at time of agreement award and upon completion of the agreement or upon request, for each Contractor employee working on the contract.

To ensure that the individuals providing services under the agreement have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the Contractor is required to check the Health and Human Services - Office of Inspector General (HHS/OIG), List of Excluded Individuals/Entities on the OIG Website (www.hhs.gov/oig) for each person providing services on this agreement. Further, Contractor is required to certify all persons listed in Contractor’s proposal have been compared to the OIG list and are NOT listed. During performance of the agreement, Contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities.

15.0 SECURITY REQUIREMENTS: Access to work areas and performance monitoring will be accomplished by the COR/designee. Smoking is prohibited anywhere on the property of Salem VAMC. Possession of weapons is prohibited. Enclosed containers shall be subject to search. Violations of VA regulations may result in citation answerable in the U.S. (Federal) District Court, not a local, state, or municipal court.

17.0 SERVICE DELIVERY SUMMARY: Contractor service requirements are summarized into performance standards that relate directly to mission essential items. The maximum deviations briefly describe the acceptable levels of service needed for each requirement; which are critical to mission success. Refer to the Performance Matrix in 23.3d.

18.0 QUALITY ASSURANCE: The Contract Health Care Provider shall be subject to the same quality assurance standards meeting or exceeding current recognized national standards as established by The Joint Commission (TJC). The contractor shall perform services in accordance with established principles and ethics of the nursing profession established by TJC and Veterans Affairs regulations. Contractor shall be technically proficient in the skills necessary to fulfill the Government’s requirements, to include the ability to speak, understand, read, and write English fluently. Contractor shall be responsible for compliance with all applicable VA Medical Center written policies and procedures. The Contractor shall not introduce new procedures or services without prior recommendation to, and approval of, the VA Medical Center or authorized representative and the Contracting Officer’s Technical Representative (COR).

19.0 CONTRACTING OFFICER REPRESENTATIVE (COR):

NAME: TBD

PHONE: (TBD

EMAIL: TBD

20.0 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP):

20.1 This QASP was developed to evaluate Contractor actions while implementing this PWS. It is designed to provide an effective method of monitoring Contractor performance for each listed objective in the PWS. The QASP provides a systematic method to evaluate the services the Contractor is required to furnish.

20.2 This QASP is based on the premise that the Government desires to maintain a quality standard in the operation of the systems to be serviced under this agreement and to provide the service is the best means of achieving that objective. The Contractor, not the Government, is responsible for management and quality control actions to meet the terms of the agreement. The Government’s role is quality assurance to ensure agreement standards are achieved.

Contractor shall have a plan in place for handling patient complaints, including methods for monitoring, correcting, and reporting. Contractor shall report any corrective action taken to the COR within 48 hours of incident. COR will track internal complaints as well as from the Contractor. Contractor shall maintain less than five (5) complaints per quarter.

i. Minor complaints – (i.e., complaints about timeliness, customer service, or vehicle cleanliness. Isolated incidents of minor complaints will be addressed by the COR at the task order level. The COR will be notified of the complaint and the Contractor will work with the COR to ensure the complaint is addressed or resolved.

ii. Minor complaints will be documented if the COR determines there is a pattern of minor complaints or if there is an alarming increase in frequency of minor complaints. If so, the severity level of the complaints would be designated as a major complaint.

iii. Major complaints – (i.e., concerns regarding Contractor’s driving abilities (e.g., driving recklessly or while under the influence), lack of safe vehicle conditions, or emotional or physical abuse by driver/passenger. All of these complaints shall be documented. COR will determine the validity of the complaint, then notify the Contractor. Major complaints left unresolved will be deemed subpar performance and will be sent to the CO.

When performance is deemed unacceptable, the COR will inform the Contractor’s on-site representative, or one of the Contractor’s managers. Disputes should be referred to the COR. The COR will notify the Contracting Officer of subpar performance. If any services do not conform to agreement requirements, the Government may:

i. Require the Contractor to take action necessary to ensure future performance conforms with agreement requirements.

ii. By separate agreement or otherwise, perform the services and charge to the Contractor any cost incurred by the Government that is directly related to the performance of such service 20.3d Performance Matrix - Ambulance Service

END OF PERFORMANCE WORK STATEMENT