S02_ RFQ_ SF1449_ 36C24821Q0804.pdf

PAGE 1 OF 99 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

36C24821Q0804 08-05-2021

Mechelle D. Reaser, Contracting Officer 813-972-2000 Ext. 7541 08-17-2021

3:00PM EDT

36C248

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525

Tampa FL 33637

X 100

X

621111

$12 Million

N/A

X

Department of Veterans Affairs

Orlando VA Medical Center

13800 Veterans Way

Orlando FL 32827

36C248

Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy

Tampa FL 33637

Financial Services Center

P.O. Box 149971

Austin TX 78714-9971

See CONTINUATION Page

The contractor shall provide on-call / call-back

Coverage Interoperative Neuromonitoring Service (IONM) to include an on-site IONM Technologist, and Board-Certified

Neurologist oversight in support of the Department of

Veterans Affairs, Orlando Veterans Affairs Medical Center.

Reference pages six (6) through nine (9) for the Price

Schedule.

Reference pages ten (10) through forty-eight (48) for the

Performance Work Statement.

Contract Base Period of Performance: 09/06/2021 - 09/05/2022

Contract Ultimate Expiration Date: 09/05/2026

See Wage Determination No. 2105-4553, Revision No. 15, Dated

04/23/2021 IAW FAR 52.222-41, Service Contract Act of 1965, is

Applicable to the base year.

Reference https://sam.gov/wage-determination/2015-4553/15

The Wage Determination will be replaced annually.

X X

Mechelle D. Reaser, Contracting Officer https://sam.gov/wage-determination/2015-4553/15

36C24821Q0804

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE SCHEDULE

B.3 PERFORMANCE WORK STATEMENT (PWS)

SECTION C - CONTRACT CLAUSES

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

2018)

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

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (JUN 2016)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

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

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.252-2 COMMERCIAL ADVERTISING (MAY 2018)

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

C.11 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

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

OWNED SMALL BUSINESS SET-ASIDE (JUL 2019) (DEVIATION)

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

COMPLIANCE (JUL 2018)

C.14 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.15 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN

D.2 ORGANIZATIONAL CONFLICT OF INTEREST

D.3 IMMIGRATION CERTIFICATION

D.4 CONTRACTOR RULES OF BEHAVIOR

D.5 PAST PERFORMANCE QUESTIONNAIRE

D.6 WAGE DETERMINATIONS

D.7 LIMITATIONS ON SUBCONTRACTING (LOS)

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020) . 74

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.3 52.216-1 TYPE OF CONTRACT (APR 1984)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.6 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

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: _________________________________________

Title: __________________________________________

Address: __________________________________________

Telephone: __________________________________________

Facsimile: _________________________________________

E-mail: __________________________________________

Federal Taxpayer ID Number __________________________________________

Dun and Bradstreet Number __________________________________________

b. GOVERNMENT: Contracting Officer 36C248

Mechelle D. Reaser

Department of Veterans Affairs

Network Contracting Office (NCO) 8

8875 Hidden River Parkway, Suite 525

Tampa, FL 33637

Phone: 813-972-2000 Ext. 7541

Email: Mechelle.Reaser@va.gov

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] Monthly mailto:Mechelle.Reaser@va.gov

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

P.O. Box 149971

Austin TX 78714-9971

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

AMENDMENT NO DATE

6. CAUTION: Late submission, modification, and withdrawals. See Provision 52.212-1.

Proposal are subject to all terms and conditions of this solicitation.

7. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by information letter (IL) 003A3-12-04. http://www.va.gov/oal/docs/library/ils/il12-04.pdf http://www.va.gov/oal/docs/library/ils/il12-04.pdf

B.2 PRICE SCHEDULE

All interested companies shall provide quotations for the following:

The contractor shall furnish all personnel, equipment, and supplies to provide on-site complete

Intraoperative Neuromonitoring services to include on-call /call-back coverage to eligible beneficiaries of Orlando Veterans Affairs Medical Center (OVAMC), 13800 Veterans Way, Orlando, FL 32827. The contractor’s technician (s) and physician (s) shall cover the range of complete IONM 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 American Association for Neurological Surgeons (AANS) and American

Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET).

1. CONTRACT TYPE: The government intends to award a Fixed Price, Indefinite Delivery

Indefinite Quantity (IDIQ) contract.

2. AUTHORITY: Title 38 United States Code (U.S.C) 8153 Health Care Resources (HCR)

Sharing Authority, FAR Part 12 Acquisition of Commercial Items in conjunction with FAR

Part 13.5 Simplified Acquisition Procedure for Certain Commercial Items.

3. PLACE OF PERFORMACNE: Services shall be provided at the Orlando Veterans Affairs

Medical Center located at 13800 Veterans Way, Orlando, FL 32827.

4. PERIOD OF PERFORMANCE: Base year period and four (4) - one (1) year options.

5. TASK ORDER PROCEDURES: In lieu of issuing an individual task order whenever there is a need for service or a patient is placed, one (1) task order will be issued to fund the base period and will be modified to increase or decrease funding as necessary. The task order will be obligated with a Not to Exceed (NTE) amount and the contractor shall not exceed the estimated quantities or dollar threshold without the expressed or written consent of the contracting officer. Adjustments made without approval will be considered an unauthorized commitment, violation under Federal Acquisition Regulation, FAR 1.602-3. Should the government choose to exercise any option period, an individual task order will be issued for each option period at the time of exercising the option. The task order will contain date of order, order number, line item number, description, estimated quantity, unit price, performance schedule, place of performance, accounting and appropriation data, and method of payment.

6. MINIMUM AND MAXIMUM GUARANTEED: This solicitation includes a guaranteed minimum of $250.00 of services for the base year of the contract. The maximum amount to be ordered for this solicitation for the base and option periods, if exercised by the government is $700,000.00. If the maximum aggregate amount of $700, 000.00 is reached prior to the end date of the final period of performance, no further task order will be issued on the contract.

7. ESTIMATED QUANTITIES: The quantities or dollar threshold listed in the Price Schedule, effective for the periods stated are estimated only, and are not purchased by the resultant contract. Except as this contract may otherwise provide, if the VA’s requirement does not result in orders in the quantities or dollar amount described, that fact shall not constitute the basis for an equitable price adjustment.

8. EVALUATION OF OPTIONS: Except when it is determined in accordance with FAR 17.206

(b) not to be in the government’s best interest, the government will evaluate quotations for award purposes by adding the total price for each option period to the total price for the basic requirement. Evaluation of options will not obligate the government to exercise the options.

9. PRICING: Price schedule for each Line Item Number (LIN) for the base year and each option year includes the following: estimated quantity, unit, proposed unit price, proposed total annual price for each LIN, and the estimated grand total.

PERIOD OF PERFORMANCE (POP): BASE YEAR PERIOD, 09/06/2021 – 09/05/2022

LIN Service

Estimated

Quantity Unit

Proposed

Unit Cost

Proposed

Total Cost

This price schedule is all inclusive of the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight in accordance with (IAW) the Performance Work Statement (PWS).

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon) Rate provided is inclusive of IONM

Services, On-call / call back coverage and represents holidays rate.

POP: Base Year Period

52 CS $ $

*LIN –Line Item Number

*CASE – CS

ESTIMATED BASE YEAR TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD ONE (1), 09/06/2022 – 09/05/2023

LIN Service

Estimated

Quantity Unit

Proposed

Unit Cost

Proposed

Total Cost

This price schedule is all inclusive of the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage

(Sat-Mon)

60 CS $ $

Rate provided is inclusive of / represents holidays rate.

POP: Option Period One (1)

*LIN – Line Item Number

ESTIMATED OPTION YEAR ONE (1) TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD TWO (2), 09/06/2023 – 09/05/2024

Estimated

Quantity Unit

Proposed

Unit Cost the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage

(Sat-Mon)

POP: Option Period Two (2)

68 CS $ $

ESTIMATED OPTION YEAR TWO (2) TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD THREE (3), 09/06/2024 – 09/05/2025

Estimated

Quantity Unit

Proposed

Unit Cost the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage

(Sat-Mon)

POP: Option Period Three (3)

76 CS $ $

*LIN – Line Item Number

ESTIMATED OPTION YEAR THREE (3) TOTAL:

PERIOD OF PERFORMANCE: OPTION PERIOD FOUR (4), 09/06/2025 – 09/05/2026

Estimated

Quantity Unit

Proposed

Unit Cost the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon)

POP: Option Period Four (4)

84 CS $ $

ETIMATED OPTION YEAR FOUR (4) TOTAL: $

ESTIMATED GRAND TOTAL INCLUDING BASE YEAR AND OPTION

YEARS: $_________________________

B.3 PERFORMANCE WORK STATEMENT (PWS)

1. GENERAL

1.1. Services Provided: The contractor shall provide as needed on a case-by-case basis complete IONM services within the operating room of Operative Care Service, Orlando Veterans Affairs Medical Center (hereinafter referred to as OVAMC). The IONM services shall include but not limited to, complex surgical procedures such as: Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology. The contractor shall provide experienced personnel to cover scheduled and emergency cases seven

(7) days a week, 24 hours per day including federal holidays. Required services shall also include complete IONM services for monitoring the spinal cords, nerve functioning during surgeries, certified technician (s), Board Certified / Board Eligible Neurologist oversight, IONM System equipment and common supplies (needle electrodes, probes, ground pad, gel electrodes, cortical screw electrodes) in support of the OVAMC.

1.2. Period of Performance: The anticipated contract period of performance is a base year and four (4) - one (1) year option periods.

1.3. Place of Performance: Contractor shall furnish services at Orlando VAMC located at 13800 Veterans Way, Orlando, FL 32728.

1.4. Authority: Title 38 U.S.C 8153 Health Care Resources (HCR) Sharing Authority, FAR Part 12 Acquisition of Commercial Items in conjunction with FAR Part 13.5 Simplified Acquisition Procedures for Certain Commercial Items.

1.5. Policy/Handbooks:

1.5.1. VA Directive 1663: Health Care Resources Contracting – Buying https://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.5.2. 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=5472

1.5.3. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.va/gov/vhapublications/ViewPublications.asp?pub_ID=5472

1.5.4. VHA Handbook 1100.17: National Practitioner Data Bank Reports -https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.5.5. VHA Handbook 1100.18 Reporting and Responding To State Licensing Boards -https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.5.6. VHA Handbook 1100.19 Credentialing and Privileging -

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

1.5.7. VHA Handbook 1605.01, Privacy and Release of Information:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233

1.5.8. VHA Handbook 1907.01 Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 https://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 https://www.va/gov/vhapublications/ViewPublications.asp?pub_ID=5472 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.5.9. VHA Handbook 1907.01 Health Information Management and Health Records:

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

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

1.5.11. VHA Directive 2006-041 “Veterans Health Care Service Standards’ (expired but still in effect pending revision):

http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.5.12. VHA Directive 2009-038: VHA National Dual Care Policy:

http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058

1.5.13. Health Insurance Portability and Accountability Act of 1996 (HIPPA):

https://www.cms.gov/Regulations-and-Guidance/Administrative- Simplification/HIPAA-ACA

1.5.14. VA Publications: http://vaww.va.gov/vapubs/

1.5.15. VHA Publications: http://vaww.va.gov/vhapublications/

1.6. Definitions/Acronyms: Terms used in this contract shall be interpreted as follows unless the contract expressly requires a different construction and/or interpretation. In case of a conflict in language between the definitions and other sections of this contract, the language in this section shall govern.

1.6.1. AANS: American Association for Neurological Surgeons

http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspxThe

1.6.2. AANS: American Association for Neurological Surgeons

http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspxCo ntracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.6.3. ACLS: Advanced Cardiac Life Support

1.6.4. BLS: Basic Life Support

1.6.5. CO: Contracting Officer

1.6.6. COR: Contracting Officer Representative

1.6.7. CPARS: Contractor Performance Assessment Reporting System

1.6.8. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.1.1. EHR: Electronic Health Record - electronic health record system used by the VA http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058 https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/HIPAA-ACA https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/HIPAA-ACA http://vaww.va.gov/vapubs/ http://vaww.va.gov/vhapublications/ http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx

1.1.2. FIPS: Federal Information Processing Standards

1.1.3. HHS: Department of Health and Human Services

1.1.4. HIPAA: Health Insurance Portability and Accountability Act

1.1.5. HR: Human Resources

1.1.6. ISO: Information Security Officer

1.1.7. Medical Emergency: a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.1.8. National Provider Identifier (NPI): 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).

1.1.9. Non-Contract Provider: any person, organization, agency, or entity that is not directly or indirectly employed by the contractor or any of its subcontractors.

1.1.10. NPPES: National Plan and Provider Enumeration System

1.1.11. POP: Period of Performance

1.1.12. PWS: Performance Work Statement

1.1.13. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

1.1.14. QA/QI: Quality Assurance/Quality Improvement

1.1.15. QM/PI: Quality Management/Performance Improvement

1.1.16. QASP: Quality Assurance Surveillance Plan

1.1.17. RFQ: Request for Quote

1.1.18. Veterans Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

1.1.19. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.1.20. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.1.21. VETPro: a federal web-based credentialing program for healthcare providers.

2. QUALIFICATIONS

2.1. Staff/Facility

2.1.1. The contractor shall provide Intraoperative Neuromonitoring for the OVAMC.

Required services shall be provided by the contractor’s technicians and shall be overseen by the Attending Surgeon. Technician services are provided on-site in the OVAMC operating rooms. The contractor shall have a sufficient number of fully trained technicians and interpreting physicians to ensure that qualified individuals provide services on an as needed basis as specified by OVAMC.

2.1.2. Technical Services: The contractor shall provide the following:

2.1.2.1. Necessary personnel, equipment and all necessary accessories for required surgical procedures in the operating room.

2.1.2.2. The contactor shall perform all aspects of IONM as needed, including but not limited to the following modalities: somatosensory evoked potentials (SSEP), motor evoked potentials (MEP), electromyography (EMG), electroencephalography (EEG), cortical mapping, brain stem recordings.

2.1.2.3. Obtaining consent from patient for IONM services prior to procedure and furnishing copy to the government to include in the patient records.

2.1.2.4. Communicate results of monitoring in real time to operating surgeons, anesthesiologists, and other appropriate members of the surgical team in the operating room.

2.1.2.5. Apply electrodes to the patient as needed for monitoring requested modalities and remove electrodes at the end of the procedures.

2.1.2.6. If applicable, assist the surgical team in explaining IONM to the patient pre-operatively.

2.1.2.7. Participate in OVAMC’s quality assurance program as required.

2.1.2.8. The contractor shall also have physicians available and credentialed through the

VA to be utilized for interpretation of the monitoring results as needed

2.1.3. Each technician shall provide technical services at OVAMC shall be adequately trained to perform the technical services and shall provide the technical services in accordance with the standards of care applicable to such services, including those established by the American Society of Electroneurodiagnostic Technologist

(ASET) and/or the American Society of Neurophysiological (ASNM). The contractor shall provide evidence of Technician’s training and case experience.

OVAMC may request removal from the contract of any Technician at the discretion of OVAMC. If OVAMC makes such a request, it will provide written reasons for its action to the contractor.

2.1.4. Each Physician who provides Interpretation services at OVAMC shall be adequately trained to perform the Interpretation Services and shall provide the Interpretation services in accordance with the standards of care applicable to such services, including those established by the American Society Neurophysiological Monitoring (ASNM). The contractor shall provide evidence of Physician’s training, credentials and case experience. OVAMC may request removal of performance of the resultant contract of any Physician at the discretion of OVAMC. If OVAMC makes such a request, it shall provide written reasons for its action to the contractor.

2.1.5. Scope of Monitoring Service: During the Term of this Agreement, the contractor shall provide monitoring services to OVAMC at the request of the Attending Surgeon or other appropriate members of the OVAMC surgical team. The request shall be pursuant to the written order of the Attending Surgeon at OVAMC. The monitoring services shall include neurophysiologic monitoring of the patient during the surgical procedure (Technical Services) by a qualified technician and Interpretation of the interpretation of the monitoring (Interpretation Services) by certified Neurologist for IONM.

Contractor shall coordinate provision of services with the Attending Surgeon or designee. Contractor is responsible for provision of all supplies in support of the services it provides. Contractor shall complete all administrative tasks and required documentation immediately following procedure.

Complications or incidents incurred during the administration of this contract will be reported within 24 hours of discovery to the Attending Surgeon and the OVAMC Surgery Service COR. The contractor may be required to provide evidence of follow-up through a written report of the incident, describing the event, analysis of cause and effect, and corrective action taken. If such a report is requested by the COR or other OVAMC designee, this will be done within three (3) working days of the verbal report.

2.1.6. License: The Contractor’s 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) when services are performed onsite on VA property.

All license held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s 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 contact.

2.1.7. Board Certification: Contractor’s provider (s) shall be certified/credentialed by ABRET (American Board of Registration of Electroencephalographic and Evoked Potential Technologists) and be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification by ABRET or otherwise must always be kept up to date. Documentation verifying current certification shall be provided by the contractor to the VA COR on an annual basis for each year of contract performance.

2.1.8. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provision of VHA Handbook 1100.19 referenced above. The contractor is responsible to ensure that proposed physician (s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s physician (s) prior to obtaining approval by the OVAMC Professional Standards Board, Medical Executive Board and Medical Center.

The contractor shall maintain employee files on all Technicians and Physicians and will provide copies of specific documentation to OVAMC. OVAMC shall notify the contractor of its requirements, if any, regarding computer access and other VA and OVAMC requirements specific to Technician presence in the operating room and remote access of interpretating Physician.

2.1.8.1. If a Contractor’s physician (s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the contractor shall furnish an acceptable substitute without any additional cost to the to government.

2.1.8.2. Identification Badges: An identification (ID) badge will be issued by the VA to the contract personnel services to OVAMC. The appropriate ID badge shall be worn at all times while on government facility grounds, clearly displayed on the outermost garment.

2.1.9. Technical Proficiency: Contractor’s physician (s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO /COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor’s physician(s) and Contractor’s physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

On-site IONM technician must be certified to provide intra-operative monitoring.

The contractor shall ensure the technicians assigned to perform in operating rooms possess knowledge of the effects of anesthesia and of various artifacts such as electrical interference from operating room equipment, etc. to be able to assess their effects on the data collected during the surgical procedures.

Technicians must have knowledge of potential morbidity caused by the monitoring process itself, quality control systems, performance testing and the calibration of equipment. The contractor provides the equipment necessary to effectively communicate the intra-operative interpretation of data. The technicians will provide recommendations based upon interpretation of monitoring results to the Attending Surgeon and operating room personnel.

Remote IONM certified physicians shall provide recommendations and interpretation of monitoring to the on-site technician. The contractor shall ensure the physicians are certified in IONM and have completed the credentials process through the OVAMC credentialing office. Contractor shall provide the equipment necessary to effectively interpret the intra-operative data communicated from the technician. The physician shall communicate information that needs relayed to the Attending Surgeon through the Technician.

2.1.10. Continuing Medical Education (CME) / Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the OVAMC. Contractor’s physician (s) registered or certified by national /medical associations shall continue to meet the standards for CME to remain current. Contractor shall report CME hours to the credential office for tracking. These documents are required for both privileging and re-privileging.

Failure to provide shall result in loss of privileges for Contractor’s physician (s).

2.1.11. Training (ACLS, BLS, EHR and VA Mandatory): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor physician (s) as required by the VA other training that may be required. VA will communicate any changes to the training requirements to the contractor.

Training Frequency (once a year, etc.) Annual Hours

BLS for Physicians Every Two Years 1.5

VHA Privacy and HIPPA Once a Year .50

Focused Training

VA Privacy and Information Once a Year .50

Awareness and Rules of Behavior

Active Threat Training One Time Only

.50

MIA Fluoroscopy Radiation Once a Year .50

2.1.12. Standard Personnel Testing Purified Protein Derivative (PPD), etc.):

Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and contracting officer. Tests shall be within the past year.

2.1.12.1. Tuberculosis Testing: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician (s). {This is applicable to all health care workers}. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

2.1.12.2. Measles, Mumps, & Rubella Testing: Contractors shall provide proof of immunity for all contractor physicians {This is applicable to all health care workers}.

2.1.12.3. Varicella: Contractors shall provide proof of immunity for all contractor physicians

{This is applicable to all health care workers}.

2.1.12.4. Acellular Pertussis: Contractors shall provide proof of 1 dose of Tetanus- Diphtheria-Pertussis (Tdap) vaccination for all contractor physicians {This is applicable to all health care workers}.

2.1.12.5. Influenza: Contractors shall provide proof that all contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the contractor physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.12.6. Osha Regulation Concerning Occupational Exposure To Bloodborne Pathogens: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician (s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.12.7. The OVAMC shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current Centers for Disease Control and Prevention (CDC) / Healthcare Infection Control Practices and Advisory Committee (HICPAC) Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998;

26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.13. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.14. Conflict of Interest: The contractor and all Contractor’s physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. 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. The contractor shall also 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 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.

2.1.15. Citizenship related Requirements:

2.1.15.1. The contractor certifies that the contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended;

its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf subcontract for the contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.15.2. While performing services for the Department of Veterans Affairs, the contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.15.3. If the contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.15.4. This certification concerns a matter within the jurisdiction of an agency of the

United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.15.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the contractor response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.16. Annual Office of Inspector General (OIG) Statement: In accordance with

HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs.

Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.16.1. Therefore, contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.16.2. By submitting their proposal, the contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the contractors are and/or firm is not listed as of the date the offer/bid was signed.

http://oig.hhs.gov/exclusions/index.asp

2.2. Clinical/Professional Performance: The qualifications of contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19.

Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the contractor and all contractor’s physician(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The contractor shall be liable for, and shall indemnify and hold harmless the government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the contractor, its agents, or employees.

2.5. Prohibition against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s).

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

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

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover contractor or contractor’s physician(s). When a contractor or contractor’s physician(s) has been identified as a provider in a tort claim, the contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a contractor’s (or contractor’s physician(s)) action or non-action shall be the responsibility of the contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. Contracted IONM Technologist (s) shall provide services on-site.

2.9.2. Contracted physician (s) shall provide services remotely or on-site as determined by the requiring service.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled physician is unable to complete an assigned case, the contractor shall provide replacement physician coverage within two (2) hours and notify the Contracting Office Representative (COR) at the OVAMC immediately of the change.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The contractor shall notify the CO, in writing, within 15 calendar day (s) after the occurrence of any of these events and provide the information required below.

After 90 days, the contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.9.4.1. The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.4.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive workdays or more, the contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3. The government reserves the right to refuse acceptance of any contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated government representatives.

Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contractor’s physician (s), s/he may request, without cause, immediate replacement of said contractor’s physician (s). The CO and COR shall deal with issues raised concerning contractor’s physician (s) conduct. The final arbiter on questions of acceptability is the CO.

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

3. VA HOURS OF OPERATION/SCHEDULING

3.1. VA Business Hours: OVAMC business hours are 6:30 a.m. to 4;30 a.m. E.S.T.

Services shall be available from the contractor 24 hours per day, seven (7) days per week, including weekends and federal holidays to accomdate scheduled and emergency procedures . Contractor shall provide coverage for all required shifts, Sunday through Saturday, including federal holidays as outlined in this PWS OR scheduled timeframes by the requiring service.

3.1.1. Patients shall be seen by a contractor’s clinician(s) on-site at OVAMC in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2. Work Hours. Due to the nature of the amount of healthcare coverage needed – the contractor

3.1.2.1. On-call contractor’s physician(s) shall always be available for phone consultations with VA residents and physicians.

3.1.2.2. Patients will be evaluated as medically allowed before surgical procedure in order to assess the optimal neuromonitoring approach.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

▪ New Year’s Day

▪ President’s Day

▪ Martin Luther King’s Birthday

▪ Memorial Day

▪ Juneteenth Holiday

▪ Independence Day

▪ Labor Day

▪ Columbus Day

▪ Veterans Day

▪ Thanksgiving

▪ Christmas

▪ Any day (s)

▪ specifically declared to be a national holiday.

3.3. Cancellations:

3.3.1. Unless a state of emergency has been declared, the contractor shall be responsible for providing services.

4. CONTRACTOR…