36C24822Q0181_2.docx

36C24822Q0181

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

36C24822Q0181 11-22-2021 Rosetta Quinn (813)972-2000 x2428 11-26-2021

16:00 PM

EST

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637 X 532120 $41.5 Million N/A X Department of Veterans Affairs Miami VA Healthcare System 1201 NW 16th Street Miami FL 33125 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637

Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714-9971 See CONTINUATION Page The Contractor shall provide a 3T mobile Magnetic Resonance Imaging (MRI) services by providing a Mobile MRI trailer along with a Board-Certified MRI Technologist (s), and a Technician Assistant as required in the Performance Work Statement (PWS) herein. The Period of Performance will be for one (1) base year with four (4) – one (1) year options.

This requirement is set aside for SDVOSBs as verified in www.vetbiz.gov. Those not verified at the due date will not be considered.

Contract Period of Performance: 12-15-2021 - 12-14-2026.

$0.00 See CONTINUATION Page X X Cyrouse Houshyani Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer Rosetta Quinn Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Hidden River Pkwy Suite 525 Tampa FL 33637

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.

Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714-9971

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

B.2 PRICE SCHEDULE

The e Contractor shall provide a 3T Mobile Magnetic Resonance Imaging (MRI) Trailer, along with a Board-Certified MRI Technologists, and a Tech. Assistant on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Bruce W. Carter, Veterans Affairs Healthcare System (hereinafter Miami VAMC).

1. PRICE SCHEDULE OF SERVICES: The contract pricing for 3T Mobile Magnetic Resonance Imaging (MRI) Trailer, along with a Board-Certified MRI Technologists, and a Tech. Assistant is inclusive of all resources and personnel needed to provide the services as outlined in the Performance Work Statement (PWS),

2. CONTRACT TYPE: Firm Fixed Price

3. PLACE OF PERFORMANCE: Services shall be provided on site at William “Bill” Kling VA Clinic 9800 W. Commercial Blvd, Sunrise Fl 33351

4. PRICING INSTRUCTIONS: Contractor must fill out the cells in the following columns in the Price Schedule for each Line-Item Number (LIN): Unit Price, Total Price for the Base Year, each Option Year, and Grand Total Price for the Base Year and each Option Year for pricing and evaluation purposes. Throughout the life of the contract the VA will pay the awarded firm fixed rate. The Contractor shall complete the price schedule below for the performance locations needed. No LINS should be left blank.

LINE

ITEM NUMBER

3T Mobile Magnetic Resonance Imaging (MRI) Trailer with Board Certified MRI Technologists, and a Tech. Assistant.

Contract Period: Base POP Begin: 12-15-2021 POP End: 12-14-2022

3T Mobile Magnetic Resonance Imaging (MRI) Trailer with Board Certified MRI Technologists, and a Tech. Assistant.

Contract Period: Base POP Begin: 12-15-2022 POP End: 12-14-2023

3T Mobile Magnetic Resonance Imaging (MRI) Trailer with Board Certified MRI Technologists, and a Tech. Assistant.

Contract Period: Base POP Begin:12-15-2023 POP End: 12-14-2024

3T Mobile Magnetic Resonance Imaging (MRI) Trailer with Board Certified MRI Technologists, and a Tech. Assistant.

Contract Period: Base POP Begin: 12-15-2024 POP End: 12-14-2025

3T Mobile Magnetic Resonance Imaging (MRI) Trailer with Board Certified MRI Technologists, and a Tech. Assistant.

Contract Period: Base POP Begin: 12-15-2025 POP End: 12-14-2026

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide a 3T Mobile Magnetic Resonance Imaging (MRI) Trailer, along with a Board-Certified MRI Technologists, and a Tech. Assistant on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Bruce W. Carter, Veterans Affairs Healthcare System (hereinafter Miami VAMC).

1.2. Place of Performance - Contractor shall furnish services at the William “Bill” Kling VA Clinic 9800 W. Commercial Blvd, Sunrise Fl 33351

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. Federal Acquisition Regulation (FAR) Part 12 Acquisition of Commercial Items and FAR 13 Simplified Acquisition Procedures.

1.4. Policy/Handbooks:

1.4.1. VA Directive 1663: Published 5/10/2018 https://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.2. 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=1443

1.4.3. VHA Directive 2010-018 “Facility Infrastructure”

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227

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

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

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

1.4.7. VHA Handbook 1400.01 Resident Supervision https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2847

1.4.8. VHA Handbook 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.9. 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. Definitions/Acronyms- Terms used in this contract shall be interpreted as follows unless the context 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.

1.5.1. ACLS: Advanced Cardiac Life Support

1.5.2. ARRT: American Registry for Radiologic Technologist

1.5.3. BLS: Basic Life Support

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CMS: Centers for Medicare and Medicaid Services

1.5.6. Contracting Officer (CO) – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.7. Contracting 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.

1.5.8. COS: Chief of Staff

1.5.9. CPRS: Computerized Patient Recordkeeping System-electronic health record system used by the VA.

1.5.10. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.5.11. HHS: Department of Health and Human Services

1.5.12. HIPAA: Health Insurance Portability and Accountability Act

1.5.13. ISO: Information Security Officer

1.5.14. 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.

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

1.5.16. PA: Technician Assistant

1.5.17. POP: Period of Performance

1.5.18. PPD: Purified Protein Derivative

1.5.19. PWS: Performance Work Statement

1.5.20. QA/QI: Quality Assurance/Quality Improvement

1.5.21. QM/PI: Quality Management/Performance Improvement

1.5.22. QASP: Quality Assurance Surveillance Plan

1.5.23. 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.

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

1.5.25. 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.

1.5.26. VetPro: a federal web-based credentialing program for healthcare providers.

1.5.27. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Miami VAMC.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. Board Certification: All Contractor’s MRI Technologists shall be Board Certified by the American Registry of Radiologic Technologists Home - ARRT and be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.2. Technical Proficiency: Contractor’s MRI Technologists 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 MRI Technologists. Contractor’s MRI Technologists shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.3. Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contractor’s MRI Technologists as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

2.1.4. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for technicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.4.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s technician (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.

2.1.4.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor technicians {This is applicable to all health care workers}.

2.1.4.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor technicians {This is applicable to all health care workers}.

2.1.4.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor technicians {This is applicable to all health care workers}.

2.1.4.5. INFLUENZA: Contractors shall provide proof that all Contractor technicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor technician 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}.

2.1.4.6. 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 technician (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.

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

2.1.5. Conflict of Interest: The Contractor and all Contractor’s MRI Technologists are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, 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.

2.1.6. Citizenship related Requirements:

2.1.6.1. 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 subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals.

2.1.6.2. 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.

2.1.6.3. 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.

2.1.6.4. 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. (https://www.gpo.gov/fdsys/pkg/USCODE-2011-title18/pdf/USCODE-2011-title18-partI-chap47-sec1001.pdf.)

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

2.1.7. 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.

2.1.7.1. 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 MRI Technologists 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.

2.1.7.2. By submitting their quote, 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.

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 will be provided by the Miami 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 MRI Technologists 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 personnel.

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

2.6. Inherent Government Functions: Contractor and Contractor’s MRI Technologists 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 contract 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 MRI Technologists 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 MRI Technologists. When a Contractor or Contractor’s MRI Technologists 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 MRI Technologists) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The Contractor shall provide two (2) personnel at all times; a Boarded-Certified MRI Technologist, and the other is an Assistant of which both are certified in Basic Life Support (BLS). The contractor must show the ability to provide backup personnel one (1) Board-Certified MRI Technologists and one (1) Assistant in the event of staff absence.

2.9.2. 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 Technician is unable to complete an assigned shift, the contractor shall provide replacement technician coverage within two (2) hours and notify the Contracting Officer Representative (COR) at the Miami VAMC immediately of the schedule change.

2.9.3. 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.

2.9.3.1. 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.

2.9.3.2. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days 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.

2.9.3.3. 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 MRI Technologists, s/he may request, without cause, immediate replacement of said Contractor’s MRI Technologists. The CO and COR shall deal with issues raised concerning Contractor’s MRI Technologists conduct. The final arbiter on questions of acceptability is the CO.

2.9.3.4. Contingency Plan: Continuity of care and uninterrupted operations are essential components of this contract and shall be primary factors in Contractor’s assignment of personnel and frequency of substitutions. The Contractor shall have a contingency plan in place to be utilized if the Contractor’s MRI Technologists 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: The Miami VAMC is open 365 days a year, 24 hours a day.

3.1.1. Shift Work Hours: Monday – Friday for eight (8) hours during the hours of 7:30 AM to 4:00 PM (NO on-call coverage required; but may be revised, as deemed appropriate for patient care by the Chief of Operative Care and the Chief of Staff.

3.1.2. Off-hours Coverage: N/A

Night Call – N/A Weekend Call – N/A

3.1.2.1. N/A

3.1.2.2. N/A

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

3.2.1. New Year’s Day

3.2.2. President’s Day

3.2.3. Martin Luther King’s Birthday

3.2.4. Memorial Day

3.2.5. Independence Day

3.2.6. Labor Day

3.2.7. Columbus Day

3.2.8. Veterans Day

3.2.9. Thanksgiving

3.2.10. Christmas

3.2.11. Any day 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 RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide Contractor’s MRI Technologists who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contractor’s MRI Technologists shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices. Signing Sheet will be located outside of room B613.

4.2. Standards of Care: The Contractor’s MRI Technologists care shall cover the range of MRI 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 by ARRT, TJC, VA and national standards as established by:

4.2.1. ARRT Guidelines: Verify Credentials - ARRT

4.2.2. VA Standards: VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

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

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

4.2.5. The requirements contained in this PWS

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contractor’s MRI Technologists providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.3.3. Disclosure: Contractor’s MRI Technologists may have access to patient medical records: however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.3.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAMC.

4.3.5. Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual’s Records, to process “Release of Information Requests.” In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility. The VA’s Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient’s consent form. Completed Release of Information requests will be forwarded to the VA Privacy Officer at the following address:

Michael Raigoso 1201 NW 16th street Suite#2 E104-B Miami, FL 33125

4.4. Direct Patient Care: estimated 94% of the time involved in direct patient care.

4.4.1. Per the qualification section of this PWS, the Contractor shall provide the following staff:

4.4.1.1. Board Certified MRI Technologists

4.4.2. Contractor’s MRI Technologists shall be responsible for the following:

4.4.2.1. Contractor’s MRI Technologists shall independently perform standard MRI examinations. Evaluate the nature of critical and emergency procedures, and rearranges patients scheduled to accommodate emergent procedures. Maintains records and image files of patients examined. Cross-indexes interesting cases for teaching purposes.

4.4.2.2. Perform a broad range of MRI procedures including all testing and tasks of the MRI Technologist occupation to include, but are not limited to the following core competencies, skills and procedures:

4.4.2.3. Perform studies of all body parts but not limited to head, neck, chest, abdomen, upper and lower extremities, Spine, Prostate scans, liver, gallbladder, pelvis, spleen, pancreas, abdominal aorta.

4.4.2.4. Perform MRI examinations of different body organs.

4.4.2.5. Perform MRI studies of the extremities upper and lower.

4.4.2.6. Independently perform abdominal, visceral and peripheral MRI scans; scrotal and thyroid MRI. It is essential that these scans be of the highest diagnostic quality for the anatomical part or blood vessel being imaged, for the use and interpretation by the radiology medical staff.

4.4.2.7. Perform studies of the kidneys, adrenal glands, nodes and urinary bladder using real time techniques to perform examinations for detection of renal cysts and tumors, adrenal masses, lymph node enlargement, retro peritoneal hematomas, abscesses and abnormalities of the urinary bladder.

4.4.2.8. Independently perform diagnostic MRI examinations and is responsible for following established standard MRI examination routines and complete worksheets.

4.4.2.9. Confer with MRI staff to establish nonstandard examinations to determine technical factors, positioning etc. to satisfy requirements in non-standard examinations.

4.4.2.10. Enter specific patient data into a computer via the digital keyboard and retrieves patient information from the computer to complete the statistical input. This requires registering the patient and editing examinations in the hospital computer system, technically dispositioning the procedure and transferring MRI images to the correct procedure file.

4.4.2.11. Maintain required supplies in the work area in a neat and orderly manner. Assures that sterile supplies, contrast material, catheters and other required supplies are adequate and in date.

4.4.2.12. Prior Monitors MRI equipment for proper operation, makes minor adjustments and reports malfunctions to supervisor and/or Biomedical Engineer.

4.4.2.13. Maintain competency level to perform the requirements of this position and to keep abreast of new developments in the health care field. This is acquired through on the job experience, educational courses, tapes and literature.

4.4.2.14. Perform routine informatics tasks using PACs, CPRS, VISTA and imaging systems work lists for the purpose of maintaining accurate MRI records so that easy recall of patient examinations may be achieved, and scheduling and archival of imaging procedures accomplished.

4.4.2.15. Operate and maintain MRI machines, and other monitoring devices that are available for these procedures.

4.4.2.16. Communicate effectively and courteously while working as a healthcare team member. Provide excellent service as defined by the customer (healthcare providers, patients, and others). Give direction and guidance using underlying principles of MRI testing.

4.4.2.17. Evaluate the nature of critical and emergency procedures and rearrange patient schedules to accommodate such studies.

4.4.2.18. Perform other duties as assigned.

4.4.3. ADMINISTRATIVE: estimated 6% of time not involved in direct patient care.

4.4.4. Contractor’s MRI Technologists shall be responsible for the following:

4.4.4.1. Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the MRI Technologists as required by the VA.

4.4.4.2. Patient safety incidents shall be reported within 24 hours using Patient Safety Report. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested.

4.4.5. Patient Safety Compliance and Reporting: Contractor’s MRI Technologists shall follow all established patient safety and infection control standards of care. Contractor’s MRI Technologists shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, and other breeches of patient safety shall be reported to the COR VA Safety Policy. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested.

4.5. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI)

4.5.1. Quality Management/Quality Assurance Surveillance: Contractor’s MRI Technologists shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records. Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.

4.5.2. Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. In the event that The Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

4.5.3. 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. The CO and COR shall deal with issues raised concerning Contractor’s conduct. The final arbiter on questions of acceptability is the CO.

4.5.4. Performance Standards:

4.5.4.1. Measure: Documentation

Performance Requirement: Contractor’s MRI Technologists shall complete all required notes for every study in the computerized medical record as required by Medical Center Policy and JC policies & procedures.

Standard: 100% Acceptable Quality Level: 95% No deviations accepted.

Surveillance Method: Monthly Inspection of records.

Frequency: Monthly

4.5.4.2. Measure: Outpatient Care Documentation

Performance Requirement: Contractor’s MRI Technologists shall conduct studies on outpatients as requested by physicians, transfer images (PACS), close out case (VISTA) and notify Physician via phone or through the Computerized Patient Record System (CPRS).

Standard: 100%.

Acceptable Quality Level: 95% No deviations accepted.

Surveillance Method: Random Inspection of records.

Frequency: Monthly

4.5.4.3. Measure: Clinic Consults and Documentation

Performance Requirement: Scheduled outpatient (consults/orders) to be scanned by Contractor’s MRI Technologists daily. All scheduled scans (except for no-shows/patient emergency) shall be completed within 24 hours of the end of procedure.

Standard: 100% Acceptable Quality Level: 95%.

Surveillance Method: Monthly Inspection of records.

Frequency: Monthly.

4.5.4.4. Measure: Patient Access

Performance Requirement: Contractor’s MRI Technologists shall be available and in location as needed to properly perform tasks as specified.

Standard: All (100%) Contractor’s MRI Technologists are on time and available to perform services.

Acceptable Quality Level: 100% Contractor’s MRI Technologists perform within their scope of practice/privileges 100% of the time.

Surveillance Method: Periodic Sampling of Time and Attendance Sheets.

Frequency: Monthly.

4.5.4.5. Measure: Patient Safety

Performance Requirement: Patient safety incidents shall be reported using Patient Safety Report. All incidents reported immediately (within 24 hours). Sustained patient complaints no more than two (2) per year per provider Standard: All (100%) of patient safety incidents are reported using Patient Safety Report within 24 hours of incident.

Acceptable Quality Level: 100% of patient safety incidents are reported using Patient Safety Report within 24 hours of incident.

Surveillance Method: Direct Observation Frequency: Quarterly

4.5.4.6. Measure: Maintains certification.

Performance Requirement: Updated certification shall be provided as they are renewed. Licensing and registration information kept current.

Standard: All (100%) licensing, registration(s) and certification(s) for Contractor’s MRI Technologists shall be provided as they are renewed. Licenses and registration information shall be kept current.

Acceptable Quality Level: 100% licenses, registration(s) and certification(s) for Contractor’s MRI Technologists shall be provided as they are renewed. Licenses and registration information shall be kept current.

Surveillance Method: Periodic Sampling and Random Sampling Frequency: Quarterly

4.5.4.7. Measure: Mandatory Training

Performance Requirement: Contractor shall complete all required training per VAMC policy. Contractor is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA and complies with all standards Zero (0) breaches of privacy or confidentiality.

Standard: All (100%) of required training is complete on time by Contractor’s MRI Technologists.

Acceptable Quality Level: 100% completions.

Surveillance Method: Contractor shall provide evidence of annual training required by VAMC, reports violations per VA Directive 6500.6.

Frequency: Quarterly

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

5. GOVERNMENT RESPONSIBILITIES

5.1. VA Support Personnel, Services or Equipment:

5.2. Contract Administration/Performance Monitoring: After award of the contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to:

5.2.1. CO Responsibilities:

Cyrouse Houshyani

5.2.2. The CO is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the CO on all matters pertaining to contract administration. Only the CO is authorized to make commitments or issue any modification to include (but not limited to) terms affecting price, quantity or quality of performance of this contract.

5.2.3. The CO will resolve complaints concerning Contractor’s provider relations with the Government employees or patients. The CO is final authority on validating complaints. In the event the Contractor effects any such change at the direction of any person other than the CO without authority, no adjustment will be made in the contract price to cover an increase in costs incurred as a result thereof.

5.2.4. In the event that contracted services do not meet quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for the contract staff to be provided by the VA; replacement of the…