36C24822Q1383_1.docx

36C24822Q1383

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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: TIER Evaluation up to small business see block 20

% 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

36C24822Q1383 07-13 -2022 Cyrouse Himid Houshyani, Contracting Officer 813-631-2816 27-

PM EST

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637 X

621399 $8 Million N/A x

36C675 Department of Veterans Affairs Bay Pines VA Healthcare System 10000 Bay Pines Blvd Bay Pines, FL 33744 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637

ORGANIZATIONAL CONFLICTS OF INTERESTbpva

Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714-9971 See CONTINUATION Page The Contractor shall furnish all personnel to provide Therapeutic Medical Physicist Services to eligible beneficiar ies of the Bay Pines VA Healthcare System . Reference pages six (6) through nine (9) for Section B.2, Price Schedule and pages ten

(10) through for Section B.3 Performance Work Stat ement

(PWS).

Period of Performance will be one (1) base year and four (4)

– one (1) year options.

Please direct all questions concerning the Request for Quote

(RF

Q )and related documents to Cyrouse Himid Houshyani,Contract ing Officer, at cyrouse.houshyani@va.gov no later than 2:00 PM EST. on July 19 , 2022.

See CONTINUATION Page X X Cyrouse Himid Houshyani Contracting Officer

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SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

Title:

Address:

Telephone:

Facsimile:

E-mail: Federal Taxpayer Identification Number

Dun and Bradstreet Number

b. GOVERNMENT: Contracting Officer (90C) Contracting Officer 36C248

2. CONTRACTOR REMITTANCE ADDRESS: All payment by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

c. Other [X] Monthly

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. Invoicing shall be in accordance with the requirements of The Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current Invoicing information is located at http://www.fsc.va.gov/einvoice.asp.

Secure Fax - please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included: This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

5. Post Award Orientation: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

6. Mandatory Written Disclosures: Mandatory written disclosures required by FAR clause 52.203-13 to the Department of Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA OIG Hotline at http://www.va.gov/oig/contacts/hotline.asp and clicking on "FAR clause 52.203-13 Reporting." If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instructions.

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

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite Radiation Oncology Therapeutic Medical Physics support services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, Bay Pines VA Healthcare System (hereinafter referred to as BPVAHCS).

All VA Radiation Oncology Services are accredited by American College of Radiology (ACR) and follow the standards & guidelines set forth by ACR. As such any Contractor providing on-site radiation oncology services must adhere to all the American College of Radiology Guidelines & Technical Standards for Radiation Oncology:

http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics Contract Type: Firm Fixed Price Place of Performance: Services shall be provided on site in Radiation Oncology Service, BPVAHCS, 10000 Bay Pines Blvd, Bay Pines, FL 33744.

Pricing Instructions:

The quoter is instructed to edit the number of sub-lins to correspond with the number of key personnel submitted for the line item number (LIN). Commercial health care quoters shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-LINs if adding or removing Key Personnel.

The Contractor shall propose two (2) full-time equivalent (FTE) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: Base Period: 08/23/2022 through 08/22/2023 Option Year 1: 08/23/2023 through 08/22/2024 Option Year 2: 08/23/2024 through 08/22/2025 Option Year 3: 08/23/2025 through 08/22/2026 Option Year 4: 08/23/2026 through 08/22/2027

BASE: 08/23/2022 through 08/22/2023

Annual Cost

KEY PERSONNEL

NAME:

TITLE/LEVEL OF EXPERIENCE:

NAME:

TITLE/LEVEL OF EXPERIENCE:

TOTAL FOR BASE YEAR

Hours

OPTION YEAR 1: 08/23/2023 through 08/22/2024

Annual Cost

KEY PERSONNEL

NAME:

TITLE/LEVEL OF EXPERIENCE:

NAME:

TITLE/LEVEL OF EXPERIENCE:

TOTAL FOR OPTION YEAR ONE (1)

OPTION YEAR 2: 08/23/2024 through 08/22/2025

Annual Cost

KEY PERSONNEL

NAME:

TITLE/LEVEL OF EXPERIENCE:

NAME:

TITLE/LEVEL OF EXPERIENCE:

TOTAL 2001 FOR OPTION YEAR TWO (2)

OPTION YEAR 3: 08/23/2025 through 08/22/2026

Annual Cost

KEY PERSONNEL

NAME:

TITLE/LEVEL OF EXPERIENCE:

NAME:

TITLE/LEVEL OF EXPERIENCE:

TOTAL 3001 FOR OPTION YEAR THREE (3)

OPTION YEAR 4: 08/23/2026 through 08/22/2027

Annual Cost

KEY PERSONNEL

NAME:

TITLE/LEVEL OF EXPERIENCE:

NAME:

TITLE/LEVEL OF EXPERIENCE:

TOTAL 4001 FOR OPTION YEAR FOUR (4)

Total for Base and all Option Periods: $________________________

B.3 PERFORMANCE WORK STATEMENT

ONSITE BOARD-CERTIFIED CHIEF THERAPUTIC MEDICAL PHYSICS (CTMP) AND BOARD-CERTIFIED THERAPUTIC MEDICAL PHYSICS (TMP) SUPPORT SERVICES

1. GENERAL:

SERVICES REQUIRED: The VA Radiation Oncology Services are accredited by ACR and follow the standards & guidelines set forth by American College of Radiology (ACR). As such any Contractor providing on-site radiation oncology services must adhere to all the American College of Radiology Guidelines & Technical Standards for Radiation Oncology: A contractor providing on-site radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the American College of Radiology Guidelines for Radiation Oncology.

http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by- Modality/Medical-Physics

1.1. PLACE OF PERFORMANCE: Services shall be provided onsite at the Radiation Oncology Service, BPVAHCS, 10000 Bay Pines Blvd, Bay Pines, FL 33744.

1.2. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. Procurement authority Federal Acquisition Regulation (FAR) Part 12 Acquisition of Commercial Items and FAR Part 13.5 Simplified Procedures for Certain Commercial Products and Commercial Services.

1.3. Policy/Handbooks:

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

1.3.2. VA Directive 6300: RECORDS MANAGEMENT - https://www.VA DIRECTIVE 6300

1.3.3. VA Handbook 6300.1 Records Management Procedures - https://www..VA Handbook 6300.1

1.3.4. VHA Notice 2018-34 “Rescission of VHA Directive 2006-041 Veterans Health Care Service Standards” https://www.Rescission of VHA Directive 2006-041

1.3.5. VHA Handbook 0710, Personnel Suitability and Security Program - https://www.VHA HANDBOOK 710

1.3.6. VHA Directive 1003.04: VHA Patient Advocacy https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.3.7. VHA Directive 1088: Communicating Test Results to Providers and Patients https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

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

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

1.3.10. VHA Handbook 1100.19 Credentialing and Privileging - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.3.11. VHA Directive 1192 Seasonal Influenza Prevention Program for VHA health Care Personnel.

https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep2017.pdf

1.3.12. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.3.13. VHA Directive 2012-030 Credentialing of Health Care Professionals – https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815

1.3.14. VHA Handbook 1605.1, Privacy and Release of Information - https://www.VHA HANDBOOK 1605.1

1.3.15. VA Handbook 6500.1, Electronic Media Sanitization - https://www.VA HANDBOOK 6500.1

1.3.16. VHA Handbook 6500.6, Contract Security - https://www.VHA HANDBOOK 6500.6

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

1.3.18. VHA Directive 1156 Accreditation of VHA Radiation Oncology Services/Sections: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450

1.3.19. VHA Directive 1414 Stereotactic Body Radiotherapy: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8197

1.3.20. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR Parts 19, 20, 30, 33, 35, and 71 http://www.nrc.gov/reading-rm.html

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

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

1.4. DEFINITIONS/Acronyms:

1.4.3. ABR: American Board of Radiology (http://www.theabr.org)\

1.4.4. ACR: American College of Radiology (www.acr.org)

1.4.5. ACO: Administrative Contracting Officer

1.4.9. BAA: Business Associate Agreement

1.4.10. CAMPEP: Commission on Accreditation of Medical Physics Educational

1.4.11. Programs (http://www.campep.org/default.asp)

1.4.12. CDC: Centers for Disease Control and Prevention (http://www.cdc.gov/)

1.4.13. CEU: Certified Education Unit

1.4.14. CME: Continuing Medical Education

1.4.15. CMS: Centers for Medicare and Medicaid Services (http://www.cms.gov)

1.4.16. CO: Contracting Officer

1.4.17. CON: Contractor: Party that enters into a contract with a Government. Also known as: quoter, Vendor, Company, Therapeutic Medical Physicist throughout this solicitation

1.4.18. COR: Contracting Officer’s Representative

1.4.19. COS: Chief of Staff

1.4.22. EHR: Electronic Health Record - electronic health record system used by the VA

1.4.23. FSMB: Federation of State Medical Boards (http://www.fsmb.org/)

1.4.24. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two (2) weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.4.25. HHS: Department of Health and Human Services (http://www.hhs.gov/)

1.4.28. IGRT: Image Guided Radiation

1.4.30. ISO: Information Security Officer

1.4.31. JC: Joint Commission (http://www.jointcommission.org/)

1.4.35. NROP: National Radiation Oncology Program

1.4.36. NRC: National Radiation Safety Committee

1.4.37. POP: Period of Performance

1.4.38. PPD: Purified Protein Derivative

1.4.39. PWS: Performance Work Statement

1.4.40. QA/QI: Quality Assurance/Quality Improvement

1.4.41. QM/PI: Quality Management/Performance Improvement

1.4.42. QASP: Quality Assurance Surveillance Plan

1.4.43. QMP: Quality Management Program

1.4.44. RPC: Radiological Physics Center

1.4.45. SBRT: Stereotactic Body Radiotherapy

1.4.46. SPE: Senior Procurement Executive

1.4.47. SRS: Stereotactic Radio Surgery: a minimally invasive form of surgical intervention which makes use of a three (3) -dimensional coordinated system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

1.4.48. SRT: Stereotactic Radio Therapy

1.4.49. TJC: The Joint Commission

1.4.50. TLD: Thermoluminescent Dosimeter- a device that measures radiation dose

1.4.51. VA: Department of Veterans Affairs

1.4.52. VAMC: Veterans Affairs Medical Center

1.4.53. VETPro: a federal web-based credentialing program for healthcare providers. (http://www.vacareers.va.gov/job-search/downloads/VetProGuide.pdf)

1.4.54. VHA: Veterans Health Administration

2. QUALIFICATIONS:

2.1. License – All licenses held by the Therapeutic Medical Physicist (TMP) working on this contract shall be full and unrestricted licenses. Each Medical Physicist shall submit evidence of at least one (1) full, active, current and unrestricted licensure, registration, certification, and/or other relevant credentials, for verification prior to appointment and throughout the employment process, as requested by the COR. Therapeutic Medical Physicist is responsible for keeping the VA COR apprised of anything that would adversely affect or otherwise limit their clinical privileges.

2.2. Board Certification - The TMP shall be Board Certified in Medical Physics or Therapeutic Medical Physics by the American Board of Radiology and maintain licensure with the Board of Licensure for Professional Medical Physicists (PMP), if applicable. Approved Certifying Bodies; The American Board of Radiology (ABR) in Therapeutic Medical Physics, Therapeutic Radiologic or Therapeutic Radiological Physics, Radiologic Physics or Radiological Physics, The American Board of Medical Physics (ADMP) in the subfield of Radiation Oncology Physics, and The Canadian College of Physicists in Medicine (CCPM) in the subfield of Radiation Oncology Physics. Certification shall be maintained throughout the contract period of performance. In the event that awardee’s medical physicist(s) is/are not directly employed by the treating facility, documentation shall be provided to ensure adequate certification. All continuing education courses required for maintaining certification shall always be kept up to date. Documentation verifying current certification shall be provided by the Medical Physicists to the VA COR on an annual basis. Other Therapeutic Medical Physicists support shall be board-certified or board eligible.

2.3. Credentialing and Privileging – Credentialing of Health Care Professionals other than physicians. In accordance with VHA Directive 2012-030, all health care professional who claim licensure, certification, or registration, as applicable to the position (this applies to all who are appointed or utilized on a full-time, part-time, intermittent, consultant, without compensation, on-station fee-basis, on-station contract, or on-station sharing agreement basis) and who are not currently credentialed in accordance with VHA Handbook 1100.19, shall be credentialed in accordance with this directive. NOTE: The credentialing requirements are found in Attachment A of this Directive. http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815.

2.3.1. Contractor shall be responsible to ensure that the proposed medical physicist(s) to be performing under the contract possessed the requisite credentials enabling to granting of privileges through VA’s “VetPro”. Credentials and Privileges shall require renewal annually in accordance with VA and TJC requirements. If a medical physicist(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 government.

2.4. Board Certified Chief Therapeutic Medical Physicist–Ph. D Level: Must have at least five (5) years of documented post-board experience after board certification and at least five (5) years of continuous work experience within the last five (5) years to ensure the TMP’s experience is current and relevant. CTMP must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment and software:

2.4.1. Five (5) years of experience – Documentation detailing experience in performing QA procedures.

2.4.2. Five (5) years of experience – Documentation detailing Therapeutic Medical Physics in a healthcare system that is ACR certified.

2.4.3. Five (5) years of experience - Varian Linear Accelerators: IX and Trilogy with Brain Lab Accessories following standards of TG-142

2.4.4. Five (5) years of experience -Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.4.5. Five (5) year of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53)

2.4.6. Five (5) years of experience - IMRT QA: MapCheck I/II (or equivalent.

2.4.7. Five (5) years of experience - Phillips CT Simulator (or equivalent) and following standards of TG-66

2.4.8. Successfully perform one (1) acceptance testing (i.e., work with vendor to ensure proper working condition during installation) on a linear accelerator.

2.4.9. Successfully perform one (1) commission of (i.e., gathered necessary measurements or data) a linear accelerator for a treatment planning system.

2.5. Board Certified Medical Physicist – MS Level: Candidate can either be Master’s Level or PhD. Must be Board Certified with at least three (3) years of continuous working experience within the last five (5) years to ensure TMP’s experience is current and relevant. TMP’s must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment and software:

2.5.1. Five (5) years of experience – Documentation detailing experience in performing QA procedures.

2.5.2. Five (5) years of experience – Documentation detailing Therapeutic Medical Physics in a healthcare system that is ACR certified.

2.5.3. Five (5) years of experience - Varian Linear Accelerators: IX and Trilogy with Brain Lab Accessories following standards of TG-142

2.5.4. Five (5) years of experience - Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.5.5. Five (5) years of experience - eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53)

2.5.6. Five (5) years of experience - IMRT QA: MapCheck I/II (or equivalent)

2.5.7. Five (5) year of experience - Phillips CT Simulator (or equivalent) and following standards of G-66

2.5.8. Technical Proficiency - Medical Physicist(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’s medical physicist(s) shall have knowledge of professional care theories, principles, practices, and procedures to serve radiation oncology patient population. Contractor’s medical physicist(s) shall demonstrate knowledge of growth and development, and pathophysiology of disease processes specific radiation oncology patient population as it pertains to medical physicist(s) scope of work. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract medical physicist(s). All contract medical physicist(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.5.9. CEU Requirements - Therapeutic Medical Physicist(s) shall provide the COR copies of current CEUs as required or requested by the VAMC. Therapeutic Medical Physicist registered or certified by national/medical associations, shall continue to meet the minimum standards for CME to remain current. CEU hours shall be reported to the credential’s office for tracking. These documents are required for both privileging and re privileging. Failure to provide shall result in loss of privileges.

2.6. Training (VA MANDATORY) - Therapeutic Medical Physicist shall meet all VA educational requirements and mandatory course requirements defined herein; All mandatory courses shall be completed by the Therapeutic Medical Physicist as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Radiation Oncology Misadministration Reporting VA-Complete

2.6.1. The contractor shall cover all expenses for conferences and meetings that pertain to the contract Therapeutic medical physicist(s) ongoing continuing education (CE) to ensure that he/she are competent and versed in all current practices in the medical physics field. Such conferences include but are not limited to the American Society of Radiation Oncology (ASTRO) annual meeting and the American Association of Physicists in Medicine (AAPM) annual meeting. The contractor shall be responsible for all expenses, both tuition and travel, for such events. The TMP shall be paid normal work hours for pre-approved attendance.

2.6.2. The travel costs for training and education that pertains directly to ensuring safe operations of the clinic's equipment (i.e. linear accelerators) may be supported by the VA. The contractor shall pay for the contract Therapeutic medical physicist(s) travel to attend such sanctioned trainings and will invoice the VA for the expenses once classes have been established. The cost of the travel will be determined in accordance with Government travel regulations prior to attending training. A modification will be prepared by the VA Contracting Officer prior to attending the training and is not valid until the VA Contracting Officer has signed the modification and the Therapeutic Medical Physicist has received a copy for their records. The education tuition costs will be paid by the VA directly to the training agency.

2.7. Standard Personnel Testing (PPD, etc.) - Contractor shall provide proof of the following tests for TMP (s) 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.

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

2.7.2. RUBELLA TESTING: TMP shall provide proof of immunization for all staff for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor TMP (s) {This is applicable to all health care workers}.

2.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor TMP (s) {This is applicable to all health care workers}.

2.7.5. INFLUENZA: Contractors shall provide proof that all Contractor TMP (s) have received the annual Influenza vaccine unless it is contraindicated. If the Contractor TMP (s) 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}.

2.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: TMP shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s TMP (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.

2.7.7. The BPVAHCS will notify the Therapeutic Medical Physicist of any significant communicable disease exposures as appropriate. Therapeutic Medical Physicist 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.

2.8. CONFLICT OF INTEREST - The Contractor is 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, contract, 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 sub-Contractors 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 - and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.9. Citizenship related Requirements:

2.9.1. 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.

2.9.2. 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.

2.9.3. 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.

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

2.10. 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.

2.10.1. 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 TMP (s) is not listed. Contractor shall 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.

2.10.2. By submitting their quote, the contractor certifies that the OIG List of Excluded Individuals/Entities has been reviewed and that the Therapeutic Medical Physicist and/or firm are not listed as of the date the offer/bid was signed.

2.11. 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 direction of all clinical personnel covered by this contract 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.

2.12. Non-Personal Healthcare Services: The parties agree that The Therapeutic Medical Physicist(s), agents and sub-Contractors shall not be considered VA employees for any purpose.

2.13. Inherent Government Functions: Therapeutic Medical Physicist 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, 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.

2.14. No Employee status: The Therapeutic Medical Physicist shall be responsible for protecting Contract physicist (s) and other contract provider (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:

2.15. Tort Liability: The Federal Tort Claims Act does not cover contractor or contractor’s staff. When a contractor or a member of their staff 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 staff) action or non-action shall be the responsibility of the contractor and/or insurance carrier.

2.16. Key Personnel and Emergency Substitutions:

Contractor shall provide the number of qualified staff as is necessary to perform the services required under this contract, at the staffing level determined to be professionally acceptable by the BPVAHCS Chief of Staff and in accordance with American College of Radiology staffing guidelines.

2.16.1. The VA Full Time Equivalency (FTE): FTE is defined by VA as a minimum of 80 hours every two (2) weeks and does not include holidays.

2.16.2. The minimum number of Board Certified Therapeutic Medical Physicist(s) required to be on site on a daily basis is two (2.0) FTE as defined in paragraph Hours of Operation in this section.

2.16.3. 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 TMP (s) is unable to complete an assigned shift, the contractor shall provide replacement TMP (s) coverage within 2 hours and notify the COR at the BPVAHCS immediately of the schedule change.

2.16.4. Emergency 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 days 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.

2.16.5. 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.

2.16.6. For temporary substitutions where the key person shall not be reporting to work for three (3) 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 (2) weeks will require the procedure as stated above.

2.16.7. 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 contract TMP (s), she/he may request, without cause, immediate replacement of said contract TMP (s).

2.17. The CO and COR will deal with issues raised concerning Contract physicist(s) conduct. The final arbiter on questions of acceptability is the CO.

2.17.1. Instructions - Therapeutic Medical Physicist shall submit a listing of key personnel required to perform services under the contract /schedule in the following format:

1.

PhD/Chief

2.

PhD/MS

Curriculum Vitae of each key personnel shall be submitted with the quote.

2.18. Contingency Plan - Continuity of care is an essential part of VAMC’s medical services, the contractor is to have a contingency plan in place to be utilized if and contractor staff member leaves contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract. A copy of this contingency plan shall be submitted with the quote and updated throughout the period of performance.

2.19. Education:

2.19.1. Highly qualified, preferably CAMPEP Accredited Residency trained. Contractors TMP shall have at least a Master's lever or higher and the Contractors CTMP shall have at least a PhD level medical physicists with ABR board certification in medical physics, with extensive clinical radiation oncology physicist experience. These positions require a mastery of the knowledge of theories, radiation principles, concepts, and methodologies to constantly improve radiation treatment.

2.19.2. Testing, commissioning & acceptance process of new Linear Accelerators, Treatment Planning Systems, CT Simulators and all QA equipment. Demonstrate their experience in participation/leadership in said commissioning processes of a minimum of five (5) different linear accelerators. Have a clear understanding of radiation room shielding requirements, construction & collection of data for input into the treatment planning computer system. Be proficient in all current treatment planning techniques, complex dose computations for two (2-D), three (3-D), IMRT and brachytherapy treatments.

2.19.3. Implementing and maintaining an Intensity-Modulated Radiation Therapy (IMRT), Arc Therapy (Rapid Arc) and Image-Guided Radiotherapy (IGRT) programs as well as all associated quality assurance of said programs.

2.19.4. Implementing and maintaining a Stereotactic Radiotherapy (SRS/SRT) program. Clear understanding of collection of data for input into the treatment planning system. Be proficient in all current SRS/SRT treatment planning and immobilization techniques.

2.19.5. Implementing and maintaining Varian Clinic Linear Accelerator, Eclipse, iPlan and Elements treatment planning systems, Aria and CPRS Record and Verify, and performing Image Fusion using CT, PET and MR images.

2.19.6. Performing Quality Assurance procedures (e.g. TG-142 and TG-40) on radiation oncology treatment machines.

2.19.7. Performing annual calibration (photons and electrons) as per AAPMTG-51 on radiation oncology treatment.

2.19.8. Conducting weekly reviews of Patient treatment records and annual quality assurance (QA) test on linear accelerators and simulators.

2.19.9. Interacting with patients to obtain measurements and…