Solicitation 36C24823R0205 -Bay Pines Home Oxygen - revised.pdf

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. UEI: EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24823R0205

Melva Stennis 813-893-7784 09-29-2023

15:00 EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

X 100

X

621610

$19 Million

N/A

X

Department of Veterans Affairs C.W. Bill Young VAMC 10000 Bay Pines Boulevard

Bay Pines FL 33744-8200

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page

Home Oxygen Services for VA Beneficiaries serviced by the C.W. Young Veterans Affairs Medical Center, Bay Pines, Florida in accordance with the Statement of Work

(SOW).

It is anticipated the government will award a single firm.

fixed price Requirements Contract

The contract will be for base plus four option years.

See CONTINUATION Page

X X

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 52.223-99 ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL

CONTRACTORS (OCT 2021) (DEVIATION)

B.4 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

B.5 52.233-3 PROTEST AFTER AWARD (AUG 1996)

B.6 52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-21 REQUIREMENTS (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.7 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

C.8 52.233-3 PROTEST AFTER AWARD (AUG 1996)

C.9 52.233-4 APPLICABLE LAW FOR BREACH OF CONTRACT CLAIM (OCT 2004)

C.10 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.7 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.8 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.11 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-

DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

C.12 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.13 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.16 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.17 VAAR 852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS (FEB 2023)

C.18 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.19 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JUN 2023)

C.20 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

BUSINESS ASSOCIATE AGREEMENT BETWEEN THE DEPARTMENT OF VETERANS

AFFAIRS VETERANS HEALTH ADMINISTRATION, , AND

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

E.9 52.233-2 SERVICE OF PROTEST (SEP 2006)

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 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525

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] On Government Receipt and Acceptance

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.

Vendor Electronic Invoice Submission Method

VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website:

http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge. The Department of Veterans Affairs TN Number is: AAA544240062.

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.

Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below.

A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org)

Vendor e-invoice Set-Up Information:

Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below.

1. Tungsten e-Invoice Setup Information: 1-877-489-6135

2. Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

3. FSC e-Invoice Contact Information: 1-877-353-9791

4. FSC e-invoice email: vafsccshd@va.gov See https://www.fsc.va.gov/einvoice.asp for more information.

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

This is a Requirements fixed-price contract. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government.

The maximum contract value – including base period and any option periods – will be $15 million.

The contractor agrees to provide Home Oxygen services in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Supplies/Services. Proposed Contractor shall have a service office and warehouse within one (1) hours of the Bay Pines VA Healthcare System (10000 Bay Pines Blvd., Bay Pines, FL). The Parent Facility for this Home Oxygen contact is the Bay Pines VA Medical Center, 10000 Bay Pines Boulevard, Bay Pines, FL. Payment for home oxygen services shall be based monthly in arrears.

A task order shall be issued at the start of each performance period and orders will be placed by Prosthetic Representatives.

ESTIMATED QUANTITIES: The quantities listed in the Price Schedule below are annual estimates only and are not to be considered a minimum or maximum. The Government is not obligated to purchase any specified amount of services under this contract, but will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contract.

ORDERING PROCEDURES: Orders will be placed by Veteran’s Affairs Prosthetic or Respiratory personnel via email, facsimile, or another electronic format. Each individual order will describe the deliverables required as well as the inclusive tasks and services.

The Contractor shall confirm receipt of VAHCS prescriptions for requests for services via email in password protected Excel report or via secure fax within two (2) working hours. The information shall include patient last, first name, last 4 SSN and type of request (new setup, renewal and/or cancellation).

AUTHORIZED USERS

Individual orders for Home Oxygen services may be authorized by phone/fax by the following:

Home Oxygen Coordinator

1. Chief, PSAS

2. PSAS Staff Representatives

3. Clinical Program Leader Cardio-Pulmonary Services.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

400.00 EA __________________ __________________

Initial set-ups of equipment that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies Contract Period: Base Year POP Begin:

POP End:

PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - General Health Care

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Base Year POP Begin:

POP End:

300.00 EA __________________ __________________

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Base Year POP Begin:

POP End:

20,001.00 EA __________________ __________________

Portable System Rental for patients’ home Contract Period: Base Year POP Begin:

POP End:

1,200.00 EA __________________ __________________

Cylinder, Aluminum, E-tank, Refill

Contract Period: Base Year POP Begin:

POP End:

Cylinder, Aluminum, D-tank, Refill

Contract Period: Base Year POP Begin:

POP End:

Cylinder, Aluminum, C-tank, Refill

Contract Period: Base Year POP Begin:

POP End:

600.00 EA __________________ __________________

Cylinder, Aluminum, M-6, Refill

Contract Period: Base Year POP Begin:

POP End:

Cylinder, Aluminum, H or K-tank Refill

Contract Period: Base Year POP Begin:

POP End:

1,176.00 EA __________________ __________________

Cylinder, Aluminum, B or BB-tank Refill

Contract Period: Base Year POP Begin:

POP End:

2,500.00 EA __________________ __________________

Cylinder, Aluminum, B or BB-tank Refill

Contract Period: Base Year POP Begin:

POP End:

20,450.00 EA __________________ __________________

Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e., concentrator, portables (# of portables) Contract Period: Base Year POP Begin:

POP End:

3,003.00 EA __________________ __________________

Pneumatic Demand/Conserving Regulators

Contract Period: Base Year POP Begin:

POP End:

Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Contract Period: Base Year POP Begin:

POP End:

250.00 EA __________________ __________________

Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Base Year POP Begin:

Portable Concentrator w/two batteries. For travel not to exceed 30 days.

Contract Period: Base Year POP Begin:

POP End:

50,000.00 EA __________________ __________________

5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

Contract Period: Base Year POP Begin:

POP End:

30,000.00 EA __________________ __________________

14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

Contract Period: Base Year POP Begin:

POP End:

35,000.00 EA __________________ __________________

50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

Contract Period: Base POP Begin:

POP End:

550.00 EA __________________ __________________

Rental liquid oxygen system (90 – 100 lbs.) stationary reservoir per beneficiary

Contract Period: Base Year POP Begin:

POP End:

Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag Contract Period: Base Year POP Begin:

POP End:

400,000.00 LB __________________ __________________

Liquid oxygen per pound Contract Period: Base Year POP Begin:

POP End:

High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Base POP Begin:

POP End:

1,440.00 EA __________________ __________________

Heated humidifier to be used in conjunction with volume ventilator

Contract Period: Base Year POP Begin:

POP End:

72.00 EA __________________ __________________

Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Base POP Begin:

POP End:

200.00 EA __________________ __________________

Emergency service to check out situations other than equipment failures

Contract Period: Base Year POP Begin:

POP End:

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

Contract Period: Base Year POP Begin:

POP End:

350.00 EA __________________ __________________

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed Contract Period: Base Year POP Begin:

POP End:

that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies Contract Period: Option Year 1 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 1 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 1 POP Begin:

POP End:

18,192.00 EA __________________ __________________

patients’ home Contract Period: Option Year1

Cylinder, Aluminum, E-tank, Rental

Contract Period: Option Year 1 POP Begin:

POP End:

Cylinder, Aluminum, D-tank, Rental

Contract Period: Option Year 1

POP Begin:

POP End:

Cylinder, Aluminum, C-tank, Rental

Contract Period: Option Year 1

Cylinder, Aluminum, M-6, Rental

Contract Period: Option Year1 POP Begin:

POP End:

Cylinder, Aluminum, H or K-tank Rental

Contract Period: Option Year 1 POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

Contract Period: Option Year 1 POP Begin:

POP End:

Contract Period: Option Year1 POP Begin:

POP End:

concentrator, portables (# of portables) Contract Period: Option Year 1 POP Begin:

POP End:

2,292.00 EA __________________ __________________

Contract Period: Option Year 1 POP Begin:

POP End:

regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Contract Period: Option Year1 POP Begin:

POP End:

disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 1 POP Begin:

POP End:

Contract Period: Option 1

50,000.00 EA __________________ __________________

Contract Period: Option Year 1 POP Begin:

POP End:

30,000.00 EA __________________ __________________

Contract Period: Option Year 1 POP Begin:

POP End:

35,000.00 EA __________________ __________________

Contract Period: Option Year 1 POP Begin:

POP End:

Contract Period: Option Year 1 POP Begin:

POP End:

carrying bag Contract Period: Option Year 1 POP Begin:

POP End:

Contract Period: Option Year 1 POP Begin:

POP End:

rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 1 POP Begin:

POP End:

Contract Period: Option Year 1 POP Begin:

POP End:

temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 1 POP Begin:

POP End:

Contract Period: Option Year1 POP Begin:

POP End:

beneficiary’s residence.

Contract Period: Option Year 1 POP Begin:

appropriately prescribed Contract Period: Option Year 1 POP Begin:

POP End:

that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies Contract Period: Option Year 2 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 2 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 2 POP Begin:

POP End:

18,269.00 EA __________________ __________________

patients’ home Contract Period: Option Year 2 POP Begin:

POP End:

1,270.00 EA __________________ __________________

Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

3,000.00 EA __________________ __________________

Contract Period: Option Year 2 POP Begin:

20,445.00 EA __________________ __________________

concentrator, portables (# of portables) Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option 2 POP Begin:

POP End:

regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Contract Period: Option Year 2 POP Begin:

POP End:

disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

73,000.00 EA __________________ __________________

Contract Period: Option Year 2 POP Begin:

POP End:

36,885.00 EA __________________ __________________

Contract Period: Option Year 2 POP Begin:

POP End:

41,885.00 EA __________________ __________________

Contract Period: Option 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

carrying bag Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 2 POP Begin:

POP End:

Contract Period: Option Year 2 POP Begin:

POP End:

beneficiary’s residence.

Contract Period: Option Year 2 POP Begin:

POP End:

appropriately prescribed Contract Period: Option Year 2 POP Begin:

POP End:

that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies Contract Period: Option Year 3 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 3 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option 3 POP Begin:

POP End:

24,912.00 EA __________________ __________________

patients’ home Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

Contract Period: Option 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

concentrator, portables (# of portables) Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option 3 POP Begin:

POP End:

regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Contract Period: Option Year 3 POP Begin:

POP End:

disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3

36,800.00 EA __________________ __________________

Contract Period: Option Year 3 POP Begin:

POP End:

41,800.00 EA __________________ __________________

Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

carrying bag Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option 3 POP Begin:

POP End:

Contract Period: Option Year 3 POP Begin:

POP End:

temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 3 POP Begin:

POP End:

Contract Period: Option 3 POP Begin:

POP End:

beneficiary’s residence.

Contract Period: Option Year 3 POP Begin:

POP End:

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed Contract Period: Option Year 3 POP Begin:

POP End:

that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies Contract Period: Option Year 4 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 4 POP Begin:

POP End:

cannula or mask and humidifier when specified.

Contract Period: Option Year 4 POP Begin:

POP End:

16,435.00 EA __________________ __________________

patients’ home Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

Contract Period: Option 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

concentrator, portables (# of portables) Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

Contract Period: Option Year 4 POP Begin:

POP End:

disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4

36,800.00 EA __________________ __________________

Contract Period: Option Year 4 POP Begin:

POP End:

41,800.00 EA __________________ __________________

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option 4 POP Begin:

POP End:

carrying bag Contract Period: Option Year 4 POP Begin:

POP End:

300,000.00 LB __________________ __________________

Contract Period: Option Year 4 POP Begin:

POP End:

rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

Contract Period: Option Year 4 POP Begin:

POP End:

Contract Period: Option Year 4 POP Begin:

POP End:

1,080.00 EA __________________ __________________

Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed Contract Period: Option Year 4 POP Begin:

POP End:

appropriately prescribed Contract Period: Option Year 4

GRAND TOTAL __________________

DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

Scope of Services:

This solicitation calls for the provision of Home Oxygen services and supplies for beneficiaries of the Bay Pines VA Healthcare System, FL. Contracted services are to be extended to patients managed in their home environment and may extend to veteran patients in a twelve-county service area of the Bay Pines VA Healthcare System (see Geographic area of coverage). Quantities listed are estimates only.

The Bay Pines VA Healthcare System currently supplies an estimated 1000 oxygen using patients on a monthly basis. The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA either minimum or maximum. The contract shall be for the actual requirements of the VA as ordered by the VA during the life of the contract. The Contracting Officers Representative (COR) or designee will provide the contractor with notification to initiate individual beneficiary service requirements via fax or encrypted electronic means (telephone for emergencies), including the beneficiary’s oxygen prescription, equipment, supplies and services to be provided including date and place of delivery, the contractor will confirm receipt of the request within two working hours of notification via fax or encrypted electronic means (telephone for emergencies); the COR or designee will also provide notification of VA initiated discontinuance of service. The notification may be made orally but will be confirmed in writing within three (3) working days.

Geographic Area of Coverage:

The contractor is responsible for deliveries to VA beneficiaries in the following Florida counties:

Charlotte, Collier, DeSoto, Hardee, Highlands, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk, and Sarasota.

MONTHLY AVERAGE 1000 Beneficiaries

Distribution of patients on Bay Pines Home Oxygen Program will vary from month to month as patients are added or deleted from Program.

Health Insurance Portability and Accounting Act (HIPAA)

Standards to Protect the Privacy and Security of Protected Health Information (PHI) as required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). The Contractor will be required to adhere to these Standards.

Accreditation

The VA in its on-going effort to ensure all Veterans are provided the highest quality care requires each VA facility to meet or exceed the standards of the Joint Commission. The VA also has a responsibility to ensure contractors meet the standards articulated by the Joint Commission. Specifically, the contractor can be accredited by any national accrediting body; however, the standards set by that accrediting body must at least meet Joint Commission standards. If the accrediting body (ies) standards meet or exceed Joint Commission standards and proof these accreditations must be provided by the Contractor as part of its technical proposal. The Joint Commission standards may be accessed at www.jointcommission.org. The Contractor must maintain this Accreditation throughout the term of the contract.

http://www.jointcommission.org/

General Requirements:

1. The contractor can be accredited by any national accrediting body; however, the standards set by that accrediting body must at least meet Joint Commission standards. If the accrediting body (ies) standards meet or exceed Joint Commission standards, then proof of these accreditations must be provided. The Joint Commission standards may be accessed at www.jointcommission.org. The Contractor must maintain this accreditation throughout the term of the contract.

2. Contractor must be an established home oxygen business for a minimum of three years.

3. Contractor shall have a physical location which houses the service office, warehouse, dispatch of vehicles and other functions related to the performance of services of this contract within a sixty-minute commute of Bay Pines VA Healthcare System, to facilitate Joint Commission and/or other inspections.

4. Contractor shall replace all appropriate VAMC authorized equipment presently located in homes of beneficiaries with his/her own equipment within 90 days of receiving the award. The change shall include delivery, setup instruction, and shall be accomplished with the least disruption in service to the VAMC beneficiary as possible. Cost will be prorated upon setup and discontinuance with equipment pickup no more than one billing cycle.

5. All services will be performed in the veteran’s place of residence. The area of service shall be Bay

Pines VA Healthcare Systems catchment area. The equipment needs are subject to change as determined by the prescribing physician.

A. Admission to Home Oxygen Therapy Program:

1. Criteria for admission are stated in the 1173.13, HomeO2-Clinical Indications-10-07-2021 recommendations, Home Oxygen Therapy. The Contractor will have no role and is relieved of any responsibility for the admission of patients to Bay Pines VA Healthcare Systems Home Oxygen Therapy Program.

2. The initial patient assessment is completed by the Bay Pines Cardio-Pulmonary Section to determine eligibility for this program. The provider documents in CPRS (electronic patient record) the patient prescription identifying type of oxygen, flow and frequency; this prescription is forwarded to the Home Oxygen Coordinator in Prosthetics Service. The Home Oxygen Coordinator will fax a copy of the prescription to the Contractor to initiate home oxygen treatment.

B. Patient Assessment:

The Contractor shall perform an assessment of the patient’s home and home environment in accordance with the Joint Commission accreditation standards and maintain documentation of assessments in the individual patient records. The home assessment shall include:

1. The Contractor will provide an in-home initial patient setup and installation of prescribed equipment within six

(6) hours of notification. The Delivery Driver will document the forms.

2. The Contractor will be provided sample forms to use for gathering the information for assessing/reassessing patients’ needs.

http://www.jointcommission.org/

3. The Contractor will complete a Home Oxygen Equipment Check when required, per manufacturer's instructions, or annually, at a minimum. An adhesive sticker, depicting the date of inspection and the date of the next required inspection will be annotated using a permanent marker, on said equipment. If indicated by Home Oxygen Coordinator (or designee), Contractor will assess or reassess Home Oxygen Equipment and/or beneficiary's needs.

4. The Delivery Driver will immediately contact the Bay Pines Home Oxygen Coordinator when one of the following occurs:

(a) Non-Compliance of prescription.

(b) Any unsafe conditions observed which may preclude the installation or continuance of oxygen service.

5. The Home Oxygen Coordinator will inform the Bay Pines Cardio-Pulmonary Section who will alert the Bay Pines clinical provider and communicate appropriate interventions to the Contractor.

6. The Delivery Driver will provide the patient with a Bay Pines “Home Oxygen Therapy Packet” on the first visit. This packet will include, but not be limited to, the following information:

a) Bay Pines VAMC Patient Information Guide that includes information regarding Advance Directives, Patient Rights and Responsibilities, and other general information.

b) Mission, Vision, and Scope of Home Care Services.

c) Complaint Process.

d) Emergency Preparedness Information

e) Emergency Contact Names and Phone Numbers

f) Consent for Participation in Home Care

g) Pain Information

*The presence of the “Home Oxygen Therapy Packet” will be inspected upon subsequent deliveries to the veteran and will be replaced if the packet is missing.

C. Care Planning:

1. The Bay Pines VAMC clinical staff will be responsible for initiating and directing the patient’s plan of care.

2. The Pulmonologist will determine the individual prescription of the patient.

3. The Contractor will be responsible for providing documentation of the initial home installation, assessment, and reassessment.

4. The Contractor is responsible for the patients’ individual home care plans. Each home assessment and reassessment will be reviewed, and an individualized plan of care will be implemented based upon the information gathered from the assessment/reassessment forms.

5. The Contractor’s initial care plan will be completed within seven (7) days of receipt of the Delivery Driver’s initial assessment.

D. Quality Assurance, Coordination, Supervision, and Evaluation of Care/Services:

1. Bay Pines VAMC clinical staff will coordinate, supervise, and evaluate the care and services required by outpatients to include: initiation of prescriptions for oxygen and various equipment items, devices or other appliances which may be medically indicated for the continuum of care in their home environment.

2. Contracting Officers Technical Representative (COR) will have oversight responsibility to ensure Contractor services are in compliance with the terms of the contract.

3. Bay Pines VA Healthcare Systems Home Respiratory Care Team staff will make Contractor site visits biannually, at a minimum both scheduled and non-scheduled.

4. Bay Pines VA Healthcare Systems Home Respiratory Home Care Team (HRCT) will make random patient home visits on a quarterly basis. A Contractor’s representative will be expected to join the team on these visits.

A minimum of 5 home visits will be conducted Quarterly announced or unannounced. Contractor will be given 14 days advance notice on planned visits. On a limited basis, it may be necessary to make an emergent visit which will be coordinated with the contractor.

5. Bay Pines VA Healthcare Systems Home Respiratory Home Care Team (HRCT) will communicate with the Contractor to discuss high risk, problem-prone, and quality improvement issues.

E. Scheduling Visits:

1. Bay Pines VA Healthcare Systems clinical staff will be responsible for scheduling any appointments necessary for home care treatment to facilitate referenced actions and/or follow-up care pertaining to their treatment.

2. See Provision of Services for the Contractor’s responsibility for the scheduling of equipment installation, assessment, monthly reassessments, and equipment pickup.

F. Discharge Planning:

Discontinuation of any treatment or discharge from a treatment plan will be determined by Bay Pines VA Healthcare Systems clinical staff. The Contractor will have no role and is relieved of any responsibility for the discharge of patients from the Bay Pines VA Healthcare Systems Home Oxygen Therapy Program.

G. Documentation:

All documentation associated with the above patient activities/encounters will be the responsibility of attending hospital clinical staff and will be entered into appropriate patient records on a recurring basis. The contractor will keep on file a copy of the Home Oxygen Therapy Checklist for all-initial assessments and reassessments.

H. Infection Control:

1. The Contractor will comply with Joint Commission and Bay Pines VA Healthcare Systems policies and procedures on infection control and infection surveillance. Contractor employee health files will contain a copy of any annual TB test results and Hepatitis B vaccination documentation. If any employee refuses either test, such refusal shall be documented in writing and shall be maintained in their file. All staff involved in the delivery, pick-up and storage of home oxygen will be instructed on the importance of infection control and personal hygiene and their responsibilities in the infection control program. Procedures will address personal hygiene, aseptic procedures, staff health and transmitted infections and appropriate cleaning, sanitation and storage of equipment. Appropriate staff will be instructed in the identification, handling and disposal of hazardous and/or waste materials in a safe and sanitary manner in accordance with applicable laws and regulations.

2. Contractors staff members with a contagious illness will have no contact with beneficiaries or clean equipment. Exceptions would be employees with a mild cold or similar condition. In such cases, gloves will be worn, and contact will be limited.

3. Contractor is responsible for the delivery, set up, cleaning, repairs and/or storage of medical equipment will be instructed in the safe and appropriate use of said equipment. Upon delivery, they will provide appropriate instructions to the patient and/or caregiver regarding the safe and appropriate use of the equipment and basic home safety matters in regard to said equipment. This instruction will include a return demonstration from the patient/caregiver showing that they understand what they were shown.

4. Any accidents or injuries related to equipment and safety management will be investigated by the Contractor.

Equipment malfunctions resulting in any sentinel event such as serious injury or death will be reported to the manufacturer and the Prosthetic and Sensory Aide Service (PSAS) within 72 hours of the Contractor’s knowledge of said event(s). The Contractor will promptly notify the PSAS of any hazards defect or recalls by the manufacturer for any equipment purchased from the Contractor.

5. The contractor will have an emergency preparedness plan designed to provide continuing support appropriate to the services provided in the event of an emergency that would result in interruption of patient services.

Contractor must have disaster plan and appropriate personnel who are aware of this plan and their roles/responsibilities in the event of a contingency.

I. Performance Improvement Activities:

During the aforementioned scheduled inspections, the contractor and the designated Contracting Officer Technical Representative (COR) or his/her designee shall address the Contractor’s performance improvement activities and the Contractor shall provide copies of any applicable performance improvement results.

J. Staff Competencies and Orientation:

The contractor will assure all staff receives an orientation and documentation is in the employee file. In addition, initial and annual competencies are to be completed and orientated in employee file. Employee files will contain licensure if applicable, orientation, initial and ongoing competencies, training references.

K. Provision of Services:

1. The VA will furnish a roster of current patients 15 days preceding start of contract. All deliveries (if there is a change of vendors) must be in place and operational within 3 days of start of contract. All initial deliveries must be done in a methodical sequence. Contractor is to provide a plan of installation to the Contracting Officer within five (5) days after start of contract.

2. Installations will be completed in a systematic and methodical manner, i.e.; all patients in any two/three counties per week. Set up of for all patients in any given area must be completed before beginning installation in another area. Upon completion of installation, each patient is to begin using the new contractor’s equipment and cease using the incumbent’s contractor’s equipment. After completing installation, the contractor will immediately notify VA, who will, in turn, advise the incumbent contractor to pick up their equipment.

3. Delivery/setups are required to be made free on board (FOB) destination, to the patient’s residence within six

(6) hours after discharge from VA hospital. New Home Oxygen Outpatient delivery/setups are required to be completed within 24 hours after Contractor receives the script via fax. Contractor must contact the beneficiary within 2 hours after receipt of fax. Thereafter, monthly visits (every 30 days) by the Contractor are required to ensure patients have the required set-up of equipment and supplies per RX and/or revision of RX via consult.

4. Upon delivery of oxygen refills, the contractor shall inspect the patient’s existing equipment and supplies, and clean, sterilize or replace same whenever necessary or required by this contract.

5. If the requirement exists for delivery of oxygen and the contractor is unable to provide delivery outside the contract geographical area of coverage, the Government reserves the right to procure oxygen services from another source. This will be determined by personnel authorized to place orders at the time they are called in.

6. Contractor must be able to provide services as specified in the Specifications/Statement of Work during times of emergencies such as hurricanes and other natural disasters, when normal electrical power is not available. The Department of Veterans Affairs recommends that the contractor have a fill station with operating backup generator within the service office.

L. SCHEDULE OF ITEMS

Provide firm fixed rental pricing for equipment, supplies and services per patient per month for Bay Pines VA Healthcare System. Set-up is defined as delivery of prescribed Home Medical Equipment (HME), orientation of vendor’s services, equipment assessment, patient education, basic home safety review and scheduling of ongoing deliveries and preventative maintenance inspection (PMI) service appointments.

The Contractor must develop the Plan of Service, in accordance with the VA developed Plan of Care as well as coordinate with the appropriate clinical staff at Bay Pines VA Healthcare System. No alteration to the prescription will be permitted without written prior approval of the Contracting Officers’ Technical Representative (COR) or the COR’s designated representative.

Patient Education 1.The Contractor shall provide education to each patient or caregiver at the time of set-up and assess the need for reinforcement during visits. This information is to be presented by demonstration and material covered shall be in written form to be left with the patient /caregiver.

The written material shall be in English as well as the foreign language of the patient, should the patient not speak English. The Contractor as directed by COR or designee will implement any new or revised education material at no additional cost to the Government. The COR will determine whether the contractor shall use their forms or forms supplied by the VA for documentation of education services provided to patients.

2. The Contractor shall provide educational and warning information for patients, their families, and caregivers on the hazard of smoking while oxygen is in use. The educational materials must be provided upon initial delivery and every six (6) months thereafter.