36C24826Q0569_1.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

36C24826Q0569 05-29-2026

Rosetta Quinn 813-893-1814 06-12-2026

4:00PM EDT

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

8875 Hidden River Pkwy Ste 160A Tampa FL 33637

X 100

X

621111

$16 Million

N/A

Department of Veterans Affairs James A. Haley Veterans Hospital (90C) 13000 Bruce B. Downs Blvd

Tampa FL 33612

36C248

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

8875 Hidden River Pkwy Tampa FL 33637

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page

The contractor shall provide Complete Intraoperative Neuromonitoring Services (IONM) to include an on-site IONM Technologist, and Board-Certified also know as Neurodiagnostic Technician (onsite) and Board-Certified Neurologist (remote) oversight in support of the Department of Veterans Affairs, Orlando VA Medical Center VAMC, 13800 Veterans Way, Orlando FL 32827. Services should be provided in accordance with (IAW) the Performance Work Statement (PWS) and the terms and conditions listed herein.

This contract will be awarded for a base of one (1) year with four (4) - one (1) year option periods.

Reference pages six (6) through eight (8) for the Price Schedule. Reference pages nine (9) through 55 for the PWS.

Please direct all questions concerning the Request for quotations (RFQ) and related documents to Rosetta Quinn at Rosetta.quinn@va.gov, no later than 4:00PM EST 06-05-2026.

See CONTINUATION Page

X 1

Rosetta Quinn Contracting Officer

36C24826Q0569

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 SCHEDULE

B.3 PERFORMANCE WORK STATEMENTGENERAL:

SECTION C - CONTRACT CLAUSES

C.1 52.216-18 ORDERING (AUG 2020)

C.2 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.3 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.5 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION DATE)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.8 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

PROTECTING THE GOVERNMENT'S INTEREST WHEN SUBCONTRACTING WITH

CONTRACTORS DEBARRED, SUSPENDED, PROPOSED FOR DEBARMENT, OR

VOLUNTARILY EXCLUDED (DEVIATION)

C.9 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (DEVIATION)

(MAR 2026)

C.10 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEIALLANCE PLAN …………………………………..67

D.2 ORGANIZATIONAL CONFLICT OF INTEREST.……..…….………….…………..…67

D.3 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952, AS AMENDED………… …………………………………….…………………………67

D.4 CONTRACTOR RULES OF BEHAVIOR ……………………..……………………

D.5 PAST PERFORMANCE QUESTIONNAIRE……………..…………………….………67

D.6 6 LIMITATIONS ON SUBCONTRACTING_CERTIFICATE OF COMPLIANCE FOR

SERVICES…………….…………………………………………………………………..……67

D.7 WAGE DETERMINATION………………..………………………….……………….….67

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (OCT 2025)

E.2 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.3 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.4 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (NOV 2020)

E.5 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED

BY REFERENCE (JAN 2008)

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

1998)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR: _____________________________

Title:

Address:

Telephone:

Facsimile:

Email:

Federal Taxpayer Identification Number:

Unique Entity ID:

b. GOVERNMENT: Contracting Officer 36C248 Rosetta Quinn

Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Rosetta.quinn@va.gov

(813) 893-1814

Contracting Officer Representative

Primary COR:

Ronald Algieri 13800 Veterans Way Orlando FL 32827 Ronald.algieri@va.gov 407-631-3065

Alternate COR:

John Francisco 13800 Veterans Way Orlando FL 32827 John.francisco@va.gov 407-631-4048

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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.

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

AMENDMENT NO DATE

6. 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.

7. CAUTION: Late submission, modification, and withdrawals: See Provision 52.212-1. Quotes are subject to all terms and conditions of this solicitation.

8. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Federal Acquisition Regulation (FAR) 42.302, FAR Companion (FC) 42.3, and any local policies established by the Head of Contracting Activity (HCA).

B.2 PRICE SCHEDULE

The contractor must furnish all personnel, equipment, and supplies to provide Intraoperative Neuromonitoring (IONM) services to eligible beneficiaries of the Department of Veterans Affairs (VA), Orlando VA Medical Center (OVAMC) located at 13800 Veterans Way, Orlando, FL 32827. The contractor’s onsite IONM technologist(s) and remote Neurophysiologist physician(s) must cover the range of complete IONM services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care must be of a quality, meeting or exceeding currently recognized national standards American Association for Neurological Surgeons (AANS) and American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET).

The Contractor must quote a minimum of four (4) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract, two (2) IONM Technologists and two (2) Neurophysiologist Physicians.

Contract type: Indefinite Delivery Indefinite Quantity (IDIQ).

Place of Performance: IONM technologist services must be provided onsite, at the at the Department of Veterans Affairs (VA), Orlando VA Medical Center (OVAMC) located at 13800 Veterans Way, Orlando, FL 32827, and Neurophysiology physician services must be provided remotely.

Period of Performance: The anticipated contract period of performance is one (1) base year and four (4), one (1) year option periods to be exercised at the sole discretion of the Government based on the continual need for services.

Minimum and Maximum Quantity: This requirement includes a guaranteed minimum of $2,500.00 of services for the base and any exercised options. The maximum amount to be ordered for this contract for the base, and all option periods, if exercised by the Government, is $600,000.00. If the maximum aggregate amount of $600,000.00 is reached prior to the end date of the final period of performance, no further task orders will be issued against the contract.

Task Order Procedures: Task orders will be issued by NCO 8 Contracting Officers. The Task Order will contain date of order, order number, line-item number, description, quantity, unit price, performance schedule, accounting and appropriation data and method of payment.

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

Pricing Instructions: Line-Item Numbers (LINs) for the base year and subsequent option years include the following: estimated quantity, unit, quoted unit price, quoted total annual amount for each LIN, and the estimated grand total. The estimated quantity of cases reflects an as needed basis, and therefore cases may occur during normal clinic hours, evenings, weekends, or holidays.

Period of Performance: BASE YEAR: 9/13/2026 to 9/12/2027

ITEM

NUMBER

DESCRIPTION

OF SUPPLIES/

SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

AMOUNT

Base Year: 09/13/2026 – 09/12/2027

58.00 CS ______________ _______________

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

Contract Period: Base POP Begin: 09-13-2026 POP End: 09-12-2027

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q523 - Medical - Surgery

Estimated Total for Base Period: $____________ Option Period (1): 09/13/2027 – 09/12/2028

60.00 CS _______________ _______________

Technologist and Board-Certified Neurologist remote oversight in accordance with (IAW) the Performance Work Statement (PWS). All-inclusive IONM Services.

Contract Period: Option 1 POP Begin: 09-13-2027 POP End: 09-12-2028

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians

Estimated Total for Option Period One (1): $____________ Option Period Two (2): 09/13/2028 – 09/12/2029

62.00 CS _______________ _______________

Technologist and Board-Certified Neurologist remote oversight in accordance with (IAW) the Performance Work Statement (PWS). All-inclusive IONM Services.

Contract Period: Option 2 POP Begin: 09-13-2028 POP End: 09-12-2029

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q523 - Medical - Surgery

Estimated Total for Option Period Two (2): $____________ Option Period Three (3): 02/17/2029 – 02/16/2030

64.00 CS ________________ ________________

Technologist and Board-Certified Neurologist remote oversight in accordance with (IAW) the Performance Work Statement (PWS). All-inclusive IONM Services.

Contract Period: Option 3 POP Begin: 09-13-2029 POP End: 09-12-2030

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians

Estimated Total for Option Period Three (3): $____________ Option Period Four (4): 09/13/2030 – 09/12/2031

66.00 CS _______________ _______________

Technologist and Board-Certified Neurologist remote oversight in accordance with (IAW) the Performance Work Statement (PWS). All-inclusive IONM Services.

Contract Period: Option 4 POP Begin: 09-13-2030 POP End: 09-12-2031 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians

Estimated Total for Option Period Four (4): $____________ Estimated Grand

Total

B.3 PERFORMANCE WORK STATEMENTGENERAL:

1.1. Description of Services: The Contractor must provide Intraoperative Neuromonitoring (IONM) services to include offsite (remote) Board-Certified Neurophysiologist Physician(s) services and onsite IONM Technologist(s) services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA), Orlando VA Medical Center (OVAMC) located at 13800 Veterans Way, Orlando, FL 32827. The Contractor must provide complete IONM services on an as needed, case-by-case basis, for patients within the operating room under the direct medical care of the Surgical Service. The IONM services must be able to cover complex surgical cases such as: Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology. The Contractor must provide experienced personnel to cover scheduled and emergency cases Monday through Friday from 0630 to 1900. Required services must include complete IONM services for monitoring the spinal cords, nerve functioning during surgeries, certified technician(s), Board-Certified Neurophysiologist oversight, IONM System equipment and common supplies (needle electrodes, probes, ground pad, gel electrodes, cortical screw electrodes) in support of OVAMC, Surgical service.

1.2. Place of Performance: IONM technologist services must be provided on site, at the Orlando VA Medical Center (OVAMC) located at 13800 Veterans Way, Orlando, FL 32827, and Neurophysiology physician services must be provided remotely.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority, Federal Acquisition Regulation (FAR) Part 12 Acquisition of Commercial Products and Commercial Services in combination with FAR part 19 IAW FAR Overhaul 12.103.

1.4. Policy/Directives/Handbooks. The contractor must be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications and VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider Group Practice

1.4.4. VHA Directive 1088(1): Communicating TISTest Results to Providers and Patients

1.4.5. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.6. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21: Privileging

1.4.8. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel

1.4.9. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting

1.4.10. VHA Directive 1605.01: Privacy and Release of Information

1.4.11. VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.12. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

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

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.h tm

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

1.5.1. AANS: American Association for Neurological Surgeons

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

1.5.2. ABNS: American Board of Neurological

Surgery http://www.abns.org/content/default.asp

1.5.3. ABRET: American Board of Registration of Electroencephalographic and Evoked Potential Technologists.

1.5.4. ACGME: Accreditation Council for Graduate Medical Education

1.5.5. ACLS: Advanced Cardiac Life Support

1.5.6. AHA: American Hospital Association

1.5.7. AJIC: American Journal for Infection Control

1.5.8. AOD: Admitting Officer of the Day

1.5.9. AQL: Acceptable Quality Level

1.5.10. BAA: Business Associate Agreement

1.5.11. BBA: Balanced Budget Act

1.5.12. BLS: Basic Life Support

1.5.13. BSEP: Brainstem evoked potential

1.5.14. C&A: Certification and Accreditation

1.5.15. CCNE: Commission on Collegiate Nursing

Education: www.aacn.nche.edu/accreditation

1.5.16. CDC: Centers for Disease Control and Prevention

1.5.17. CDR: Contract Discrepancy Report

1.5.18. CEU: Certified Education Unit

1.5.19. CLIN: Contract Line-Item Number

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

1.5.21. CME: Continuing Medical Education

1.5.22. CMS: Centers for Medicare and Medicaid Services

1.5.23. CNIM: Certified Nerve Integrity Monitor

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx http://www.abns.org/content/default.asp

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

1.5.25. Contracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR must report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.26. COS: Chief of Staff

1.5.27. COR: Contracting Officer’s Representative

1.5.28. CPARS: Contractor Performance Assessment Reporting System

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

1.5.30. COS: Chief of Staff

1.5.31. CS: Case

1.5.32. DEA: Drug Enforcement Agency

1.5.33. ED: Emergency Department

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

1.5.35. EMG: Electromyography

1.5.36. EP: Electrophysiological

1.5.37. FAR: Federal Acquisition Regulation

1.5.38. FOIA: Freedom of Information Act

1.5.39. FPPE: Focused Provider Practice Evaluation

1.5.40. FSMB: Federation of State Medical Boards

1.5.41. FTE: Full Time Equivalent: VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.42. HCR: Healthcare Resources

1.5.43. HHS: Department of Health and Human Services

1.5.44. HICPAC: Hospital Infection Practices Advisory Committee

1.5.45. HIPAA: Health Insurance Portability and Accountability Act

1.5.46. HR: Human Resources

1.5.47. IONM: Intraoperative Neuromonitoring

1.5.48. IGRA: Interferon-gamma release assays

1.5.49. ISO: Information Security Officer

1.5.50. IT: Information Technology

1.5.51. Key Personnel: The individuals specified in this contract, who are essential to work performance

1.5.52. LIN: Line-Item Number

1.5.53. MEP: Motor evoked potential

1.5.54. MRI: Magnetic Resonance Imaging

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

1.5.56. MOD: Medical Officer of the Day

1.5.57. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by Health Insurance Portability and Accountability Act (HIPAA).

The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.5.58. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

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

1.5.60. NP: Nurse Practitioner

1.5.61. NPPES: National Plan and Provider Enumeration System

1.5.62. NSO: National Surgery Officer

1.5.63. OIG: Office of Inspector General

1.5.64. OPPE: Ongoing Provider Practice Evaluation

1.5.65. OR: Operating Room

1.5.66. OVAMC: Orlando VA Medical Center

1.5.67. PA: Physician Assistant

1.5.68. PALS: Pediatric Advanced Life Support

1.5.69. PII: Personally Identifiable Information

1.5.70. POP: Period of Performance

1.5.71. PPD: Purified Protein Derivative

1.5.72. PWS: Performance Work Statement

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

1.5.74. QA/QI: Quality Assurance/Quality Improvement

1.5.75. QM/PI: Quality Management/Performance Improvement

1.5.76. QASP: Quality Assurance Surveillance Plan

1.5.77. RFQ: Request for Quotation

1.5.78. SLIN: Sub Line-Item Number

1.5.79. SSEP: Somatosensory evoked potential

1.5.80. TJC: The Joint Commission

1.5.81. TST: Tuberculosis Skin Test

1.5.82. VA: Department of Veteran Affairs

http://www.nlnac.org/

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

1.5.84. VA-FSC: VA Financial Services Center

1.5.85. VAAR: VA Acquisition Regulation

1.5.86. VAMC: VA Medical Center

1.5.87. VISN: Veterans Integrated Services Network - the regional oversight for the

VA medical centers.

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

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

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The Contractor’s Neurophysiologist physician(s) assigned by the Contractor to perform the services covered by this contract must have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification: All Contractor’s Neurophysiologist physician(s) must be Board Certified by the American Board of Neurological Surgery (ABNS) http://www.abns.org/content/default.asp and possess a certificate of Fellowship in Intraoperative Neuromonitoring. All Contractor’s IONM technologists must hold a certificate (be certified) of Neurophysiologic Intraoperative Monitoring (CNIM) from the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET).

All Contractor’s Neurophysiologist physician(s) and IONM technologist(s) must be currently certified in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) or equivalency. All continuing education courses required for maintaining certification must always be kept up to date. Documentation verifying current certification must be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

http://www.abns.org/content/default.asp

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive 1100.21 referenced above. The Contractor is responsible for ensuring that proposed physician(s) and technologist(s) possess the requisite credentials enabling the granting of privileges. No services must be provided by any Contractor’s physician(s) and technologist(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.3.1. If a Contractor’s Neurophysiologist physician(s) and IONM technologist(s) are not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor must furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency: Contractor’s Neurophysiologist physician(s) and IONM technologist(s) must 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 must provide documents upon request from 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 must provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor’s physician(s) and Contractor’s physician(s) must be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor must provide the COR copies of current CMEs as required or requested by the facility. Contractor’s Neurophysiologist physician(s) and IONM technologist(s) registered or certified by national/medical associations must continue to meet the minimum standards for CME to remain current.

Contractor must report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide must result in loss of privileges for Contractor’s Neurophysiologist physician(s) and IONM technologists).

2.1.6. Training (ACLS, BLS, EHR and VA MANDATORY): Contractor must meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s Neurophysiologist physician(s) and IONM technologist(s) as required by the VA. Other training may be required.

VA will communicate any changes to the training requirement to the contractor.

Training Frequency Annual Hours

Active Threat Training One time only 0.50

VA Privacy and Information Security Awareness and Rules of Behavior

Once a year 0.50

VHA Privacy and HIPAA Focused Training

Once a year 0.50

ACLS/BLS (Onsite staff) Every 2 years 1.5

MIA Fluoroscopy Radiation Safety (Onsite staff)

Once a year 0.50

2.1.7. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.):

Contractor must provide proof of the following for Neurophysiologist physician(s) and IONM technologist(s) within five (5) calendar days after contract award and prior to the first duty shift to the Contracting Officer’s Representative (COR) and Contracting Officer (CO). Tests must be current within the past year.

2.1.7.1. TUBERCULOSIS TESTING: Contractor must provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) and technologist(s) upon hire in accordance with Center for Disease Control (CDC) guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis must be provided in cases of positive TST or IGRA results.

2.1.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors must provide proof of immunity for all Contractor physician(s) and technologist(s) (This is applicable to all health care workers).

2.1.7.3. VARICELLA: Contractors must provide proof of immunity for all Contractor physician(s) and technologist(s). (This is applicable to all health care workers).

2.1.7.4. ACELLULAR PERTUSSIS: Contractors must provide proof of one (1) dose of Tetanus Diphtheria (Tdap) vaccination for all Contractor physician(s) and technologist(s). (This is applicable to all health care workers).

2.1.7.5. INFLUENZA: Contractors must provide proof that all Contractor physician

(s) and technologist(s) have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician(s) and technologist(s) has a medical contraindication to the vaccine, they must be required to wear a mask during the Influenza season. (This is applicable to all health care workers).

2.1.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor must provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) and technologist(s) (This is applicable to all health care workers);

provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.7.7. The OVAMC must notify the Contractor of any significant communicable disease exposures as appropriate. Contractor must adhere to current CDC/ Hospital Infection Practices Advisory Committee (HICPAC) Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor must provide follow up documentation of clearance to return to the workplace prior to their return.

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

2.1.9. Conflict of Interest: The Contractor and all Contractor’s Neurophysiologist physician(s) and IONM technologist(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, the Contractor must provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor must also provide statements containing the same information for any identified consultants or subcontractors who must 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 must be in response to the VA Acquisition Regulation (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.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf)

2.1.10. Citizenship related Requirements:

2.1.10.1. The Contractor certifies that the Contractor must comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

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

2.1.10.3. 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, must 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 must form the basis for termination of this contract for breach.

2.1.10.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

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

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

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

2.1.11.1. Therefore, Contractor must review the Department of Health and Human Services (HHS), Office of the Inspector General (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 Neurophysiologist physician(s) and IONM technologist(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

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

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Facility Chief of Staff (COS) or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive

1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

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

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

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

2.5. Prohibition against Self-Referral: Contractor’s Neurophysiologist physician(s) and

IONM technologist(s) are prohibited from referring VA patients to contractor’s or their own practice(s).

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

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

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor’s physician(s) nor technologist(s). When a Contractor or Contractor’s Neurophysiologist physician(s) or IONM technologist(s) have been identified as a provider in a tort claim, the Contractor must be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or Contractor’s Neurophysiologist physician(s) or IONM technologist(s)) action or non-action must be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. Contractor to provide a minimum of two (2) onsite Technologists and two (2) remote Neurophysiologists to be credentialed and be available for scheduling to meet the requirements of the contract.

Name and Title of Key Personnel Candidates

2.9.2. Contracted IONM Technologist(s) must provide services on-site.

2.9.3. Contracted Neurophysiologist physician(s) must provide services remotely.

2.9.4. The Contractor must 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 Neurophysiologist physician(s) or IONM technologist(s) is unable to complete an assigned shift, the contractor must provide replacement Neurophysiologist physician or IONM technologist(s) coverage within two (2) hours and notify the Contracting Office Representative (COR) at the OVAMC immediately of the schedule change.

2.9.5. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor must make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor must notify the CO, in writing, within 15 calendar day(s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor must submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.9.5.1. The Contractor must 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 must have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.5.2. For temporary substitutions where the key person must not be reporting to work for three (3) consecutive workdays or more, the Contractor must provide a qualified replacement for the key person. The substitute must have comparable qualifications to the key person. Any period exceeding two (2) weeks will require the procedure as stated above.

2.9.5.3. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patients or other staff members to designated Government representatives. Standards for conduct must mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s Neurophysiologist physician(s) or IONM technologist(s), s/he may request, without cause, immediate replacement of said Contractor’s Neurophysiologist physician(s) and IONM technologist(s). The CO and COR must deal with issues raised concerning Contractor’s Neurophysiologist physician(s) or IONM technologist(s) conduct. The final arbiter on questions of acceptability is the CO

2.9.5.4. Contingency Plan: Because continuity of care is an essential part of facility’s medical services, The Contractor must have a contingency plan in place to be utilized if the Contractor’s Neurophysiologist physician(s) or IONM technologist(s) eaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. VA Business Hours: OVAMC business hours for the Operating Rooms are 6:30 a.m. to 7:00 p.m. Services shall be available from the contractor Monday through Friday from 6:30 a.m.

to 7:00 p.m. to accommodate scheduled and emergency cases. Contractor shall provide coverage for all required shifts, Monday through Friday, including federal holidays as outlined in this PWS Operating Room (OR) scheduled timeframes by the requiring service.

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

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

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

Any day specifically declared to be a national holiday.

3.3. Cancellations: Unless a state of emergency has been declared, the contractor must be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor must provide Contractor’s Neurophysiologist physician(s) and IONM technologist(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Case records will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.2. Standards of Care: The contractor’s IONM technologist(s) and Neurophysiologist physician(s) care must cover the range of on-site Complete IONM services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care must be of a quality, meeting or exceeding currently recognized VA and national standards as established by:

4.2.1. American Association for Neurological Surgeons Guidelines: American Association of Neurological Surgeons (aans.org)

4.2.2. IONM Certifications: https://asnm.org/certification/

4.2.3. American Board of Neurophysiologic Monitoring: https://theabnm.org/

4.2.4. The professional standards of The Joint Commission (TJC):

http://www.jointcommission.org/standards_information/standards.aspx \

4.2.5. The standards of the American Hospital Association (AHA):

http://www.hpoe.org/resources?show=100&type=8 and;

4.2.6. American Society of Electroneurodiagnostic Technologist

4.2.7. American Board of Registration of Electroencephalographic and Evoked Potential Technologist. (ABRET)

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

4.2.9. The requirements are contained in this PWS.

https://asnm.org/certification/ https://theabnm.org/ http://www.jointcommission.org/standards_information/standards.aspx%20/

4.3. MEDICAL RECORDS

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

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for…