36C24826Q0604.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

36C24826Q0604 07-21-2026

Fernando G. Defillo 813-796-3917 08-05-2026 3:00pm EDT

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

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

X

622110

$47 Million

N/A

Department of Veterans Affairs VA Caribbean Healthcare System 10 Casia Street

San Juan PR 00921

36C248

Network Contracting Office 8 (NCO 8)

Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

(877) 353-9791 (512) 460-5429

See CONTINUATION Page

Contractor shall provide On-site Perfusion/Autotransfusion Services and Health Aid and Technician-Perfusion Assistance in support of the VA Caribbean Healthcare System, located at 10 Casia Street, San Juan, PR 00921.

Indefinite Delivery Indefinite Quantity (IDIQ) is for One

(1) base year with Four (4) - One (1) year options.

Reference pages 8 - 12 for Schedule of Services.

Reference pages 13 - 42 for Performance Work Statement.

All questions concerning this Request for Quote (RFQ) and related documents shall be submitted via email to Contracting Officer at Fernando.defillo@va.gov no later than 3:00PM (EST) on Wednesday, July 29, 2026.

Service Contract Act WD# 2015-5707 is applicable to the Health Aid and Technician-Perfusion Assistant.

See CONTINUATION Page

X 1

Fernando G. Defillo

36C24826Q0604

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 STATEMENT –

PERFUSION/AUTOTRANSFUSION PHYSICIAN SERVICES

SECTION C - CONTRACT CLAUSES

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

PRODUCTS AND COMMERCIAL SERVICES (DEVIATION OCT 2025)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (NOV 2023) (DEVIATION NOV 2025) 53

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

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

2000)

C.9 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL

CONTRACTORS (APR 2026)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.10 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.11 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS (NOV 2018)

C.12 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY

INSURANCE (OCT 2019)

C.13 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.14 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT

2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

AND COMMERCIAL SERVICES (NOV 2023) (DEVIATION OCT 2025)

E.2 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEVIATION OCT 2025)

E.3 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.4 52.219-1 SMALL BUSINESS PROGRAM REPRESENTATIONS (FEB 2024)

(DEVIATION NOV 2025)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)(DEVIATION NOV 2025) . 87

E.6 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS

REPRESENTATIONS AND CERTIFICATIONS (NOV 2025) (DEVIATION)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY

REFERENCE (FEB 1998)

E.8 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (NOV 2020)

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:

Name:

Address:

Phone:

Email:

SAM UEI:

b. GOVERNMENT:

Contracting Officer: Fernando Gabe Defillo

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

Email: Fernando.defillo@va.gov

Phone: (813) 796-3917

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. Monthly [X]

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.

mailto:Fernando.defillo@va.gov

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

AMENDMENT NO DATE

6. CONFORMITY TO REGULATIONS: The contractor and his/her operations shall conform to all regulations, Federal, State and Local governing the performance of contracted services.

7. CAUTION: Late submissions, modification, and withdrawals: See Provisions FAR 52.212-1.

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

B.2 PRICE SCHEDULE

The Contractor shall furnish all key personnel to provide services necessary to perform on-site Perfusion/Autotransfusion Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, VA Caribbean Healthcare System (hereinafter referred to as VACHS). The Contractor's staff shall cover the range of Perfusion/Autotransfusion Services and on site, on call, and call back as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by Commission on Accreditation of Allied Health Education Programs (CAAHEP). Additionally, the contractor shall provide a Health Aid and Technician-Perfusion Assistant to perform on-site cleaning services.

Contract Type: Indefinite Delivery Indefinite Quantity (IDIQ)

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: The guaranteed minimum amount to be ordered for this procurement is $2,500.00 – total – inclusive of the base period and all option periods. The contract maximum is $4,000,000.00 total – inclusive of the base period and all options. If the maximum aggregate amount of $4,000,000.00 is reached prior to the end date of the final period of performance, no further task order will be issued on the contract.

Task Order Procedures: A task order will be issued at the start of the performance period and orders will be placed 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 shall not constitute the basis for an equitable price adjustment.

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

Pricing Instructions: Enter the unit cost and total annual cost on the table below for all line-item numbers (LINs). Offerors shall identify by title/position or level of experience the key personnel submitted in the table in section 2.9 of the Performance Work Statement (PWS). The Contractor shall propose a minimum of two (2) key personnel Perfusion/Autotransfusionist to be credentialed and be available for simultaneous scheduling to meet the requirements of the contract. The two (2) Perfusion/Autotransfusionist key personnel must begin the onboarding process upon contract award and must both begin providing services on the start date of the Period of Performance of the base year to ensure coverage for all hours indicated within the schedule of services.

One (1) Perfusion/Autotransfusionist is required to be available on-site for scheduled elective procedures (Operating Room) and patient evaluations at clinics on Mondays and Wednesdays from 7:00am to 3:30pm (15.5 hours coverage). One (1) Perfusion/Autotransfusionist will be on call during weeknights Mondays and Wednesdays from 3:30pm to 7:00am, and weekdays Tuesday, Thursday, Friday, weekends, and holidays from 7:00am – 7:00am (24-hour daily coverage) for emergency cases.

One (1) Health Aid and Technician-Perfusion Assistant will be needed bi-weekly and when needed; the technician will conduct a thorough visual inspection of the heater cooler machines to ensure the equipment is free from visible residues, including blood, cleaning solutions, or other contaminants.

Base Year period of performance: 09/01/2026 to 08/31/2027

LIN SLIN DESCRIPTION EST.

QTY.

UNIT UNIT

COST

EST.

TOTAL

ANNUAL

COST

0001 None On-site Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services on Monday and Wednesday, for elective procedures and patient evaluations. (Inclusive of emergency call-back services & New Employee Orientation)

912 Hours $ $

0002 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for on-call evening/overnight coverage on Monday & Wednesday after clinical hours. (3:30pm-7:00am)

1612 Hours $ $

0003 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for 24-hour coverage on Tuesday/Thursday/Friday, weekends, and holidays during non-clinical days. (24-hour shift)

6504 Hours $ $

0004 None Call back Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services (services rendered outside regular working hours and any emergency callback services with direct patient contact while on call .

40 Hours $ $

0005 None Health Aid and Technician- Perfusion Assistant Services on a Biweekly basis

204 Hours $ $

Estimated Grand Total Base Year

Option Year One (1) period of performance: 09/01/2027 to 08/31/2028

LIN SLIN DESCRIPTION EST.

QTY.

UNIT UNIT

COST

EST.

TOTAL

ANNUAL

COST

1001 None On-site Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services on Monday and Wednesday, for elective procedures and patient evaluations. (Inclusive of emergency call-back services)

912 Hours $ $

1002 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for on-call evening/overnight coverage on Monday & Wednesday after clinical hours. (3:30pm-7:00am)

1612 Hours $ $

1003 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for 24-hour coverage on Tuesday/Thursday/Friday, weekends, and holidays during non-clinical days. (24-hour shift)

6504 Hours $ $

1004 None Call back Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services (services rendered outside regular working hours and any emergency callback services with direct patient contact while on call.

40 Hours $ $

1005 None Health Aid and Technician- Perfusion Assistant Services on a Biweekly basis

204 Hours $ $

Estimated Grand Total Option Year 1

Option Year Two (2) period of performance: 09/01/2028 to 08/31/2029

LIN SLIN DESCRIPTION EST.

QTY.

UNIT UNIT

COST

EST.

TOTAL

ANNUAL

COST

2001 None On-site Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services on Monday and Wednesday, for elective procedures and patient evaluations. (Inclusive of emergency call-back services)

912 Hours $ $

2002 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for on-call evening/overnight coverage on Monday & Wednesday after clinical hours. (3:30pm-7:00am)

1612 Hours $ $

2003 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for 24-hour coverage on Tuesday/Thursday/Friday, weekends, and holidays during non-clinical days. (24-hour shift)

6504 Hours $ $

2004 None Call back Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services (services rendered outside regular working hours and any emergency callback services with direct patient contact while on call .

40 Hours $ $

2005 None Health Aid and Technician- Perfusion Assistant Services on a Biweekly basis

204 Hours $ $

Estimated Grand Total Option Year 2

Option Year Three (3) period of performance: 09/01/2029 to 08/31/2030

LIN SLIN DESCRIPTION EST.

QTY.

UNIT UNIT

COST

TOTAL

ANNUAL

COST

3001 None On-site Board Certified/Board

Eligible Clinical Perfusionist/ Autotransfusion Services on Monday and Wednesday, for elective procedures and patient evaluations. (Inclusive of emergency call-back services)

912 Hours $ $

3002 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for on-call evening/overnight coverage on Monday & Wednesday after clinical hours. (3:30pm-7:00am)

1612 Hours $ $

3003 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for 24-hour coverage on Tuesday/Thursday/Friday, weekends, and holidays during non-clinical days. (24-hour shift)

6504 Hours $ $

3004 None Call back Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services (services rendered outside regular working hours and any emergency callback services with direct patient contact while on call .

40 Hours $ $

3005 None Health Aid and Technician- Perfusion Assistant Services on a Biweekly basis

204 Hours $ $

Estimated Grand Total Option Year 3

Option Year Four (4) period of performance: 09/01/2030 to 08/31/2031

LIN SLIN DESCRIPTION EST.

QTY.

UNIT UNIT

COST

TOTAL

ANNUAL

COST

4001 None On-site Board Certified/Board

Eligible Clinical Perfusionist/ Autotransfusion Services on Monday and Wednesday, for elective procedures and patient evaluations. (Inclusive of emergency call-back services)

912 Hours $ $

4002 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for on-call evening/overnight coverage on Monday & Wednesday after clinical hours. (3:30pm-7:00am)

1612 Hours $ $

4003 None On-call Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services for 24-hour coverage on Tuesday/Thursday/Friday, weekends, and holidays during non-clinical days. (24-hour shift)

6504 Hours $ $

4004 None Call back Board Certified/Board Eligible Clinical Perfusionist/ Autotransfusion Services (services rendered outside regular working hours and any emergency callback services with direct patient contact while on call.

40 Hours $ $

4005 None Health Aid and Technician- Perfusion Assistant Services on a Biweekly basis

204 Hours $ $

Estimated Grand Total Option Year 4

Estimated Grand Total Base Year + 4 Option Years: $____________________

B.3 PERFORMANCE WORK STATEMENT – PERFUSION/AUTOTRANSFUSION

PHYSICIAN SERVICES

1. GENERAL:

1.1. Services Provided: The contractor shall provide Perfusion/Autotransfusion Services and Health Aid and Technician-Perfusion Assistant on site, on call, and call back in accordance with the terms and conditions contained herein to beneficiaries of the Department of Veterans Affairs (VA), Caribbean Healthcare System (VACHS) 10 Casia St. San Juan Puerto Rico, 00921.

1.2. Place of Performance: Contractor shall furnish services at the Department of Veterans Affairs (VA), Caribbean Healthcare System 10 Casia St. San Juan Puerto Rico, 00921.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority, VA Directive 1663, and FAR Overhaul Part 12 – Acquisition of Commercial Products and Commercial Services.

1.4. Policy/Directives/Handbooks: The contractor shall 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 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 Test 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 https://www.va.gov/vapubs/ https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm

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.htm

1.4.14. Joint Commission: http://www.jointcommission.org/standards/

1.4.15. HHS OIG Website: http://oig.hhs.gov/exclusions/index.asp

1.4.16. American Journal for Infection Control - AJIC 1998; 26:289-354:

https://apic.org/Resource_/TinyMceFileManager/Practice_Guidance/IC- HealthCare-Personnel.pdff

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

1.5.1. ABCP: American Board of Cardiovascular Perfusion

1.5.2. ACGME: Accreditation Council for Graduate Medical Education

1.5.3. ACLS: Advanced Cardiac Life Support

1.5.4. ACO: Administrative Contracting Officer

1.5.5. BAA: Business Associate Agreement

1.5.6. BLS: Basic Life Support

1.5.7. CDC: Centers for Disease Control and Prevention

1.5.8. CEU: Certified Education Unit

1.5.9. 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.

1.5.10. CME: Continuing Medical Education

1.5.11. CMP: Civil Monetary Penalty

1.5.12. CMS: Centers for Medicare and Medicaid Services

1.5.13. C.F.R. : Code of Federal Regulations – is the official annual codification of general and permanent rules published in the Federal Register by U.S.

federal agencies.

1.5.14. Clinical Perfusionist: CP

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.jointcommission.org/standards/ https://apic.org/Resource_/TinyMceFileManager/Practice_Guidance/IC-HealthCare-Personnel.pdf https://apic.org/Resource_/TinyMceFileManager/Practice_Guidance/IC-HealthCare-Personnel.pdf https://apic.org/Resource_/TinyMceFileManager/Practice_Guidance/IC-HealthCare-Personnel.pdf

1.5.15. CO: Contracting Officer: 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.

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

1.5.17. COS: Chief of Staff

1.5.18. CPARS: Contractor Performance Assessment Reporting System

1.5.19. CP: Clinical Perfusionist

1.5.20. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience, or other qualifications.

1.5.21. DEA: Drug Enforcement Agency

1.5.22. ED: Emergency Department

1.5.23. ECMO: Extracorporeal Membrane Oxygenation

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

1.5.25. EMR: Electronic Medical Record

1.5.26. FASCSA: Federal Acquisition Supply Chain Security Act

1.5.27. FAR: Federal Acquisition Regulation

1.5.28. FAPPIS: Federal Performance Awardee and Integrity Information System

1.5.29. FOIA: Freedom of Information Act

1.5.30. FPPE: Focused Provider Practice Evaluation

1.5.31. FSC: Financial Services Located in Austin, Texas

1.5.32. FSMB: Federation of State Medical Boards

1.5.33. FTE: Full Time Employee 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.

1.5.34. GAO: Government Accountability Office

1.5.35. HHS: Department of Health and Human Services

1.5.36. HIPAA: Health Insurance Portability and Accountability Act

1.5.37. ISO: Information Security Officer

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

1.5.39. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

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

1.5.41. NP: Nurse Practitioner

1.5.42. NPPES: National Plan and Provider Enumeration System

1.5.43. OIG: Office of Inspector General

1.5.44. OSHA: Occupational Safety and Health Administration

1.5.45. OPPE: Ongoing Provider Practice Evaluation

1.5.46. OR: Operating Room

1.5.47. PA: Physician Assistant

1.5.48. PIV: Personal Identity Verification

1.5.49. POP: Period of Performance

1.5.50. PPD: Purified Protein Derivative

1.5.51. PPIRS: Past Performance Information Retrieval System

1.5.52. PWS: Performance Work Statement

1.5.53. QA/QI: Quality Assurance/Quality Improvement

1.5.54. QASP: Quality Assurance Surveillance Plan

1.5.55. TDAP: Tetanus, Diphtheria, and Acellular Pertussis Vaccine

1.5.56. U.S.C: United States Code

1.5.57. VA: Veteran Affairs

1.5.58. Veterans Affairs Caribbean Healthcare System: VACHS

1.5.59. VHA: Veterans Health Administration

1.5.60. VetPro: Is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates completion of a uniform, accurate, and complete credentials file.

1.5.61. VISN: Veterans Integrated Services Network

1.5.62. VISTA: Veterans Integrated Systems Technology Architecture

2. QUALIFICATIONS:

Coverage: Clinical Perfusionist (CP) positions is a medical professional qualified by academic education, clinical education, and professional credentialing to provide extracorporeal patient care services. Patient care services include conducting and managing cardiopulmonary bypass, autotransfusion, intra-aortic counter pulsation and may include ventricular assistance and extracorporeal membrane oxygenation.

CPs are responsible for the selection of appropriate equipment and techniques necessary for the support, treatment, measurement, and supplementation of the cardiopulmonary system of a patient. They use a comprehensive understanding of anatomy, physiology, physics, pharmaceutical administration and mechanics of extracorporeal circulation to provide monitoring, analysis and treatment of patient physiologic conditions to maintain blood pressure, anticoagulation, myocardial electromechanical silence and preservation (with unique administration of cardioplegia), thermal regulation, fluid balance, electrolyte/acid-base balance and blood gas composition according to established guidelines and protocols. The scope of practice of the CP is a dynamic and continuously evolving profession with emerging areas of practice.

2.1. Staff/Facility

2.1.1. License: All licenses held by the key personnel working on this contract shall be full and unrestricted license to the services covered by this contract issued in any State, Territory, or Commonwealth of the United States or the District of Columbia. Contract personnel shall submit evidence of current, full and unrestricted licenses, registration, certification, and/or other relevant credentials for verification prior to appointment and throughout the employment process, as requested by the COR. Contractor is responsible for keeping the COR informed of anything that would adversely affect or otherwise limit their clinical privileges. Failure to meet this requirement may result in termination of the contract.

2.1.2. Board Certification: The contractor’s employees and any subcontractors shall have all licenses, permits, and certifications as required by law and this contract. All Perfusionists/Autotransfusionist shall be certified with at least a minimum of ten (10) years of experience. All Perfusionists shall be a graduate of an accredited Allied Health Education Program School of Perfusion Technology and shall be certified by the American Board of Cardiovascular Perfusion, demonstrate evidence of meeting continuing education requirements and shall have performed a minimum of 1000 clinical cases. Experience shall be demonstrated in the following areas:

Open heart surgery, autotransfusion, heart lung machine, membrane oxygenation, left/right heart bypass, intra-aortic balloon pumping and centrifugal ventricular assist device.

2.1.2.1. The Perfusionist/Autotransfusionist shall have only a certification as an Autotransfusionist. All continuing education courses required for maintaining certification must always be kept up to date. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance. A folder with the stated qualifications will be maintained by the COR.

2.1.2.2. Health Aid and Technician-Perfusion Assistant shall have a curriculum vitae or resume and documentation of previous experience working with heater cooler devices particularly in the context of cardiothoracic surgical procedures.

2.1.3. Credentialing and Privileging Applicable to the

Perfusionist/Autotransfusionist: Contract Perfusionist/Autotransfusionist fulfilling the conditions of the contract shall be subject to all bylaws, rules, and regulations of the VACHS. Each Perfusionist/Autotransfusionist shall be credentialed and privileged (if required) prior to providing services and must be found acceptable by the Facility Medical Executive Board and Medical Center Director (or designee). Credentialing and privileging is to be completed in accordance with VHA Directive 1100.20 and VHA Directive 1100.21 referenced above. The ability for an individual Perfusionist/Autotransfusionist to continue to render services under the contract shall be dependent upon demonstration of clinical competence.

Clinical competency shall be assessed on an ongoing basis for all Perfusionists/Autotransfusionists and shall be reported as practitioner specific practice information, in compliance with an accreditation body with equal or better standards to The Joint Commission.

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

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

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the facility. Contract personnel(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credential’s office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract personnel(s).

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

VA will communicate any changes to the training requirement to the contractor. The contractor must complete an initial week orientation and training session prior to start providing care to patient.

Training (The following training is mandatory per VHACO for Contracted Physicians)

Frequency (once a year, etc.)

Annual Hours

New Employee Orientation once per employee 40 hours

ACLS/BLS once a year 1 hour

Active Threat Training once a year 1 hour

Blood Administration:

Complications once a year 1 hour

EHR once a year 1 hour

Government Ethics once a year 1 hour

Hospice and Palliative Care for VA Clinicians once a year 1 hour

Military Sexual Trauma (MST) for Medical Providers once a year 1 hour

Moderate Sedation In- Service Training once a year 1 hour

PACT Act 2022 Toxic Exposure Screening (TES) once a year 1 hour

Patient Abuse once a year 1 hour

Patient Rights once a year 1 hour

Patient Safety once a year 1 hour

Prevention/Management of Disruptive Behavior/Violence Prevention Level I once a year 1 hour

Prevention of Workplace Harassment/No Fear Act once a year 1 hour

Suicide Prevention:

Suicide Risk Management Training for Clinicians once a year 1 hour

SUX Infection Control and Blood Borne Pathogens once a year 1 hour

VA Core Values Training (ICARE Recommitment) once a year 1 hour

VA Privacy and Information Security Awareness and Rules of Behavior once a year 1 hour

VHA MRI Safety Training Level 1 Training (all who enter MRI suites) once a year 1 hour

VHA Privacy and HIPAA Focused Training once a year 1 hour

VISTA Imaging once a year 1 hour

Other Training per local facility once a year As needed

2.1.7. STANDARD INFECTION CONTROL MEASURES (PPD,

IMMUNIZATIONS, ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

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

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

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

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

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

2.1.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE

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

2.1.7.7. The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998;

26:289-354 https://apic.org/Resource_/TinyMceFileManager/Practice_Guidance/IC -HealthCare-Personnel.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8. National Provider Identification (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the quote.

2.1.9. Conflict of Interest: The Contractor and all contract personnel(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 shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided.

The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.10. Citizenship related Requirements:

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

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

2.1.10.3. 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, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.10.4. 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 shall be made as part of the offerors response to the RFP 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 shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site referenced above to ensure that the proposed contract physician (s) are not listed.

Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service.

CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

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

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA 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 contract personnel(s) shall not be considered VA employees for any purpose.

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

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

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

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

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations to include:

2.7.3.1. Annual TB Skin Test and recent chest X-ray if there is a history of positive TB skin test.

2.7.3.2. Evidence of Hepatitis B immunity (hepatitis immune titer, if the individual has had the series of shots; if no immunity, evidence that the individual has started the Hepatitis B vaccination series

2.7.3.3. Evidence of a Hepatitis C titer

2.7.3.4. Varicella titer if contracted employee has not had chicken pox.

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 contract personnel(s). When Contractor or contract personnel(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract provider (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE): FTE is defined by VA as a minimum of 80 hours every two (2) weeks and does not include holidays. The contractor shall provide three (3) Full Time Equivalency Employees (FTEEs), consisting of two (2) Board Certified Perfusionists/Autotransfusionist and one (1) Health Aid and Technician- Perfusionist Assistant located at the VACHS in San Juan, Puerto Rico.

An additional Health Aid and Technician-Perfusion Assistant should be identified in case of substitution.

Key Personnel – Please Provide Names

2.9.2. The number of Board Certified Perfusionists required to be on site on a daily basis is one on site (1) during regular business hours, while one (1) is required to be on call at all times.

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

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

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

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

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

Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract personnel(s), s/he may request, without cause, immediate replacement of said contract personnel(s).

2.10.4 The CO and COR shall deal with issues raised concerning Contract personnel(s) conduct. The final arbiter on questions of acceptability is the CO.

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

2.10.6 Note: Evidence of completion of required licensure, credentials, required training, current competencies and background investigations must be validated for all contractor personnel referred to perform services under this contract prior to providing direct patient care. Contractor shall not have any personnel report to duty until written notification is received from the Contracting Officer advising that the candidate (s) presented has met all requirements for contract performance.

3. VA HOURS OF…