36C24827Q0032_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

36C24827Q0032 10-30-2026

Rosetta Quinn 813-893-1814 11-13-2026

4:00PM EST

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

X

Department of Veterans Affairs Bay Pines VA Healthcare System 10000 Bay Pines Blvd

Bay Pines FL 33744

36C248

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

8875 Hidden River Pkwy Tampa FL 33637

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 onsite IONM Technologist, and Board-Certified Neurologist (remote) oversight in support of the Department of Veterans Affairs, Bay Pines VA Healthcare System (BPVAHCS), 10000 Bay Pines Blvd, Bay Pines FL 33744. 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 five (5) through eight (8) for the Price Schedule. Reference pages nine (9) through 48 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 11-06-2026.

See CONTINUATION Page

X

X 1

Rosetta Quinn Contracting Officer

36C24827Q0032

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

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) ... 50

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

(DEVIATION APR 2026)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.8 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (DEVIATION)

(MAR 2026)

C.11 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 …………………………………..66

D.2 ORGANIZATIONAL CONFLICT OF INTEREST.……..…….………….…………..…66

D.3 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952, AS AMENDED………… …………………………………….…………………………66

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

D.5 PAST PERFORMANCE QUESTIONNAIRE……………..…………………….………66

D.6 LIMITATIONS ON SUBCONTRACTING_CERTIFICATE OF COMPLIANCE FOR

SERVICES…………….…………………………………………………………………..……66

D.7 WAGE DETERMINATION………………..………………………….……………….….66

SECTION E - SOLICITATION PROVISIONS

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

SERVICES (OCT 2025) (DEVIATION)

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 Aisha Daw 10000 Bay Pines Blvd, Bay Pines FL 33744

Aisha.Daw2@va.gov 727-398-6661 ext.14304

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.

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), Bay Pines VA Healthcare System (BPVAHCS) located at 10000 Bay Pines Blvd., Bay Pines, FL 33744. 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), Bay Pines VA Healthcare System (BPVAHCS) located at 10000 Bay Pines Blvd., Bay Pines, FL 33744, 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 $700,000.00. If the maximum aggregate amount of $700,000.00 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 LINs, 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.

LINE

ITEM

NUMBER

DESCRIPTION

OF SUPPLIES

/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

AMOUNT

Base Year: 03/01/2027 – 02/29/2028

0001 96.00 CS

Complete IONM Services to include an onsite 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: 03-01-2027 POP End: 02-29-2028

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

0002 48.00 CS

Probes

Contract Period: Base POP Begin: 03-01-2027 POP End: 02-29-2028

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

Estimated Total for Base Period:

Option Period I: 03/01/2028 – 02/28/2029

1001 99.00 CS

Complete IONM Services to include an onsite IONM 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: 03-01-2028 POP End: 02-28-2029

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

1002 49.00 CS

Probes

Contract Period: Option 1 POP Begin: 03-01-2028 POP End: 02-28-2029

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

Estimated Total for Option Period I:

Option Period II: 03/01/2029 – 02/28/2030

2001 102.00 CS

Complete IONM Services to include an onsite IONM 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: 03-01-2029 POP End: 02-28-2030

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

2002 51.00 CS

Probes

Contract Period: Option 2 POP Begin: 03-01-2029 POP End: 02-28-2030

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

Estimated Total for Option Period II:

Option Period III: 03/01/2030 – 02/28/2031

3001 105.00 CS

Complete IONM Services to include an onsite IONM 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: 03-01-2030 POP End: 02-28-2031

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

Probes

52.00 CS

Contract Period: Option 3 POP Begin: 03-01-2030 POP End: 02-28-2031

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

Estimated Total for Option Period III:

Option Period IV: 03/01/2031 – 02/29/2032

4001 108.00 CS

Complete IONM Services to include an onsite IONM 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: 03-01-2031 POP End: 02-29-2032

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

4002 54.00 CS

Probes

Contract Period: Option 4 POP Begin: 03-01-2031 POP End: 02-29-2032

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

Estimated Total for Option Period IV:

Estimated Grand

Total

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Interoperative 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), Bay Pines VA Healthcare System (BPVAHCS). 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 procedures 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 seven (7) days a week, 24 hours per day including federal holidays.

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 BPVAHCS, Surgical service.

The Contractor must supply 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.

1.2. Place of Performance: IONM technologist services must be provided onsite, at the Department of Veterans Affairs (VA), Bay Pines VA Healthcare System (BPVAHCS) located at 10000 Bay Pines Blvd., FL 33744, 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 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 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 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 https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm

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.htm

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. AANS: American Association for Neurological Surgeons

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

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

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 shall 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. CPARS: Contractor Performance Assessment Reporting System

1.5.28. 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.

1.5.29. CS: Case

1.5.30. DEA: Drug Enforcement Agency

1.5.31. ED: Emergency Department

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

1.5.33. EMG: Electromyography

1.5.34. EP: Electrophysiological

1.5.35. FAR: Federal Acquisition Regulation

1.5.36. FOIA: Freedom of Information Act

1.5.37. FPPE: Focused Provider Practice Evaluation

1.5.38. FSMB: Federation of State Medical Boards

1.5.39. 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.

1.5.40. HCR: Healthcare Resources

1.5.41. HHS: Department of Health and Human Services

1.5.42. HICPAC: Hospital Infection Practices Advisory Committee

1.5.43. HIPAA: Health Insurance Portability and Accountability Act

1.5.44. HR: Human Resources

1.5.45. IONM: Intraoperative Neuromonitoring

1.5.46. IGRA: Interferon-gamma release assays

1.5.47. ISO: Information Security Officer

1.5.48. IT: Information Technology

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

1.5.50. LIN: Line-Item Number

1.5.51. MEP: Motor evoked potential

1.5.52. MRI: Magnetic Resonance Imaging

1.5.53. 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.

1.5.54. MOD: Medical Officer of the Day

1.5.55. MOU: Memorandum of Understanding

1.5.56. 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).

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

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

1.5.59. NP: Nurse Practitioner

1.5.60. NPPES: National Plan and Provider Enumeration System

1.5.61. NSO: National Surgery Officer

1.5.62. OIG: Office of Inspector General

1.5.63. OPPE: Ongoing Provider Practice Evaluation

1.5.64. OR: Operating Room

1.5.65. OVAMC: Orlando VA Medical Center

1.5.66. PA: Physician Assistant

1.5.67. PALS: Pediatric Advanced Life Support

1.5.68. PII: Personally Identifiable Information

1.5.69. POP: Period of Performance

1.5.70. PPD: Purified Protein Derivative

1.5.71. PWS: Performance Work Statement

1.5.72. 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.

http://www.nlnac.org/

1.5.73. QA/QI: Quality Assurance/Quality Improvement

1.5.74. QM/PI: Quality Management/Performance Improvement

1.5.75. QASP: Quality Assurance Surveillance Plan

1.5.76. RFQ: Request for Quotation

1.5.77. SSEP: Somatosensory evoked potential

1.5.78. TJC: The Joint Commission

1.5.79. TST: Tuberculosis Skin Test

1.5.80. VA: Department of Veteran Affairs

1.5.81. 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.

1.5.82. VA-FSC: VA Financial Services Center

1.5.83. VAAR: VA Acquisition Regulation

1.5.84. VAMC: VA Medical Center

1.5.85. VISN: Veterans Integrated Services Network - the regional oversight for the VA medical centers.

1.5.86. 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.

1.5.87. 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 shall 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 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 Psychiatry and Neurology (ABPN).

http://www.abpn.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 Interoperative 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 http://www.abpn.org/content/default.asp 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.

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 to ensure that proposed physician(s) and technologist(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s physician(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 shall 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) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor’s physician(s) and Contractor’s physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. 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. Contractor’s Neurophysiologist physician(s) and IONM technologist(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 credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s Neurophysiologist physician(s) and IONM technologist(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 Neurophysiologist physician(s) and IONM technologist(s) as required by the VA. Other training may become required.

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

Training Frequency Annual Hours Active Threat Training One (1) 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 Every two (2) years 1.5 MIA Fluoroscopy Radiation Safety

Once a year 0.50

2.1.7. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS,

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

2.1.7.1. 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) and technologist(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’s physician(s) and technologist(s) (This is applicable to all health care workers).

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

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

2.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor’s physician(s) and technologist(s) have received the annual Influenza vaccine unless it is contraindicated. If the technologist(s) has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season.

(This is applicable to all health care workers).

2.1.7.6. 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) 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 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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

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

2.1.8. 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 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.

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

2.1.9. Conflict of Interest: The Contractor and all Contractor’s Neurophysiologist physician(s) and IONM technician(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 at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed Contractor’s 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 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) 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 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.

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

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s Neurophysiologist physician(s) and IONM technologist(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:

2.7.1.1. Workers’ compensation

2.7.1.2. Professional liability insurance

2.7.1.3. Health examinations

2.7.1.4. Income tax withholding, and

2.7.1.5. 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 Neurophysiologist physician(s) and IONM technologist(s) have been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or Contractor’s Neurophysiologist physician(s) and IONM technologist(s) action or non-action shall 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.

2.9.2. Contracted IONM Technologist(s) must provide services onsite.

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 t physician(s) or IONM technologist(s) is unable to complete an assigned shift, the contractor must provide replacement Neurophysiologist or IONM technologist(s) coverage within one (1) hour and notify the Contracting Office Representative (COR) at the BPVAHCS immediately of the schedule change.

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

After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

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

The contract will be modified to reflect any approved changes of key personnel.

2.9.5.2. 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 (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: BPVAHCS business hours are 6:30 a.m. to 4:30 p.m. Services must be available from the contractor 24 hours per day, seven (7) days per week, including weekends and federal holidays. Contractor must provide coverage for all required shifts, including weekends and holidays. Sunday through Saturday includes federal holidays as outlined in this PWS or scheduled timeframes by the requiring service.

3.1.1. Patients must be seen by a Contractor’s IONM technologist(s) onsite at BPVAHCS facility 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 shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2. Off-hours Coverage: Contractor must make the Contractor’s Neurophysiologist physician(s) and IONM technologist(s) available on call during all hours when the facility clinic is closed, including evenings, weekends and holiday.

3.1.2.1. On-call Contractor’s Neurophysiologist physician(s) and IONM technologist(s) must always be available for phone consultations with VA residents and physicians within 15 minutes by phone.

3.1.2.2. On-call IONM technologist(s) must be onsite within 60 minutes.

3.1.2.2.1. Urgent/Emergency Surgical Coverage: The Contractor must maintain sufficient qualified staffing and a documented contingency plan to provide complete IONM services for urgent or emergency surgical cases within one (1) hour of the VA request, including after-hours, weekends, and federal holidays, as applicable. This requirement includes onsite technologist coverage and remote professional interpretation/supervision. The Contractor must have backup coverage arrangements to avoid delaying urgent surgical procedures due to unavailable IONM personnel.

3.1.2.3. Patients will be evaluated as medically allowed before surgical procedure in order to assess the optimal neuromonitoring approach.

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

• New Year’s Day

• Martin Luther King’s Birthday

• President’s Day

• 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 shall 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…