36C24920Q0066-0002000.docx

5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE

OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendmen t, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129 To all Offerors/Bidders

36C24920Q0066 01-27-2020 X X X X

FEBRUARY 6, 2020 AT 4:00 P.M. CST

X Subject: Primary Care Physicians Solicitation RFQ; Tennessee Valley Healthcare System

1. This amendment is created to respond to questions pertaining to RFQ 36C24920Q0066-011;

Primary Care Physician Services for the Tennessee Valley Healthcare System.

2. Any further questions concerning this solicitation must be submitted in writing via email to cynthia.machuca@va.gov no later than January 30, 2020 by 2:00 p.m. CST.

3. The RFQ due date has been extended to February 6, 2020 at 4:00 p.m. CST.

Cynthia Machuca Contracting Officer/Specialist Amendment 0002 – Response to Vendor Questions

The following questions were received from potential offerors, with response to those questions:

1. Would the VA be willing to remove the ACLS requirement?

ACLS is listed as a requirement on page 19 of the RFQ. It is not common for primary care providers to have ACLS as it usually reserved as a requirement for higher acuity situations.

Response: No, ACLS is not a requirement. BLS is required.

2. For lodging purposes would a provider be assigned a ‘home site’ so that convenient lodging can be secured for non-local candidates?

Response: Physicians will primarily be based at the JHQ VAMC.

i. We are assuming the government issued vehicle will need to be returned each day. If a provider is issued a vehicle from the main campus will the drivetime from the main campus to the CBOC/OPC and drivetime back from the CBOC/OPC back to the main campus be invoiceable?

Example, provider works most days at the main campus and is asked to work a single day at the Norton CBOC. His/her shift will start at 7:30 at the Norton CBOC. But in order to be at Norton CBOC by 7:30am the provider will need to be at the main campus at near 6am. Additionally, at the conclusion of the day the provider will then have to return the government car, adding another 1.5 hours to the day.

Response: Travel will be conducted within the tour of duty hours (7:45 a.m. to 4:30 p.m.). No additional time should occur thus no additional cost to the provider.

ii. When would the ‘clock start’ for invoicing purposes?

Response: Monthly, in arrears of actual service provided.

3. In looking to submit to solicitation 36C24920Q0066, many of my Doctors are wondering when the first possible work day could be. After reading through solicitation multiple times, it does not describe a First day of services to be rendered.

Response: This is an emergent requirement and we will want physicians as soon as possible. The period of performance will be set at the time of award but will be effective for a period of one-year from the effective date for the period of performance.

For example, Contractor has a physician available immediately upon being credentialed. Period of performance would be set for approximately 4 to 6 weeks out to allow time for the physician to complete credentialing.

4. What portion of a candidate’s work will be conducted at JHQ VAMC and how much at the outpatient clinics?

Response: 100% at the JHQVAMC unless specifically recruited or advance notice is given for coverage at one of the outlining CBOCs

5. How much time will be provided in the physician’s schedule for charting patient information?

Response: Providers are scheduled 6-7 hours of face-to-face clinic time with an hour of admin time each day to be used for charting and view alerts.

6. Can you advise what the current need is? Please advise number of providers and locations?

Response: The VAMC currently needs 8 full-time equivalent providers (2,080 hours per year per provider). The VAMC typically keeps locum providers working out of the JHQVAMC but may have a need for a locum provider at one of their CBOC locations.

All locations are outlined in the solicitation.

7. How many patients per day will they be seeing on average?

Response: 12-14

8. How many support staff are available (e.g., mid-levels and nurses)?

RN, LPN, MSA (Medical Support Assistant) Response: The medical center operates using the PACT model which requires a 4-member PACT team including a physician or mid-level provider (for example physician, RN, LPN, Clerk).

9. Does the government recognize ABPS FM as a board certification? See https://www.abpsus.org/

Response: Yes

10. Is this a new requirement?

Response: Yes

i. If not, is there an incumbent contractor in place? If so, who is the incumbent contractor and how may FTEs are being used to meet the requirement?

Response: One emergency contract is in place for one physician with Ansible Government Solutions. However, there are currently no contract physicians working to support this requirement.

11. Since there are multiple locations for services, how will the government provide the contractor with scheduling needs?

Response: Primary location for services shall be at the JHQVAMC. If a provider is needed at one of the outpatient sites (CBOCs), the VAMC will notify the contractor accordingly.

i. How far in advance will notification be provided to the vendor?

Response: As much notice as is physically possible.

12. How soon will they make a decision and want providers to start?

Response: Decision will be made as soon as practicable as this is an emergent need. Providers will start as soon as they are credentialed.

13. What is the anticipated start date?

Response: As soon as providers are credentialed.

14. What would a typical shift entail for a provider in regard to support? (i.e., is there a team-based care approach?)

Response: Regular hours are annotated in the solicitation at 8 am to 4:30 pm. There is a team-based care approach utilizing the PACT model.

15. Are there other primary care physicians currently on staff?

Response: Yes, this is a hospital with numerous associated outpatient clinics.

16. What is available onsite (e.g., ultrasound, pharmacy, lab, x-ray)?

Response: This is a Level II hospital facility with all necessary support services such as x-ray, lab, pharmacy, ultrasound, radiology, etc. Here is a list of the services provided at this medical center:

A

Audiology and Speech Language Pathology

Helping veterans and their families with problems associated with hearing, balance/dizziness, tinnitus, and speech/language disorders.

877-573-3529

Cancer Program

The Cancer Program at Mountain Home is accredited through the American College of Surgeons Commission on Cancer.

877-573-3529

Chaplain Service

Competent, kind, and respectful spiritual care is available 24 hours a day to Veterans and family members.

James H. Quillen VA Medical Center Bldg. 200, Ground Floor Room A018 423-926-1171 Ext. 2485

Bldg 77 3rd Floor 423-926-1171 Ext. 2981

Extended Care and Geriatric Services

Our Extended Care & Geriatric Services programs provide physical medicine and rehabilitation, transitional care, as well as home and community care.

877-573-3529

Eye Care

Optometry and Ophthalmology work together in a combined clinic at Mountain Home to provide an integrated set of eye care services.

Building 200, 2nd Floor, Ward B-2 James H. Quillen VA Medical Center 423-926-1171 877-573-3529

Former Prisoners of War Program

One of the highest priorities of the Department of Veterans Affairs is meeting the needs of Former Prisoners of War (FPOWs).

Health Promotion and Disease Prevention (HPDP) Program

Provides Veterans with comprehensive health education, clinical services and support to enhance their health, well-being, and quality of life.

877-573-3529

Hospice and Palliative Care

Compassionate care for people facing a life-limiting illness or injury.

Medicine

We deliver a comprehensive range of medical care to veteran patients through general internal medicine and medical subspecialties.

877-573-3529

Mental Health

Our mental health program provides consultation, evaluation, and treatment for a variety of issues that can impact emotional well-being.

Military Sexual Trauma

Coordinates treatment for conditions associated with Military Sexual Trauma including sexual harassment, rape or other type of sexual assault.

Nursing

The nursing service at VAMC Mountain Home provides quality patient care and promotes wellness.

877-573-3529

Nutrition and Food

The nutrition and food service at VAMC Mountain Home maintains a progressive program for both preventive care and for Medical Nutrition Therapy.

Pharmacy

Our pharmacy processes more than 3,000 prescriptions daily. Prescriptions may be refilled by mail, phone, or online.

877-573-3529 Ext. 7221

Primary Care

Our primary care program offers an extensive range of treatments with an emphasis on health care prevention.

877-537-3529

Research

Our research and development program enhances our ability to provide state-of-the-art medical techniques and treatments to veterans.

877-573-3529

Social Work

Social work is an integral part of health care. Our social work program assists veterans with counseling and community services.

877-573-3529

Spinal Cord Injury Support

Providing care and consultative services to patients with spinal cord injury, multiple sclerosis, and amyotrophic lateral sclerosis.

Surgery

Our surgery program provides high quality surgical care for our veterans utilizing the latest research and state-of-the-art equipment.

877-573-3529

VA Beneficiary Travel Reimbursement Program

Our beneficiary travel reimbursement program provides Electronic Fund Transfer (EFT) for qualifying travel.

423-923-1171 Ext. 7609

17. Can the government clarify the Technical write up that is required for this opportunity?

Response: We do not understand the question. The requirement is for the vendor to provide primary care physicians to work on-site at the VAMC, or one of the CBOC locations. The requirement is outlined in the solicitation. Vendors who are having difficulty may contact their local PTAC coordinator for assistance responding to this solicitation. Please contact the Small Business Administration for the PTAC coordinator in your local area.

18. Are vendors only required to provide the following information:

i. “Personnel Qualifications: provide the following information for each candidate proposed to work under the contract:

ii. Copy of his/her license and/or state certification

iii. Copy of any advanced certification(s)

iv. Copy of resume’ or CV as appropriate specifying experience that meets qualifications outlined in the solicitation

v. Name and contact information for 3 references”

Response: Please refer to the solicitation for a complete listing of what is required to be provided with vendor’s proposal package. Vendors who are having difficulty may contact their local PTAC coordinator for assistance responding to this solicitation. Please contact the Small Business Administration for the PTAC coordinator in your local area.

END OF QUESTIONS AND ANSWERS

NOTE:

Reference the full solicitation number 36C24920Q0066-011 with Price Schedule requirement as this is an RFQ request for quotes, not an RFI.