36C24920R0010 0003.docx

36C24920R0010 – McMinnville and Maury County CBOC Questions #2 – 07/17/2020

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 NUMBERED 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 amendment, 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) 07-21-2020 None 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

36C24920R0010 07-21-2020

X X X

4:00 p.m. CST, August 4, 2020 The purpose of this amendment is to extend the due date of solicitation 36C24920R0010 from July 28, 2020 to August 4, 2020 at 4:00 p.m. CST.

This amendment also addresses additional questions that were for clarification of the original questions.

All other terms, conditions remain the same and in effect.

End of Amendment Darryl Scherer Contracting Officer

CONTINUATION PAGE

1. We respectfully request an additional extension (i.e. at least seven days) from the current deadline of July 28, 2020 based on the date of issue of Amendment 2 and complications related to the current COVID-19 pandemic. The COVID-19 pandemic has created additional obstacles related to the production and shipping of paper proposals, and we request that this be taken into account. For example, FedEx does not currently guarantee overnight shipping. This means that, in order to guarantee arrival on Tuesday July 28, the Contractor must ship proposals on Friday July 24, a full four (4) calendar days before proposals are due to the Government. This request is also based on the fact that Amendment 2 includes extensive information related to all aspects of the offeror’s proposal, including site design and staffing plans. These proposal items require coordination with outside vendors and local Government entities. We request an appropriate time frame for all offerors to update their proposals, produce the required binders, and ship them to the VA.

We are extending the due date through August 4, 2020.

2. Questions 29, 30, 73, 74, 75, 84, 85, 86 request information about the required quantities of exam rooms, Women’s Health exam rooms, tele-health rooms, and group rooms, and the answer provided to each of these questions is to refer to the Design Guide. We have not been able to identify any portion of the Design guide that provides guidance on the desired or required quantity of these rooms types. For example, page 56 of the Design Guide states, “Provide the appropriate number of Patient Care Rooms per teamlet so there is no back log and limited waiting.” However, the “appropriate number” is not defined, and therefore the answers to questions to 29, 30, 73, 74, 75, 84, 85, 86 do not appear provide the information requested in the questions.

Could the Government reference the section(s) of the design guide that provide information on desired or required quantities of different room types? Or, alternately, could the Government confirm that there are no minimum required quantities of exam rooms, Women’s Health exam rooms, tele-health rooms, and group rooms and that these quantities are up to the contractor’s discretion?

PACT Space Module Design Guide. page 34, Section 4.3.4.A

Each PACT Space Module utilizes a ratio of approximately 3 Exam Rooms per teamlet. All Patient Care Rooms should use a standard layout, with equipment and supplies planned in standard quantities and locations

1. 29. Are there any specific telehealth or tele-mental room requirements; including quantity, dimensions, lighting, etc.?

See section 4.8.6.2 and also new Space Module Design Guide.

See Page 36 and 39 PACT Space Module Design Guide

1. 30. Is there a minimum number of Women’s Health rooms being requested?

See Section 4.8.1 and also new Space Module Design Guide.

Every PACT exam room can be considered women’s health as long as the exam table has foot rests, a privacy curtain, a light source, locking door, feminine hygiene products and adjacent bathroom (so a toilet in close proximity), where the Veteran can use a restroom without walking in a public space in a gown. Women’s Exam rooms do not have to be exclusive for women only. “

1. 73.How many primary care consultation rooms are required?

Advise contractor to consult the design guide See Page 36 and 39 PACT Space Module Design Guide

1. 74. How many procedures rooms does the contract require?

Advise contractor to consult the design guide See Page 39 PACT Space Module Design Guide

1. 75. How many and small and how many large group rooms are required per clinic?

Advise contractor to consult the design guide See Page 41 PACT Space Module Design Guide

1. 84. Is there a particular number of exam rooms required for either clinic location?

Advise contractor to consult the design guide See Page 36 and 39 PACT Space Module Design Guide

1. 85. Is there a particular number of Women’s Health exam rooms required for either clinic location?

See Section 4.8.1 and also new PACT Space Module Design Guide.

Every PACT exam room can be considered women’s health as long as the exam table has foot rests, a privacy curtain, a light source, locking door, feminine hygiene products and adjacent bathroom (so a toilet in close proximity), where the Veteran can use a restroom without walking in a public space in a gown. Women’s Exam rooms do not have to be exclusive for women only. “ Also see page 39.

1. 86. Is there a particular number of tele-health rooms required for either clinic location?

See section 4.8.6.2 and also new Space Module Design Guide.

See Page 39 PACT Space Module Design Guide

3. Page 145 of the Solicitation requires “Key Personnel, including salary range worksheet and all other supporting documents” to be submitted in Tab E. This is the only reference we have found to a “salary range worksheet”. In the interest of resolving the ambiguity of this requirement, please indicate the information that is required to be included in this salary range worksheet.

Key personnel Section has been replaced with the following language.

SUB-FACTOR E – KEY PERSONNEL

This sub-factor will be used to determine each Offeror’s ability to recruit and retain qualified staff. This sub-factor should identify that the Offeror has qualified staff that can provide primary services in the disciplines indicated in the solicitation that offers a successful contract performance. PWS Reference: Section 2, Staffing and Qualifications.

· Describe your management strategy, organizational structure, critical management support personnel, and key and support personnel at the CBOC level:

· For each CBOC, provide an organizational chart with a full description of each major organizational and management support element, along with key personnel and roles supporting each element. Describe the mechanisms you will employ to recruit and retain key personnel. Key Personnel shall have experience and qualifications that demonstrates the ability to successfully lead and manage their proposed roles.

· For each CBOC, provide a list of the titles, roles, and qualifications of all clinical staff members intended to be utilized in the performance of this contract, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements; and describe if each staff member is full-time (FT) or part-time (PT) and, if PT, list the number of hours the staff member will work each week. Also, provide the title, and qualifications of the Medical Director who will oversee the clinic, including whether s/he will be FT or PT, with the number of hours per week if PT. Please list PHC staff together, and MHC staff together.

· For each CBOC, provide a list of administrative support staff intended to be utilized in the operation of the CBOC, whether they will be FT or PT (including number of hours per week if PT), and describe the level of training and experience that will be utilized to meet contract requirements, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements.

· Describe Contractor’s strategy to train, develop and deploy management, technical, clinical, analytic, and support staff which will maintain and grow required skill sets ensuring long-term mission success, especially in rural settings.

· Describe the employment relationship between key personnel and the Contractor, and the arrangement between the parent organization(s) and the Contractor that enables the Key Personnel to participate in the management and operation of the CBOC, including any limitations to their participation in the management and operation of the CBOC (i.e. identify locum providers vs. employees and subcontracted staff/services).

· Describe contingency plan for covering enrolled patient's appointments due to scheduled or unscheduled vacancies to ensure that full patient grid of appointments is covered. The plan should demonstrate how Contractor shall provide seamless or minimal disruption in services. Include identified locum and/or permanent staff that may be privileged in advance to cover routine and emergency vacancies.

· Describe the Contractor’s vetting process for personnel prior to submitting personnel for VA credentialing. Also, describe the process established to ensure timely completion of VA background checks on employees providing services under this contract. The Contractor's approach should demonstrate to the VA that it has an active program to conduct background checks prior to being submitted to the VA, and to demonstrate Contractor cooperation to ensure completion and submission of documents to the VA for completion of VA background check on a timely basis.

4. Paragraph 4.12.1 requires, “Contractor shall provide completed appointments for new PC patients <=20 days from the create date.” However, the QASP in Attachment 1 requires, “Contractor shall provide completed appointments for new PC patients <=30 days from the create date.” In the interest of resolving this ambiguity for all offerors, please indicate which metric is correct.

Section 4.12.1 in the PWS is correct, I will attach the appropriate QASP that matches the PWS.

See attached document: Quality Assurance Surveillance Plan - 04-20-2020.