36C24920R0044.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. DUNS: DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 90

36C24920R0044 06-01-2020

Dewana Raynor 615-225-5498 07-01-2020

4:30 PM

90C Department of Veterans Affairs Network Contracting Office 9 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129

X

621111

$12 Million

N/A

Department of Veterans Affairs

Memphis VA Medical Center 1030 Jefferson Ave Memphis TN 38104

90C

Department of Veterans Affairs Network Contracting Office - 9 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129

90C

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically

Setup 1-877-489-6135

See CONTINUATION Page

The contractor shall provide Onsite Angio-Interventional Radiology Services in accordance with Schedule of Services

(pg. 5), Performance Work Statement (pg. 12), and all terms and conditions contained herein.

See CONTINUATION Page

FUNDING WILL BE PROVIDED ON EACH INDIVIDUAL TASK ORDER

X 1

Dewana Raynor Contracting Officer

36C24920R0044 – Onsite Angio-Interventional Radiology Services

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT FOR ONSITE ANGIO-INTERVENTIONAL

RADIOLOGY PHYSICIAN SERVICES

SECTION C - CONTRACT CLAUSES

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

2018)

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

52.203-3 GRATUITIES

52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE

52.216-4 ECONOMIC PRICE ADJUSTMENT – LABOR AND MATERIAL

52.224-1 PRIVACY ACT NOTIFICATION

52.224-2 PRIVACY ACT

52.227-14 RIGHTS IN DATA—GENERAL

52.227-17 RIGHTS IN DATA—SPECIAL WORKS

52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION

52.232-39 UNENFORCEABILITY OF UNAUTHORIZED OBLIGATIONS

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS

52.237-3 CONTINUITY OF SERVICES

52.242-13 BANKRUPTCY

52.245-1 GOVERNMENT PROPERTY

C.3 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (JAN 2011)

C.4 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (JUN 2016)

C.5 52.216-18 ORDERING (OCT 1995)

C.6 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.7 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.9 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.10 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.11 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.12 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN

2008)

C.13 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (MAR 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

Attachment 1 - QASP Attachment 2 - Contractor Certification of Immigration Attachment 3 - Past Performance Survey Attachment 4 - Contractor Rules of Behavior Attachment 5 - Organizational Conflicts of Interest

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (MAR 2020)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (DEC 2019)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (MAR 2020)

E.10 VAAR 852.273-73 EVALUATION - HEALTH-CARE RESOURCES (JAN 2003)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

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

a. CONTRACTOR:

Company Name: ____________________________________ Contact Person: ____________________________________ Title: ____________________________________

Address: ____________________________________ City/State/Zip: ______________________________ (9-digit zip)

Overnight Mailing Address (if different from above):

(9-digit zip)

Phone & Fax No.: Phone: _____ Fax: __ E-Mail: __________________________________________ Tax ID No.: ____________________________________ DUNS No.: _____________________________________

b. GOVERNMENT:

Dewana Raynor, Contracting Officer Department of Veterans Affairs Network Contracting Office 9 – NCO 9 1639 Medical Center Parkway, Suite 400 Murfreesboro, TN 37129-2573 Phone: (615) 225-5498 Fax: (615) 849-3789 Overnight Mailing Address: Same as above E-Mail: dewana.raynor@va.gov

i. The Contractor is advised that only the Contracting officer, acting within the scope if the contract and his/her duties and responsibilities has the authority to make changes which effect contract prices, quality, quantity, delivery terms and conditions, or the term of the contract.

ii. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer, be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Officer.

iii. CONTRACTING OFFICER’S REPRESENTATIVE: Prior to contract award, the Contracting Officer will delegate a Memphis VA Medical Center employee as COR for this contract. All work coordination shall be made through the COR.

The Contractor shall be provided a copy of the letter of delegation authorizing the COR at the commencement of the term of this agreement. No other person shall be authorized to act in such capacity unless appointed in writing by the Contracting Officer.

2. ACKNOWLEDGEMENT OF AMNEDMENTS: The Offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO. DATE

mailto:dewana.raynor@va.gov

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.”

Post Award Conferences: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Procurement Policy Memorandum (PPM) 2019- 01.

https://www.va.gov/oal/docs/business/pps/ppm201901.pdf

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform Onsite Angio-Interventional Radiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, Memphis.

Place of Performance: Services shall be provided onsite, VAMC Memphis, 1030 Jefferson Ave, Memphis, TN 38104.

Pricing Instructions:

The offeror is instructed to edit the number of sub-clins to correspond with the number of key personnel submitted for the contract line item number (CLIN). Affiliate Offerors shall include the “title” of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-CLINs if adding or removing Key Personnel. The offeror is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments.

The Contractor shall propose 2 key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: BASE ORDERING PERIOD: October 1, 2020 to September 30, 2021

CLIN

No.

SUB-

Description Qty. Unit Unit Cost

Total

Annual Cost

0001 None

1.0 FTE Board Certified Onsite Angio-

Interventional Radiologist to provide services

2080 Hours

KEY PERSONNEL

None 0001a

1.0 FTE Board Certified Onsite Angio-

Interventional Radiologist to provide

NAME: ____________

TITLE: ____________

Hours $__/hr. $__

None 0001b

1.0 FTE Board Certified Onsite Angio-

Interventional Radiologist to provide

Hours $__/hr. $__

0002 Weeknights on-call 3891.50 Hours $__/hr. $__

0003 Weekends on-call 2496 Hours $__/hr. $__

0004 Holiday on-call 240 Hours $__/hr. $__

TOTAL ESTIMATED FOR BASE ORDERING PERIOD Hours $__________________

ORDERING PERIOD 1: October 1, 2021 to September 30, 2022

No.

Annual Cost

1001 None

1.0 FTE Board Certified Onsite

Angio-Interventional Radiologist to provide services

1.0 FTE Board Certified Onsite

Angio-Interventional Radiologist to provide

Hours $__/hr. $__

None 0001b

1.0 FTE Board Certified Onsite

Angio-Interventional

Hours $__/hr. $__

1002 Weeknights on-call 3891.50 Hours $__/hr. $__

1003 Weekends on-call 2496 Hours $__/hr. $__

1004 Holiday on-call 240 Hours $__/hr $__

TOTAL ESTIMATED FOR ORDERING PERIOD 1

Hours

ORDERING PERIOD 2: October 1, 2022 to September 30, 2023

Annual Cost

2001 None

1.0 FTE Board Certified Onsite

Angio-Interventional Radiologist to provide

Angio-Interventional

Hours $__/hr. $__

None 0001b

1.0 FTE Board Certified Onsite

Angio-Interventional

Hours $__/hr. $__

2002 Weeknights on-call 3891.50 Hours $__/hr. $__

2003 Weekends on-call 2496 Hours $__/hr. $__

2004 Holiday on-call 240 Hours $__/hr. $__

TOTAL ESTIMATED FOR ORDERING PERIOD 2

ORDERING PERIOD 3: October 1, 2023 to September 30, 2024

Annual Cost

3001 None

1.0 FTE Board Certified Onsite

Angio-Interventional Radiologist to provide

Angio-Interventional

Hours $__/hr. $__

None 0001b

1.0 FTE Board Certified Onsite

Angio-Interventional

Hours $__/hr. $__

3002 Weeknights on-call 3891.50 Hours $__/hr. $__

3003 Weekends on-call 2496 Hours $__/hr. $__

Holiday on-call

240 Hours $__/hr $__

TOTAL ESTIMATED FOR ORDERING PERIOD 3

ORDERING PERIOD 4: October 1, 2024 to September 30, 2025

TOTAL ESTIMATED PRICE FOR ALL ORDERING PERIODS: $________________________

** Changes to the contract can only be made by a written modification which is formally executed by the contractor and the Contracting Officer.

CLIN

No.

Annual Cost

4001 None

1.0 FTE Board Certified Onsite

Angio-Interventional Radiologist to provide

Angio-Interventional

Hours $__/hr. $__

None 0001b

1.0 FTE Board Certified Onsite

Angio-Interventional

Hours $__/hr. $__

4002 Weeknights on-call 3891.50 Hours $__/hr. $__

4003 Weekends on-call 2496 Hours $__/hr. $__

4004 Holiday on-call 240 Hours $__/hr. $__

TOTAL ESTIMATED FOR ORDERING PERIOD 4

Orders shall be issued only the Contracting Officer.

All unit prices shall be a fixed price.

This contract is a fixed price Indefinite Delivery -Indefinite Quantity contract. The guaranteed minimum contract value is $500,000 and the maximum value shall not exceed $6,000,000.00.

ORDERS: This is a Fixed Price (FP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). The Task Orders shall be issued “as needed” during the term of the contract.

Task Order Procedures

a. This contract type allows the Veteran Affairs Network Contracting Office (NCO 9) contracting officers to place orders with the contractor on an as needed basis. In accordance with the Federal Acquisition Regulation (FAR) Clauses 52.216-18, Ordering. NCO 9 will obligate the funding and order the services by issuing a Task Order.

b. A Task Order shall be issued to the contractor when physician services are required. One task order may be issued for all line items if necessary or the Government may issue a task order for only one-line item depending on the Government’s need.

c. The contractor shall initiate work when, so directed by a Task Order issued by the contracting officer. No work under any Task Order shall be performed unless specifically authorized by the contracting officer. Approval of a Task Order shall not constitute approval to exceed any item listed in the contract or general provisions of the contract. The contractor shall not exceed the estimated task order amount or change the task order without prior written approval of the Contracting Officer.

d. In event the contractor is unable to fulfill the task order requirements; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the task order is immediately required. The estimated dollar amount on the unfilled task order will be applied to the minimum quantity. The government’s right to fulfill its need outside this contract does not waive its right to the issuance of a cure notice nor does it waive its right to terminate for default.

Task Order Issuance Procedure. The terms that apply to the issuance of Task Orders under this contract are set forth below:

a. The estimated quantities/days/hours for performance of each task shall be set forth in each Task Order. Each Task Order shall not exceed the quantities/days/hours specified and total amount obligated for each Task Order. The total amount of all Task Orders shall not exceed the overall contract value stated above.

Task Order Pricing

a. Task Order prices shall be Fixed-Price (FP) as agreed to in the contractor’s schedule and individually funded. The Unit Price is an all-inclusive cost.

Task Order Performance Period. When physician services are needed and a Task Order is issued, each Task Order shall have an established period of performance or delivery date.

Individual Task Orders shall not exceed a 12-month period.

B.3 PERFORMANCE WORK STATEMENT FOR ONSITE ANGIO-

INTERVENTIONAL RADIOLOGY PHYSICIAN SERVICES

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified Onsite Angio- Interventional Radiology Physician Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Memphis VAMC. The contractor shall provide the services of Angio-Interventional coverage during the absences of the full-time staff VAMC radiologist. The contractor shall perform, and report examinations done in the Angio-Interventional section of Radiology Service. Services shall be provided primarily between the hours of 8:00am and 4:30pm, Monday through Friday. The contractor shall cover vacation period of VA employed radiologist (approximately 5 weeks). The contractor shall work daily 8:00am to 4:30pm Monday through Friday. The contractor shall provide on-call weeknights, weekends, and holidays. The contractor shall perform and interpret emergency specialized procedures after normal working hours that require the expertise specialty of a radiologist. All procedures performed shall be completed, dictated within 24 hours of the procedure, and have a signed/verified report for each requested procedure.

Reports shall be verified within 48 hours of completion of procedure. The contractor's employees must be present at the VA facility and must actually be performing the required services for the period specified in the contract to receive payment for billable hours.

Abnormal/Critical Findings: The contractor shall identify and communicate emergent test results to the patient's ordering practitioner or to the practitioner's surrogate or supervisor as appropriate. Document the time and means of such communication, and the name of the practitioner contacted, in the medical record. Important findings that require emergent attention will be immediately and directly communicated to the patient's treating practitioner. A finding will be judged emergent by the contractor radiologist if the finding has the potential to be life threatening or could cause serious harm and requires a rapid intervention or change in patient management. Direct communication consists of a face to face or telephone conversation for immediate life-threatening findings. The time and means of such communication, and the name of the person contacted, will be entered into the dictated radiographic report. The contractor will ascertain that the communication has been understood. If the ordering practitioner cannot be contacted, the report will be directly communicated to the practitioner's surrogate or to the other responsible, ER provider, or to floor nurse, ICU nurse or supervisory nurse. Suitable surrogates include the practitioner's supervisor or preceptor, or another practitioner who may take further, appropriate diagnostic or therapeutic action.

The contractor shall ensure that all radiologists employed under this contract participate in the credentialing and privileging process as described in the most current Medical Center Memorandum No. 11-21 or latest update. (See contract documents, exhibits, and attachments #1)

Privileges shall require renewal at least every two years in accordance with the Medical Center and Joint Commission on Accreditation of Health Care Organizations (JCAHO) requirements.

Provide professional direction to support personnel employed by the VA Medical Center, Memphis, TN at no additional compensation. This shall include all resident-funded slots for diagnostic radiology as assigned by the Department of Veterans Affairs Medical Center.

The contractor’s employee must interpret and provide technical advice on all procedures in the Angio-interventional procedure section.

The contractor shall be responsible for the administration and management of all aspects of this contract and the health care plan covered there under. This includes responsibility for all contractor employees, subcontracts, agents, and any one action for or on behalf of the contractor.

The contractor agrees to provide services which meet the standards as established by all Federal and State regulations.

The contractor shall interpret and perform emergency procedures after normal working hours that require the expertise of a radiologist.

Continuity of Care:

The contractor shall be responsible for the management of medical care and continuity of care for all patients through the following minimum functions:

a) The contractor shall dictate radiology reports within 24 hours of completion of the procedure.

b) Verification will be required within 48 hours of completion of the procedure.

c) The contractor shall enter and sign any Computerized Patient Records Systems (CPRS) entries in accordance with Department of Veterans Affairs Medical Center Memphis policy. (See Medical Records Compliance Standards).

d) Report specific patient outcome information, such as complications to the patient’s attending physician.

e) The contractor shall provide services which meet the standards as established by Federal and State Regulations.

f) Clinical duties include direct patient care.

g) The contractor shall perform emergency procedures after normal working hours.

h) The contractor employee shall complete all radiology medical records documentation and shall use the Clinical Reminder system in the VA Memphis CPRS in accordance with Department of Veterans Affairs, Memphis policy. (See Medical Records Compliance Standards)

1.2. Place of Performance - Contractor shall furnish services at the Memphis VAMC, 1030

Jefferson Ave, Memphis, TN 38104.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority, FAR part 12 in combination with FAR part 15.

1.4. Policy/Handbooks - the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1. VHA Handbook 1100.17: National Practitioner Data Bank Reports https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.2. VHA Handbook 1100.18: Reporting And Responding To State Licensing Boards https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.3. VHA Handbook 1100.19: Credentialing and Privileging

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.4. VHA Directive 1088 Communicating Test Results to Providers and Patients https://www.va.gov/Vhapublications/ViewPublication.asp?pub_ID=3148

1.4.5. VHA Directive 1105.04 Fluoroscopy Safety

https://www.va.gov/Vhapublications/ViewPublication.asp?pub_ID=7454

1.4.6. VHA Directive 1192: Seasonal Influenza Prevention Program https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.4.7. VHA Directive 1220: Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures In Any Clinical Setting https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.4.8. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.9. VHA Handbook 1907.01: Health Information Management and Health Records https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.10. 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. Definitions/Acronyms- 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. ACEP: American College of Emergency Physicians

1.5.2. ACGME: Accreditation Council for Graduate Medical Education

1.5.3. AOD: Admitting Officer of the Day

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CR: Contract Discrepancy Report

1.5.6. CEU: Certified Education Unit

1.5.7. CME: Continuing Medical Education

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://www.va.gov/Vhapublications/ViewPublication.asp?pub_ID=3148 https://www.va.gov/Vhapublications/ViewPublication.asp?pub_ID=7454 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.5.8. CMS: Centers for Medicare and Medicaid Services

1.5.9. 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.

1.5.10. 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.

1.5.11. COS: Chief of Staff

1.5.12. CPARS: Contractor Performance Assessment Reporting System

1.5.13. 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.

1.5.14. DEA: Drug Enforcement Agency

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

1.5.16. FSMB: Federation of State Medical Boards

1.5.17. HHS: Department of Health and Human Services

1.5.18. HIPAA: Health Insurance Portability and Accountability Act

1.5.19. HR: Human Resources

1.5.20. ISO: Information Security Officer

1.5.21. MOD: Medical Officer of the Day

1.5.22. 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).

1.5.23. NPPES: National Plan and Provider Enumeration System

1.5.24. POP: Period of Performance

1.5.25. PPD: Purified Protein Derivative

1.5.26. PWS: Performance Work Statement

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

1.5.28. QA/QI: Quality Assurance/Quality Improvement

1.5.29. QM/PI: Quality Management/Performance Improvement

1.5.30. QASP: Quality Assurance Surveillance Plan

1.5.31. 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.

1.5.32. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.5.33. 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.

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

1.5.35. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Memphis VA Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License – The Contractor’s 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 physician(s) shall be Board Certified per the American Board of Radiology (http://www.theabr.org/) unless they are in a one year after residency or participating in the American Board of Radiology Pathway.

Interventional Radiologist must have Certificate of Added Qualification (CAQ) in Angio-Interventional Radiology. Must possess a current DEA license. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall 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 Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed physician(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 Memphis VAMC Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. If contractor’s physician(s) is/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 physician(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 http://www.theabr.org/ 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 VAMC. Contractor’s physician (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 contractor’s physician (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.

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

Frequency Annual Hours

Active Threat Training Annually 1.0 hours Blood Administration:

Complications

Annually

1.0 hours

Blood Administration:

Administration (all contract employees who administer blood components)

Government Ethics Annually 0.50 hours Hospice and Pallative Care for VA Clinicians

N/A N/A

Military Sexual Trauma (MST) for Medical Providers

Moderate Sedation In- Service Training

Prevention of Workplace Harassment/No Fear Act

Biennial

0.25 hours

VHA MRI Safety Training Level 1 Training (all who enter MRI suites)

0.5 hours

VA Core Values Training (ICARE Recommitment)

0.5 hours

VA Privacy and Information Security Awareness and

0.50 hours

Rules of Behavior VHA Privacy and HIPAA Focused Training

0.50 hours

ACLS/BLS Annually 1.0 hours Patient Safety Annually 0.5 hours Patient Rights Annually 2.0 hours Patient Abuse Annually 0.25 hours Prevention/Management of Disruptive Behavior/Violence Prevention Level I

Suicide Prevention: Suicide Risk Management Training for Clinicians

SUX Infection Control and Blood Borne Pathogens

Annually (for IR/Angio only)

0.50 hours

EHR N/A N/A

VISTA Imaging Annually 1.0 hours

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests 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) {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. The TST or IGRA testing shall be repeated annually.

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 VAMC 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 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 proposal.

2.1.9. DEA - Contractor shall provide copy of current DEA certificate.

2.1.10. Conflict of Interest: The Contractor and all contractor’s physician (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, 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 (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.11. Citizenship related Requirements:

2.1.11.1. 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;

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

12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.11.3. 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.

2.1.11.4. 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.

2.1.11.5. 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.

2.1.12. 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.

2.1.12.1. 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.

2.1.12.2. By submitting their proposal, 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 Service Chief and/or COS or clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19.

Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC 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.

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

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s physician (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 Contractor’s physician (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 Contractor’s physician (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

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s physician (s). When a Contractor or contractor’s physician(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 contractor’s physician(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 (1.0 FTE) for the services required is estimated for the initial year and four ordering periods for an Interventional Radiologist. FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. This contract requires 1 full-time FTE.

2.9.2. The minimum number of Board-Certified physicians to staff Angio-Interventional Radiology locations, located within the VA Medical Center, on a daily basis (be on site) is 1 as defined in paragraph Hours of Operation in this section.

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 physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) at the Memphis VAMC immediately of the schedule change.

2.9.4. 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.

2.9.4.1. 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.

2.9.4.2. 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.

2.9.4.3. 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 Contractor’s physician (s), s/he may request, without cause, immediate replacement of said Contractor’s physician (s) .The CO and COR shall deal with issues raised concerning Contractor’s physician (s) conduct.

The final arbiter on questions of acceptability is the CO.

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

3. HOURS OF OPERATION

3.1. VA Business Hours: (Normal Hours) Monday - Friday 8:00am - 4:30pm. (Weeknights on-call hours) Monday - Thursday 4:30pm - 8:00am. (Weekends) Friday - Monday 4:30pm - 8:00am.

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

3.1.2. Contractor’s physician(s) shall be available and present in clinic during normal Memphis VAMC clinic hours, Memphis VAMC which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are Monday through Friday 8:00am – 4:30 pm.

3.1.3. Off-hours Coverage: Contractor must make the contractor’s physician (s) available on-call during all hours when the Memphis VAMC clinic is closed, including evenings, weekends and holidays. Weeknights Monday – Thursday 4:30pm – 8:00am. Weekends Friday – Monday 4:30pm – 8:00am.

3.1.3.1. On-call contractor’s physician (s) must be available at all times for phone consultations with VA residents and physicians.

3.1.3.2. Patients must be seen within 30 minutes of the page when medically…