36C24923Q0344.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

36C24923Q0344 06-27-2023

Angela Tucker 615-225-4512 07-31-2023

10:00AM CDT

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129

X

621512

$16.5 Million

N/A

Department of Veterans Affairs Lt. Col. Luke Weathers, Jr.

Vascular Clinic 1030 Jefferson Avenue Memphis TN 38104

90C

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

90C

FSC e-Invoicing 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

Locum Vascular Medical Instrument Technician Services in support of the Lt. Col. Luke Weathers, Jr. VAMC

See Schedule of Services on Page 5 See Performance Work Statement on Page 13

Please review solicitation in its entirety. Take note of "Instruction for the Preparation of Quotes" on Page 65 for proper quote submission guidance.

Angela Tucker Contracting Officer

36C24923Q0344

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 SCHEDULE OF SERVICES

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (DEC 2022)

C.1.1 ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

C.1.2 52.216-18 ORDERING (AUG 2020)

C.1.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.1.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.1.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.1.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) 47

C.1.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.1.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.1.9 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.1.10 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.1.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.1.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2022)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 ATTACHMENT 1 – QUALITY ASSURANCE SURVEILLANCE PLAN

D.2 ATTACHMENT 2 – CONTRACTOR CERTIFICATION: IMMIGRATION AND

NATIONALITY ACT OF 1952, AS AMENDED

D.3 ATTACHMENT 3 – CONFLICT OF INTEREST CERTIFICATION STATEMENT

D.4 ATTACHMENT 4 – SCA WD NO. 2015-4673 REV 21

D.5 ATTACHMENT 5 – ONBOARDING FLOWCHART

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (NOV 2021)

E.1.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

INSTRUCTION FOR THE PREPARATION OF QUOTES

E.1.2 52.204-24 REPRESENTATION REGARDING CERTAIN

TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT

(NOV 2021)

E.1.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT

2018)

E.1.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.1.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

E.1.6 VAAR 852.273-73 EVALUATION - HEALTH-CARE RESOURCES (NOV 2021) ..71

E.2 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

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:

CONTRACTOR: ____________________________ (POC)

____________________________ (Business Name) ____________________________ (Address) ____________________________ (Address) ____________________________ (Phone Number) ____________________________ (Email)

____________________________ (UEI)

____________________________ (Tax ID Number)

GOVERNMENT: Angie Tucker Contracting Officer

U.S. Department of Veterans Affairs Network Contracting Office 9

E-mail: angela.tucker2@va.gov

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

[N/A] 52.232-36, Payment by Third Party

GOVERNMENT INVOICE ADDRESS: Invoices shall be submitted in arrears:

Other [MONTHLY IN ARREARS]

GOVERNMENT INVOICE ADDRESS: All invoices from the Contractor shall be submitted electronically to the VA Financial Services Center for payment processing, free of charge. For any questions about the e-invoicing program, please contact the FSC at the phone number or email address listed below:

Tungsten Support Phone: 1-877-489-6135 Website: http://www.tungsten-network.com/uk/en/ Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email: vafscched@va.gov

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite Vascular Medical Instrument Technician Services to eligible beneficiaries of the Department of Veterans Affairs (VA) and the Lt. Col. Luke Weathers, Jr. VA Medical Center (herein referred to as the Memphis VAMC). The Contractor’s technician(s) care shall cover the range of Vascular Medical Instrument Technician Services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards.

Period of Performance: A contract resulting from this solicitation will be awarded for one (1) base year, from October 1, 2023 through September 30, 2024, and four (4) additional one-year option periods.

Estimated Quantities: Estimated hours, and maximum quantities are stated for the purpose of evaluating the Contractor’s quote.

Contractual minimum and maximum: The guaranteed minimum contract amount, including the base period and any option periods exercised, is 1,040 hours, and the maximum contract amount shall not exceed 41,600 hours.

Orders: This is a Firm Fixed Price Indefinite Delivery Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). Task Orders shall be placed against this IDIQ contract at the time of contract award, and as needed during the term of the contract. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19.

Local Technician: A local technician is a technician who resides in the local commuting area and does not require additional traveling expenses.

Traveler Technician: A traveler technician is a technician who does not reside in the local commuting area and does require additional traveling expenses. The quoted rate is an all-inclusive rate for a traveler; any lodging, meals, or travel expenses will not be reimbursed separately outside of this rate.

It is advisable that vendors quote both local and traveler technician rates, even though initially both may not be submitted as key personnel. This allows for flexibility if key personnel need to be replaced at a future date during the term of the contract.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4,160.00 HR __________________ __________________

Vascular Medical Instrument Technician Services Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging Centers PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

0001AA

HR __________________

Local Technician Rate Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

0001AB

All-Inclusive Traveler Technician Rate Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

24.00 HR __________________ __________________

Overtime - Emergency Studies Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

ITEM

NUMBER

DESCRIPTION OF

0002AA

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

0002AB

Contract Period: Base POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

1001AA

Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

1001AB

0.00 HR __________________

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

ITEM

NUMBER

DESCRIPTION OF

Overtime - Emergency Studies Contract Period: Option 1 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

1002AA

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

1002AB

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

ITEM

NUMBER

DESCRIPTION OF

2001AA

Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

2001AB

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Overtime - Emergency Studies Contract Period: Option 2 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

2002AA

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

ITEM

NUMBER

DESCRIPTION OF

2002AB

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

3001AA

Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

3001AB

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Overtime - Emergency Studies Contract Period: Option 3 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

ITEM

NUMBER

DESCRIPTION OF

3002AA

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

3002AB

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

4001AA

Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

ITEM

NUMBER

DESCRIPTION OF

4001AB

POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Overtime - Emergency Studies Contract Period: Option 4 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

4002AA

POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

4002AB

POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

GRAND TOTAL __________________

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Medical Instrument Technicians (Vascular) onsite in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Lt. Col. Luke Weathers, Jr. VA Medical Center (herein referred to as the Memphis VAMC).

1.1. Place of Performance:

Memphis VA Medical Center Vascular Clinic 1030 Jefferson Ave Memphis, TN 38104

1.2. Authority: Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority, to include FAR Part 12 and VAAR Part 873.

1.3. Policy/Handbooks:

1.3.1. VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

1.3.2. VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.3.3. VHA Handbook 1100.17: National Practitioner Data Bank Reports -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.3.4. VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.3.5. VHA Handbook 1100.19 Credentialing and Privileging -

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

1.3.6. VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

1.3.7. Privacy Act of 1974 (5 U.S.C. 552a) as amended

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4. 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.

1.4.1. ACGME: Accreditation Council for Graduate Medical Education

1.4.2. AOD: Admitting Officer of the Day

1.4.3. BLS: Basic Life Support

1.4.4. CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

1.4.5. CDC: Centers for Disease Control and Prevention

1.4.6. CDR: Contract Discrepancy Report

1.4.7. CEU: Certified Education Unit

1.4.8. CME: Continuing Medical Education

1.4.9. CMS: Centers for Medicare and Medicaid Services

1.4.10. 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.

1.4.11. 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.

1.4.12. COS: Chief of Staff

1.4.13. CPARS: Contractor Performance Assessment Reporting System

1.4.14. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.4.15. 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.

1.4.16. DEA: Drug Enforcement Agency

1.4.17. ED: Emergency Department

1.4.18. FSMB: Federation of State Medical Boards

1.4.19. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of

80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.4.20. HHS: Department of Health and Human Services

1.4.21. HIPAA: Health Insurance Portability and Accountability Act

1.4.22. HR: Human Resources

1.4.23. ISO: Information Security Officer

1.4.24. 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.

1.4.25. MIT: Medical Instrument Technician

1.4.26. MOD: Medical Officer of the Day

1.4.27. 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).

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

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

1.4.30. NP: Nurse Practitioner

1.4.31. NPPES: National Plan and Provider Enumeration System

1.4.32. PA: Physician Assistant

1.4.33. PALS: Pediatric Advanced Life Support

1.4.34. POP: Period of Performance

1.4.35. PPD: Purified Protein Derivative

1.4.36. PWS: Performance Work Statement

1.4.37. 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.

1.4.38. QA/QI: Quality Assurance/Quality Improvement

1.4.39. QM/PI: Quality Management/Performance Improvement

1.4.40. QASP: Quality Assurance Surveillance Plan

1.4.41. Veterans Health Administration (VHA): The central office for administration of the

VA medical centers through throughout the United States. The VHA is in Washington, D.C.

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

1.4.43. 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.

1.4.44. Vet-Pro: a federal web-based credentialing program for healthcare providers.

1.4.45. 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. Certification: Technicians assigned by the Contractor to perform the services covered by this contract are required to have completed training through a certified program and maintain current Basic and Advanced Cardiac Life Support (BCLS) certification. State licensure or certification (ARDMS or CCI or RVS eligible) is required. Technician must have a minimum three (3) years’ experience as a Vascular Medical Instrument Technician.

2.1.2. 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 technicians possess the requisite credentials enabling the granting of privileges. No services shall be provided to any contractor’s technician(s) prior to obtaining approval by the Memphis VAMC Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.2.1. If a technician is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3. Technical Proficiency: Technicians 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 technician(s)and contractor’s technician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.4. Training (BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the technicians as required by the VA. All training requirements must be met prior to the technicians coming onboard. Training certificates must be provided to the COR prior to coming onboard. Contractor employees must complete the "VA Privacy and Information Security Awareness and Rules of Behavior," and “Privacy and HIPAA Focused Training.” This training is a web-based course which may be accessed on https://www.tms.va.gov/SecureAuth35/. A copy of the training certificate must be forwarded to the Surgical Service COR who will in turn forward to VA Information Security Officers and Privacy Officer. Rules of Behavior training is an annual mandatory requirement for all employees.

Compliance & Business Integrity VA 7318 Annual .50 hrs.

Annual Government Ethics VA 3812493 Annual .50 hrs.

VA Privacy and HIPAA VA 10203 Annual .50 hrs.

Mandatory Training for Transient Clinical Staff VA20152 Annual .50 hrs.

Privacy & Information Awareness & Rules of Behavior

VA 10176

Annual .50 hrs.

2.1.5. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for technicians 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.

2.1.5.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s technician(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 test shall be repeated annually.

2.1.5.2. MEASLES, MUMPS, AND RUBELLA TESTING: Contractor shall provide proof of immunization for all Contractor’s technician(s). This is applicable to all healthcare workers.

2.1.5.3. VARICELLA: Contractor shall provide proof of immunity for all technicians. This is applicable to all health care workers.

2.1.5.4. ACELLULAR PERTUSSIS: Contractor shall provide proof of 1 dose of Tdap vaccination for all Contractor technicians. This is applicable to all health care workers.

2.1.5.5. INFLUENZA: Contractors shall provide proof that all Contractor technicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor technician 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}.

2.1.5.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contractor technicians; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.5.7. 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.

2.1.6. Conflict of Interest: The Contractor and all Contractor’s technicians 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 (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.7. Citizenship-Related Requirements:

2.1.7.1. The Contractor certifies that the technician 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.

2.1.7.2. 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, because 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.

2.1.7.3. 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.

2.1.7.4. 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.

2.1.7.5. 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.

2.1.8. 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.

2.1.9. 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 technician(s)s (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.

2.1.10. 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 quote was submitted.

2.2. Clinical/Professional Performance: The qualifications of Contractor’s technicians are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA 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.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s technician(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 technicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contractor’s technician(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 technician(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 technician(s). When a Contractor or contractor’s technician has been identified 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 technician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The current VA Full Time Equivalency (FTE) for the services required is 2.0 FTE.

One FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. The number of FTE required is subject to change based on the needs of the Memphis VAMC.

2.9.2. The minimum number of Vascular Technicians required to be on site daily is 2.0 FTE as defined in paragraph Hours of Operation in Section 3.0. The number of FTE required to be onsite is subject to change based on the needs of the Memphis

VAMC.

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 technician is unable to complete an assigned shift, the Contractor shall provide a replacement within 2 hours and notify the Contracting Office Representative (COR) at the Memphis VA Medical Center 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 one (1) calendar day 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 seven (7) 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 seven (7) 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 (2) 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/he may request, without cause, immediate replacement of said Contractor. The CO and COR shall deal with issues raised concerning Contractor’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 technician(s) leave 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: The Memphis VAMC Vascular Clinic and Vascular Lab is open Monday – Friday 8:00am-4:30pm local time. Clinic hours may vary during the term of the contract.

3.2. One (1) Contractor’s technician shall be available and present in clinic from 8:00am to 4:30pm Monday through Friday local time, and one (1) Contractor’s technician shall be available and present in the clinic from 7:30am to 4:30pm Monday through Friday local time. Memphis VAMC clinic hours which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff.

3.2.1. Contractor technician will provide coverage for the VA staff technician when he/she is on leave. A thirty-day notice will be given to the Contractor of the date VA staff will be on leave.

3.2.2. Off-hours Coverage: The Contractor technicians shall be available after hours.

Occasionally the Vascular Laboratory will run past 4:30 pm local time. Overtime will be given for hours greater than 80 per week.

3.2.3. On-Call Coverage: The Contractor technicians shall provide on-call services on evenings and weekends. An hourly rate will be paid for on-call services. If the

Contractor technician is called back to the facility, the regular hourly based rate will be charged unless overtime is incurred. Overtime is applicable only after a 40-hour workweek.

3.3. Federal Holidays: The following holidays are observed by the Department of

Veterans Affairs:

New Year’s Day President’s Day Martin Luther King’s Birthday Memorial Day Juneteenth Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Any day specifically declared by the President of the United States to be a national holiday.

3.3.1. Cancellations: Unless a state of emergency has been declared, the Contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES:

4.1. Clinical Personnel Required: The Contractor shall provide Contractor’s technician(s) who are competent, qualified per this performance work statement, and adequately trained to perform assigned duties.

4.1.1. Contractor’s technician(s) shall be responsible for submitting weekly timesheets.

Timesheets 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 technician’s care shall cover the range of MIT Vascular Services as would be provided in a state-of-the-art civilian medical treatment facility.

4.3. Resident Supervision and Teaching: Not applicable.

4.4. MEDICAL RECORDS

4.4.1. Authorities: Contractor’s technician(s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R.

Parts 160, 162, and 164 (HIPAA).

4.4.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19).

Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense.

Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.4.3. Disclosure: Contractor’s technician(s) may have access to patient medical records:

however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records.

The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.4.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAMC.

4.4.5. Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual’s Records, to process “Release of Information Requests.” In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility. The VA’s Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient’s consent form. Completed Release of Information requests will be forwarded to the VA Privacy Officer at the following address: Quin Denton VAMC Memphis 1030 Jefferson Ave. Memphis, TN 38104 (901) 523-8990 x7087.

4.5. Direct Patient Care: Estimated 95% of the time involved in direct patient care.

4.5.1. Contractor shall provide the following staff:

4.5.1.1. Personnel assigned by the Contractor to perform the services covered by this contract are required to have completed training through a certified program and maintain current Basic and Advanced Cardiac Life Support (BCLS) certification. State licensure or certification (ARDMS or CCI or RVS eligible is desired).

4.5.2. The Contractor shall furnish the services of Vascular Medical Instrument Technicians. The Contractor will only be paid for services performed.

4.5.3. The Contractor's technicians shall not supervise any VA employees and will only perform authorized contract work at the Memphis VA Medical Center in strict accordance with the Price Schedule shown in the contract. Contractor may work with current VA full or part time staff that are not provided by the Contractor.

Contractor will provide, as needed, professional direction and oversight to support personnel employed by the Memphis VAMC.

4.6. CONTINUITY OF CARE:

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

4.6.1.1. The Contractor shall provide services which meet the standards as established by Federal and State Regulations and other review bodies, e.g., Joint Commission (TJC).

4.6.1.2. Clinical duties include direct patient care.

4.6.2. Scope of Care: Contractor’s technician(s) (as appropriate and within scope of practice/privileging) shall be responsible for providing care, including, but not limited to:

4.6.2.1. The Contractor’s technician(s) shall independently perform noninvasive diagnostic ultrasound procedures of the major veins and arteries peripheral to the heart.

Applies qualitative and quantitative methods of assessing arterial, venous vasculature to evaluate blood flow, identify collateral pathways, anatomical pathology or to obtain vessel measurements. Performs these procedures according to established and validated techniques, including:

4.6.2.2. B mode scanning

4.6.2.3. Duplex imaging with and without color flow

4.6.2.4. Doppler spectral analysis

4.6.2.5. Blood pressure monitoring systems, and

4.6.2.6. Photoplethysmography

Competency in performance of upper and lower extremity arterial and venous exams is mandatory, including scanning aortas, EVAR (endovascular aortic aneurysm repair) grafts, lower extremity bypass grafts and stents, DVT/SVT of the upper and lower extremities and venous reflux exams. Other necessary skill sets include routine carotid duplex scans as well as post endarterectomy or stenting, pre op arterial/ vein mapping for dialysis access, interrogation of dysfunctional dialysis access grafts or fistulas, including flow studies, assessment of pseudoaneurysms and the ability to support vascular lab procedures such as ultrasound guided thrombin injection. The contractor should be proficient in the performance of Doppler waveforms and ankle/ brachial indices using the Parks Flo Lab. Must be able to independently create a preliminary report documenting observed pathology for review by interpreting physician. Schedules patients for examinations. Prioritizes exams to accommodate patient and hospital need.

Maintains records and film files on VA PACS (ISCV). If unfamiliar with this system, willing to learn how to utilize it.

4.7. ADMINISTRATIVE: estimated 5% of time not involved in direct patient care

4.7.1. Staff Meetings: The Contractor’s technician(s) shall attend staff meetings as required by the VAMC Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.

4.7.2. QA/QI documentation: The Contractor’s technician(s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications, and outcome of examinations.

4.7.3. Patient Safety Compliance and Reporting: Contractor’s technician(s) shall follow all established patient safety and infection control standards of care. Contractor’s technician(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the COR VA Safety Policy. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested.

4.8. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY

IMPROVEMENT(QI)

4.8.1. Quality Management/Quality Assurance Surveillance: Contractor’s technician (s)shall be subject to Quality Management measures, such as completion of preliminary reports in a timely manner and applying quantitative and qualitative methods of assessing arterial, venous, and cerebrovascular vessels to evaluate blood flow, identify collateral pathways and anatomical pathology, or obtain vessel measurements. Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.

4.8.2. Patient Complaints: The CO will resolve complaints concerning Contractor…