36C24923R0029 A00002.docx

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Q505--Locum- Gastroenterologist Physician Svcs-621 L-T RFP (base + 4 options)
Solicitation number
36C24923R0029
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5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

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

OF YOUR

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

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

RESULT IN REJECTION OF YOUR

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) A00002

MSO-2022-COM-0027

Department of Veterans Affairs Network Contracting Office 9

NCO 9

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

36C24923R0029 01-27 -2023

X X

The purpose of this amendment is to answer vendor questions and correct previous answers.

See continuation page for details.

Carol L. Franklin Contracting Officer

36C24923R0029 A00001

CONTINUATION PAGE

A.1 VENDOR QUESTIONS

1. Reference RFP p. 75: In lieu of the Attachment D.5, will the VA accept performance surveys that have been previously completed and signed by an authorized Government representative for other Solicitations?

A.Vendors are free to submit additional reference information. However, the solicitation requirements will not be amended. The solicitation requires that reference information come directly from the source to the Contract Specialist.
Q.SF1449 indicates this is a set-aside for Small Business. Please confirm.
A.Yes, this is currently a small business set-aside.
Q.Page 16, Section 2.1.2. Board Certification indicates that Board Certification/Eligibility is open to ABIM (IM Physicians) and Gastroenterologists. For IM Physicians, please clarify with clinical team how many years of Gastroenterology experience may be required (if any) and/or what certifications/training an IM must have to prove that Gastro experience?
A.Board Certification in Gastroenterology

1. Page 20, Section 3. Hours of operation indicate in part 3.1.2. the hours are 7:30am to 4:30pm. Please confirm these are all outpatient clinic hours M-F and that there is no on-call rotation required.

1. This contract does not include any on-call services (correction from the previous answer provided)

1. How many Staff Gastroenterologist does the VA Mountain Home currently have?

1. 3.125 FTE

1. What is the daily patient census for each Gastroenterologist?

1. 5-6 Patients

1. What support personnel are available on each shift? (i.e. RN, LPN, NP, PA, EM Physician, etc...)

1. RN,NP, Fellow, and Check-in Clerk

1. Can you confirm how many candidate profiles are required for this solicitation?

1. Contractors shall provide a minimum of five personnel.

1. What is the percentage of time spent in the outpatient clinic vs. inpatient?

1. 90% outpatient and 10% inpatient.

1. What days are surgeries performed on?

1. 2 days per week, it varies which days.

1. What are the main surgeries performed?

1. Endoscopies and colonoscopies.

Q.Please let us know what the case volume will be, and what EMR is being used?
A.5-6 daily CPRS.
Q.Would you accept a proposal that includes 2 full-time physicians who can work 4200 hrs at a VA hospital?
A.We require two physicians the 3-4 additional physicians are to cover in case of sickness, doctor’s visits, CME, and days off.
Q.How many GI Fellows and residents are present in VA all the time in GI rotation?
A.One fellow in the GI lab, one in clinic, and one for inpatients.
Q.Is there a weekend rounding needed by the GI Staff?
A.This contract does not include weekend hours for GI Staff.
Q.Do fellows or residents take the first night call and perform rounds of all inpatients and see all patients in the clinic?
A.Yes, during clinic hours. Contractor's physician(s) shall be available and present in clinic during normal James HQuillen VA Medical Center clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 8:00 AM to 4:30 PM.
Q.Is there weekend rounding needed by the GI staff?
A.No, Contractor's physician(s) shall be available and present in clinic during normal James HQuillen VA Medical Center clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are M-F 8:00 AM to 4:30 PM.
Q.On an average how often does a gastroenterologist have to come in at night to perform emergent endoscopy such as Variceal Banding or food impaction?
A.Contractor's physician(s) shall be available and present in clinic during normal James HQuillen VA Medical Center clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are M-F 8:00 AM to 4:30 PM.
Q.On an average how many procedures does a gastroenterologist do during the day?
A.Six to eight but varies.
Q.How many patients in the clinic will be seen by a gastroenterologist?
A.Six to eight daily, but again it varies.
Q.On average how many in-patients are seen by GI Staff?
A.Two to three but this varies.
Q.Is the rate all inclusive?
A.Yes, the rate proposed should be an all-inclusive rate.

(End of Questions and Answers) image1.jpeg

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