36C24924R0034.docx

36C24924R0034 – Emergency Room Physicians

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

36C24924R0034 06-24-2024 Laura Edelman, Contracting Specialist 615-225-4926 07-31-2024

10AM

CT

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

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 X X 621111 $16 Million N/A X Department of Veterans Affairs Lt. Col. Luke Weathers, Jr.

VA Medical Center 1030 Jefferson Avenue Memphis TN 38104 90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 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 The contractor shall provide on-site emergency room physician services in accordance with the price schedule (page 6), Performance Work Statement (page 21), and all terms and conditions contained herein.

All required licensing requested herein will be submitted at time offers are due. If not submitted with proposal offers shall be automatically rendered technically unacceptable and will not be eligible for award.

Please note Box 10 of this page is checked as a 100% Service Disabled Veteran Owned Small Business set aside.

Details regarding evaluation practices as they will be used in the evaluation of responsive offer's solicitation can be found in the addenda - Instruction to Offerors.

Solicitation Competed under Authority: 38 U.S.C 8153 and VA Directive 1663 in conjunction with FAR Parts 12 and 15.

X X Carol Franklin Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

Contract Administration: All contract administration matters will be handled by the below:

____________________________ (Address) ____________________________ (Address) ____________________________ (Phone Number) ____________________________ (Email)

____________________________ (UEI)

____________________________ (Tax ID Number)

GOVERNMENT:

Carol Franklin, Contracting Officer U.S. Department of Veterans Affairs Network Contracting Office 9 E-mail: carol.franklin@va.gov Laura Edelman, Contracting Specialist U.S. Department of Veterans Affairs Network Contracting Office 9 E-mail: laura.edelman@va.gov

CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the Contractor will be made in accordance with:

GOVERNMENT INVOICE ADDRESS: Refer to Section 6.2 Billing within the Performance Work Statement.

SECURE FAX: The following statement shall be included on all fax cover sheets: 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 ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by FAR 42.502 and local policy.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all key personnel to provide services necessary to perform onsite Emergency Medicine Physician Services to eligible beneficiaries of the Lt. Col. Luke Weathers, Jr. Department of Veterans Affairs Medical Center (VAMC), 1030 Jefferson Avenue, Memphis TN 38104, hereinafter referred to as Memphis VAMC.

The VAMC Emergency Department is accredited by The Joint Commission (TJC) and follows the standards & guidelines set forth by the American College of Emergency Physicians (ACEP). A contractor providing onsite emergency department physician services shall provide services that meet or exceed the ACEP Guidelines http://www.ACEP.org/ and/or the American Board of Emergency Medicine (ABEM) http://www.abem.org and/or the American Osteopathic Board of Emergency Medicine (AOBEM) AOA Osteopathic Board Certification in Emergency Medicine.

Place of Performance: Services shall be provided on site at:

Lt. Col. Luke Weathers, Jr. VA Medical Center 1030 Jefferson Avenue, Memphis, TN 38104 Pricing Instructions:

The offeror is instructed to edit the number of sub-line item numbers (SLIN) to correspond with the number of key personnel submitted for the line item number (LIN). 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 SLINs if adding or removing Key Personnel.

The Emergency Department will be staffed by the Contractor who shall provide an estimated 12,480 physician hours annually (6 Full Time Equivalent (FTE)). The Contractor shall propose a minimum of 12 key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. The contractor shall be required to provide as a minimum, enough appropriately qualified physicians to be credentialed and privileged that meet or exceed twice the number of FTEE required to fulfill this contract’s obligations.

One FTE is defined by the VA as a minimum of 80 hours every two weeks.

CONTRACT PERIOD: BASE (10-01-24 TO 9-30-25)

Emergency Department Provider Services

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q509 - Medical - Internal Medicine

0001A

Emergency Department Provider Services

NAME:

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001B

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001C

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001D

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001E

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001F

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001G

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001H

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001J

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001K

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

0001L

Emergency Department Provider Services

TITLE:

Contract Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

BASE PERIOD ESTIMATED TOTAL

CONTRACT PERIOD: OPTION ONE (10-01-25 TO 9-30-26)

Emergency Department Provider Services

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001A

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001B

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001C

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001D

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001E

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001F

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001G

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001H

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001J

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001K

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

1001L

Emergency Department Provider Services

TITLE:

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

OPTION ONE ESTIMATED TOTAL

CONTRACT PERIOD: OPTION TWO (10-01-26 TO 9-30-27)

Emergency Department Provider Services

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001A

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001B

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001C

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001D

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001E

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001F

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001G

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001H

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001J

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001K

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

2001L

Emergency Department Provider Services

TITLE:

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

OPTION TWO ESTIMATED TOTAL

CONTRACT PERIOD: OPTION THREE (10-01-27 TO 9-30-28)

Emergency Department Provider Services

POP: One-year Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001A

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001B

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001C

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001D

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001E

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001F

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001G

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001H

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001J

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001K

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

3001L

Emergency Department Provider Services

TITLE:

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

OPTION THREE ESTIMATED TOTAL:

CONTRACT PERIOD: OPTION FOUR (10-01-28 TO 9-30-29)

Emergency Department Provider Services

POP: One-year Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001A

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001B

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001C

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001D

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001E

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001F

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001G

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001H

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001J

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001K

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

4001L

Emergency Department Provider Services

TITLE:

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

OPTION FOUR ESTIMATED TOTAL

36C24924R0034 – Emergency Room Physicians

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Total Estimated price for base period and all option periods: $__________________ NOTE: 52.217-8, Option to Extend Services is included in this RFP. Pricing for this clause will be evaluated during the cost/price evaluation. The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other, and will not affect the ranking of proposals based on price, unless after reviewing proposals, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

This contract is a fixed price Indefinite Delivery-Indefinite Quantity contract. The estimated total minimum (including options) is 2,080 hours and total contract maximum (including options) for the full contract term is 94,000 hours.

ORDERS: This is a Fixed Price (FFP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). 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 9 (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. The contractor shall initiate work when so directed by a Task Order issued by the contracting officer (CO). No work under any Task Order shall be performed unless specifically authorized by the CO. Approval of a Task Order shall not constitute approval to exceed any item listed in the contract or general provisions of the contract. The total dollar amount of all task Orders shall not exceed the overall Maximum Order Limitation (MOL) provided in FAR Clause 52.216-19(b)(2). The contractor shall not exceed the estimated task order amount, or change the task order without prior written approval of the CO.

c. In event the contractor is unable to fulfill the task order requirements for whatever reason; 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 quantity of hours ordered on the unfilled task order will be applied to the minimum quantity. The government’s right to fulfill its need outside this contract(s) 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 hours for performance of each task shall be set forth in each task order. Each task order shall not exceed the hour’s specified and total amount obligated for each task order. The total amount of all task orders shall not exceed overall Maximum Order Limitation (MOL) provided in FAR Clause 52.216-19 (b)(2).

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. All-inclusive cost is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this Contract. If the contract Period of Performance (POP) is extended using FAR Clause 52.217-8, the specified rates under this clause will be those rates in effect under the contract each time an option is exercised under this clause.

b. The CO may request a price reduction in any task order requirement and the contractor maintains the options to offer reduced prices for individual task orders.

Task Order Performance Period. Each task order shall have an established period of performance or delivery date. An individual Task Order shall not exceed one-year (12-months).

Completion of Task Orders. Upon completion of each task order, the contractor shall submit applicable reports as required in this contract. Particularly and as prescribed in FAR Part 4.1705(a) and contracts Clause 52.204-15 Service Contract Reporting Requirements for Indefinite Delivery Contracts where one or more orders issued thereunder are expected to each meet or exceed the thresholds at FAR 4.1703, the contractor shall submit the report to www.sam.gov, annually by October 31, for services performed under this contract during the preceding FY Year (October 1-September 30).

a.) Each task order shall follow the guidelines listed below:

(1) The Contractor shall report, in accordance with paragraphs (c) and (d) of this clause, annually by October 31, for services performed during the preceding Government fiscal year (October 1-September 30) under this contract for orders that exceed the thresholds established in 4.1703(a)(2).

(2) The Contractor shall report the following information:

a) Contract number and order number.

b) The total dollar amount invoiced for services performed during the previous Government fiscal year under the order.

c) The number of Contractor direct labor hours expended on the services performed during the previous Government fiscal year.

(3) The information required in paragraph (c) of this clause shall be submitted via the internet at www.sam.gov. (See SAM User Guide). If the Contractor fails to submit the report in a timely manner, the CO will exercise appropriate contractual remedies. In addition, the CO will make the Contractor's failure to comply with the reporting requirements a part of the Contractor's performance information under FAR subpart 42.15.

(4) Agencies will review Contractor reported information for reasonableness and consistency with available contract information. In the event the agency believes that revisions to the Contractor reported information are warranted, the agency will notify the Contractor no later than November 15. By November 30, the Contractor shall revise the report, or document its rationale for the agency.

The contractor is hereby put on notice that non-compliance with the above reporting requirements will have a strong effect on your annual Contract Performance Assessment Reporting System (CPARS).

B.3 PERFORMANCE WORK STATEMENT

Onsite Emergency Department Physician Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified / Board Eligible Emergency Medicine Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Memphis VAMC. The contractor providing onsite emergency department physician services shall provide services that meet or exceed the ACEP Guidelines http://www.ACEP.org/ and/or the American Board of Emergency Medicine (ABEM) http://www.abem.org and/or the American Osteopathic Board of Emergency Medicine (AOBEM) AOA Osteopathic Board Certification in Emergency Medicine.

1.2. Place of Performance: Contractor shall furnish services at the Memphis VAMC, 1030 Jefferson Avenue, Memphis, TN 38104.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority utilizing FAR Parts 12 and 15.

1.4. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider Group Practice

1.4.4. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.5. VHA Directive 1100.18: Reporting And Responding To State Licensing Boards

1.4.6. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21: Privileging

1.4.8. VHA Directive 1101.14: Emergency Medicine

1.4.9. VHA Directive 1192.01: Seasonal Influenza Vaccination Program For VHA Health Care Personnel

1.4.10. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements To Perform Invasive Procedures In Any Clinical Setting

1.4.11. VHA Directive 1605.01: Privacy and Release of Information

1.4.12. VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.13. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.14. 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. Acronyms/Definitions: 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. ABEM: American Board of Emergency Medicine

1.5.2. ABIM: American Board of Internal Medicine

1.5.3. ACEP: American College of Emergency Physicians

1.5.4. ACGME: Accreditation Council for Graduate Medical Education

1.5.5. ACLS: Advanced Cardiac Life Support

1.5.6. ATLS: Advanced Trauma Life Support

1.5.7. BLS: Basic Life Support

1.5.8. CDC: Centers for Disease Control and Prevention

1.5.9. CEU: Certified Education Unit

1.5.10. Clinical Privileging: Clinical 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, and within available resources.

1.5.11. CME: Continuing Medical Education

1.5.12. CMS: Centers for Medicare and Medicaid Services

1.5.13. CO: Contracting Officer: 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.

1.5.14. COR: Contracting Officer’s Representative 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.

1.5.15. COS: Chief of Staff

1.5.16. CPARS: Contractor Performance Assessment Reporting System

1.5.17. Credentialing: Credentialing is the process of obtaining, verifying and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, or other qualifications.

1.5.18. DEA: Drug Enforcement Agency

1.5.19. ED: Emergency Department

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

1.5.21. FSMB: Federation of State Medical Boards

1.5.22. HHS: Department of Health and Human Services

1.5.23. HIPAA: Health Insurance Portability and Accountability Act

1.5.24. ISO: Information Security Officer

1.5.25. 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.

1.5.26. Key Personnel: The individuals specified in this contract who are essential to work performance.

1.5.27. 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).

1.5.28. NP: Nurse Practitioner

1.5.29. NPPES: National Plan and Provider Enumeration System

1.5.30. PA: Physician Assistant

1.5.31. POP: Period of Performance

1.5.32. PPD: Purified Protein Derivative

1.5.33. PWS: Performance Work Statement

1.5.34. QA/QI: Quality Assurance/Quality Improvement

1.5.35. QASP: Quality Assurance Surveillance Plan

1.5.36. QM/PI: Quality Management/Performance Improvement

1.5.37. VETPro: VHA’s mandatory credential software platform to document the credentialing of VHA health care providers. This system facilities completion of a uniform, accurate and complete credential file.

1.5.38. VHA: Veterans Health Administration D.C.

1.5.39. VISN: Veterans Integrated Services Network (VISN).

1.5.40. VISTA: Veterans Integrated Systems Technology Architecture.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The 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 key 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. All required licensing/certifications shall be required to be submitted at the time of offers due. Proposals that do not contain the required licensing/certification at the time of offers due shall automatically be rendered technically unacceptable and will not be eligible for award.

2.1.2. Board Certification: All contractor’s physicians shall be Board Certified / Board Eligible in Emergency Medicine through ABEM, ACEP, or AOBEM and be currently certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) through the American Heart Association or equivalency.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive 1100.21 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 Facility Medical Executive Board and Medical Center Director.

2.1.3.1 If a contractor’s physician(s) and/or other contract providers(s) 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 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 facility. 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 credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract 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. VA will communicate any changes to the training requirement to the contractor.

2.1.7. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.): Contractor shall provide proof of the following 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) upon hire in accordance with CDC guidance. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.7.2 MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians.

2.1.7.3 VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians.

2.1.7.4 ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians.

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.

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); 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 facility 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 facilities). 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 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 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 Medical Facility COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or his designee.