36C24924R0041 0001.docx

36C24924R0041 – Amendment 0001 - Perfusionist Services – Memphis VA Medical Center

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) 08/16/2024 N/A 90C Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 90C Network Contracting Office 9 Department of Veterans Affairs Robert Pritchard, Contracting Officer Email:

robert.pritchard2@va.gov To all Offerors/Bidders

36C24924R0041 07-29-2024

X X X August 29, 2024 @ 1:00PM CST X Amendment 0001 is being issued to answer vendor questions.

See questions and answers below.

Robert Pritchard Contracting Officer

QUESTION AND ANSWERS

1. Is this a new requirement or is there an incumbent? There is an incumbent

1. If there is an incumbent, what is the incumbent company’s name and contract information? Con-Nect Supplies LLC

1. Does the VA practice AMSECT best standards such as N+1? We have one perfusionist on site for each case and another available in the city to come in if needed. But not N+1.

1. How many Cardiac Surgeons do you have? 2

1. Are the Cardiac Surgeons Government employees or contractors? Government Employees

1. How many Perfusionists are on staff? 4 with privileges

1. Are you Perfusionist Government employees or contractors? Contractors

1. What days of the week does the VA schedule Open-Heart cases? Monday - Friday

1. Are Open-Heart cases performed on the weekend? No

1. Does the VA do off-Pump with Perfusion stand by? Yes

1. What is the make of the Heart Lung Machine (HLM)? How many HLM are available? 2

1. What is the make of the Cell Saver and Balloon Pump? Medtronic Autolog and the Balloon Pumps are Arrow.

1. Does the VA use an IStat, a HMS Plus, a Sat/Crit Monitor or a CDI 500? ISTAT for both ABG and ACT

1. How many total cases per year have they averaged over the past 4 years? 50

1. Do they do Heart, Liver, Lung transplants? No

1. Do they do AngioVac cases? No

1. Do they do TAVR cases, and do they have Perfusionists on standby? In the operating room or not? No

1. How many cell saver cases do they do per year? Are Perfusionists responsible for these? Same as number open hearts. Yes

1. How many ECMO’s do they do per year? No ECMO

1. Who covers bedside ECMO monitoring? See #19

1. Do they do any HIPEC Chemo cases for cancer treatments? No

1. Is the Perfusionist required to be in the hospital even when there are no cases scheduled? No

1. How many VADs do they do per year? None

1. What type of VADs do they use? See # 23

1. Who is responsible for VAD monitoring? See #23

1. What is the estimated number of concurrent perfusion cases by days of the week? Maximum concurrency vs average concurrency. Maximum – 3 and Average -1

1. What is the average number of hours per case? 7 hours

1. Will VA consider extending the on-call response time from 30 minutes to 60 minutes? No

1. How often are on-call perfusionists historically called for services outside of regular work hours? Rare

1. Please clarify both the anticipated award date and the anticipated performance start date. As stated.

1. Proposals are due August 29, but page 68 says Past Performance sheets are due by August 12. Please confirm that everything is due August 29. Confirmed

1. Consistent with common practice nationally in the perfusion field, would the VAMC allow contractor to provide a transitional bridge team until the permanent team is onboarded? Yes

1. What is the estimated number of cases annually per case type (e.g. Coronary Artery Bypass, Aortic Valve Replacement, Valve Replacement, Aortic Aneurysm Repair, Autotransfusion, Balloon Pump, Platelet Rich Plasma harvesting (PRP), Transcatheter Aortic Valve Replacement (TAVR), placement of an Impella, and other duties normally performed within the scope of a Cardiac Perfusionist)? 50 cases

1. For ECMO, how many cases are started at the VAMC? How many ECMO hours on average are monitored at the VAMC? How many ECMO patients are transported to other facilities? Will the perfusionist be required to transport? Average less than one/year. All transferred to another facility.

1. Please confirm how many cases annually require the contractor to provide autotransfusion independent of other open heart procedure? What about IABP? Other? None

1. Please clarify expectations regarding: “Perfusionist will train nurses to set up and operates autotransfusion pump for other surgical procedures and help with troubleshooting.” Is the expectation that contractor will fully train nurses to perform the autotransfusion independent of open heart procedures? Normally equipment training would be performed by the manufacturer. Autotransfusion done by Anesthesia outside open heart procedures. Initial in service was provided by perfusion w/troubleshooting by phone as needed.

1. Will the contractor provide disposable supplies? If so, please provide additional information about the types needed so that supplies can be included in the RFP response. In house logistics

1. We understand that the VAMC will provide the capital equipment. Which models are in usage?

· Heart lung machine – Terumo System 1

· Auto transfusion pump – Medtronic Autolog I Q

· Intra-aortic balloon pump - Arrow

· Centrifugal ventricular assist device – None

END OF QUESTIONS