36C24924R0089 A00001.docx

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 NUMBERED 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 amendment, 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)

A00001

MSO-2024-COM-0036

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 Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129 To all Offerors/Bidders

36C24924R0089 10-23-2024

X

X

X October 31, 2024 at 10:00AM Central Time

The purpose of this amendment is to provide answers to vendor questions.

See Continuation Page for details.

April Cody Contract Specialist

CONTINUATION PAGE

The following answers are provided in response to vendor questions:

The following answers are provided in response to vendor questions:

1. Is the drop in annual hours for On-Call Psychiatry Services Holidays (4:30 pm - 8:00 am) personnel from 170.50 hours in the Base Year to 70.50 hours in subsequent years accurate as reflected in the Schedule of Services? Please see updated schedule below.

Answer 1: The expected hours for (4:30 pm - 8:00 am) personnel every year will be 170.50, the price schedule is amended and included herein.

1. Can you clarify the correct number of personnel hours in the Schedule of Services, as it does not align with the Full-Time Equivalency hours referenced in Section 2.9.1 (Key Personnel) of the Performance Work Statement?

Answer 2: The total hours on the base year reflect the correct amount for each year (6862.50)

1. Are the 16.5 hours of annual training required for each psychiatric physician billable?

Answer 3: Yes

1. Are the hours for psychiatrists' on-call support as referenced in the Solicitation billable?

Answer 4: Yes

1. Is there an incumbent currently providing these services? If so, who is it?

Answer 5: No, there is no Contractor currently providing these services.

1. What is the current staffing level if there is an active contract for these services?

Answer 6: No contract currently exists.

1. Will the VA credential backup candidates who are part of our contingent staffing plan?

Answer 7: Yes, we will need to credential them.

1. In Section 4.5.2 (Clinic and Residential Care), the Solicitation references 6 to 6.5 patient bookable hours per day. Is this the expected daily caseload, including weekends?

Answer 8: It could be a little lower.

1. Will contractor employees on weekends be solely Psychiatrists?

Answer 9: Yes

1. What support staff is available to assist the Psychiatrist during weekend shifts?

Answer 10: There would be social work available in the hours that they are there to handle the suicide prevention directives.

1. On average, how many calls are expected during weeknight on-call hours? Do the 6/6.5 patient bookable hours apply to each weeknight?

Answer 11: Weeknight calls 2-10 calls / the question about bookable hours is unclear.

1. On average, how many calls are expected during weekend night on-call hours (after 4:30 pm)?

Answer 12: 2-10 calls

1. How often, on average, is the Psychiatrist called back to the facility during on-call hours?

Answer 13: None (but if role is expanded potentially once a month)

1. If the Psychiatrist is called back to the facility, how long do they typically remain in the hospital?

Answer 14: 1 hour

1. During the Saturday and Sunday 8 am - 4:30 pm shifts, will the Psychiatrist primarily work in an outpatient clinic setting?

Answer 15: No, they would round on inpatient psych unit and provide psychiatric consultation to rest of hospital which is rare.

1. Can you provide a description of a typical day for a Psychiatrist working the weekend shifts, including inpatient rounds, patient volume, and any involvement with the adjacent ER?

Answer 16: I typically come in at 8 am. See the pt on the unit – do h and p and follow ups this can take between 1-4 hours- then will do any consults that have come in – this could add one hour but does not always happen.

1. Are there set hours for inpatient rounding on Saturdays and Sundays?

Answer 17: No but I believe it is in the policy to get here before 10 am

1. On average, how many admissions are handled by the Psychiatrist each week?

Answer 18: these are typically done during the week by inpatient psychiatrist so I think you are asking about the weekend and a weekend could be between 2-8 admissions.

1. On average, how many discharges are handled by the Psychiatrist each week?

Answer 19: these are typically done by the inpatient psychiatrist, but this is the weekend and typically between 1- 4.

1. How many inpatient beds will the Psychiatrist oversee?

Answer 20: 10

1. What is the average weekly inpatient census under the Psychiatrist’s care?

Answer 21: Average daily census is 4.

1. Is there an existing contractor for daytime psychiatry services? If so, please provide their contract number.

Answer 22: None. Daytime psychiatry services are handled by the VA employees during regular business hours.

1. Will VA accept Psychiatrists who can provide telepsychiatry for nighttime and weekends for this opportunity?

Answer 23: Weeknights can be virtual, but weekends require onsite rounding both Saturday and Sunday.

1. Are you able to speak to what the weekly schedule will look like?

Answer 24: Taking calls from the ed and nurses on the floor from 4pm until 7:30 am, weekend rounding and seeing consults and then taking call from the ed and nurses.

1. Similar to the above question. Are you able to share what the after-hours scheduling expectations will be? Answer 25: After hours is on-call only.

1. Can the contracting team please share what the call split/schedule will be?

Answer 26: This has not been determined.

1. Can the contracting team please share what the daily expected patient volume is?

Answer 27: Inpatient census is between 3-7 but this could change.

1. We'd like to ask if the weekend/holiday hours are to be billed differently?

Answer 28: Please propose your weekend and holiday hours in the schedule and provide with your proposal.

1. Are medical emergencies, including overdoses, are handled by the medical department and not by the psychiatrist?

Answer 29: Yes, the emergency department will manage.

Updated Pricing Schedule Period of Performance: ORDERING PERIOD 1 (01-01-2025 TO 12-31-2025)

Annual Cost

KEY PERSONNEL

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

TOTAL FOR BASE

Period of Performance: ORDERING PERIOD 2 (01-01-2026 TO 12-31-2026)

Annual Cost

KEY PERSONNEL

NAME: ____________

TITLE: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

TOTAL FOR Option Year 1

Period of Performance: ORDERING PERIOD 3 (01-01-2027 TO 12-31-2027)

Annual Cost

KEY PERSONNEL

NAME: ____________

TITLE: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

TOTAL FOR Option Year 2

Period of Performance: ORDERING PERIOD 4 (01-01-2028 TO 12-31-2028)

Annual Cost

KEY PERSONNEL

NAME: ____________

TITLE: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

TOTAL FOR Option Year 3

Period of Performance: ORDERING PERIOD 5 (01-01-2029 TO 12-31-2029)

Annual Cost

KEY PERSONNEL

NAME: ____________

TITLE: ____________

TITLE: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

NAME: ____________

TITLE: ____________

TOTAL FOR Option Year 4

Total for all ordering periods: $_________________________