36C24925R0007_1.docx

36C24925R0007

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

36C24925R0007 -2024 Christina Curley -2024

10:00AM

CST

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

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 X X 621999 $20.5 Million N/A X Department of Veterans Affairs Lt. Col Luke Weathers Jr VAMC 1030 Jefferson Ave 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 See CONTINUATION Page Contractor shall provide 19 Certified Nursing Assistants IAW the price schedule, statement of work, and all terms and conditions contained herein See Schedule of Services on Page See Performance Work Statement on Page Please review solicitation in its entirety. Take note of "Instructions for the Preparation of Proposal" on Page 6 for quote submission guidance.

This requirement is being procured as a 100% Service Disabled Veteran-Owned Small Business set aside. Only SDVOSBs verified within the Small Business Administration’s VetCert database at the time of offer submissions will be considered for award.

Firms not verified within the Small Business Administration’s VetCert database will be rendered technically unacceptable outright and shall not be eligible for award.

https://veterans.certify.sba.gov See CONTINUATION Page X X X Angela Tucker Contracting Officer Table of Contents

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:

GOVERNMENT: Christina Curley Contract Specialist U.S. Department of Veterans Affairs Network Contracting Office 9 E-mail: christina.curley@va.gov CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the Contractor will be made in accordance with:

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 19 Certified Nursing Assistant Services to Lt. Col Luke Weathers Jr Medical Center (VAMC) with a possibility of increase to twenty-five (25) certified nursing assistants. Contractor’s care shall cover the range of onsite patient care 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 as a 5-year Indefinite Delivery, Indefinite Quantity (IDIQ) from Dates 3/10/25 to 03/09/2030.

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

Contractual minimum and maximum: The guaranteed minimum contract amount is 3,937 hours, and the maximum contract amount shall not exceed 295,260 hours.

Orders: This is a 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.

ITEM INFORMATION

Certified Nursing Assistants Day Shift

Shift 1/ Day Shift - Regular Hours

07:30 AM - 04:00PM

Contract Period: Ordering Period 1 POP Begin: 03-10-2025 POP End: 03-09-2026 PRINCIPAL NAICS CODE: 621999 - All Other Miscellaneous Ambulatory Health Care Services PRODUCT/SERVICE CODE: Q401 - Medical - Nursing

Certified Nursing Assistants Evening Shift

Shift 2 / Evening Shift - Regular Hours

3:30 PM - 12:00 AM

Contract Period: Ordering Period 1 POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Night Shift

Shift 3 / Night Shift - Regular Hours

11:30 PM - 8:00 AM

Contract Period: Base POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Day Shift

Shift 1/ Day Shift - Holiday Hours

07:30 AM - 04:00PM

Contract Period: Base POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Evening Shift

Shift 2 / Evening Shift - Holiday Hours

3:30 PM - 12:00 AM

Contract Period: Base POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Night Shift

Shift 3 / Night Shift - Holiday Hours

11:30 PM - 8:00 AM

Contract Period: Ordering Period 1 POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Day Shift

Shift 1/ Day Shift - OT Hours

07:30 AM - 04:00PM

Contract Period: Ordering Period 1 POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Evening Shift

Shift 2 / Evening Shift - OT Hours

3:30 PM - 12:00 AM

Contract Period: Ordering Period 1 POP Begin: 03-10-2025 POP End: 03-09-2026

Certified Nursing Assistants Night Shift

Shift 3 / Night Shift - OT Hours

11:30 PM - 8:00 AM

Contract Period: Ordering Period 1 POP Begin: 03-10-2025 POP End: 03-09-2026

ORDERING PERIOD 1 TOTAL: __________

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 2 POP Begin: 03-10-2026 POP End: 03-09-2027

ORDERING PERIOD 2 TOTAL: __________

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 3 POP Begin: 03-10-2027 POP End: 03-09-2028

ORDERING PERIOD 3 TOTAL: __________

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 4 POP Begin: 03-10-2028 POP End: 03-09-2029

ORDERING PERIOD 4 TOTAL: __________

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Day Shift

07:30 AM - 04:00PM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Evening Shift

3:30 PM - 12:00 AM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

Certified Nursing Assistants Night Shift

11:30 PM - 8:00 AM

Contract Period: Ordering Period 5 POP Begin: 03-10-2029 POP End: 03-09-2030

ORDERING PERIOD 5 TOTAL: __________

36C24925R0007

B.3 NURSING ASSISTANT - PERFORMANCE OF WORK STATEMENT

1.1 Services Required

The Department of Veterans Affairs (VA), Lt. Col Luke Weathers Jr Medical Center (VAMC) located in Memphis, TN requires Certified Nursing Assistants (contract personnel) to provide onsite patient care services at the point of care. For the purpose of the work statement, a Certified Nursing Assistant is a contract personnel who focus on the care of veterans so they may attain, maintain, or recover to optimal health and quality to life.

1.2 Place of Performance: Lt. Col Luke Weathers Jr VAMC, 1030 Jefferson Ave, Memphis, TN 38104

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

1.4 Policy and Regulation

Nursing Assistants shall comply with all applicable policies and regulations, including but not limited to, the following:

1.4.1 VA Directive 1663: Health Care Resources Contracting - Buying

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

1.5 Definitions and Acronym

1.5.1 ACLS: Advanced Cardiac Life Support

1.5.2 ACO: Administrative Contracting Officer

1.5.3 BAA: Business Associate Agreement

1.5.4 BLS: Basic Life Support

1.5.5 CEU: Certified Education Unit

1.5.6 CO: Contracting Officer

1.5.7 CNA: Certified Nursing Assistant

1.5.8 Contractor: A company contracted to do certain work for another individual or company.

1.5.9 COR: Contracting Officer's Representative

1.5.10 COS: Chief of Staff

1.5.11 CPARS: Nursing Assistants Performance Assessment Reporting System

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

1.5.13 Full Time Equivalent (FTE): Certified Nursing Assistants 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.

1.5.14 HIPPA: Health Insurance Portability and Accountability Act

1.5.15 ICU: Intensive Care Unit

1.5.16 ISO: Information Security Officer

1.5.17 POP: Period of Performance

1.5.18 PWS: Performance Work Statement

1.5.19 QASP: Quality Assurance Surveillance Plan

1.5.20 QMP: Quality Management Program

1.5.21 RN: Registered Nurse

1.5.22 SPE: Senior Procurement Executive

1.5.23 TJC: The Joint Commission

1.5.24 VA: Department of Veterans Affairs

1.5.25 VAMC: Veterans Affairs Medical Center

1.5.26 VetPro: a federal web-based credentialing program for healthcare providers

1.5.27 VHA: Veterans Health Administration

2.1 Schedule

The Certified Nursing Assistants, at the level specified, with a minimum of eight (8)-hour notice by the VA of specific tours required, shall perform services, to include providing personal hygiene including bathing, dressing, linen changes, assisting with meals, lifting and moving patients, assisting with ambulation, assisting with toileting and sitter services (close observation, telesitting, 1:1) for the Department of Veteran Affairs (VA), Lt. Col Luke Weathers Jr VAMC.

2.1.1 Emergency requests for contractor staff may be made by the VA with four (4) hours' notice. Such emergency requests will be at the rates and terms specified herein for standard requirements.

2.1.2 Adjustments to schedules may be coordinated by the VA and the Nursing Assistant with eight (8) hours’ notice to provide for normal workload variations and personnel practices. Requests for services may be cancelled by telephone notice to the contractor’s main business office up to two (2) hours before the start of the tour of duty at no expense to the VA.

2.1.3 Certified Nursing Assistants employees may be released early from a tour if workload permits. If this occurs, the VA will pay an amount equal to the greater of two (2) hours or the actual hours worked that tour.

2.1.4 Certified Nursing Assistants services may be required for holiday coverage. When required, specific services and tours will be requested by the VA with a minimum of eight (8) hours’ notice to the contractor and at the rates specified. The Certified Nursing Assistants will be paid holiday pay for this time.

2.1.5 Written evaluations of performance will be completed at the end of the first three (3) months by the VAMC and then quarterly thereafter. Certified Nursing Assistant employees whose performance is considered below a satisfactory level shall not be rescheduled.

2.1.6 Former Certified Nursing Assistant employees previously terminated, either by the vendor or VAMC shall not be scheduled.

2.1.7 Former Certified Nursing Assistant employees whose performance has been below a satisfactory level shall not be scheduled. The VAMC reserves the right to request that any Certified Nursing Assistant employee not be rescheduled.

2.1.8 Certified Nursing Assistants who do not report to the VA without appropriate notice from the vendor for more than two (2) tours (totaling 16 hours or more) per month shall not be rescheduled.

2.1.9 Certified Nursing Assistants must have one (1)-year experience within the last three (3) years.

2.1.10 All Certified Nursing Assistants who perform work at the Lt. Col Luke Weathers Jr VAMC must be US citizens or must provide proof of citizenship.

3.1 Tours of Duty

3.1.1 Tours of Duty for appropriate coverage will be mutually agreed upon by the vendor and the VA.

3.1.2 Overtime will not be paid for lunch breaks not taken and only in emergency situations with proper approval from program coordinator designee.

3.1.3 Tours will be a minimum of eight (8) hours (i.e., 7:30am-4:00pm; 3:30pm-12am; 11:30pm-8:00am) local time and a maximum of 12 hours (i.e., 7 am- 7 pm or 7pm – 7 am) local time. No double tours or sequential tours will be permitted.

3.1.4 Overtime is not permitted unless prior authorization is given from the unit supervisor or house supervisor.

4.1 Duties of Certified Nursing Assistants (CNAs)

4.1.1 Provide direct patient care and/or close observation of patients. Document on patient's observation flow sheet as directed by RN to document patient behavior, Activity of Daily Living, and physical care every tour. Documentation requirements can occur every 15 minutes as delegated by the nurse or charge nurse.

4.1.2 Delivery of direct patient care to include personal hygiene care (bathing, dressing, toileting), assistance with meals, lifting and moving, and assistance with ambulation.

4.1.3 Ability to assist in the full range of nursing care to patients/residents with physical and/or behavioral problems in a hospital, long term care setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse Licensed Practical Nurse, to include, but not limited to taking measures, records and reports weight, height, vital signs, intake and output, foley care, collecting urine, stool and sputum tests, set up and monitor wall and tank oxygen, continuous and intermittent suction, collects and assembles chest suction equipment.

4.1.4 Ability to communicate orally with patients/residents, families, interdisciplinary team and other personnel. This includes serving as a preceptor to new CNAs by assisting with the coordination of their orientation and overseeing/assessing their practical experience while in a clinical setting.

4.1.5 Ability to recognize and react to emergent patient/resident care situations and intervene while waiting for assistance. For example, recognizing need for basic life support, preventing falls, controlling bleeding and assisting with behavior crisis, etc.

4.1.6 Report changes in mental or physical status immediately to assigned nurse/charge nurse.

5.1 Orientation

5.1.1 Orientation will consist of hospital training in addition to unit specific orientation.

5.1.2 Included in the orientation will be:

a. Infection Control Policy - Standard Precautions

b. Patient Rights and Patient Abuse

c. Standards of Ethical Conduct

d. Documentation Standards for the Clinical Record

e. Smoking Regulations

f. Patient, Visitor and Employee Safety

g. Nursing Employees Response in Emergency Situations

h. Rules of Behavior

i. Dress code policy

j. Close/Continuous Policy

5.1.3 Each Nursing Assistants employee will be expected to review the documents and sign the agreement indicating such a review has occurred. During the mandatory orientation at the VA, each Nursing Assistants employee will be given the opportunity to discuss previously reviewed policies/documents specific to the facility.

5.1.4 Nursing Assistants will complete an orientation assessment before training. Upon completion of training, each Nursing Assistant will complete an orientation assessment measuring the knowledge retained following the training.

6.1 Documentation Requirements

6.1.1 Documents required 30 days prior to start of contract work are:

a. Current resume with detail of length and type of experience

b. Copy (both sides) of current Basic Life Support (AHA or equivalent) and provide evidence to ensure it is always current.

c. Copy of current TB testing and results within the past 12 months and then annually

d. Completed Fingerprint Information Form (will be provided by VA), Record of current Hepatitis B vaccination or declination form.

6.1.2 The following can be accomplished at Orientation:

a. Compliance and Business Integrity

b. VHA Information Security

c. VHA Privacy Training.

7.1 Special Contract Requirements

7.1.1 Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs medical Center, the services and prices specified in the section entitled, Schedule of Supplies/Services of this contract.

7.1.2 The contractor shall provide scheduled services throughout the contract period. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the contractor at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming.

7.1.3 The services to be performed by the contractor will be performed in accordance with VA policies, procedures, and regulations of the medical staff by laws of the VA facility.

7.1.4 The Government reserves the right to refuse acceptance of Certified Nursing Assistants, if personal or professional conduct jeopardizes patient care. Breaches of conduct include intoxication or debilitation resulting from drug use, Health Insurance Portability and Accountability Act regulations (HIPAA) theft, violation of patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient. Standards for conduct shall mirror those prescribed by current Federal personnel regulations. The Contracting Officer’s Representative shall deal with issues raised concerning the contract personnel's conduct. The final arbiter on questions of acceptability is the Contracting Officer.

7.1.5 The Contracting Officer shall resolve complaints concerning Certified Nursing Assistants relations with the Government employees or patients. The Contracting Officer is the final authority on validating complaints. In the event a Nursing Assistant is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel.

7.1.6 The contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.

8.1 Work Hours

8.1.1 The services covered by this contract shall be furnished by the contractor as defined herein. The contractor shall be required to furnish services on Federal Holidays, as scheduled and required.

a. The following terms have the following meanings:

(1) Normal working hours: Monday through Sunday local time including Federal holidays.

i. 7:30 AM – 4:00 PM

ii. 3:30 PM – 12:00 AM

iii. 11:30 PM – 8:00 AM

iv. 7:30 AM – 8:00 PM

(2) Federal Holidays: The eleven (11) holidays observed by the Federal Government are:

i. New Year's Day

ii. Martin Luther King Day

iii. President's Day

iv. Memorial Day

v. Juneteenth

vi. Independence Day

vii. Labor Day

viii. Columbus Day

ix. Veterans Day

x. Thanksgiving

xi. Christmas

b. Any other day specifically declared by the President of the United States to be a Federal holiday.

c. When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

d. Off Duty Hours: Hours other than those described in 8.1.1 (a) (1).

9.1 Key Personnel

9.1.1 In order to provide a continuity of patient care to VA beneficiaries, the contractor shall provide designated CNAs to perform the requirements of this contract.

9.1.2 Because continuity of care is an essential part of VAMC’s medical services, the contractor shall have a contingency plan in place for maintaining Key Personnel due to circumstances such as turnover, illness, unavailability or is unable to perform in accordance with the terms and conditions of the resulting contract.

10.1 National Provider Identifier

10.1.1 The National Provider Identifier (NPI) is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPls in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The contractor shall ensure that the health care practitioners and/or medical center providing service under the contract obtains an NPI and provides it to the Contracting Officer, if applicable.

10.1.2 Prior to acceptance, all contract providers must comply with hospital credentialing guidelines, providing all required information on the timeline established by the Medical Center Credentialing Officer. Credentialing and privileging shall be completed in accordance with the provisions of VHA Handbook 1100.19 dated October 2, 2007.

10.1.3 This Veterans Health Administration (VHA) Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; the Expedited Medical Staff Appointment Process; credentialing during activation of the facility Disaster Plan; requirements for querying the Federation of State Medical Boards (FSMB); credentialing and privileging requirements for Telemedicine and remote health care; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights; and the credentialing requirements for physician assistants (PAS) and advance practice registered nurses (APRNs). The credentialing, but not privileging, requirements of this Handbook apply to physicians, dentists, and other practitioners allowed by law and the facility to practice independently who are assigned to Research or administrative positions not involved in patient care.

11.1 Credentialing and Privileging

11.1.1 Certified Nursing Assistants shall provide all necessary documents and complete the Vet Pro application process (30) days in advance for full privileges-which requires three (3) current references, plus application for VA privileges to include a copy of privileges from most recent work assignment from another hospital. Nursing Assistants shall also provide a copy of current license and malpractice insurance certificate.

11.1.2 Name of individuals providing services under the contract and their applicable licenses must be submitted to the Contracting Officer with the offer, including individual Social Security Numbers, dates of Birth, place of birth (city, state, and country) and addresses in order to comply with VA Credentialing and Privileging requirements.

*Proposals that do not contain the required licensing/certifications at the time of offers due shall automatically be rendered technically unacceptable and will not be eligible for award.

12.1 Contracting with Parties on the OIG List of Excluded Individuals/Entities

12.1.1 In accordance with The Health Insurance Portability and Accountability Act (HIPAA) and the Balanced Budget Act (BBA) of 1977, the Office of Inspector General 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.

12.1.2 Therefore, the contractor shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov019 to ensure that the proposed candidate(s) and/or firm(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 minimum and maximum Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person or entity 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 health care providers and entities that employ or enter contracts with excluded individuals or entities to provide item or services to Federal program beneficiaries.

12.1.3 By signing the offer the contractor certifies that he/she has reviewed the OIG List of Excluded Individuals/Entities and that the proposed candidate(s) and/or firm are not listed as of the date the offer was signed.

13.1 Medical Liabilities

13.1.1 The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g. professional judgments, diagnosis for specific medical treatment), in accordance with FAR 37.401(b) (Non-personal Health Care Services).

13.1.2 The contractor is required to ensure that its subcontracts for provisions of Health Care Services contain the requirements set by the State.

14.1 Tort Claims

Contractor employees are not covered by the Federal Tort Claims Act. When a contractor employee has been identified as a provider in a tort claim, the contractor is responsible for notifying the Nursing Assistants legal counsel and/or insurance carrier. Any settlement or judgment arising from the contractor’s action or non-action is the responsibility of the contractor and/or insurance carrier.

15.1 Personnel Policy

15.1.1 The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following:

a. Workers' Compensation Insurance

b. Professional Liability Insurance

c. Health Examinations

d. Income Tax Withholding

e. Social Security Payments

f. BLS Certification Training.

15.1.2 The parties agree that the contractor, its employees, agents and shall not be considered VA employees for any purpose.

16.1 Payment

16.1.1 Payment to the contractor shall be made monthly in arrears, upon receipt of a properly prepared invoice. Payment for services will be at the rates specified in the Schedule of Supplies/Services.

16.1.2 Payment for any leave, including sick leave, holiday, or vacation time, shall be the responsibility of the contractor. If the CNA tests positive for COVID, the VA will not pay for sick time or time off. VA will pay for actual hours worked.

NOTE: Invoices for payment may be rejected if all information required by FAR Clause 52.212-4(g) is not included. Invoices without the required information will be returned.

17.1 Management and Supervision

17.1.1 The contractor shall be responsible for supervising the daily services provided under this agreement by the Nursing Assistant staff.

17.1.2 The contractor shall have written policies and procedures regarding staff credentials.

17.1.3. The VAMC will provide to the contractor, the policies, procedures and processes necessary to allow cooperative functioning between the contractor and VAMC. Updates and refreshers will be provided to the contractor upon request and when policy procedures or process changes.

17.1.4. The Certified Nursing Assistants shall complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

18.1. Record Keeping

18.1.1 Contractor employee(s) shall report to the COR or Designee, Nursing Service, upon arrival at the VA Medical Center. VAMC personnel shall brief contractors on VAMC policies and procedures on the first scheduled duty day.

18.1.2 The VAMC, Nursing Service, shall establish and maintain a record keeping system that will record the services performed by the contractor employee(s). This record-keeping system shall consist of time and attendance reports to ensure that required services have been received by the VA Medical Center. Any incidents of the nursing assistant’s non-compliance as evidenced by the monitoring procedure shall be forwarded immediately to the Contracting Officer. Nursing Service will validate time and attendance.

18.1.3 Documentation of services performed shall be reviewed prior to certifying payment. Certified Nursing Assistants shall be present at the VAMC and shall be performing the required services as specified in the contract in order to receive reimbursement. The VAMC shall pay for services performed and in strict accordance with Schedule of Supplies/Services above. Contract monitoring and record-keeping procedures shall be sufficient to ensure proper payment and allow audit verification that services were provided.

19.1 Contract Performance Monitoring

19.1.1. The Contracting Officer's Representative (COR), appointed in writing, will be responsible for monitoring contractor performance.

19.1.2. The COR will be the VA official responsible for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer.

19.1.3. The COR will be responsible for monitoring the Nursing Assistant performance to ensure all specifications and requirements are fulfilled. A record-keeping system of procedures will be maintained through the use of the VA-based VistA hospital computer system. These procedures used by the COR must be able to demonstrate through time and attendance logs, surgical room records, minutes of meetings, or other appropriate records that services called for in the contract have been received. A Nursing designee will review this data monthly when invoices are received and certifying all invoices for payment. He/she will accomplish this through a coordinated effort with the VA medical service requesting services under this agreement. Any evidence of the contractor’s non-compliance as evidenced by the monitoring procedures will be forwarded immediately to the Contracting Officer.

19.1.4. A summary evaluation of Contactor performance, based upon the compliance of contract requirements as evidenced in the monitoring procedures, will be forwarded by the monitoring official to the Contracting Officer prior to exercising any options to extend the contract.

20.1 Quality Improvement

The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment), in accordance with Federal Acquisition Regulation (FAR) 37.401(b).

21.1 Quality Assurance

21.1.1 The contractor shall provide accreditations that meet or exceed the standards set by the Joint Commission on Accreditation of Health Care Organizations (TJC).

21.1.2. The Department of Veterans Affairs is allowed according to Public Law 99-272 and 101-508, to seek reimbursement from health insurance carriers for the cost of medical care and treatment provided to Veterans for their non-service-connected conditions. The contractor may not bill any Veteran or their health insurance carrier for care provided to a Veteran while working under contract with the Department of Veterans Affairs.

22.1 Performance Standards

22.1.1 Measure: Contractor Quality Performance

Performance Requirement: All Contractor’s nursing assistant(s) shall perform in accordance with clinical standards.

Standard: All staff (100%) meet clinical standards of care.

Acceptable Quality Level: 95% meets standards.

Suveillance Method: Data pertinent to care performed for each CNA working under this contract to include the review of the following elements:

A. Patient Care Performance B. Medical/Clinical knowledge C. Practiced Based Learning and Improvement D. Interpersonal and Communication Skills E. Professionalism F. System Based Practice Frequency: Periodic

22.1.2 Measure: Qualifications of Key Personnel

Performance Requirement: All Contractor’s nursing assistant(s) shall have current nursing assistant certification and AHA BLS Certification.

Standard: All (100%) CNA(s) are certified as nursing assistants and BLS certified through the American Heart Association.

Acceptable Quality Level: 95% meets standards.

Surveillance Method: Periodic Inspection or Random Sampling of qualification documents.

Frequency: Periodic

22.1.3 Measure: Mandatory Training

Performance Requirement: All Contractor’s nursing assistant(s) shall complete all required training on time per facility policy.

Standard: All (100%) CNA(s) are required to complete all required training on time.

Acceptable Quality Level: 95% meets standards.

Surveillance Method: Periodic Inspection Frequency: Periodic

22.1.4 Measure: Privacy, Confidentiality and HIPAA

Performance Requirement: Contractor is award of all laws, regulations, policies, and procedures relating to Privacy, Confidentiality, and HIPAA and complies with all standards. Zero breaches of privacy or confidentiality.

Standard: All (100%) CNA(s) comply with all laws, regulations, and policies and procedures relating to Privacy, Confidentiality, and HIPAA.

Acceptable Quality Level: 98% meets standards.

Surveillance Method: Random Sampling. Contractor shall provide evidence of annual training required by the facility and report violations per VA Handbook 6500.6.

Frequency: Periodic

23.1 ADP Security Responsibilities

In performance of official duties, the contractor employee(s) have regular access to printed and electronic files containing sensitive data, which must be protected under the provisions of the Privacy Act of 1974 (5 U.S.C. 552a), and other applicable laws, Federal Regulations, Veterans Affairs statutes, and policies. The contractor employee(s) are responsible for:

a. Protecting that data from unauthorized release or from loss, alteration, or unauthorized deletion

b. Follow all applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in a computer access agreement which the Certified Nursing Assistants employee(s) signs.

24.1 Computerized Patient Records Keeping System

Contract employee(s) shall document all patient services into the VA Computerized Patient Record (CPRS).

25.1 Confidentiality of Patient Records

25.1.1 VA Certified Nursing Assistants shall assist in the provision of health care to patients seeking such care from or through VA. As such, the contractor is considered as being part of the Department health care activity. Contractor Certified Nursing Assistants are a VA Nursing Assistant for purposes of the Privacy Act, Title 5 U.S.C. 552a. Further, for the purpose of VA records access and patient confidentiality. Contract employees are a VA Nursing Assistant for the following provisions:

25.1.2 Title 38 -U.S.C. 5701, 5705, and 7362. Therefore, Certified Nursing Assistants may have access, as would other appropriate components of VA, to patient medical records including patient treatment records pertaining to drug and alcohol abuse, HIV, and sickle cell anemia, to the extent necessary to perform its contractual responsibilities. However, like other components of the Department, and not withstanding any other provisions of the contract, the contractor is restricted from making disclosures of VA records, or information contained in such records, to which it may have access, except to the extent that explicit disclosure authority from VA has been received. The contractor is subject to the same penalties and liabilities for unauthorized disclosures of such records as VA.

25.1.3The records referred to above shall be and remain the property of VA and shall not be removed or transferred from VA except in accordance with U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of Claimants Records), 5 U.S.C. 552 (Freedom of Information Act (FOIA)), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records) and federal laws, rules and regulations. Subject to applicable Federal confidentiality or privacy laws, the contractor employees, or their designated representatives, and designated representatives of Federal regulatory agencies having jurisdiction over the 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.

26.1 Health Insurance Portability and Accountability Act of 1996 (HIPAA)

In accordance with 45 CFR 164.502(e), the Privacy Rule includes exceptions to the Business Associate standard. This contract and its requirements meet the following exception and do not require a Business Associate agreement in order for Covered Entity to disclose Protected Health Information to a health care provider for treatments. Based on this exception, a Business Associate agreement is not required for this contract. The contractor must adhere to all VA security policies and applicable confidentiality statutes, include 38 U.S.C. 5701, 38 U.S.C. 5705, 38 U.S.C. 7332, 5 U.S.C. 552a (Privacy Act), as well as 45 U.S.C. Parts 160, 162 and 164 (Health Insurance Portability and Accountability Act).

26.1 Required Registration with Certified Nursing Assistants Performance Assessment System (CPARS)

26.1.1 As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates the contractor’s past performance on all contracts that exceed $250,000.00 and shares those evaluation with other Federal Government contract specialist and procurement officials. The FAR requires that the contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement, VA uses an online database, CPARS, which is maintained by the Naval Seal Logistics Center in Portsmouth, New Hampshire. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the Federal Awardee Performance and Integrity Information System (FAPllS). FAPllS is a web enabled application accessed via CPARS for Nursing Assistants responsibility determination information.

26.1.2. Each contractor whose contract award is estimated to exceed $250,000.00 is required to register with CPARS database at the following web address: www.cpars.csd.disa.mil. Help in registering can be obtained by contacting Customer Support Desk @ DSN: 684-1690 or COMM: 207-438- 1690. Registration should occur no later than thirty (30) days after contract award and must be kept current should there be any change to the contractor’s registered representative.

26.1.3. For contracts with a period of one year or less, the Contracting Officer will perform a single evaluation when the contract is complete.