36C24925R0054.docx

36C24925R0054 – Plastic Surgery Services

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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

36C24925R0054 07-30-2025 Laura Edelman, Contracting Specialist No Phone Calls 08-29-2025

10AM

CDT

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

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 X 621111 $16 Million N/A X Department of Veterans Affairs

NCO - 9

1030 Jefferson Avenue Memphis TN 38104-2127 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 Memphis VA Medical Center has a need for a non-personal services contract that provides Plastic Surgery Physician Services.

This requirement is being solicited under the authority of 38 U.S.C. 8153 and VAAR Part 873.

Price Schedule starts on page 7 Performance Work Statement starts on page 13 Instructions to Offerors starts on page 86 All questions regarding this solicitation must be submitted by email to laura.edelman@va.gov no later than 10:00AM, Central Time, August 11, 2025.

$0.00 X X Robert Pritchard 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:

Robert Pritchard, Contracting Officer U.S. Department of Veterans Affairs Network Contracting Office 9 E-mail: robert.pritchard2@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.

JOINT VENTURES: any JVs submitting an offer must submit VetCert and/or SBA certification with their offer and those that fail to do so shall be rendered technically unacceptable and shall not be eligible for award.

SAM: System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

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

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:

36C24925R0054 – Plastic Surgery Services

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B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all key personnel to provide services necessary to perform onsite and on-call Plastic Surgery Physician Services to eligible beneficiaries of the Department of Veterans Affairs (VA) Medical Center, Memphis, Tennessee (hereinafter referred to as VAMC). The Contractor’s physician(s) and physician assistant(s) care shall cover the range of Plastic Surgery 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 as established by the American Board of Plastic Surgeons (ABPS): ABPlasticsurgery.org Place of Performance: Services shall be provided onsite at the following location:

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

The Contractor is instructed to edit the number of sub-line item numbers (SLINs) to correspond with the number of key personnel submitted for the line item number (LIN). Contractor Offeror shall include the “title” of the personnel submitted. Also, renumber SLINs if adding or removing Key Personnel.

The Contractor is instructed to include all other than certified price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D – Contract Attachments.

The Contractor shall propose a minimum of two (2) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance: A contract resulting from this solicitation will be awarded for a five (5) year Indefinite-Delivery Indefinite-Quantity (IDIQ) contract with Task Orders issued on an as needed basis through the full contract term, from October 1, 2025 through September 30, 2030.

This contract is a fixed price Indefinite Delivery-Indefinite Quantity contract. The estimated total minimum (including options) is $10,000 and total contract maximum (including options) for the full contract term is $7,550,000.

1.0 FTE Clinic (Inpatient - outpatient consults to include spinal cord injury consults) and OR Surgery Coverage. Services furnished in accordance with the requirement of this solicitation.

Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q523 - Medical - Surgery

On-call Coverage evenings, weekends and holidays. Weekend hours are from 4:30pm Friday until 8:00am Monday

POP Begin: 10-01-2025 POP End: 09-30-2026

0.25 FTE Physician Assistant. Services furnished in accordance with the requirement of this solicitation.

POP Begin: 10-01-2025 POP End: 09-30-2026

BASE ORDERING PERIOD

1.0 FTE Clinic (Inpatient - outpatient consults to include spinal cord injury consults) and OR Surgery Coverage. Services furnished in accordance with the requirement of this solicitation.

Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027

On-call Coverage evenings, weekends and holidays. Weekend hours are from 4:30pm Friday until 8:00am Monday

POP Begin: 10-01-2026 POP End: 09-30-2027

0.25 FTE Physician Assistant. Services furnished in accordance with the requirement of this solicitation.

POP Begin: 10-01-2026 POP End: 09-30-2027

ORDERING PERIOD ONE

1.0 FTE Clinic (Inpatient - outpatient consults to include spinal cord injury consults) and OR Surgery Coverage. Services furnished in accordance with the requirement of this solicitation.

Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028

On-call Coverage evenings, weekends and holidays. Weekend hours are from 4:30pm Friday until 8:00am Monday

POP Begin: 10-01-2027 POP End: 09-30-2028

0.25 FTE Physician Assistant. Services furnished in accordance with the requirement of this solicitation.

POP Begin: 10-01-2027 POP End: 09-30-2028

ORDERING PERIOD TWO

1.0 FTE Clinic (Inpatient - outpatient consults to include spinal cord injury consults) and OR Surgery Coverage. Services furnished in accordance with the requirement of this solicitation.

Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029

On-call Coverage evenings, weekends and holidays. Weekend hours are from 4:30pm Friday until 8:00am Monday

POP Begin: 10-01-2028 POP End: 09-30-2029

0.25 FTE Physician Assistant. Services furnished in accordance with the requirement of this solicitation.

POP Begin: 10-01-2028 POP End: 09-30-2029

ORDERING PERIOD THREE

1.0 FTE Clinic (Inpatient - outpatient consults to include spinal cord injury consults) and OR Surgery Coverage. Services furnished in accordance with the requirement of this solicitation.

Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030

On-call Coverage evenings, weekends and holidays. Weekend hours are from 4:30pm Friday until 8:00am Monday

POP Begin: 10-01-2029 POP End: 09-30-2030

0.25 FTE Physician Assistant. Services furnished in accordance with the requirement of this solicitation.

POP Begin: 10-01-2029 POP End: 09-30-2030

ORDERING PERIOD FOUR

Total for base performance period and all ordering periods: $_________________________ *** Changes to the contract can only be made by a written modification which is formally executed by the contractor and the Contracting Officer. Orders shall be issued only by the Contracting Officer. *** NOTE: 52.217-8, Option to Extend Services is included in this RFP. Pricing for this clause will be evaluated during the 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.

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. Contractors shall be provided requirements (e.g. location of work, licensing credential, name of key personnel, price schedule, number of key, etc.) needed to obtain an adequate offer or quote.

c. 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.

d. 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.

B.3 PERFORMANCE WORK STATEMENT

Onsite Plastic Surgery Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified / Board Eligible Plastic Surgery Physician Services and physician assistant(s) onsite and on-call in accordance with the specifications contained herein to beneficiaries of the VA and the Memphis VAMC.

1.2. Place of Performance: Contractor shall furnish services at Lt. Col. Luke Weathers, Jr. VA Medical Center (herein referred to as VAMC Memphis), 1030 Jefferson Avenue, Memphis, TN 38104

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority, to include FAR Part 12 in combination with VAAR 873.

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 1063(2): Utilization of Physician Assistants (PA)

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

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

1.4.6. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.7. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.8. VHA Directive 1100.21: Privileging

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. VHA Handbook 1400.04: Supervision of Associated Health Trainees

1.4.15. 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. ABS: American Board of Surgery http://www.absurgery.org/

1.5.2. ABPS: American Board of Plastic Surgeons ABPlasticsurgery.org

1.5.3. ACGME: Accreditation Council for Graduate Medical Education

1.5.4. ACLS: Advanced Cardiac Life Support

1.5.5. AJIC: American Journal for Infection Control

1.5.6. AQL: Acceptable Quality Level

1.5.7. BAA: Business Associate Agreement

1.5.8. BBA: Balanced Budget Act

1.5.9. BLS: Basic Life Support

1.5.10. CDC: Centers for Disease Control and Prevention

1.5.11. CDR: Contract Deficiency Report

1.5.12. CEU: Certified Education Unit

1.5.13. 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.

1.5.14. CME: Continuing Medical Education

1.5.15. CMP: Civil Monetary Penalty

1.5.16. CMS: Centers for Medicare and Medicaid Services

1.5.17. 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.

1.5.18. COI: Conflict of Interest

1.5.19. 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.

1.5.20. COS: Chief of Staff

1.5.21. CPARS: Contractor Performance Assessment Reporting System

1.5.22. 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, experience or other qualifications.

1.5.23. DEA: Drug Enforcement Agency

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

1.5.25. EPA: Environmental Protection Agency

1.5.26. FAPIIS: Federal Awardee Performance and Integrity Information System

1.5.27. FAR: Federal Acquisition Regulation

1.5.28. FOIA: Freedom of Information Act

1.5.29. FPPE: Focused Provider Practice Evaluation

1.5.30. FSMB: Federation of State Medical Boards

1.5.31. FTE: Full Time Equivalent: VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.32. HHS: Department of Health and Human Services

1.5.33. HICPAC: Hospital Infection Practices Advisory Committee

1.5.34. HIPAA: Health Insurance Portability and Accountability Act

1.5.35. IGRA: Interferon-gamma Release Assays

1.5.36. ISO: Information Security Officer

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

1.5.38. MRI: Magnetic Resonance Imaging

1.5.39. MST: Military Sexual Trauma

1.5.40. NPI: National Provider Identifier. NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The VHA must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.5.41. NPPES: National Plan and Provider Enumeration System

1.5.42. NSO: National Surgery Office

1.5.43. OGC: Office of General Counsel

1.5.44. OIG: Office of Inspector General

1.5.45. OPPE: Ongoing Provider Practice Evaluation

1.5.46. OR: Operating Room

1.5.47. PA: Physician Assistant

1.5.48. POP: Period of Performance

1.5.49. PPD: Purified Protein Derivative

1.5.50. PPIRS: Past Performance Information Retrieval System

1.5.51. PWS: Performance Work Statement

1.5.52. QA/QI: Quality Assurance/Quality Improvement

1.5.53. QM/PI: Quality Management/Performance Improvement

1.5.54. QASP: Quality Assurance Surveillance Plan

1.5.55. RFP: Request for Proposal

1.5.56. SCS: Specialty Care Services

1.5.57. SSAC: Sole Source Affiliate Contract

1.5.58. TJC: the Joint Commission

1.5.59. TST: Tuberculosis Skin Test

1.5.60. USC: United States Code

1.5.61. VA: Department of Veterans Affairs

1.5.62. VA-FSC: VA Financial Services Center

1.5.63. VAAR: VA Acquisition Regulation

1.5.64. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care Providers. This system facilitates completion of a uniform, accurate and complete credentials file.

1.5.65. VHA: Veterans Health Administration

1.5.66. VistA: Veterans Integrated Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The Contractor’s physician(s) and physician assistant(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. The Contractor’s physician assistants must graduate from a program accredited by the Accreditation Review Commission on Education for Physician Assistants (ARC-PA). Effective 1993 the PA must pass the National Commission on Certification of Physician Assistants (NCCPA) examination and obtain state licensure. To maintain the certification/licensure, the PA must log 100 hours of continuing medical education every two years and sit for the NCCPA recertification every six years.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) and physician assistant(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.

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 physician(s) shall be Board Certified / Board Eligible by the American Board of Plastic Surgery https://www.abplasticsurgery.org/, and be currently certified in BLS, ACLS or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

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) and physician assistant(s) possesses the requisite credentials enabling the granting of privileges and scope of practice. No services shall be provided by any Contractor’s physician(s) or physician assistant(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director. A copy of license must be provided with the offer and will be updated upon expiration and renewal. Any changes related to the provider’s licensing or credentials will be reported immediately to the VAMC, Memphis, TN. Specific questions regarding Credentialing and Privileging should be directed to the office of Quality Management & Improvement at the VAMC, Memphis, TN. No services shall be provided by any contract physician(s) or physician assistant(s) prior to obtaining approval by the Memphis VAMC Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. If a Contractor’s physician(s) is 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. If a Contractor’s physician assistant(s) is not within the scope of practice or has scope of practice suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3.2. Privileges will be renewed at least every two (2) years in accordance with Medical Center and The Joint Commission requirements if there is a contract with option years; however, if no option years, privileges will be renewed annually. Contract physician(s) and physician assistant(s) shall meet all duties of medical staff as delineated by Medical Staff Bylaws. Contract physician(s) and physician assistant(s) assigned to work at the Medical Center shall be required to report specific patient outcome information, such as complications, to the Service Chief. Quality Improvement data provided by the contract physician(s), physician assistant(s) and/or collected by the service will be used to analyze individual practice patterns. The Service Chief will utilize the data to formulate recommendations for the Clinical Executive Board to consider in the renewal of clinical privileges.

2.1.3.3. Request for privileges and completed credential packets shall be submitted sixty (60) days prior to the contract physician(s) scheduled start date. Request for onboarding and scope of practice packets shall be submitted sixty (60) days prior to the contract physician assistant(s) scheduled start date. Application package will be provided by the VA Memphis to be completed by the candidate. This includes: Curriculum vitae, current references, signed release of information from candidate, and statement that candidate does not have any physical or mental health condition that would adversely affect his or her ability to carry out assigned duties, and additional credentialing and privileging forms. Candidate will also be required to make application through the VET-PRO Internet process. VetPro is an internet enabled system for the credentialing of VHA health care providers that facilitates completion of a uniform, accurate and complete credentials file. VetPro improves efficiency by allowing providers to enter essential credentialing data only once. Providers must be enrolled in VetPro and credentialed using the VetPro process. Candidate will need to be enrolled in VET-PRO by our Credentialing and Privileging Coordinator at the Memphis VA. The website address is http://fcp.vetpro.org/. The contract physician(s) and physician assistant(s), hereafter referred to as Provider, Credentialing and Privileging will only be effective as long as the contract is effective. In addition, if the contract is not renewed, extended/modified, the provider should not see patients beyond the contract date; however will be allowed 30 days beyond the contract date to complete all administrative requirements.

2.1.4. Technical Proficiency: Contractor’s physician(s) and physician assistant(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 physician assistant(s) and Contractor’s physician(s) and physician assistant(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) and physician assistant(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 Contractor’s physician(s) or physician assistant(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) and physician assistant(s) as required by the VA. Other training may become required. 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 and physician assistant(s) within five (5) calendar days after contract award and prior to the first duty shift to the COR and CO. 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) and physician assistant(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). 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 and physician assistant(s) {This is applicable to all health care workers}.

2.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians and physician assistant(s) {This is applicable to all health care workers}.

2.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians and physician assistant(s) {This is applicable to all health care workers}.

2.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians and physician assistant(s) have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician or physician assistant has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.7.6. COVID-19: Contractors shall be vaccinated against COVID-19 or have obtained an approved accommodation/exception. This is applicable to all health care workers.

2.1.7.7. 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) and physician assistant(s) {This is applicable to all health care workers}; 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.

2.1.7.8. 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. NPI: NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The VHA must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the CMS NPPES be provided to the CO with the proposal.

2.1.9. DEA: Contractor shall provide copy of current DEA certificate.

2.1.10. Conflict of Interest (COI): The Contractor and all Contractor’s physician(s) and physician assistant(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 VA patient referrals.

2.1.11.2. While performing services for the VA, 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 FAR.

2.1.11.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the VA 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 VA patient referrals; or other place where the Contractor provides services to veterans who have been referred by the VA; 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 OIG Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the HHS 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) and physician assistant(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 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. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor’s physician(s) and physician assistant(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to…