QUESTIONS AND ANSWERS FOR RFQ 36C24926Q0140-MAR12.docx
DOCX document 21 KB Posted
- Solicitation number
- 36C24926Q0140
About this file
This is a Questions and Answers document for RFQ 36C24926Q0140 addressing vendor inquiries regarding Board Certified Anesthesiology Physician Services at the James H. Quillen VA Medical Center in Mountain Home, Tennessee. The document clarifies that the requirement is for 4,160 hours annually (2 full-time equivalents), with anesthesiologists working 10-hour shifts Monday through Friday from 7:00 AM to 5:30 PM in a department currently operating with 3 full-time anesthesiologists and 12 CRNAs (with a fully staffed target of 6 anesthesiologists and 12 CRNAs). The facility has 7 operating rooms plus GI/Endoscopy procedure coverage and performs approximately 537.4 cases monthly, including vascular procedures (carotid endarterectomy, transcarotid artery revascularization, arteriovenous fistula creation, endovascular abdominal aortic aneurysm repair), thoracic procedures (thoracotomy, lobectomy, video-assisted thoracoscopy surgery), and cardiac procedures (TEE, cardioversions, EP ablation).
Key requirement clarifications include that anesthesiologists must be American Board of Anesthesiology board-certified (not board-eligible), proficient in ultrasound-guided regional anesthesia, and willing to supervise CRNAs at a 1:4 ratio without required presence during induction or emergence. The contract allows billing of overtime hours exceeding 40 hours per week at the Call-In Activation Rate (CLIN 0002), and on-call services will be shared with current full-time anesthesiologists rather than solely contractor-provided. Vacation requests require a minimum 45-day notice period. The government confirmed removal of hospital facility accreditation verification requirements and clarified that applicable attachments include Quality Assurance Surveillance Plan, Contractor Certification (Immigration and Nationality Act of 1952), Conflict of Interest Certification Statement, Past Performance Survey Questionnaire, and Onboarding Flowchart.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24926Q0140 0002.docx | DOCX document | |
| 36C24926Q0140 0001.docx | DOCX document | |
| 36C24926Q0140_1.docx | DOCX document | |
| Attachment D.4 - Past Performance Survey-Questionnaire.docx | DOCX document | |
| ATTACHMENT D.1 - QASP.pdf | ||
| ATTACHMENT D.5 - ONBOARDING FLOWCHART.pdf | ||
| ATTACHMENT D.2 - CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT OF 1952 AS AMENDED.pdf | ||
| ATTACHMENT D.3 - CONFLICT OF INTEREST CERTIFICATION STATEMENT.pdf | ||
| 36C24926Q0140 - 621 - Anesthesiology Services.docx | DOCX document |
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Text version
VENDOR QUESTIONS for RFQ 36C24926Q0140 Anesthesiology Procurement
1. Paragraph 2.9.1 states “The VA Full Time Equivalency (FTE) for the services required is 4160”. The pricing table on page 8, CLIN 0001 states 2080 hrs. Can the Government clarify if 2080 or 4160 hours are required?
ANSWER: 4160 is for the 2 FTEs requested
2. Paragraph 3.1.1 states “The Operating Room (OR) schedule is: Weekdays Monday – Friday from 7:00 AM to 5:30”. Can the Government clarify if the Anesthesiologist will be working 10 hour shifts (7:00 AM to 5:30 PM)?
ANSWER: Yes – 10-hour shifts
3. Will the Government consider adding an overtime CLIN for any hours the Anesthesiologist works beyond 40 hours per week?
ANSWER: No
If the Government is unable to add an overtime CLIN, will the Government allow us to bill overtime hours at the Call-In Activation Rate (CLIN 0002)?
ANSWER: Yes
4. Will the Government accept ABA Board Eligible anesthesiologists for this requirement, or must they already be board certified?
ANSWER: No – must already be board certified
5. How many Operating Rooms (ORs) are in the department?
ANSWER: 7 /2
6. Are there any out-of-the-OR procedure rooms the anesthesiologists cover (i.e. GI, GU, MRI, Cath Lab, etc)?
ANSWER: Yes – GI/Endo
7. How many total Anesthesiologists are in the department now?
ANSWER: 3
8. How many total CRNAs are in the department now?
ANSWER: 12
9. How many Anesthesiologists and CRNAs equal a fully staffed department?
ANSWER: 6 FT anesthesiologists, 12 CRNAs
10. What is the average case volume (number of cases monthly/annually)?
ANSWER: 537.4 monthly/5,343 in FY25 for the section
11. Will the Government clarify what types of cases are typically seen in the OR?
ANSWER: PRN
12. What type of cardiac procedures are performed at this facility (i.e. open heart surgery, CABG, stent placements, etc.)?
ANSWER: TEE, Cardioversions, EP Ablation
13. What type of vascular procedures are performed at this facility (i.e. Carotid Endarterectomy, angioplasty, aneurism repair, etc.)?
ANSWER: Carotid Endarterectomy, Transcarotid Artery Revascularization, Arteriovenous Fistula creation, Below knee amputation, Endovascular Abdominal Aortic Aneurysm Repair
14. What type of neurosurgical procedures are performed at this facility (i.e. Craniotomy, discectomy, fusions, etc)?
ANSWER: N/A
15. What type of thoracic procedures are performed at this facility (i.e. VATS, lobectomy, balloon dilation, bronchoscopy, EBUS, etc.)?
ANSWER: Thoracotomy, Lobectomy, Mediastinal Lymph Node Dissection, Video Assisted Thoracoscopy Surgery, Wedge Resection
16. Are any organ or tissue transplant procedures performed at this facility?
ANSWER: No
17. Does this facility have trauma surgical services?
ANSWER: No
18. Must the Anesthesiologist be proficient in Ultrasound Guided Regional Anesthesia (UGRA)?
ANSWER: Yes
19. Is there an on-call room at the facility the Anesthesiologist can utilize if there is a particularly busy night of cases while on call, and he/she does not wish to return home in between cases?
ANSWER: No
20. Is there a CRNA on call simultaneously with the anesthesiologist?
ANSWER: Yes
21. If a CRNA and anesthesiologist are on call simultaneously, must they both return to the facility to conduct an after-hours case?
ANSWER: No
22. Between how many Anesthesiologists are on-call services shared?
ANSWER: currently 3 until fully staffed
23. Is it the Government’s intent that the On-Call requirements for the anesthesia department are covered solely by the anesthesiologists on this contract?
ANSWER: No, On-Call will be rotated with the current FT anesthesiologists
24. What are the historic call-back rates when an anesthesiologist is on-call (i.e. the amount of times and/or hours the physician is called back, not the dollar rate)?
ANSWER: we do not track, estimate 15% of the time after 3:30
25. Will the Government clarify the Model of care (i.e. Supervised, medically directed, etc.)
ANSWER: Yes, supervised
26. Will the Anesthesiologists do their own cases?
ANSWER: As needed, not typical
27. Do Anesthesiologists supervise or medically direct CRNAs?
ANSWER: Supervise
28. If supervising CRNAs, what is the ration of anesthesiologist to CRNA (1:1, 1:4, etc.)?
ANSWER: 1:4
29. If supervising CRNAs, must an anesthesiologist be present in the room during induction and/or emergence?
ANSWER: No
30. What type of charting system is in use in the Anesthesia department?
ANSWER: CPRS/ARC
31. How many total Anesthesiologists and CRNAs are scheduled daily?
ANSWER: M: Anesthesiologists 2, CRNA 10
| T: Anesthesiologists 3, CRNA 10 |
| W: Anesthesiologists 2, CRNA 10 |
| TH: Anesthesiologists 3, CRNA 10 |
| F: Anesthesiologists 2, CRNA 10 |
32. How far out (number of weeks or months) is the schedule posted by the department chief or his/her representative?
ANSWER: Tours for business hours do not change, call scheduled are completed 1 month in advance
33. How far out must the contract Anesthesiologists request vacation/time off?
ANSWER: minimum 45 days
34. The Government provides Attachment D.4 Past Performance Survey-Questionnaire for completion with proposals. We note that the questionnaire is extensive and would require considerable time and effort from Government points of contact to complete within the solicitation timeline. For the Government’s ease and to reduce administrative burden on agency personnel, would the Government allow offerors to submit final CPARS with all relevant ratings and narratives in lieu of Attachment 4?
ANSWER: Please have references submit completed questionnaire.
35. Could the Government please confirm that this is not required for this solicitation (p. 69), which appears intended for a hospital system requirement, not staffing? “Contractor’s verification of facility accreditation (JC or equivalent), a qualified Medicare program provider and licensed by the Department of Health of the state of Tennessee to operate a hospital (Section 4.2.3.)” ANSWER: Correct. We will remove this requirement.
36. Could the Government please confirm that the attachments listed in Section D (p.65) are correct and not those listed on p. 70 (below)?
Contract Documents, Exhibits, or Attachments:
Attachment D.1 Quality Assurance Surveillance Plan Attachment D.2 Conflict of Interest Attachment D.3 Contractor Rules of Behavior Attachment D.4 Contractor Certificate of Immigration ANSWER: The attachments that were included are applicable:
Attachment D.1 Quality Assurance Surveillance Plan Attachment D.2 Contractor Certification Immigration and Nationality Act of 1952 Attachment D.3 Conflict of Interest Certification Statement Attachment D.4 Past Performance Survey Questionairre Attachment D.5 Onboarding Flowchart
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