36C25019R0093-A00004000.docx

36C25019R0093 A00004 – PWS & Evaluation Criteria Revisions

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

A00004 02-13-2020

NONE

Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240

Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 To all Offerors/Bidders

36C25019R0093 12-06-2019

X

1 (one) The purpose of this amendment is to revise or remove some of the requirements identified in the Performance Work Statement and to revise or remove some of the Evaluation Criteria. These changes were made to address contractor concerns which were identified through the Q&A Phase. Please see the attached (beginning on page 2) for changes.

This amendment is not being extended because amendment A00002 has provided the extension to February 28, 2020 at 3pm ET.

Lisa Bailey Contracting Officer

The following items are amended:

1) Evaluation Subfactor B- Removing the requirement for BLS and ACLS submission through the revision of Factor 1, Subfactor B’s evaluation criteria (located on page 139 & 148). “Subfactor B: Staffing and Experience” is removed in its entirety and replaced with the following:

“Factor 1, Subfactor B: Experience and Staffing- The offeror shall submit a response that includes:

i. A detailed description of the offeror’s length and breadth of experience providing primary care services using the Patient Centered Medical Home Model (known as PACT in VA) for the adult Veteran population age 18 and older within the past five years. Experience should include healthcare personnel management and set-up/operation of an outpatient clinic similar in size and scope to this clinic.

ii. Description of the ability to recruit adequate staffing and retain quality personnel to meet the needs of this contract. Describe your process of completing background checks on employees providing services. Identify the average personnel turnover rate and how it might affect contract performance. Explain how continuity of care will be maintained during periods of vacancy and provide a detailed description of the offeror’s contingency plan for staffing clinic(s) in the event of absence (planned and unplanned) of regularly scheduled staff.

iii. Provide a list of the names and qualifications of physicians, physician assistants, nurse practitioners, RNs, LPNs, and other clinical staff which are intended to be utilized in the performance of this contract, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements per the PWS. Also provide the name, title and qualifications of the Medical Director to oversee the clinic.

iv. Provide a list of the names and qualifications of administrative support staff and describe the level of training and experience that will be utilized to meet the administrative support functions of this contract, including (but not limited to) such functions as patient scheduling, medical record administration, record processing and reporting, grievance system, and quality assurance and performance improvement.”

2) Evaluation Factor 3, Veteran’s Preference, subparagraph iii – “Past Performance in meeting VA’s department-wide SDVOSB subcontracting goals for 2014 and 2015” (located on page 139). Factor 3’s subparagraph iii is removed in its entirety and will not be evaluated; subparagraphs i, ii, and iv remain in effect.

3) Paragraph 6.1.2. (page 99) currently states: “The Contractor shall have ninety (90) days from contract award to commencement of the provision of medical care to local Veterans. However, the Contractor shall have all start-up requirements in place and ready to commence operation NLT eighty-three (83) calendar days from contract award. The final seven (7) days will be used for training and resolution of any last minute or unexpected technical or personnel related challenges.” This paragraph is revised through this amendment to now state: “The Contractor shall have one hundred twenty (120) days from contract award to commencement of the provision of medical care to local Veterans. However, the Contractor shall have all start-up requirements in place and ready to commence operation NLT one hundred thirteen (113) calendar days from contract award. The final seven (7) days will be used for training and resolution of any last minute or unexpected technical or personnel related challenges.”

4) Paragraph 4.6.2.4.8. (page 37) currently states: “Women Veterans must have women-only or unisex toilet rooms and bathing/shower facilities. Appropriately locking door hardware with locking mechanisms providing for privacy, safety, security, and utility (allowing staff members to have key or code access in case of emergency) are required for all toilets, baths and showers.” The requirement for bathing/showering facilities is removed in its entirety through this amendment and now states: “Women Veterans must have women-only or unisex toilet rooms. Appropriately locking door hardware with locking mechanisms providing for privacy, safety, security, and utility (allowing staff members to have key or code access in case of emergency) are required for all toilets.” There is no requirement for a bathing/showering facility. The remainder of the paragraph language remains in effect.

5) Vending Machine Area: PACT Table Requirements (page 80) currently lists a vending machine area. This is not a requirement and is removed from the PWS through this amendment.

6) Paragraph 4.6.4.1. (page 43) states “the Contractor shall provide two (2) GE Healthcare Discovery XR656 Plus Base System”. Only one (1) is required. This paragraph is revised through this amendment to now states: “the Contractor shall provide one (1) GE Healthcare Discovery XR656 Plus Base System.”

7) Paragraph 3.1. (page 27), 4.6.4.3. (page 43), 4.6.6.1. (page 63), 4.9.7. (page 82), 4.9.13. (page 84) have conflicting Clinic hours listed. The clinic hours are revised through this amendment to now state: “Clinic hours are 8:00am to 5:00pm Monday through Friday.”

8) Why does the RFP require so many exam rooms? The CLINs is only 3,281 enrollees in the Base Year and declines to 3,044 over the nine option years. However, the RFP space requirement of a total of 22 exam rooms suggests more PACT teams that the enrollment requires. For example, if there are three rooms per PACT team and 16 exam rooms as shown in the RFP, this would accommodate 5.1 PACT teams. Or four exam rooms per team would accommodate four PACT teams. Is this correct? After reviewing the current number of enrollees and the anticipated number of enrollees for the new CBOC’s delineated area, the VA anticipates that 4 PACT teams are more appropriate. The PACT model table found under section 4.9.1, beginning on page 76 is removed in its entirety and replaced with the following table:

Department: 1 - OUTPATIENT / PACT CLINIC (265) Functional Area: 1 - LOBBY / RECEPTION AREA

Department: 1 - OUTPATIENT / PACT CLINIC (265) Functional Area: 2 - PATIENT ALIGNED CARE TEAM (PACT) CLINIC 1

Functional Area: 8 - MENTAL HEALTH CLINIC

Functional Area: 14 - PATHOLOGY AND LABORATORY MEDICINE (PLM) SERVICE

Department 1 – OUTPATIENT / PACT CLINIC (265) Functional Area: 15 - RADIOLOGY SERVICE

Department 1 – OUTPATIENT / PACT CLINIC (265) Functional Area: 16 - PHARMACY SERVICE

Functional Area: 19 Logistics

Department: 1 – OUTPATIENT / PACT CLINIC (265) Functional Area: 23 - SUPPORT AREA