36C25020Q0459-0002000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

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

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 05-12-2020 none Y Department of Veterans Affairs Columbus Chalmers P. Wylie Ambulatory Care Center 420 North James Road Columbus

OH

43219-1834 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 Chalmers P. Wylie Outpatient Clinic 420 North James Road Columbus

OH

43219-1834 To all Offerors/Bidders

36C25020Q0459 05-04-2020

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

Solicitation 36C25020Q0459, amendment 0002 is to address additional questions that were received. See Q11 - Q15.

The hour and date specified for receipt of quotations is changed from May 25, 2020 to May 26, 2020 at 2:00 pm EST.

No other changes have been made.

Karen M. Williams Contracting Officer

CONTINUATION PAGE

SOLICITATION 36C25020Q0459

NURSE PRACTITIONER / MEDICAL OFFICER OF THE DAY

Amendment 2 - Questions and Answers (Q & A) Answers will be in RED

Q1. Are there any incumbents or is this a new contract?

A1. This is a new requirement

Q2. Experience required states “ (2 year minimum) Nurse Practitioner(s)/Medical Officer of the Day(MOD)” Do you require the Nurse Practitioner to have 2 years experience as a MOD or at least 2 years of experience providing care as a Nurse Practitioner?

A2. 2 years as a Nurse Practitioner

Q3. The SOW lists “ Inpatient Care: NP’s shall provide geriatric, medical and/or mental health inpatient services for 5 Veteran Community Living Center units: One Hospice/Palliative Care unit; Two Geriatric Psych units, one Dementia and one Skilled Care Rehabilitation; and Two Mental Health inpatient units, which includes Acute Psych and Chronic Psych. “ Are all of the Services provided by the NP at the VAMC Northern Indiana HCS campus in Marion, IN?

A3. Yes. NP will be covering all areas of VANIHCS which include 7 inpatient units, 1 residential recovery program, and employee health needs.

Q4. What support staff is available during the night shift? Weekend shift?

A4. The AOD (Administrative Officer of the Day) will always be available after hours, off tours, weekends, etc. The Urgent Care physician (day MOD) would be available to consult with, along with a Mental Health provider. We currently have physician’s that are the MOD’s now. Each of our units will also have a licensed nurse(s) on all tours.

Q5. What is the avg volume per night for each unit?

A5. Palliative/Hospice Unit- 1721B: 20 Geriatric Psych- 1721C: 20 Dementia- 1721E: 22 Skilled Rehab- 1722B: 22 Geriatric Psych- 1722C: 20 Acute Psych- 1851N: 8 Chronic Psych- 1851S: 18 SARRTP (substance and rehab program)- 15 until COVID is no longer an issue, then up to 26.

Q6. If the offeror has only two NP related past performance and one other healthcare provider past performance, is this acceptable?

A6. Yes. In accordance with the Addendum to FAR 52.212-1, Instructions to Offerors on page 61 of the solicitation, please only submit business references who have first-hand knowledge of performance relative to the same type of services during the last three (3) years.

Q7. Please provide details about how many regular hours each employee is required to work.

A7. PWS states “Contractor Nurse Practitioner Schedule: 7:00pm through 7:00am Monday through Friday; 7:00pm Friday through 7:00am Monday; (entire weekend); and 24-hour coverage on Federal Holidays.” It is up to the contractor to decide how they will manage their NP staff in order to meet the PWS requirements. Keep in mind, the sub-contract line item number (SUB-CLIN) in the pricing table under B.2 Schedule of Services beginning on page 6 of the solicitation, only allows for regular hours and holiday hours, overtime hours are not authorized and will not be reimbursed.

Q8. Please provide details about how many holiday hours each employee is required to work.

A8. See A7.

Q9. Can the sub-contractors past performance be counted?

A9. No.

Q10. Could you clarify if you are looking for the contracting company to staff the entire schedule i.e. 24/7 coverage by an NP. If the above is Yes, does it matter which schedule the NPs do (7on/7off)/(M-F and another NP weekends) as long as the schedule is covered?

A10. See A7.

Q11. Why was the date moved forward from Tuesday, May 26, 2020 to Monday, May 25, 2020 which happens to be Memorial Day?

A11. This was a mistake and the solicitation will be amended to reflect May 26.

Q12. Is there a limit to the number of Key Personnel – Nurse Practitioners – we are allowed to submit? If so, how many?

A12. There is no limit; however, all proposed staff must be credentialed and available for scheduling.

Q13. Given the duty is after hours, weekends, and holidays, what is the acceptable rotation of personnel for this assignment?

A13. Same as the answer in A7, it is up to the Contractor to decide how they manage their NP personnel to meet the requirements.

Q14. Will all Key Personnel assigned to this contract go through security clearance checks together? As an example, we are planning on 7 to 10 key personnel and rotate them to address any burnout given the duty hours.

A14. All proposed key personnel will be credentialed and privileged before they are able to begin work under this resultant contract.

Q15. If the VHA hires full time personnel to fulfill the duties, what is the notice period? And, what will be the wind down period for the winning contractor?

A15. This really depends on the number of VA employees that are hired, and so far we have not been successful in hiring any NP MOD’s in the past year. We couldn’t give notice to the contractor of a new hire until the VA employee accepted a final offer, passed a background check and fingerprinting and made it through credentialing. Then we’d be able to have a start date. Usually start dates are based on pay periods so at a minimum it would be 2 weeks’ notice. However, there’d have to be a hand off period so probably 30 days’ notice minimum. At that time, a contract modification would be issued to reduce the scope.