36C25022Q0014 0001 02.docx

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Q999--Emergency Department (ED) Physician Services
Solicitation number
36C25022Q0014
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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)

MSO-2022-COM-0007

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 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

36C25022Q0014 02-01-2022

X

Solicitation 36C25022Q0014 is hereby amended to:

Revise the requirement for all physicians to be certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). Physicians Board Certified in Emergency Medicine by the American Board of Emergency Medicine (ABEM) are exempt from BLS and ACLS. See page two below.

This amendment also addresses questions received from interested parties. See pages 3 and 4. below

The date and hour specified in Block 8 of the SF1449 for receipt of quotes shall remain the same.

No other changes have been made.

Karen Williams Contracting Officer

CONTINUATION PAGE – AMENDMENT 0001

Solicitation 36C25022Q0014 – Emergency Department (ED) Physician Services

1) Revise the first sentence in the following PWS section

From:

2.1.6 Training (BLS, ACLS, EHR and VA MANDATORY): Contracted physicians must be currently certified in American Heart Association – Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).

To:

2.1.6 Training (BLS, ACLS, EHR and VA MANDATORY): Contracted physicians, except those Board Certified in Emergency Medicine by the American Board of Emergency Medicine (ABEM), must be currently certified in American Heart Association – Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS).

2) Revise the following in E.9 52.212-2 EVALUATION – COMMERCIAL ITEMS, Factor 1: ED Physician Experience and Staffing Coordination

From:

b) Provide current certification in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) for all physicians.

To:

b) Provide current certification in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) for all physicians, except for physicians Board Certified in Emergency Medicine by the American Board of Emergency Medicine (ABEM), they are exempt from BLS and ACLS requirements.

Questions (Q) and Answers (A)

Q1We are hoping to find out if there is (was) an incumbent contractor performing these services, or if this is a brand new contract. If there is an incumbent, could you please provide the current / previous contract number?
A1Top Dogs, Inc, 1875 Old Alabama Rd STE 1130, Roswell, GA 30076 is the incumbent contractor under contract number V797P2093D.
Q2What is the average daily volume? Annual volume?
A21st quarter FY 2022 67.7/Day; Annually - 25,584/ patients
Q3What are the peak days/hours in the ED?
A3Mondays, Tuesdays & Days following holidays; 0900-1700
Q4How many physicians staff the ED? Mid-levels?
A4Nine full-time MD/DO’s each working 40 hours/ week; two part-time MD/DO’s each working 20 hours/ week; four Mid-levels; and two NP’s and two PA’s each working 40 hours/week.
Q5Are shifts 8, 10 or 12 hours? How many physicians per shift?
A5Shifts are 10, 12, 12.5, 13, 14 hours depending on need.
Q6Can the contracting team speak to what the Trauma Designation Level is at the CVAMC?
A6None currently
Q7Can the contracting team also address what the Annual Volume at the CVAMC?
A725,584 in ED
Q8Can we get a count of how many ED Beds there are at the hospital?
A818 ED and 4 Fast-track
Q9Can we likewise get a count of how many Facility Beds there are?
A977 Med Surg, 23 ICU, & 20 Mental Health
Q10Is the contracting team able to provide how many Patients Per Hour?
A10Depends on time of day; Max ~ 6-8 during hours of multiple physicians/mid-level coverage
Q11Please confirm this Schedule: Night Shift 630p-7a Mon-Sun plus federal holidays; day shifts as requested.
A11Alternatives also exist for Night 2100-0700; Weekends and Holidays – 0600-1900; 0900-2200: & 1100-0000. Shifts can vary based on needs.
Q12Are Night Shifts single coverage?
A12After Midnight
Q13What is the coverage on Days?
A13Typically three MD/DO’s w/ staggered arrival and two NP/PA
Q14On average how many days shifts are requested per month?
A14Varies, 3-5/ month
Q15How far in advance is the schedule requested? 60 days? 90 days?
A1590 days
Q16Is there APP support? (# on, hours of their shifts)
A162-3. 0800-1630; 0930-2000 (Fast-track weekdays); 1130-2200
Q17What Specialty backup is available?
A17Depends on time of day. 0700-1600 usually all. After 1600, IM/Hospitalist, Ortho, Neuro.
Q18Does the hospital have 24 hour Radiology/Pharmacy/Lab? If no, what are the hours?
A1824-hour Radiology, Pharmacy, and Lab. MRI available M-F day tours. Currently CT is a call-in (1 hr.).
Q19Who Admits? (ER or Hospitalist, MOD)
A19Hospitalist; sometimes we need to write orders for Psych Admissions.
Q20Is there an ICU? (# beds)
A20Yes, MICU 13 beds & SICU 10 beds. Total of 23 beds
Q21What Equipment is standard? (Ultrasound, CT, MRI, etc)
A21Ultrasound and CT (note Q18)
Q22Some facilities do not require BE/BC EM physicians to have BLS and ACLS certifications. What is the policy at this facility?
A22Emergency Medicine physicians Board Certified by the American Board of Emergency Medicine (ABEM) are exempt from the BLS and ACLS Requirements.
Q23What is your average Privileging Timeline?
A233 months.
Q24Is there an Intubation Requirement: (does privileging have a requirement? for example, X# intubation in the last X# years)
A24ACGME or intubated at least one patient in the previous 2 years without complications. Must get approved for intubation by credentialing (OOORAM).

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