36C25518Q9591-001.docx

36C25518Q9591

PAGE 1 OF

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.

DUNS:

DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C25518Q9591 07-13-2018 Galvin, Paula / paula.galvin@va.gov 913-946-1120 08-13-2018 4pm 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 X X 561320 $27.5 Million X N/A X

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048

36C255 Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin TX 877-353-9791 512-460-5429 Under the authority of Public Law 104-262, 38 USC 513, and FAR Part 13, the contractor is to provide non-personal health care resources in accordance with the terms and conditions stated herein.

The contractor is to furnish Radiology Technology Services at the Leavenworth and Topeka, KS VA Medical Centers (VAMC).

Modality support needed are:

Registered Radiology Technologist/Computed Tomography Ultrasound Technologist Magnetic Resonance Imaging Technologist X X one Paula J. Galvin Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin TX

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

36C25518Q9591

Page 1 of Page 1 of

B.2 SCHEDULE OF SERVICES AND PRICE

1. The contractor agrees to the following terms of the Blanket Purchase Agreement (BPA) if selected for award. A multiple award Blanket Purchase Agreement (BPA) will be awarded to satisfy this requirement.

2. Price Schedule: The following services may be ordered under this BPA:

a. Registered Radiology /Computed Tomography Technologist RT(R)(CT): Furnish up to five (5) RT(R)(CT) to perform the requirement of this BPA at Leavenworth and Topeka VA Medical Centers. Estimate: 10,400 hours

RT(R)(CT) First Shift (Monday - Sunday) Estimate: 6240 hours (3.0 FTE) Page 1 of Page 1 of 6:30 am to 3:00 pm 7:00 am to 3:30 pm 7:30 am to 4:00 pm 8:00 am to 4:30 pm 8:30 am to 5:00 pm

Page 1 of Page 1 of Page 1 of

RT(R)(CT) Second Shift (Monday - Sunday) Estimate: 2080 hours (1 FTE) Page 1 of Page 1 of

4:00 pm to 12:00 am (midnight)

Page 1 of

RT(R)(CT) Third Shift (Monday – Sunday) Estimate: 2080 hours (1 FTE) 12:00 am (midnight) to 8:00 am

RT(R)(CT) Overtime Rates Applies to hours above the 40 hour work week for each respective RT(R)(CT).

b. Magnetic Resonance Imaging (MRI) Technologists: Furnish up to two (2) MRI Technologist to perform the requirements of this BPA at Leavenworth and Topeka VA Medical Centers. Estimate: 4,160 hours (2 FTE)

MRI First Shift (Monday - Friday) Estimate: 4,160 hours Page 1 of Page 1 of

8:00 am to 4:30 pm; 9:00 am – 5:30 pm

Page 1 of

MRI Overtime Rates Applies to hours above the 40 hour work week for each respective MRI Technologist

c. Ultrasound Technologists (US): Furnish up to two (2) US Technologists to perform the requirements of this BPA at Leavenworth and Topeka VA Medical Centers. Estimate: 4,160 hours (2 FTE)

US First Shift (Monday – Friday) Estimate: 4,160 hours Page 1 of Page 1 of 6:30 am to 3:00 pm 7:00 am to 3:30 pm 7:30 am to 4:00 pm 8:00 am to 4:30 pm 8:30 am to 5:00 pm

Page 1 of Page 1 of Page 1 of

US Overtime Rates Applies to hours above the 40 hour work week for each respective US Technologist

3. Per diems are not authorized under this BPA.

4. The services performed under this BPA shall be performed at the following VA Medical Centers:

Page 1 of Department of Veterans Affairs

2200 SW Gage Blvd.

Topeka, KS 66622

Department of Veterans Affairs

Leavenworth, KS 66048

Page 1 of Page 1 of Page 1 of

5. The performance period of this BPA shall be a base period of one (1) year, with four (4) additional option years to be exercised by the VA at its sole discretion. VA will review the estimated purchases and the corresponding discounts annually prior to the anniversary date of the BPA effective date.

6. The Government’s estimate of hours do not guarantee the annual volume of professional staffing services under this BPA will be achieved.

7. This BPA does not obligate any funds. The Government is obligated only to the extent of authorized purchases actually made under the BPA via the issuance of a task order.

8. Orders under this BPA can be for any amount and frequency authorized.

9. Authorized users are NCO 15 Medical Services Warranted Contracting Officers. Authorized users shall only be allowed to issue orders against this BPA if funds are certified and an order number is assigned.

10. Prices shall remain unchanged unless an adjustment (increase or decrease) is made in accordance with the Economic Price Adjustment (EPA) clause.

11. The services specified in the agreement may only be changed by written modification which will be prepared and executed by the Network Contracting Office (NCO) 15. The following actions are the sole responsibility of the Contracting Officer for this agreement; no other personnel are authorized to:

a. Make changes to BPA provisions. This includes changes involving increases and/or decreases in agreement price, as well as no cost changes.

b. Require extras or work outside the scope of the agreement.

c. Authorize delivery or disposition of Government property not authorized by the agreement.

d. Extend the completion time established in the agreement.

e. Terminate the agreement in whole or in part.

f. Render a decision under the Disputes Clause.

g. Issue instructions to the contractor to stop or start work, to exclude the scheduling of contracted services.

Page 1 of Page 1 of

B.3 PERFORMANCE WORK STATEMENT

Note 1: The use of the term “contract” within the Performance Work Statement, clauses and provisions is not used to denote a binding legal contract for the procurement but rather, a generic term for the agreement. “Contract” and “agreement” may be used interchangeably. “Contractor” refers to the awarded BPA holder(s). “Contractor personnel” or “contract provider” is used to denote the awarded BPA holder’s Radiology Technologists.

Note 2: In order to be eligible for award, the following criteria shall be met and maintained throughout the life of the BPA.

1.0 Background

The Department of Veterans Affairs (VA) provides imaging services to Veterans whom are eligible for VA health care services and have medical needs for such service. This acquisition will supplement VA in providing comprehensive imaging support to Veterans in need at both campuses of the Eastern Kansas VA Medical Centers (VAMC) Topeka and Leavenworth. It is VA’s intention to solicit quotations and award multiple blanket purchase agreements (BPA) in order to achieve a pool of providers for each technologist category identified in para 1.2.1. Services needed are both pro re (PRN) which translates to “as needed” and temporary. There are several opportunities where contracted radiology technology services may be needed.

· The pool of providers may be utilized to cover PRN lapses in the schedule due to absences, illness, change in position (VA staff gaps), etc.

· A contracted technologist may be utilized to fill temporary long term needs in the schedule due to absences due to maternity leave, military leave, unfilled vacancies in VA’s staff, etc. Long term needs may not exceed a 12-month period of performance.

1.1 Blanket Purchase Agreement (BPA)

This BPA will expire five years from the effective date of this BPA or ending date as determined by the exercise of the option to extend the term of the BPA, whichever occurs earlier. The maximum term of this BPA shall be five (5) years from the effective date of this BPA. The VA will review the estimated purchases and the corresponding discounts for this BPA annually. The annual review shall take place before the next option is exercised.

1.1. Economic Price Adjustment (EPA)

Prices shall remain unchanged unless an adjustment (increase or decrease) is made in accordance with the Economic Price Adjustment (EPA) clause. It is incumbent upon the Contractor to contact the Contracting Officer to request an increase or decrease to the established BPA. Rates for established orders shall not be subject to adjustment retroactively.

1.2 Estimated Full Time Equivalents (FTE)

1.2.1 The Contractor shall provide non-personal healthcare services for up to five (5) full time equivalent (FTE) Registered Radiology Technologist/Computed Tomography RT(R)(CT); two (2) FTE Ultrasound (US) Technologist; and two (2) FTE Magnetic Resonance Imaging (MRI) Technologists to perform the requirements of this contract. A full time equivalent employee is defined as a Contractor’s employee working eight hours in a day. A Contractor’s employee must be present at the VA Medical center facility and must actually be performing the required services for the period specified in the contract or the contract costs will be decreased accordingly during each billing cycle. The payment for any leave, including sick leave, vacation time, and authorized Federal holidays is the responsibility of the Contractor.

1.2.2 Hours of service must be documented on time and attendance records and attached to the invoice for review and certification by the Contracting Officers Representative (COR) in order for the Contractor to be compensated. The Contractor employee shall not receive compensation from the VA of any hours such as sick leave, holiday leave or annual leave. The Contractor employee may be required to perform work on federal holidays.

1.3 Fair Opportunity (Attachment 4)

Before placing an order, the ordering activity’s requirements will be forwarded to each BPA holder, along with the evaluation criteria, to provide the opportunity to submit candidates and a quote on the order. In order to be considered responsive to the Request for Quotation (RFQ), BPA holders shall provide all requested documentation within the predetermined time frame, i.e. quote due date. Evaluations will be based on experience, education and training of provider, timeliness/availability of proposed candidate, and price. Based on a best value determination, the order shall be placed with the BPA holder that represents the best value to the Government.

2.0 General Information

2.1 Acronyms and Definitions

2.2 Holidays

National Holidays: The 10 holidays observed by the Federal Government are:

· New Year’s Day

· Martin Luther King’s Birthday

· Presidents Day

· Memorial Day

· Independence Day

· Labor Day

· Columbus Day

· Veterans Day

· Thanksgiving

· Christmas

· Any other day specifically declared by the President of the United States to be a national holiday

2.3 Work Hours

The services covered by this contract shall be furnished by the Contractor as defined herein. The Contractor will not be required, except in case of emergency, to furnish such services during off-duty hours as described below.

2.3.1 Work hours are listed in Central Time (CT) and according to the shifts defined below:

· First shift: 6:00 am – 2:30 pm; 6:30 am - 3:00 pm; 7:00 am - 3:30 pm;

7:30 am - 4:00 pm; 8:00 am - 4:30 pm; 8:30 am - 5:00 pm;

and 9:00 am – 5:00 pm.

· Second shift: 8:30 am – 5:00 pm; 2:00 pm – 8:00 pm;

and 4:00 pm - 12:00 am (midnight).

· Third shift: 12:00 am (midnight) - 8:00 am

2.4 VAMC Work Location

2200 SW Gage Blvd.

Topeka, KS 66622

Department of Veterans Affairs

Leavenworth, KS 66048

2.5 General Information

2.5.1 Dress apparel: Contractor employee shall be required to dress in accordance with local policies. Scrubs are required and shall not be frayed, patched, threadbare, etc. Shoes/Footwear will be conducive to quiet and safe hospital environment. Shoes that are excessively noisy such as, but not limited to, those with metal taps or cleats are considered inappropriate. Shoes/footwear shall be kept clean and presentable, and for safety reasons, shall be appropriate to the contracted SPS technician’s position and workplace. For safety reasons, thong/flip flops and beach style sandals (with no backs) are not permitted in the workplace.

2.5.2 VA shall provide the contractor employee with an ID Badge that shall be worn, in a highly visible location, by contractor employee at all times while performing services under this contract at the EKHCS.

2.5.3 Electronic Devices: Walk-mans, MP-3 players, I-Pods, radios/cassettes, Bluetooth devices, compact disc players, cell phones, head sets, and similar electronic devices shall not be worn or displayed by contracted SPS technician while on duty.

2.6 Period of Performance

The period of performance shall be for one Base Year of 12 months and four 12-month option years, that may be exercised at the Government’s sole discretion.

BASE YEAR (1 Year): 12 months from date of award

OPTION YEAR I (1 Year): 12 months following exercise of option 1

OPTION YEAR II (1 Year): 12 months following exercise of option 2

OPTION YEAR III (1 Year): 12 months following exercise of option 3

OPTION YEAR IV (1 Year): 12 months following exercise of option 4

2.7 Contracting Officer’s Representative (COR)

Pursuant to VAAR Provision 852.270-1, Contracting Officer’s Representative (COR) shall be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, and specifications; monitor Contractor's performance and notify both the CO and Contractor of any deficiencies; coordinate availability of Government furnished property; and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially regarding changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

3.0 Education, Certification, and Training Requirements

3.1 Personnel assigned by the Contractor to perform Radiologic Technologist services require a minimum two years of hospital experience or two years of ambulatory care experience.

3.2 Registered Radiology Technologist Computed Tomography RT(R)(CT) shall be American Registry of Radiologic Technology ARRT(R) certified and maintain a current Computed Tomography (CT) license. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA Facility Director.

3.3 The Ultrasound Technologist must possess and maintain an American Registry for Diagnostic Medical Sonographer (ARDMS) certificate.

3.4 The MRI Technologist must possess and maintain an American Registry of Radiologic Technologist (ARRT) certificate in MRI.

3.5 Basic Life Support (BLS) Certification

3.5.1 In accordance with Attachment 7, VHA Directive 1177, Cardiopulmonary Resuscitation, Basic Life Support, and Advanced Cardiac Life Support Training for Staff, all staff having direct clinical contact, or who responds to a code, receive basic life support training.

3.5.2 All clinically-active staff employed within VA requires BLS certification. Clinically-active staff normally includes all individuals that provide direct clinical care to patients. At a minimum, the clinically-active staff must include privileged, licensed independent practitioners (LIP), advanced practice registered nurses, physician assistants, licensed nurses, pharmacists, unlicensed assistive personnel (UAPs), health aid and technicians, medical instrument technicians, radiology and nuclear medicine technicians, respiratory therapists, and clinical therapists (mental health, psychology, social work), dental assistants, dental hygienists, and any staff member who provides coverage for inpatient and/or residential VA-treatment programs or VA home care programs.

3.5.3 VA accepts American Heart Association (AHA) and Military Training Network (MTN) certifications only.

3.6 Orientation

3.6 Orientation Requirements: All technologists shall receive initial orientation provided by the Station on their first day of duty. The Contractor employees will be given an orientation on operation of equipment by the Supervisory Diagnostic Radiology Technologist; operation of the VISTA Radiology Package, Computed Radiology equipment, and scanners; reading departmental Standard Operating Procedures (SOP’s), Medical Center Memoranda (MCM’s), Fire and Safety Regulations; and obtaining a parking permit and ID badge. This orientation will take approximately four (4) hours to complete and shall be recorded on the contracted employee’s time and attendance record in order to receive compensation by the Government.

3.6.1 RT(R)(CT) Orientation: Orientation/ training shall occur the first week of contracted performance. Technologists will receive one day of training in each area of Radiology (General DRT, Vitrea (post processing in CT), OR, GI/Fluoro, Portables, and general computer (VistA, CPRS, PACS)) to learn VA’s equipment and protocols. Additionally, the technologist will learn department protocols in US. Technologist will be scheduled for Monday – Friday, 7:00 am – 3:30 pm or 7:30 am – 4:00 pm or 8:00 am – 4:30 pm. If the technologist is unable to complete a week of consecutive orientation, the training will continue where it left off until all areas have been completed and the technologist is deemed competent by the service.

3.6.1.1 RT(R)(CT) Orientation is an estimated period and should a candidate need additional training in any one area, training shall continue until the technologist has been deemed competent by the service.

3.6.1.2 RT(R)(CT) Orientation is limited to two technologists at a time. RT(R)(CT)shall be scheduled for orientation according to the effective date of the award or modification that identified the technologist as Key Personnel. If a technologist is unable to begin the orientation for a period greater than two weeks, the next technologist shall be contacted for orientation.

3.6.2 Ultrasound Technologist Orientation: Orientation/ training shall occur the first week of contracted performance. Technologists will be assigned to work with another technologist. Technologists will receive training in VistA, CPRS, and Vitrea (post processing in CT). Additionally, the technologist will learn department protocols in both US and CT. Technologist will be scheduled for Monday – Friday, 7:00 am – 3:30 pm or 7:30 am – 4:00 pm. If the technologist is unable to complete consecutive weeks of orientation, the training will continue where it left off until all areas have been completed and the technologist is deemed competent by the service.

3.6.2.1 Ultrasound Technologist Orientation is an estimated period and should a candidate need additional training in any one area, training shall continue until the technologist has been deemed competent by the service.

3.6.2.2 Ultrasound Technologist Orientation is limited to one technologist at a time. Technologists shall be scheduled for orientation according to the effective date of the award or modification that identified the technologist as Key Personnel. If a technologist is unable to begin the orientation for a period greater than two weeks, the next technologist shall be contacted for orientation.

3.6.3 MRI Technologist Orientation: Orientation/ training shall occur the first week of contracted performance. Technologists will be assigned to work with another technologist. Technologists will receive training in VistA, CPRS, and PACS. Additionally, the technologist will learn department protocols and procedures. Technologist will be scheduled for Monday – Friday, 7:00 am – 3:30 pm or 7:30 am – 4:00 pm. If the technologist is unable to complete consecutive weeks of orientation, the training will continue where it left off until all areas have been completed and the technologist is deemed competent by the service.

3.6.3.1 MRI Technologist Orientation is an estimated period and should a candidate need additional training in any one area, training shall continue until the technologist has been deemed competent by the service.

3.6.3.2 MRI Orientation is limited to one technologists at a time. Technologists shall be scheduled for orientation according to the effective date of the award or modification that identified the technologist as Key Personnel. If a technologist is unable to begin the orientation for a period greater than two weeks, the next technologist shall be contacted for orientation.

4.0 Specific Requirements

4.1 Registered Radiology Technologist/ Computed Tomography ARRT RT (R)(CT)

4.1.1 RT(R)(CT) Technologists are responsible for the performance of diagnostic radiology procedures and to perform the full complement of exams.

4.1.2 Must be fully competent to operate a Toshiba Aquillion 160 Multi-slice scanners or similar type of equipment, and to perform the full complement of contrast and non-contrast exams generated by this technology, as demonstrated by past work experience.

4.1.3 Maintain records of patients treated, examinations performed, views taken and settings used. The technologist shall be responsible for entering exam information into the medical centers Veterans Health Information Systems and Technology Architecture (VISTA) as required by service policies and procedures. The technologist shall perform other duties as assigned.

4.1.4 The technologist is responsible for room preparation in anticipation of the examination; i.e., assuring that the supplies necessary for the examination are present and in a state of readiness.

4.1.5 Converts radiology exams to digital computer images in VISTA Imaging using Digital Radiography (DR), Computerized Radiography (CR), or digital scanners.

4.1.6 Shall work under the general guidance of the Supervisory Diagnostic Radiology Technologist and the direct guidance of the radiologist during exams. Works without direct supervision during normal tours of duty; relies on supervisory technologist for resolution of problems with equipment/patient flow beyond the scope of the technologist.

4.1.7 The technologist shall be able to work independently during working hours identified as during the day, evening, and overnight shifts as scheduled with the Contractor. The Contractor technologist should be available holidays and weekends.

4.1.8 Work hours are listed in Central Time (CT). The current shifts are listed below, but are subject to change:

1. Monday through Sunday

1. First Shift: Staggered shifts 36C25518Q9591

Page 1 of

Page 1 of

· 6:30 am - 3:00 pm

· 7:00 am - 3:30 pm

· 7:30 am - 4:00 pm

· 8:00 am - 4:30 pm

· 8:30 am - 5:00 pm 1.

Page 1 of Page 1 of Page 1 of

1. Second shift: 4:00 pm - 12:00 am (midnight)

1. Third shift: 12:00 am (midnight) - 8:00 am

4.2 MRI Technologist

4.2.1 The MRI Technologist must be fully competent to operate a Philips 1.0 high field open MRI and/or GE 1.5 tesla scanners or similar type of equipment, and to perform the full complement of contrast and non-contrast exams generated by this technology, as demonstrated by past work experience.

4.2.2 The MRI Technologist shall be responsible for entering exam information into the medical centers Veterans Health Information Systems and Technology Architecture (VISTA) as required by service policies and procedures. The technologist shall perform other duties as assigned.

4.2.3 The MRI Technologist shall work under the general guidance of the MRI Supervisor and the direct guidance of the radiologist during exams.

4.2.4 Working hours shall be during the day, evening, and overnight shift as scheduled with the Contractor. The Contractor technologist should be available holidays and weekends.

4.2.5 Work hours are listed in Central Time (CT). The current shifts are listed below but are subject to change:

1) Monday through Friday

2) First Shift: 8:00 am - 4:30 pm; 9:00 am – 5:30 pm

4.3 Ultrasound Technologist

4.3.1 The Ultrasound Technologist must be fully competent to operate GE Logiq E9 or similar type of equipment, and to perform the full complement of exams generated by this technology, as demonstrated by past work experience.

4.3.2 The Ultrasound Technologist shall be responsible for entering exam information into the medical centers Veterans Health Information Systems and Technology Architecture (VISTA) as required by service policies and procedures. The technologist shall perform other duties as assigned.

4.3.3 The Ultrasound Technologist shall work under the general guidance of the Supervisory Diagnostic Radiology Technologist and the direct guidance of the radiologist during exams.

4.3.4 Work hours are listed in Central Time (CT). The current shifts are listed below but are subject to change:

1) Monday through Friday

2) First Shift: Staggered shifts (may be required) Page 1 of Page 1 of

· 6:30 am - 3:00 pm

· 7:00 am – 3:30 pm

· 7:30 am – 4:00 pm

· 8:00 am – 4:30 pm

· 8:30 am – 5:00 pm

Page 1 of Page 1 of Page 1 of

4.3.5 Ultrasound Technologist must complete all other requirements (orientation, etc.) as detailed in this contract.

4.4 Technologist Administration

4.4.1 The technologists shall log into the medical center’s computer and record exam information in the patient’s file within one hour post exam. If a technologist fails to do this properly more than 10 times annually, he/she is unsuccessful in this element.

4.4.2 The technologist is required to use the VISTA computer to case edit all work, i.e., enter the name of the technologist performing the exam, and any modifiers to the examination. All examinations must be case edited within fifteen minutes of the exam’s completion. To be considered fully successful in this element, he/she cannot fail to complete as identified more than 15 times annually.

4.4.3 To be considered fully successful, a technologist must be in compliance with all departmental and medical center safety policies. Copies of the medical center radiation safety policies are maintained in Radiology Department and may be viewed, by appointment, by contacting the Supervisory Technologist or Administrative Officer. If a technologist violates these policies more than twice annually, he/she is unsuccessful.

4.5 Setting up Radiographic Rooms and Exams

4.5.1 If any piece of Radiology equipment stops functioning properly, it is the technologist’s responsibility to inform the Radiology Supervisor &/or the COR.

4.5.2 It is the responsibility of the technologist assigned a room to set it up for procedures and to keep it clean. Rooms are subject to random inspections and are expected to be maintained to a level of cleanliness that complies with medical center infection control policies. This includes ensuring the equipment is wiped down with Cavi wipes between each patient and at the end of the day. All supplies are to be stocked or restocked, in an orderly manner, daily or when supplies are low. There will be an adequate supply of linens available in the individual exam rooms, and all expended supplies/linens from the previous exams should be properly disposed of in the room as appropriate for either the trash can or the dirty linen bag. When the dirty linen bag is full, the technologist shall take it to the EMS linen shoot and replace with a new empty bag. Environmental Management Service will be responsible for maintaining the floors and emptying the trash. The cleanliness of the equipment is the sole responsibility of the technologist. If the technologist fails to comply more than three times annually, he/she is unsuccessful in this element.

4.5.3 Exposure Control Plan – The technologist is responsible for observing the departmental and hospital policies for the Exposure Control Plan for infection control or safety policies. Copies of the medical center exposure control plan are maintained in the Radiology Department and my viewed, by appointment, by contacting the Supervisory Technologist or Administrative Officer. To be considered fully successful, the technologist cannot violate these policies more than three times annually.

4.6 Performance Standards

4.6.1 Ninety (90) percent of all routine radiographs taken by the technologist must be of diagnostic quality. Diagnostic quality is defined as “films that demonstrate the body part requested to the satisfaction of the radiologist that reads the film.” The Supervisory Technologist and/or the Quality Control Technologist may review the films for that quality prior to the films being sent to the radiologist.

4.6.2 The technologist is limited to one poor image for every 10 he/she takes. A poor image is a film that does not demonstrate the requested body part to the satisfaction of the radiologist. The Supervisory Technologist and/or Quality Control Technologist will use their judgment as to whether a film is of an acceptable quality.

4.6.3 The technologist must complete his/her work in a timely manner. Each type of exam has a generally acceptable range of time that it should be completed in. This range of time depends on several different variables, including condition of the patient, equipment, etc. Every exam has a certain number of finite steps that must be completed to produce a clinically acceptable exam. Through experience, one learns how long it will take, on average, to complete all of the necessary steps. However, consideration will always be given to certain fluctuating factors that may affect the length of time it takes to complete an exam. For example, a routine Chest PA and Lateral exam performed on an automated unit generally takes five to seven minutes to complete. This may be influenced by the physical condition of the patient, the characteristics of their anatomy and the experience of the technologist. All of these factors are taken into consideration by the Supervisory Technologist when determining “timeliness” of the exam. The Supervisory Technologist will take these variables into account when deciding if the technologist is taking too much time to complete an exam. There should be no more than five of these incidents annually.

4.6.4 The technologist may commit up to 15 “minor” errors annually. The Supervisory Technologist and the Quality Control Technologist will determine if errors are “minor”. Examples of minor errors are leaving right and left markers off the film, not identifying the film with the patient’s name, social security number, date, case number and type of exam, or leaving artifacts on the film (i.e., pen in shirt pocket, necklace, coins, lighters, etc.)

4.6.5 If more than eight sets of radiographs taken annually are returned by the radiologist for repeat, the technologist’s work shall be considered unsatisfactory. A “set” is the complete collection of films, showing different views of the anatomy that comprise one exam. A chest PA and Lateral is one exam that has two films in the set, one front-to-back and one side-to-side. A Lumbar Spine exam has five films. If one of the five films were too dark, all five films would be returned as a set and be counted as one error.

4.6.6 The technologists shall be courteous to patients, visitors, and fellow employees. Courtesy is defined as respect and consideration for others. This includes maintaining a professional and polite demeanor at all times, which contributes positively to the operation of the department. To be considered fully successful, the technologist cannot have more than one valid complaint concerning lack of courtesy toward a patient or visitor, or three valid complaints concerning lack of courtesy toward medical staff for an annual period. The Supervisory Technologist determines the validity of a complaint of discourtesy.

4.7 Scheduling

4.7.1 Monthly Scheduling:

4.7.1.1 The VA scheduler will email the monthly open schedule to Contractor(s). The open schedule identifies unfilled shifts. The Government’s intent is to provide the open schedule two weeks prior to the beginning of each month identifying the available shifts for contracted technologists.

4.7.1.2 Contractor(s) shall have 48 hours to coordinate availability with their technologists and submit names, by shift, and return to VA’s scheduler.

4.7.1.3 The Clinic Supervisors shall select names to fill the shifts based on the availability provided by the Contractor(s).

4.7.1.4 If shifts are not filled, the scheduler shall resubmit a second request for those open shifts.

4.7.1.5 The scheduler shall notify each Contractor of the key personnel selected and shift scheduled.

4.7.1.6 The Contractor is responsible for notifying their personnel of selected shifts.

4.7.2 Immediate Scheduling:

4.7.2.1 Should contracted coverage be required with no advanced notice, the scheduler will distribute an email to all Contractor(s) asking for immediate coverage and identify a report for duty time.

4.7.2.2 The Contractor who responds with confirmed coverage will be given first opportunity to fill the schedule. The scheduler shall respond with confirmation of the selected technologist’s schedule and report time.

4.7.3 Temporary Long-Term Scheduling:

4.7.3.1 When a need is identified for temporary long-term performance, not to exceed 12 months, a designated technologist shall be selected, using Fair Opportunity practices identified at para 1.3. The selected technologist shall have a set work schedule.

4.7.4 Schedules will be made available to the Contractor no later than one week prior to the requested tours of duty.

4.7.5 Shift requirements are subject to change. The Contractor will be expected to fill all additional unscheduled shifts with a 72-hour notice up to the approved FTE of the contract as stated in the solicitation.

4.7.6 The Contractor cannot make any change to the required shifts unless the change is requested and approved by the VAMC.

4.7.7 Contractor employees must contact the agency, the VA shift supervisor, and COR regarding cancellations, changes in scheduling, etc. The Contractor will in turn contact the VA Department Supervisor and/or his designee and advise the name of the replacement technologist identified within the key personnel roster. Replacement technologists not identified on the key personnel roster are not eligible to work under this contract.

4.7.8 The actual number of hours and contractor employee(s) scheduled will be determined by vacancies in the Radiology Department. The COR will notify the Contracting Officer in writing of all scheduled shifts missed by the Contractor within 24 hours.

4.7.9 The Contractor employee(s) shall not miss more than three (3) shifts per year, or shall not be tardy more than three (3) shifts per quarter. The COR will contact the Contractor directly with the first occurrence of a missed shift or tardiness and any repeated occurrences shall be documented with a Contract Discrepancy Report (CDR).

4.7.10 Radiology Service schedules tours of duty on standard 8-hour shifts.

4.7.11 The Contractor shall have sufficient qualified employees so that services are provided in the event a contractor employee scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to work. Contract requirements are not altered or mitigated by inclement weather.

4.7.12 Contracted personnel must complete, or must be expected to complete specific orientation/training requirements, prior to scheduling eligibility.

4.8 Surveillance, Performance Standards, Quality Assurance, and Quality Improvement

4.8.1 Surveillance

4.8.2 The Contracting Officer’s Representative (COR) may gather records (e.g. Clinic profiles) and Clinic activity sheets that list the time clinics’ start and stop (kept by the VAMC). The COR shall also receive a time and attendance report that lists each day of the month, the time contract technologist spends at the VA facility and a brief description of activities.

4.8.3 In order to provide a systematic method of evaluating Contractor performance a Quality Assurance Surveillance Plan (QASP) shall be utilized. The Government shall evaluate the contract provider’s performance in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure the Contractor has performed in accordance with the performance standards. The plan defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable levels.

4.8.4 The COR may perform surveillance of services by:

4.8.4.1 Observing actual performance;

4.8.4.2 Checking time and attendance logs;

4.8.4.3 Reviewing minutes of meetings;

4.8.4.4 Inspecting the services to determine whether or not the performance meets the performance standards; and

4.8.4.5 Review of any other appropriate electronic records.

4.8.5 In all cases, surveillance shall not be so intrusive as to impact the Contractor’s successful accomplishment of the mission.

4.8.5.1 When unacceptable performance occurs, the COR shall inform the Contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file. When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), (Attachment 5) and present it to the Contractor's program manager. The Contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the Contractor is required to prepare a corrective action plan to document how the Contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the Contractor has to present this corrective action plan to the COR. The Government shall review the Contractor's corrective action plan to determine acceptability. Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the Contracting Officer.

4.8.6 Quality assurance monitoring documentation shall become an official Government record of the Contractor’s performance.

4.9 Quality Assurance and Contract Performance Monitoring

4.9.1 In accordance with VA regulations, a record keeping system will be established and maintained by the VA COR to ensure contract compliance for activities performed at the Eastern Kansas Health Care System.

4.10 Performance Standards

4.10.1 Contract personnel shall be subject to the following performance standards:

Performance Requirement

PWS

Reference Performance Measures

>15 failed attempts to case edit within 15 minutes on an annual basis

Safety Policy Compliant

Not more than three (3) valid complaints towards medical staff on an annual basis.

Shall not be tardy more than three (3) times per quarter

4.11 Quality Improvement

4.11.1 Contractor shall participate and comply with all Performance Measures listed in the table at paragraph 4.10.1

4.11.2 The Government may evaluate the quality of professional and administrative services provided by the Contractor, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment), in accordance with Federal Acquisition Regulation (FAR) 37.401(b).

4.11.3 Contractor shall participate and comply with all VISN15 Performance Measures.

4.11.4 Contractor shall participate in…