36C25521Q0097_1 Final.pdf

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 87

36C25521Q0097 03-31-2021

Jason Condiff 913-946-1113 05-01-2021

1600 CDT

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

Leavenworth KS 66048

X 100

X

621399

$8 Million

N/A

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

36C255

Financial Services Center http://www.fsc.va.gov/einvoice.asp

Austin TX

877-353-9791 512-460-5429

Contractor to provide qualified Intraoperative Neurophysiologic Monitoring (IONM) Services and and instrumentation for ST. Louis Healthcare System John Cochran Division 915 N. Grand, St. Louis, MO 63106.

All services to be provided IAW the Performance Work

Statement.

Addendum to 52.212-1 is attached and provides instructions to offerors.

This is a single award solicitation.

X 1

Galvin, Paula

36C25521Q0097

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018) C.2 ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—

COMMERCIAL ITEMS

C.3 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.4 CL-120 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.5 52.216-18 ORDERING (AUG 2020)

C.6 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.7 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.8 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.9 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.10 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.11 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.12 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.13 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020) . 55

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021)

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

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:

[X] 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] MONTHLY

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:

AMENDMENT NO DATE

B.2 SCHEDULE OF SERVICES

This is a fixed price, indefinite delivery, indefinite quantity solicitation since it is impossible to determine with any certainty the amount of services that will be required under this contract. The period of performance for this contract will be for a Base Year plus four (4) Option Years. There is no guarantee that option years will be exercised. The minimum value of services and maximum value of services to be provided under this contract during each contract year are as follows:

A. The prices provided in the Price Schedule shall be inclusive of all CLINs defined in the PWS.

B. In accordance with FAR Clause 52.216-22, Indefinite Quantity, the contract minimum is $2,000.00 applicable only during the Fiscal Year (FY) of the base period.

C. The overall maximum contract amount established for this contract is $1,900,000.00.

PERIOD OF PERFORMANCE (Ordering Period): This is a single award IDIQ solicitation, based on the Government’s needs. Only one contractor will be awarded an IDIQ contract from this solicitation. Listed below are ordering periods that may be awarded to a contractor based on the Government’s needs:

Base Period: TBD - Base Period: Period of 12 months which begins on the contract award date.

Option 1: TBD - Period of twelve months immediately following the end of the base year.

Option 2: TBD - Period of twelve months immediately following the end of the option year one.

Option 3: TBD - Period of twelve months immediately following the end of the option year two.

Option 4: TBD - Period of twelve months immediately following the end of the option year three.

**Note** Task Orders will be issued by the Contracting Officer for no more than a 12-month period of performance with a not-to-exceed amount for the task order period and shall comply with FAR clauses 52.216-18 and 52.216-19. The Contracting Officer shall ensure that Task Orders are not issued in excess of available funding for the period of performance specified.

As part of price evaluation, the Government will evaluate its option to extend services (see FAR Clause 52.217-8). The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all quotes relative to each other, and will not affect the ranking of quotes based on price, unless, after reviewing the quotes, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

ITEM # DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Complete Intraoperative Neuromonitoring Service

(IONM) in accordance with Performance Work Statement (PWS).

Base Year (not to exceed 12 months) Performance Period: Base year begins at the effective date of the Contract.

Base Year

0001AA Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

• During normal business hours

1000 HR

0001AB Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

• Outside normal business hours

12 HR

SUBTOTAL

BASE YEAR

1001 Complete Intraoperative Neuromonitoring Service

(IONM) in accordance with Performance Work Statement (PWS).

Option Year One (not to exceed 12 months) Period of Performance: Option Year One (1) begins immediately following the end of the performance period of the base year.

Option Year One

1001AA Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

1001AB Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Option One

ITEM # DESCRIPTION OF SUPPLIES/SERVICES QUANTITY

UNI

T UNIT PRICE AMOUNT

2001 Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Option Year Two (not to exceed 12 months) Period of Performance: Option Year Two (2) begins immediately following the end of the performance period of Option Year One.

Option Year Two

2001AA Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

2001AB Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Option Two

3001 Complete Intraoperative Neuromonitoring Service

(IONM) in accordance with Performance Work Statement (PWS).

Option Year Three (not to exceed 12 months) Period of Performance: Option Year Three (3) begins immediately following the end of the performance period of Option Year Two.

Option Year Three

3001AA Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

3001AB Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Option Three

ITEM # DESCRIPTION OF SUPPLIES/SERVICES QUANTITY

UNI

T UNIT PRICE AMOUNT

4001 Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Option Year Four (not to exceed 12 months)

Option Year Four

Period of Performance: Option Year Four (4) begins immediately following the end of the performance period of Option Year Three.

4001AA Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

4001AB Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Option Four

Base + Four Option Periods Total $______

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide VA and Joint Commission Certified Interoperative Monitoring Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the St.

Louis Healthcare System (STLHCS), John Cochran Division.

1.1.1. Place of Performance: - Contractor shall furnish services at the VA St. Louis Healthcare System; John Cochran Division 915 N. Grand, St. Louis, MO 63106

1.2. Scope: - The Contractor shall provide as needed and case-by-case service that enables

STLHCS to offer IONM options for patients under the direct medical care within the operating room. The IONM Contractor must be experienced and available to cover scheduled and emergency cases 24/7/365, within one hour of notification (onsite technical and online professional services). Contractor Electro Neurophysiologic Technologist (s) shall provide interoperative neuromonitoring services. Contractor Neurologists shall provide comprehensive clinical guidance during the entire surgical procedure.

1.3. Authority: Federal Acquisition Register Subpart 13.5 - Simplified Procedures for Certain Commercial Items.

1.4. Policy/Handbooks: The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1. - VHA Handbook 1100.17: National Practitioner Data Bank Reports -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.2. - VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.3. - VHA Handbook 1100.19 Credentialing and Privileging -http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.4. - VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

1.4.5. - Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.5. Definitions/Acronyms: - Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

IONM: Interoperative Neuromonitoring.

CDC: Centers for Disease Control and Prevention CEU: Certified Education Unit CME: Continuing Medical Education Contracting Officer (CO): – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

Contracting Officer’s Representative (COR): – A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

COS: Chief of Staff CPARS: Contractor Performance Assessment Reporting System CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

FSMB: Federation of State Medical Boards HHS: Department of Health and Human Services HIPAA: Health Insurance Portability and Accountability Act ISO: Information Security Officer POP: Period of Performance PWS: Performance Work Statement OR: Operating Room EEG: electroencephalogram Providers of Care: any providers or servicing individuals who enter the VA under the contract, some examples include offsite reading neurologists and onsite technicians.

Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

QA/QI: Quality Assurance/Quality Improvement QM/PI: Quality Management/Performance Improvement http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

QASP: Quality Assurance Surveillance Plan National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

Veterans’ Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

VETPro: a federal web-based credentialing program for healthcare providers.

Veterans Affairs Medical Center (STLHCS): Unless identified with the name of a different VA Medical Center, for purposes of this contract, this term shall mean the St. Louis Healthcare System (STLHCS), John Cochran Division.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The Contractor’s providers of care assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in the state of Missouri. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s Neurologists who have current, full, and unrestricted Missouri licenses, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application may not be considered for the purposes of this contract.

2.1.2. Board Certification: - All Contractor’s Neurologists shall be Board Certified/Board Eligible as Neurologists by the American Board of Neurological Surgery. On-site providers shall be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.2.1. The contractor shall provide Electro Neurophysiologic Technologists who performs on-site IONM services who is accredited through the American Board of Registered Electro Neurophysiologic Technologist (http://www.abret.org). This technical certification is intended for technologists who work under supervision by a neurophysiologist or neurologist. Electro Neurophysiologic Technologist shall be American Board of Registered Electro neurodiagnostic Technologist (http://www.abret.org). This technical certification intended for technologists who work under supervision by a neurophysiologist or neurologist. All continuing education courses required for maintaining certification must be kept up to date at all times.

Documentation verifying current certification shall be provided by the Contractor to the VA Contracting Officer Representative (COR) within the first thirty (30) days of contract award and shall provide on an annual basis for each year of contract performance.

2.1.2.2. On-site providers shall be certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed on-site Neurologists possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s Neurologists prior to obtaining approval by the STLHCS Professional Standards Board, Medical Executive Board and Medical Center Director. No services shall be provided by the on-site contracted staff prior to the execution of a bi-lateral modification.

2.1.3.1. If the on-site Contractor’s Neurologists is not credentialed and privileged or has residentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3.2. All providers of care, including Electro Neurophysiologic Technologist must be properly credentialed, and the scope of practice must be current in accordance with VHA guidelines for working with IONM processes in the OR.

2.1.3.3. If a Neurophysiologist Technologist is not credentialed or has credentials suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government within 30 days.

2.1.4. Technical Proficiency: The Contractor must be capable of providing real-time data; in addition, the Contractor will offer the most recent technology and hardware. The Contractor will work closely with the surgeons, nursing staff, schedulers, Clinical Engineering, and Sterilization and Processing Service. It is the responsibility of the Contractor to provide a surgical system that has the ability to function with the current power (electrical) supply. The online Neurologists will provide real-time monitoring via HIPAA & HITECH (or similar) compliant telemedicine. The Contractor shall provide scheduled services throughout the contract period. In the event of the absence of contractor’s personnel for any reason, the contractor shall bear the responsibility of providing replacement personnel to provide the scheduled services without any additional cost to the government. All and any replacement personnel must meet the Credentialing & Privileging requirements prior to providing care to STLHCS patients. Finally, the Contractor will provide a complete Quality Assurance program that monitors, track any successes or complications. Reports are due to the COR no later than the

10th of each month following the end of the quarter. The Quality Assurance Surveillance Plan (QASP) is managed by the Contractor.

2.1.4.1. The contractor shall provide Electro Neurophysiologic Technologists who performs on-site IONM services who is accredited through the American Board of Registered Electro Neurophysiologic Technologist (http://www.abret.org). This technical certification is intended for technologists who work under supervision by a Neurophysiologist or Neurologist. Electro Neurophysiologic Technologist shall be American Board of Registered Electro Neurodiagnostic Technologist (http://www.abret.org). This technical certification intended for technologists who work under supervision by a neurophysiologist or neurologist. All continuing education courses required for maintaining certification must be kept up to date at all times.

Documentation verifying current certification shall be provided by the Contractor to the VA Contracting Officer Representative (COR) within the first thirty (30) days of contract award and shall provide on an annual basis for each year of contract performance.

2.1.4.2. Electro Neurophysiologic Technologist shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the COR to verify current and ongoing competency and skills upon completion. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Electro Neurophysiologic Technologists. Electro Neurophysiologic Technologists shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern staff behavior.

2.1.4.3. The Electro Neurophysiologic Technologist will be responsible to test equipment prior to use and to make any adjustments in the equipment settings that are required. The Electro Neurophysiologic Technologist will select predetermined electrode combinations as well as non-standard assortments as necessary. The Electro Neurophysiologic Technologist will obtain standard recordings and report on-going status of patient’s nervous system to the surgeon.

2.1.4.4. The Electro Neurophysiologic Technologist will recognize artifacts in the data differentiate them from evoked potential patterns and take appropriate steps to eliminate them. They will obtain patient medical information when requested and will translate test results from computer files to a hard copy report for Neurologists interpretation. The Electro Neurophysiologic Technologist staff will also be responsible for removing electrodes post procedure and returning equipment if STLHCS to specified locations or remove the contractor’ supplied equipment from the operating room upon completion of each procedure.

2.1.4.5. Contractor’s personnel shall coordinate provision of services with the attending surgeon or designee, follow patient conditions during surgical procedures (cranial and spine) and monitor/track outcomes. Provide technical and professional direction during surgical procedure and notify the attending surgeon immediately in the event possible damage may occur to the patient.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: On-site contracted Neurologists shall provide the COR copies of current CMEs as required or requested by the STLHCS. Contractor’s Neurologists registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credential’s office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s Neurologists.

2.1.6. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for providers of care entering the facility within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.6.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all contractor’s providers of care. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

2.1.6.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract providers of care for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.1.6.3. INFLUENZA: Contractors shall provide proof that all contractor Neurologists have received the annual Influenza vaccine unless it is contraindicated. If the contractor Neurologists has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.6.4. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contractor’s providers of care; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The STLHCS shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289- 354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.6.5. The STLHCS shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.7. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. This is applicable to contracted Neurologists http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf http://www.va.gov/vhapublications/ViewPublication.asp providing on-site services. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the quote.

2.1.8. Conflict of Interest: The Contractor and all contractor’s Neurologists are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, the contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.9. Citizenship related Requirements:

2.1.9.1. The contractor certifies that the contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.9.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.9.3. If the contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.9.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.9.5. The contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the Contractors response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.10. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs.

Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.10.1. Therefore, contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s providers of care are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.10.2. By submitting their quote, the contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19.

Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the STLHCS COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the contractor and all contractor’s Neurologists shall not be considered VA employees for any purpose.

2.4. Indemnification: The contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the contractor, its agents, or employees.

http://oig.hhs.gov/exclusions/index.asp

2.5. Prohibition Against Self-Referral: Contractor’s Neurologists are prohibited from referring VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and contractor’s Neurologists or technician(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The contractor shall be responsible for protecting contractor’s

Neurologists furnishing services. To carry out this responsibility, the contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

• Workers’ compensation

• Professional liability insurance

• Health examinations

• Income tax withholding, and

• Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover contractor or contractor’s

Neurologists/technician(s). When a contractor or contractor’s Neurologists/technician(s) have been identified as a provider in a tort claim, the contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a contractor’s (or contractor’s Neurologists) action or non-action shall be the responsibility of the contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. Clinical Personnel Required: The contractor shall provide contracted Neurologists who are competent, qualified per this Performance Work Statement and adequately trained to perform assigned duties. Required to be available daily will be two (2) as defined in the Hours of Operation section.

2.9.2. Clinical Personnel Required: The minimum number of Board Certified/Board Eligible Electro Neurophysiologic Technologist required to be available daily will be two (2) as defined in the Hours of Operation section.

2.9.3. At all times during procedures in the operating room, the ratio of contracted staff to patient will be at a minimum, 1 to 1.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The contractor shall notify the CO, in writing, within three (3) calendar day(s) after the occurrence of any of these events and provide the information required below.

After 90 days, the contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions.

2.9.4.1. The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within ten (10) calendar days after receipt of all required information of the decision on the proposed substitutes.

The contract will be modified to reflect any approved changes of key personnel.

2.9.4.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive workdays or more, the contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3. The Government reserves the right to refuse acceptance of any contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s Neurologists (s), s/he may request, without cause, immediate replacement of said Contractor’s Neurologists (s). The CO and COR shall deal with issues raised concerning Contractor’s Neurologists (s) conduct. The final arbiter on questions of acceptability is the CO.

2.9.4.4. Contingency Plan: Because continuity of care is an essential part of STLHCS’s medical services, The contractor shall have a contingency plan in place to be utilized if the contractor’s Neurologists leaves contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. HOURS OF OPERATION

3.1. VA Business Hours: Normal hours of operations are 7:30 am – 5:00 pm, Monday through Friday. The operating room is open 24 hours/day and a contractor shall be available for procedures 365 days/year, 24/7.

3.1.1. Contractor’s services shall be available and present for all hours of possible scheduled operations, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently normal operating room hours are 7:30 am – 5:00 pm, Monday through Friday.

3.1.1.1. During normal business hours of operation, contracted staff shall be onsite and ready to perform services 45 minutes prior to the start of surgery.

Equipment and technicians shall be cleared through biomed and SPS 45 minutes prior to surgical procedure.

3.1.2. Contracted personnel shall be available for procedures outside of normal hours of operations, including evenings, weekends and holidays.

3.1.2.1. Outside of normal business hours, contracted staff should report to the operating room within 60 minutes of being called for surgery.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared by the President of the United States to be a national holiday.

3.3 Cancellations: contractor will not cancel service for any reason.

3.3.1. Unless a state of emergency has been declared or clinics are otherwise cancelled by the STLHCS, the contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

4.1. The Contractor shall furnish all supplies, accessories, equipment, consumables, transportation, delivery, training, and services.

4.2. Comply with appropriate and applicable policies, procedures and regulations of the STLHCS as well as with centers for Medicare and Medicaid services (CMS) requirements and complete medical record deficiencies within policy guidelines.

4.3. The Contractor shall provide, transport, install, participate in the simulations, be available in live surgical cases and test the medical equipment prior to utilization.

4.4. Intraoperative Neuromonitoring (neurophysiology) services: The Electro

Neurophysiologic Technologist shall be under direction of the OR Neurologists and shall perform multiple modality evoked potentials on patients in the operating room at the STLHCS. Procedures may include stimulate screws and stimulate nerves. The Electro Neurophysiologic Technologist will be responsible for setting up all necessary OR equipment and supplies necessary for neurophysiological intraoperative monitoring and the placement of suitable electrodes on predetermined measured positions on the patient’s body. Once connected to the machine in the operating room, data can be interpreted by the neurophysiologist (in-house) or remotely where the data is transmitted using a secure HIPAA compliant internet connection.

4.5. The Electro Neurophysiologic Technologist will be sufficiently knowledgeable and test equipment prior to use and to make any adjustments in the equipment settings that are required. The Electro Neurophysiologic Technologist will select predetermined electrode combinations as well as non-standard assortments as necessary. The Electro Neurophysiologic Technologist will obtain standard recordings and report on-going status of patient’s nervous system to the surgeon.

4.6. The Electro Neurophysiologic Technologist will recognize artifacts in the data differentiate them from evoked potential patterns and take appropriate steps to eliminate them. They will obtain patient medical information when requested and will translate test results from computer files to a hard copy report for Neurologists interpretation. The Electro Neurophysiologic Technologist staff will also be responsible for removing electrodes post procedure and returning equipment if STLHCS to specified locations or remove the contractor’ supplied equipment from the operating room upon completion of each procedure.

4.7. Contracted personnel shall be responsible for signing in and out when in attendance in the operating room. Attendance rosters shall be used for verification of worked performed by the COR. Failure to sign in and out on the attendance log may delay payment for services being rendered.

4.8. Contractor shall coordinate provision of services with the attending surgeon or designee. Contractor shall complete all administrative tasks and required documentation immediately following the procedures.

4.9. QA/QI documentation: The contractor’s neurologists shall complete the appropriate documentation pertaining to all procedures, complications and outcome of examinations by secure communication within 24 hours following procedure.

4.10. The contractor shall submit an equipment service report to the COR within 24 hours of the completion of the surgical case.

4.11. Contractor’s Neurologists shall follow all established patient safety and infection control standards of care. Contractor’s Neurologists shall make every effort to prevent surgical complications omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the COR as soon as practicable (but within 24 hours). Contractors shall notify COR of incident and submit to the COR the patient safety report, following up with COR as required or requested.

4.12. Equipment: STLHCS will not procure, or provide separate compensation for contractor’s use of, any equipment required to perform services or necessary accessories/supplies under this contract. Contractor may utilize existing STLHCS monitoring equipment and software or may provide and utilize its own equipment and software if preferred, so long as its efficacy and reliability can be evidenced. The STLHCS will not be responsible for the contractor’s equipment for costs of repairs and or replacements of such equipment, technology, or software. contractor has full responsibility of using its own technology to conduct IONM services. the contractor shall abide by all STLHCS policies and procedures regarding the maintenance, use and safety of any clinical equipment utilized by the technicians in the or at STLHCS.

4.12.1. Contractor shall be responsible for computer networking assistance reasonably necessary for the technologist to perform IONM services at its own expense if using company owned equipment.

5. STANDARDS OF CARE: The Electro Neurophysiologic Technologist care shall cover the range of Neurological services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

• Certification in American Board of Psychiatry and Neurology http://www.abpn.com

• Neurophysiologic Intraoperative Monitoring (CNIM) from the American Board of

Registered Electro Neurophysiologic Technologist (http://www.abret.org)

• This technical certification intended for technologists who work under supervision by a neurophysiologist or neurologist. American Board of Neurophysiologic Monitoring (ABNM) certification (http://abnm.info)

• The American College of Neurology (ANN): https://www.aan.com/policy-and-guidelines/guidelines/

• The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_requirements.aspx

• The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and;

• The requirements contained in this PWS.

6. MEDICAL RECORDS

6.1. Authorities: Contractor’s Neurologists providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C.