36C25521R0020_1.docx

36C25521R0020 Contract Opportunity Combined Synopsis/Solicitation Notice

PRODUCT SERVICE CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

RESPONSE DATE/TIME/ZONE

ARCHIVE

DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

NAICS CODE

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

DESCRIPTION

See Attachment

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

GENERAL INFORMATION

PLACE OF PERFORMANCE

* = Required Field Contract Opportunity Combined Synopsis/Solicitation Notice Q523 Autotransfusion Services- Kansas City VAMC 66048 36C25521R0020 02-08-2021 3:00

CENTRAL TIME, CHICAGO, USA

N

SBA

621991 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 Contracting Officer Colleen Donahue-MacDonald Colleen.Donahue-MacDonald@va.gov 913-946-1123 Department of Veterans Affairs Kansas City VAMC Kansas City MO 64128-2226

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. The Department of Veterans Affairs, Network Contracting Office 15, located at 3450 South 4th Street, Leavenworth, KS intends to enter into an indefinite-delivery indefinite-quantity (IDIQ) contract for Autotransfusion Services provided for Kansas City, MO VAMC. The term of the contract is a base of one (1) year with four (4) one-year option periods. This requirement is being solicited under the authority of Public Law 104-262, 38 U.S.C. 8153 and VAAR 873. All responsible sources may submit a proposal which shall be considered by the agency. Prospective offerors should not expect notification of issuance of amendments other than via the Contract Opportunities website and are responsible for obtaining all amendments as posted. Prior to submission of a proposal, offerors are expected to read the solicitation documentation in its entirety to fully understand the scope of work, terms, and conditions of the requirement(s). Offerors who are unable to access or open uploaded attachments may contact the Contracting Officer to obtain copies. Questions from potential offerors are encouraged to resolve any ambiguities; inquiries shall be in writing only and addressed to Colleen Donahue-MacDonald at email Colleen.Donahue-MacDonald@va.gov.

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

36C25521R0020 01-20-2021 Donahue-MacDonald, Colleen 913-946-1123 02-08-2021

2:00 PM

CST

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 X X 621991 $35 Million N/A X Department of Veterans Affairs Kansas City VAMC Kansas City MO 64128-2226 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 See CONTINUATION Page Autotransfusion services for the Kansas City, MO VAMC Under the Authority of Public Law 104-262, 38 USC 8153, VAAR 873, FAR Part 13 the contractor is to provide Auto-transfusion services in accordance with the terms and conditions and prices stated herein. Healthcare resources consist of certified autotransfusion specialist and equipment, supplies outlined in the Performance Work Statement (PWS). Services are to be furnished for Kansas City VA Medical Center, Kansas City, MO.

Price Schedule is located on pages 7-9.

See CONTINUATION Page X X Colleen Donahue-MacDonald 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: (Offerors are required to designate a person for prompt administration):

Name of Company:

Address:

Contact Person(s) direct telephone:

Contact person(s) fax number:

(colleen.donahue-macdonald@va.gov)

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: Submission will be monthly for the previous 30-day period and no later than 15 calendar days of close of the month being invoices. Invoices will be based on the applicable fixed rates for services provided to referred Veterans in accordance with the contract. The Contracting Officer’s Representative (COR) will review all invoices submitted. The COR is responsible for certifying invoices for payment only for services received and deemed acceptable. Payment will not be authorized unless a proper invoice is submitted, reviewed and accepted.

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. Invoicing shall be in accordance with the requirements of the Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and may payments and change during the Period of Performance of this acquisition. Current invoicing information is located at https://www.fsc.va.gov/einvoice.asp.

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

5. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

6. POST-AWARD ORIENTATION (Contract Awards Exceeding $1M): The Contracting Officer will schedule a post-award orientation conference for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

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

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite Autotransfusion Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, Kansas City, MO (hereinafter referred to as VAMC). The Contractor’s physician(s) care shall cover the range of Autotransfusion 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 the American Board of Cardiovascular Perfusion http://www.abcp.org.

Place of Performance: Services shall be provided on site, Kansas City VAMC 4801 E. Linwood Blvd., Kansas City, MO 64128.

In accordance with FAR 16.504 (a)(4) Indefinite-Quantity Contracts: The period of the contract is a base plus four (4) 1-year options.

Contract Minimum and Maximum: In accordance with FAR Clause 52.216-22, Indefinite Quantity, as prescribed in FAR 16.506 (e), the guaranteed minimum amount established is applicable during the base period of the fiscal year in which the award was made, of $1,000.00 and the contract maximum amount is $237,000.00. Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

Task Order Issuance Procedures:

The terms that apply to the issuance of Task Orders under this contract are set forth below:

Once a need arises, the Contracting Officer or his/her authorized designated Contracting Officer Representative (COR) will notify the contractor that a requirement exists. The Contracting Officer will then issue a task order. Orders may be issued electronically via e-mail, facsimile, or other authorized electronic means. The performance period for performance of each task shall be set forth in each task order. Task order shall not exceed the total amount obligated. The total amount of all task orders shall not exceed as provided in FAR Clause 52.216-19 (b)(2).

Pricing Instructions: The offeror is instructed to edit the number of sub-lins to correspond with the number of key personnel submitted for the line item number (LIN). Commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber sub-lins if adding or removing Key Personnel.

The offeror is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments.

The Contractor shall propose a minimum of two (2) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

QUANTITY

0.00

Board Certified Auto-transfusion services to include individuals who are certified autotransfusion specialist, equipment and supplies to the Kansas City VA Medical Center.

Contract Period: Base POP Begin: 04-01-2021 POP End: 03-31-2022

0001A

Standard Service: Request 24-hours or more notice before routine surgical procedures.

0001B

Stat Service: Request within 8 to 24-hours’ notice prior to surgical procedures.

0001C

Emergency Service: Request in less than 8 hours’ notice prior to surgical procedures.

0001D

On-call weekday hours.

0001E

On-call weekend/holiday hours.

0.00

Board Certified Auto-transfusion services to include individuals who are certified autotransfusion specialist, equipment and supplies to the Kansas City VA Medical Center.

POP Begin: 04-01-2022 POP End: 03-31-2023

1001A

Standard Service: Request 24-hours or more notice before routine surgical procedures.

1001B

Stat Service: Request within 8 to 24-hours’ notice prior to surgical procedures.

1001C

Emergency Service: Request in less than 8 hours’ notice prior to surgical procedures.

1001D

On-call weekday hours.

1001E

On-call weekend/holiday hours.

0.00

Board Certified Auto-transfusion services to include individuals who are certified autotransfusion specialist, equipment and supplies to the Kansas City VA Medical Center.

POP Begin: 04-01-2023 POP End: 03-31-2024

2001A

Standard Service: Request 24-hours or more notice before routine surgical procedures.

2001B

Stat Service: Request within 8 to 24-hours’ notice prior to surgical procedures.

2001C

Emergency Service: Request in less than 8 hours’ notice prior to surgical procedures.

2001D

On-call weekday hours.

2001E

On-call weekend/holiday hours.

0.00

Board Certified Auto-transfusion services to include individuals who are certified autotransfusion specialist, equipment and supplies to the Kansas City VA Medical Center.

POP Begin: 04-01-2024 POP End: 03-31-2025

3001A

Standard Service: Request 24-hours or more notice before routine surgical procedures.

3001B

Stat Service: Request within 8 to 24-hours’ notice prior to surgical procedures.

3001C

Emergency Service: Request in less than 8 hours’ notice prior to surgical procedures.

3001D

On-call weekday hours.

3001E

On-call weekend/holiday hours.

0.00

Board Certified Auto-transfusion services to include individuals who are certified autotransfusion specialist, equipment and supplies to the Kansas City VA Medical Center.

POP Begin: 04-01-2025 POP End: 03-31-2026

4001A

Standard Service: Request 24-hours or more notice before routine surgical procedures.

4001B

Stat Service: Request within 8 to 24-hours’ notice prior to surgical procedures.

4001C

Emergency Service: Request in less than 8 hours’ notice prior to surgical procedures.

4001D

On-call weekday hours.

4001E

On-call weekend/holiday hours.

GRAND TOTAL

36C25521R0020

Page 1 of Page 1 of Page 1 of Page 1 of

B.3 PERFORMANCE WORK STATEMENT

Onsite Acute Autotransfusion services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide on-site acute autotransfusion services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs Kansas City VA Medical Center.

1.2. Place of Performance: – Kansas City VAMC, 4801 Linwood Boulevard, Kansas City, MO 64128-2224

1.3. Authority: Title 38 U.S.C. § 8153, Sharing of Health Care Resources (HCR) Authority. FAR Part 12 and 13, and VAAR 873.

1.4. Policy/Handbooks:

1.4.1. VHA Directive 0710 VHA Personnel Security and Suitability Program: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8110

1.4.2. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.3. VHA Directive 1177 Cardiopulmonary Resuscitation https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7487

1.4.4. VHA Directive 1192.01 “Seasonal Influenza Prevention Program” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.4.5. VHA Directive 1220 (1) Facility Procedure Complexity Designation Requirements To Perform Invasive Procedures In Any Clinical Setting https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.4.6. VHA Directive 1605.04 Privacy and Release of Information https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233

1.4.7. VHA Handbook 1907.01 Health and Information Management and Health Records https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.8. VHA Directive 6300(1) Records Management https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8113

1.4.9. VHA Directive 6300.01(3) Records Management Compliance https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5450

1.4.10. VHA Handbook 1100.18 Reporting and Responding To State Licensing Boards - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.11. VHA Handbook 1100.19 Credentialing and Privileging - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.12. VHA Handbook 1605.01 Privacy and Release of Information https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233

1.4.13. VHA Handbook 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.14. 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.

1.5.1. AAMI: Association for the Advancement of Medical Instrumentation

1.5.2. BLS: Basic Life Support

1.5.3. CDC: Centers for Disease Control and Prevention

1.5.4. CDR: Contract Discrepancy Report

1.5.5. CEU: Certified Education Unit

1.5.6. CME: Continuing Medical Education

1.5.7. CMS: Centers for Medicare and Medicaid Services

1.5.8. 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.

1.5.9. 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.

1.5.10. COS: Chief of Staff

1.5.11. CPARS: Contractor Performance Assessment Reporting System

1.5.12. 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.

1.5.13. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.14. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.5.15. HHS: Department of Health and Human Services

1.5.16. HIPAA: Health Insurance Portability and Accountability Act

1.5.17. HR: Human Resources

1.5.18. ISO: Information Security Officer

1.5.19. Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.5.20. MOD: Medical Officer of the Day

1.5.21. Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors

1.5.22. OSHA: Occupational Safety and Health Administration

1.5.23. OIT: Office of Information and Technology

1.5.24. PIV: Personal Identity Verification

1.5.25. POP: Period of Performance

1.5.26. PWS: Performance Work Statement

1.5.27. QASP: Quality Assurance Surveillance Plan

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

1.5.29. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Michigan and Indiana.

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

1.5.31. 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.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License - Contract provider(s) assigned by the Contractor to perform the services covered by this contract shall have a current/valid or unrestricted perfusion certification in any State, Territory, or Commonwealth of the United States or the District of Columbia.

2.1.2. Credentialing– Contract Perfusionist fulfilling the conditions of the contract shall be subject to all bylaws, rules and regulations of the VAMC. Credentialing is to be done in accordance with the provisions of VHA Handbook 1100.19. Contractor personnel must be able to pass the VAMC’s credentialing process. VetPro will be completed annually to meet VHA handbook requirements.

2.1.2.1. If a contract provider(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3. Technical Proficiency - Contract provider (s) 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 CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract personnel(s) and contract personnel (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.4. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract personnel (s) 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 credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract personnel (s).

2.1.5. Training (BLS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract personnel as required by the VA. as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

2.1.6. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for personnel 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 Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician (s) {This is applicable to all health care workers}. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

2.1.6.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.6.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.6.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.6.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician 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}.

2.1.6.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician (s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.6.7. The VAMC 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. Conflict of Interest: The Contractor and all contract personnel (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, 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.

2.1.8. Citizenship related Requirements:

2.1.8.1. 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;

2.1.8.2. 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.

2.1.8.3. 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.

2.1.8.4. 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.

2.1.8.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.9. 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.

2.1.9.1. 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 contract personnel 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.

2.1.9.2. By submitting their proposal, 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 Direction: 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 direction of all clinical personnel covered by this contract will be provided by the VAMC 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 contract personnel 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.

2.5. Inherent Government Functions: Contractor and Contractor personnel 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.

2.6. No Employee status: The Contractor shall be responsible for protecting Contract personnel 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:

2.6.1. Workers’ compensation

2.6.2. Professional liability insurance

2.6.3. Health examinations

2.6.4. Annual TB Skin Test and recent chest X-ray if there is a history of positive TB skin test.

2.6.5. Evidence of Hepatitis B immunity (hepatitis immune titer, if the individual has had the series of shots; if no immunity, evidence that the individual has started the Hepatitis B vaccination series

2.6.6. Evidence of a Hepatitis C titer

2.6.7. Varicella titer if contracted employee has not had chicken pox

2.6.8. Income tax withholding, and

2.6.9. Social security payments.

2.7. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract provider(s). When a Contractor or contract provider has 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 contract personnel) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.8. Key Personnel:

2.8.1. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled provider is unable to complete an assigned shift, the contractor shall provide replacement provider coverage within 2 hours and notify the Contracting Office Representative (COR) at the Kansas City VA Medical Center immediately of the schedule change.

2.8.2. Contractor shall provide the names of the contracted employee(s) assigned to the performance:

1.

2.

3.

4.

Substitutes

2.8.3. Emergency Substitutions: During the first ninety (90) 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 Contracting Officer, in writing, within 5 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

2.8.4. 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 Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 5 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.

2.8.5. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person.

2.9. 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 contract personnel (s), s/he may request, without cause, immediate replacement of said contract personnel (s)

2.10. The CO and COR shall deal with issues raised concerning Contract personnel (s) conduct. The final arbiter on questions of acceptability is the CO.

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

2.12. Note: Evidence of completion of required licensure, credentials, required training, current competencies and background investigations must be validated for all contractor personnel referred to perform services under this contract prior to providing direct patient care. Contractor shall not have any personnel report to duty until written notification is received from the Contracting Officer advising that the candidate (s) presented has met all requirements for contract performance.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. The services covered by this contract shall be furnished by the contractor as defined herein. The contractor will be required, except in case of emergency, to furnish such services during off- duty hours as described below.

3.2. Work Hours: The services covered by this contract shall be furnished 24/7, 365 days per year including holidays.

3.3. Business hours for the VAMC follow:

Administrative hours: Monday through Friday, 8:00 a.m. – 4:30 p.m.

3.4. National Holidays: The Contractor shall perform work on federal holidays. The ten (10) Federal holidays observed by VA are as follows. Asterisk (*) indicates the dates change each year.

any other day specifically declared by the President of the United States to be a national holiday.

3.6. Off-hours coverage: Friday, 4:30 p.m. through Monday, 8:00 a.m.; Monday through Thursday, 4:30 p.m. – 8:00 am.

3.6.1. On-call coverage, 24/7 needed, shifts are as follows:

3.6.2. Weekend: 8:00 a.m. Friday through 8:00 a.m. Monday, 24-hour shifts

3.6.3. Weekday: 4:30 p.m. through 8:00 a.m. the following day Monday. through Thursday.

3.6.4. Holidays: 8:00 a.m. through 8:00 a.m. the following day.

3.6.5. On-call coverage shall be provided by a Perfusionist other than the Perfusionist assigned to OR in order respond to emergencies.

3.6.6. The contractor shall provide a quarterly schedule of on-call. Perfusionist to the surgical department 30 days in advance.

3.6.7. On-call Perfusionist must report to the VAMC within 30 minutes of the page when medically indicated.

4. CONTRACTOR RESPONSIBILITIES

4.1. The autotransfusion machine utilized by the contractor shall remain at the VAMC on standby at all times. The vendor is responsible to provide all maintenance and maintain all service records on their equipment. The contractor shall provide all disposable materials utilized for each use.

4.2. All personnel furnished by the vendor shall be qualified to perform inter-operative transfusions. The contractor shall provide documentation of training for each technician performing autotransfusion. The VA will provide adequate clinical and storage space.

4.3. The contractor shall maintain appropriate documentation of each procedure.

4.4. Services shall be provided during normal business hours for each patient identified by the VAMC. In the event of a serious patient emergency during normal business hours on a day or time when the provider is not on site, the provider shall arrive at the VAMC within two (2) hours of notice or a request for services. Both parties shall agree upon the process by which notice shall be given to the provider. Contractor will have no more than 2 late arrivals per quarter.

4.5. In the event of a medical non-emergent need outside of normal business hours the provider shall arrive at the VAMC within six (6) hours of notice of a request for services.

4.6. A contractor’s employee(s) must be present at the VA and must actually perform the required services as specified in order for payment of service to be authorized.

4.7. Customer/patient satisfaction:

4.7.1. The Government may evaluate the quality of professional and administrative services provided, 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).

4.7.2. All Veterans, family members, VA employees and other customers of the VAMC will be treated professionally and courteously. The contract provider(s) will cooperate with the VAMC to address and resolve validated customer service/patient complaints within 7 days.

4.8. MEDICAL RECORDS

4.8.1. Authorities: Contract personnel 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. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.8.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.8.3. Disclosure: Contract personnel (s) may have access to patient medical records: however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.8.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 and all guidelines provided by the VAMC.Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 10-5345a, Request for and Consent to Release of Information from Individual’s Records, to process “Release of Information Requests.” In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility. The VA’s Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient’s consent form.

4.8.5. Confidentiality - VA will provide the contract personnel (s) access to pertinent patient medical information, within the existing privacy rules and regulations, for the purpose of providing coordinated…