36C25522Q0187 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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C25522Q0187 04/04/2022

Jason Condiff 913-946-1113 05/04/2022

16:00 CST

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

Leavenworth KS 66048

X 100

X

561320

$30 Million

N/A

X

John J. Pershing VA Medical Center 1500 N. Westwood Blvd

Poplar Bluff MO 63901

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

Contractor agrees to provide non-personal staffing services in accordance with the terms and conditions stated herein. The purpose of this solicitation is to establish an indefinite delivery indefinite quantity contract For Board Certified Internal Medicine Physicians to perform the Officer-of-the-Day requirements as specified in the Price Schedule.

All services to be provided IAW the Performance Work Statement.

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

$0.00 See CONTINUATION Page x x x One

36C25522Q0187

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

2. QUALIFICATIONS:

3. HOURS OF OPERATION

4. CONTRACTOR RESPONSIBILITIES

5. GOVERNM ENT RESPONSIBILITIES

6. SPECIAL CONTRACT REQUIREMENTS

7. IT CONTRACT SECURITY

8. SECURITY CONTROLS COMPLIANCE TESTING

9. TRAINING

10. VHA Supplemental Contract Requirements for Combatting COVID-19

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.232-18 AVAILABILITY OF FUNDS APR 1984)

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 852.219-77 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (SEP 2021)

(DEVIATION)

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN

2008)

C.16 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

C.17 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

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 (NOV 2021)

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 PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 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 Paula Galvin Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048

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

[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 PRICE/COST SCHEDULE

ITEM NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

MOD SERVICES

Contract Period: Base POP Begin: 07-01-2022 POP End: 06-30-2023 PRINCIPAL NAICS CODE: 561320 - Temporary Help Services PRODUCT/SERVICE CODE: Q201 - Medical - General Health Care

0001AA

352.00 HR __________________ __________________

Weekday Day Shift (8-hours); Monday - Friday; 8:00 am – 4:00 pm

Contract Period: Base POP Begin: 07-01-2022 POP End: 06-30-2023

0001AB

2,960.00 HR __________________ __________________

Weekday Night Shift (16-hours); Monday - Friday; 4:00 pm - 08:00 am Contract Period: Base

0001AC

624.00 HR __________________ __________________

Saturday & Sunday; 8:00 am - 4:00 pm, Contract Period: Base

0001AD

1,248.00 HR __________________ __________________

Weekend Night Shift (16-hours); Saturday & Sunday; 4:00 pm - 8:00 am

Contract Period: Base

0001AE

88.00 HR __________________ __________________

Federal Holiday Day Shift (8-hours); 8:00 am - 4:00 pm

Contract Period: Base

0001AF

176.00 HR __________________ __________________

Federal Holiday Night Shift (16-hours); 4:00 pm- 8:00 am

Contract Period: Base

0001AG

1,510.00 HR __________________ __________________

On-call (8-hours) Contract Period: Base

Contract Period: Option 1 POP Begin: 07-01-2023 POP End: 06-30-2024

1001AA

Weekday Day Shift (8-hours); Monday - Friday; 8:00 am - 4 pm

Contract Period: Option 1 POP Begin: 07-01-2023 POP End: 06-30-2024

1001AB

1001AC

Contract Period: Option 1

1001AD

Contract Period: Option 1

1001AE

Contract Period: Option 1

1001AF

1001AG

Contract Period: Option 1

0.00

Contract Period: Option 2 POP Begin: 07-01-2024 POP End: 06-30-2025

2001AA

Contract Period: Option 2 POP Begin: 07-01-2024 POP End: 06-30-2025

2001AB

Contract Period: Option 2

2001AC

Contract Period: Option 2

2001AD

Contract Period: Option 2

2001AE

Contract Period: Option 2

2001AF

Contract Period: Option 2

2001AG

Contract Period: Option 2

Contract Period: Option 3 POP Begin: 07-01-2025 POP End: 06-30-2026

3001AA

Contract Period: Option 3 POP Begin: 07-01-2025 POP End: 06-30-2026

3001AB

Contract Period: Option 3

3001AC

Contract Period: Option 3

3001AD

Contract Period: Option 3

3001AE

Contract Period: Option 3

3001AF

Contract Period: Option 3

3001AG

Contract Period: Option 3

Contract Period: Option 4 POP Begin: 07-01-2026 POP End: 06-30-2027

4001AA

Contract Period: Option 4 POP Begin: 07-01-2026 POP End: 06-30-2027

4001AB

Contract Period: Option 4

4001AC

Contract Period: Option 4

4001AD

Contract Period: Option 4

4001AE

Contract Period: Option 4

4001AF

Contract Period: Option 4

4001AG

Contract Period: Option 4

GRAND TOTAL __________________

1. Per diems are not authorized under this IDIQ.

2. Fair Opportunity: Before issuing a task order, the ordering activity’s requirements will be forwarded to each contract holder through a Request for Quotation (RFQ) along with the evaluation criteria. In order to be considered responsive, contract holders shall provide all documentation within the predetermined time frames, i.e. quote due date. Evaluations will be based on CV’s (curriculum vitae)/resumes, licenses and/or certificates, timeliness/availability of proposed candidate and price. Based on a best value determination, the task order shall be placed with the contract holder that represents the best value.

3. The Contracting Officer will 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).

4. The Government estimates, but does not guarantee, that the annual volume of professional staffing services under this IDIQ.

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

6. Authorized users are NCO 15 Medical Services Warranted Contracting Officers.

Authorized users shall only be allowed to issue orders against this IDIQ if funds are certified and an order number is assigned.

7. The services specified in the agreement may only be changed by written modification which will be prepared and executed by the Network Contracting Office (NCO) 15. The following actions are the sole responsibility of the Contracting Officer for this agreement;

no other personnel are authorized to:

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

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

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

d. Extend the completion time established in the contract.

e. Terminate the contract in whole or in part.

f. Render a decision under the Disputes Clause.

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

8. Guaranteed Minimum and Contract Maximum:

a. The Guaranteed Minimum is applicable during the base period of the fiscal year in which award was made. The Guaranteed Minimum is $1,000.00

b. The Contract Maximum is $5,599,697.28

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide 2.6 FTE, Board Certified/Board Eligible Internal Medicine, Family Practice or Emergency Physician Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA).

1.2. Place of Performance - Contractor shall furnish services at the John J. Pershing VA Medical Center at 1500 N Westwood Blvd, Poplar Bluff, MO 63901.

1.3. Authority: Title 38 USC 8513, Health Care Resources (HCR) sharing Authority.

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:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.2. VHA Handbook 1100.18: Reporting and Responding to State Licensing Boards:

https://www.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

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

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.5. VHA Directive 1003.04: VHA Patient Advocacy:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.4.6. VHA Directive 1088: Communicating Test Results to Providers and Patients:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

1.4.7. VHA Directive 1101.05(02): Emergency Medicine:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3236

1.4.8. VHA Directive 1192.01: Seasonal Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.4.9. 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

1.4.10. VHA Directive 2012-030 Credentialing of Health Care Professionals:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815

1.4.11. VA Directive 1663: Health Care Resources Contracting – Buying:

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.12. 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. AMA: American Medical Association. Professional physicians’ organization with goals being to protect the interest of American physicians, advance public health, and support the growth of medical science.

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3236 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.5.2. ACLS: Advanced Cardiac Life Support

1.5.3. BLS: Basic Life Support

1.5.4. CDR: Contract Discrepancy Report. Report issued by the Government to the contractor to document a supply or service found to be unacceptable during contract performance.

1.5.5. CME: Continuing Medical Education

1.5.6. CMS: Centers for Medicare and Medicaid Services

1.5.7. 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.

1.5.8. 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.

1.5.9. COS: Chief of Staff

1.5.10. CPARS: Contractor Performance Assessment Reporting System

1.5.11. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

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. CV: Curriculum Vitae. A resume. An overview of a provider’s experience and qualifications.

1.5.14. DEA: Drug Enforcement Agency

1.5.15. DOL: Department of Labor.

1.5.16. EDIS: Emergency Department Integration Software, electronic system used in Urgent Care to track and manage the flow of patient care in the urgent care setting.

1.5.17. EPA: Economic Price Adjustment. Provision in a contract document for upward or downward revision of specified prices when certain conditions (such as inflation or deflation) occur.

1.5.18. FAR: Federal Acquisition Regulation. Principal set of rules (i.e., body of laws) in the Federal

Acquisition Regulation System that govern the U.S. Federal Government’s procurement process.

1.5.19. FSS: Federal Supply Schedule. Long-term government wide contracts with commercial firms to provide commercial products and services at volume discount pricing. The Federal Supply Schedule program is also known as the GSA Schedules Program or the Multiple Award Schedule Program (MAS).

1.5.20. FTE: Full time equivalent. Defined by VA as a minimum of 80 hours every 2 weeks and does not include holidays.

1.5.21. HHS: Department of Health and Human Services

1.5.22. HIPAA: Health Insurance Portability and Accountability Act

1.5.23. HR: Human Resources

1.5.24. ISO: Information Security Officer

1.5.25. JPSR: Joint Patient Safety Reporting

1.5.26. MAS: Multiple Award Schedule. Contracts awarded by GSA or the Department of Veterans

Affairs (VA) for similar or comparable supplies, or services, established with more than one supplier, at varying prices.

1.5.27. 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.

1.5.28. MOD: Medical Officer of the Day

1.5.29. 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).

1.5.30. NCO: Network Contracting Office

1.5.31. NIST: National Institute of Standards and Technology. The federal technology agency that works with industry to develop and apply technology, measurements, and standards.

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

1.5.33. NPPES: National Plan and Provider Enumeration System

1.5.34. OMB: Office of Management and Budget

1.5.35. OPM: Office of Personnel Management

1.5.36. PIV: Personal Identity Verification. Personal identity verification of Federal Employees and

Contractors that secures access to Federal facilities and information systems; assures appropriate levels of security for all applicable Federal applications; and provides interoperability among Federal organizations.

1.5.37. POP: Period of Performance

1.5.38. PO: Privacy Officer

1.5.39. PPD: Purified Protein Derivative

1.5.40. PWS: Performance Work Statement

1.5.41. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for

8independent 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.

1.5.42. QA/QI: Quality Assurance/Quality Improvement

1.5.43. QM/PI: Quality Management/Performance Improvement

1.5.44. QASP: Quality Assurance Surveillance Plan

1.5.45. QC: Quality Control. Actions taken by the contractor to control the performance of contracted services to meet the PWS requirements.

1.5.46. SAC: Special Agreement Check. Federal Bureau of Investigation criminal history check of fingerprints.

1.5.47. SIN: Special Item Number. Number assigned to a group of generically similar (but not identical) supplies or services offered through Federal Supply Schedules that are intended to serve the same general purpose or function.

1.5.48. TJC: The Joint Commission. Organization that accredits health care organizations and programs in the United States.

1.5.49. Veteran Affairs (VA) or Department of Veteran Affairs)

1.5.50. Veteran 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.

1.5.51. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in VISN 15.

1.5.52. 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.

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

1.5.54. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA

Medical Center, for purposes of this contract, this term shall mean the John J. Pershing VA Medical Center.

1.5.55. VPN: Virtual Private Network. A secure network that uses primarily public telecommunication infrastructures, such as the Internet, to provide remote offices or traveling users an access to a central organizational network.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License - The Contractor’s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) w h en services are performed onsite on VA property. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full, and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily r evoked , voluntarily su r rendered pending action, or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification - Contractor’s physician(s) shall be Board Certified or considered Board Eligible by the American Board of Internal Medicine, the American Board of Family Practice or the American Board of Emergency Medicine and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS). VHA Out of Operating Room Airway

Management (OOORAM) certification is required but can be arranged during orientation, if necessary. All continuing education courses required for maintaining certification must always be kept up to date. 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 physician(s) possesses the requisite credentials enabling the granting of privileges.

No services shall be provided by any Contractor’s physician(s) prior to obtaining recommendation by the Chief of Staff, approval by the VAMC Professional Standards Board, Medical Executive Board and Medical Center Director. Prior to the start of the credentialing process, the provider shall insure that the credentialing package received by the facility is complete.

When applicable, this shall include verification of VISA status. It is understood that a provider will only be privileged (and thus permitted to work) for the specific VISN 15 facility that conducted the Professional Standards Board, approved the provider’s credentials, and requested the clinical privileges.

2.1.4. If a Contractor’s physician(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.

2.1.5. The Contract holder shall not have personnel report to duty until written notification is received in the form of a task order from the Contracting Officer advising that the candidate(s) presented has met all requirements for performance.

2.1.6. The Contractor shall maintain credentialing requirements and notify the VAMC within twenty-four

(24) hours of Contractor’s discovery of personnel not in compliance.

2.1.7. The Contractor is required to report to the Contracting Officer within twenty-four (24) hours of Contractor’s discovery of any disciplinary action taken by the State Board or the institution against physicians performing under the contract.

2.1.8. Technical Proficiency - Contractor’s physician(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 Contractor’s physician(s) and Contractor’s physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.9. 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. Contractor’s physician(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 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 physician(s).

2.1.10. Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contractor’s physician(s) as required by the VA. Additional training may be assigned from time to time which will also be required in addition to courses listed below.

Training Frequency Annual Hours VA Privacy and Information Security Once a year 1 Awareness and Rules of Behavior

Mandatory training for Transient Clinical Staff

Once a year

1.5

VHA CO Compliance and Business Integrity Awareness

Once a year .75

Prevention of Workplace Harassment/No FEAR

Once a year 1.5

Annual Government Ethics Training Once a year 1

JJPVAMC Self-Attestation Semi annual .5

Any unscheduled training assigned by VA Central Office

TBD TBD

2.1.11. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians 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 except for Tuberculosis testing, which should be within the past 90 days.

2.1.11.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative QuantiFERON or negative reaction to PPD testing for all Contractor physician(s). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The TB test shall be repeated annually.

2.1.11.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all Contractor physician(s) 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.

2.1.11.3. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all Contractor’s physician(s); provide their own Hepatitis B vaccination series at n o 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.

2.1.11.4. 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.

2.1.11.4.1. INFLUENZA VACCINATION; Contractor’s physicians must show proof of compliance with VHA Influenza Vaccine policy and remain in compliance throughout their tenure.

2.1.12. Infection Control: The contractor’s physician(s) must follow all VHA and facility guidance for infection control.

2.1.12.1 Hand Washing Hygiene: The contractor’s physician(s) must abide by (CDC) Centers for Disease Control guidelines on hand hygiene in health care settings.

2.1.12.2 Personal Protective Equipment: the facility shall provide personal protective equipment (PPE) aw required, as well as training on use. Failure to return items issued to the Contractor’s employee following discontinuance of the Contractor employee’s services under this contract shall result in a charge against payment of the Contractor’s invoice.

2.1.12.3 Infection control Compliance: Contractor shall provide written certification of training compliance with the Blood Borne Pathogens Standards, 29 CFR Part 1910.1030 to the

COR.

2.1.13. 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). The Contractor shall have or obtain appropriate NPI and 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 proposal.

2.1.14. DEA (as required) - Contractor shall provide copy of current DEA certificate.

2.1.15. Conflict of Interest: The Contractor and all Contractor physician(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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf 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.

2.1.16. Citizenship r e la t ed Requirements:

2.1.16.1. 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;

2.1.16.2. 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.

2.1.16.3. 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.

2.1.16.4. 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.

2.1.16.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offeror’s response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.17. 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.

2.1.17.1. 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 physician(s) 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.

2.1.17.2. 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. By signing the offer/bid, the Contractor certifies that the OIG List of Excluded Individuals/Entities shall be reviewed for each person assigned to the contract by the Contractor prior to that person performing services.

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 VAMC COS and/or the http://oig.hhs.gov/exclusions/index.asp

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

2.6. Inherent Government Functions: Contractor and Contractor’s physician(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 physician(s) 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:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, a n d

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor’s physician(s). When a Contractor or Contractor’s physician(s) 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 Contractor’s physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE) for the services required is up to 2.6 FTE. FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. Personnel assigned to this contract by the Contractor and added via the issuance of a task order are designated as key personnel. The Contractor should have an adequate pool of providers to cover the requirement and in cases of illnesses, injuries, etc.

2.9.2. 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 physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) at the VA Medical Facility immediately of the schedule change.

2.9.3. 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 24 hours of 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 45 calendar days prior to making any permanent substitutions.

2.9.3.1. 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 15 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. Any substitute will have to go through the credentialing and privileging process for the facility and be approved for privileges prior to being added to the contract via issuance of a task order naming the physician as key personnel by the Contracting Officer.

2.9.3.2. For temporary substitutions where the key person shall not be reporting to work, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person.

2.9.3.3. 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 physician(s), s/he may request, without cause, immediate replacement of said Contractor’s physician(s). The CO and COR shall deal with issues raised concerning Contractor’s physician(s) conduct. The final arbiter on questions of acceptability is the CO.

2.9.3.4. 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 Contractor’s physician(s) 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. Hours of Work

3.1.1 Daily: 8:00 a.m. – 4:00 p.m. and 4:00 p.m. – 8:00 a.m. weekdays, weekends, and holidays.

3.2 VA On-call Hours: Weekday on-call hours shall be 8:00 am CST - 4:00 p m CST, Monday- Friday on days that a contract provider is scheduled to work that night. Holidays are not included. There are no weekend or holiday on-call hours since a contract provider is already working. The Contractor’s physician(s) will cover for physicians in case of emergency, scheduled or unscheduled absences, as needed.

3.3 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 Juneteenth 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.

3.4 Cancellations: Unless a state of emergency has been declared, the Contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide Contractor’s physician(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contractor’s physician(s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.2. Standards of Care: The Contractor’s physician(s)’ care shall cover the range of Medical Officer of the Day services to patients in Urgent Care, Acute Care and Community Living Center as would be provided in a state-of-the-art health care facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

4.2.1. American College of Physicians (ACP) Guidelines: (https://www.acponline.org/clinical-information/guidelines)

4.2.2. The professional standards of the Joint Commission (TJC) https://www.jointcommission.org/standards/ and

4.2.3. The requirements contained in this PWS.

https://www.acponline.org/clinical-information/guidelines https://www.acponline.org/clinical-information/guidelines https://www.jointcommission.org/standards/

4.3. Medical Records

4.3.1. Authorities: Contractor’s physician(s) 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).

4.3.2. 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.

4.3.3. Disclosure: Contractor’s physician(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 o r privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction o v e r 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.

4.3.4. 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.

4.3.5. 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.