36C25522R0052 0001.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 7

MSO-2022-COM-0038

36C255

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

Leavenworth KS 66048

36C255

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

Leavenworth KS 66048

To all Offerors/Bidders

36C25522R0052

10-27-2022

X x x x 1

The purpose of this solicitation amendment is to provide answers to questions received in response to Solicitation 36C25522R0052.

Answers are provided on pages 2-7.

Except as provided herein, all terms and conditions of the document referenced in Item 9A remains unchanged and in full force and effect.

Paula Galvin

Kirksville CBOC Solicitation 36C25522R0052 Questions Received from potential Offerors

PAGE:40

SECTION:

4.6.4.1 Pharmacy Services

QUESTION: I want to confirm that the contractor is to provide all clinically administered drugs and vaccines?

ANSWER: The Contractor will provide all medications that are to be administered to patients in the clinic (including any necessary vaccines, with the exception of vaccines for COVID-19 as indicated in section 4.6.3.4).

PAGE:12

SECTION:

2. Staffing and Qualifications QUESTION: Is a Clinic Manager required for the Kirksville CBOC and if so, is the Clinic Manager required to be a Registered Nurse?

ANSWER: No, a Clinic Manager is not required. A Physician Director is required per PWS 2.2.

PAGE:17 & 44

2.4.1. Discipline Specific 1: Clinical Pharmacy Specialist (CPS) This service shall be provided by the VA through referral via telehealth or telephone.

2.4.2. Discipline Specific 2: Clinical Pharmacy Specialist (CPS) Anti-Coagulation: This service shall be provided by the VA through referral via telehealth or telephone.

4.6.5.6 The Contractor shall meet all requirements for anticoagulation management outlined in VHA Directive 1108.16(1) Anticoagulation Therapy Management.

QUESTION: If CPS Anti-Coagulation is provided by the VA through referral via telehealth or telephone, wouldn’t the VA be responsible for anticoagulation management?

ANSWER: The PWS requires the potential contractor meet the requirements outlined in VHA Directive 1108.16(1) Anticoagulation Therapy Management. The PWS does not requires a Contractor to manage the program. PWS 2.4.2. DISCIPLINE SPECIFIC 2: CLINICAL PHARMACY SPECIALIST (CPS) ANTI-COAGULATION: This service shall be provided by the VA through referral via telehealth or telephone.

PAGE: 96 & 155

4.12.2 Contractor must be accredited by TJC or maintain a level of service that is in compliance with all current TJC standards. If the Contractor is TJC accredited, he/she will be required to furnish a copy of the accreditation letter(s) upon request by the Contracting Officer prior to award.

3. Demonstrate your Quality Assurance Plan relating to customer satisfaction, patient care, meeting standard of documentation and reporting, and performance measures. The plan should demonstrate how you intend to achieve and maintain customer satisfaction and management’s level of involvement. Describe the performance measurement process that will be implemented to monitor quality, appropriateness of care, access, and patient satisfaction. The plan should demonstrate how you intend to assure the VA that health care is provided in a safe, consistent and high-quality manner. The plan should also demonstrate that Joint Commission and other regulatory requirements, as indicated in the solicitation, have been met or exceeded.

QUESTION: Does the VA prefer the contractor provide a copy of the TJC accreditation letter, certificate, and full report with the submission of proposal?

ANSWER: 4.12.2 - If the Contractor is TJC accredited, he/she will be required to furnish a copy of the accreditation letter(s) upon request by the Contracting Officer prior to award.

PAGE: 160

6.1.2 The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans.

QUESTION: Will the VA consider a 180 day start up period from contract award?

ANSWER: No. The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans.

PAGE: 151

Instructions to Offerors Proposal Submission Information

3. Proposal Submission Information Offers are to be submitted in two parts: 1) a price response and 2) a non-price response to the evaluation factors. Both responses are to be submitted together; however, the non-price and price responses shall be separated into two severable parts. Offerors are to submit a signed and dated proposal to the office specified in the solicitation at or before the exact time and date specified on Page One, Block 8.

QUESTION:

Should the Price volume be submitted in two separate electronic documents, one with price and one with non-price? Or should the non-price information be submitted with the Technical Capabilities volume?

ANSWER: The non-price response should contain the technical capabilities.

PAGE: 151

Instructions to Offerors Proposal Submission Information

3. Proposal Submission Information Offers are to be submitted in two parts: 1) a price response and 2) a non-price response to the evaluation factors. Both responses are to be submitted together; however, the non-price and price responses shall be separated into two severable parts. Offerors are to submit a signed and dated proposal to the office specified in the solicitation at or before the exact time and date specified on Page One, Block 8.

QUESTION:

Are there any email size restrictions when sending in the proposal?

ANSWER: The attachment combined file size limit is 10 MB. Please number separate emails if sending multiple email attachments.

PAGE: 151 & 157

Instructions to Offeror

d. The contractor must return a signed copy of attachment D.1, D.2, D.3, and D.26 from section D Attachments:

• D.1 – RULES OF BEHAVIOR 6500

• D.2 – ORGANIZATIONAL CONFLICT OF INTEREST

• D.3 – IMMIGRATION CERTIFICATION

• D.23 – SUBCONTRACTING PLAN

• D.24 – PAST PERFORMANCE QUESTIONNAIRE

• D.26 – QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

e. Past Performance Worksheet: Contractor shall complete Attachment D.24 - Complete Past Performance Worksheet and submit as part of your proposal submission. Provide up to (3) references of work, similar in scope and size with the requirement detailed in the Performance Work Statement. References must include contact information, brief description of the work completed, and contract number (if relevant).

Factor III – Past Performance Contractor is to utilize the Past Performance Questionnaire included as Section D, Attachment

24. Questionnaires must be submitted to the Contracting Specialist via email (Jason.Condiff@va.gov) before the proposal due date.

QUESTION:

D.24 is the Past Performance Questionnaire and according to the instructions, this is to be filled out by the evaluator and sent to Jason Condiff, Contract Specialist, via email at Jason.Condiff@va.gov. How is the bidder to submit this Past Performance Questionnaire with our proposal if it is being filled out by the evaluator and sent directly to the VA? Is there a separate Past Performance Worksheet that should have been provided with this RFP that needed to be filled out and sent with the proposal or is this referring to the Past Performance Questionnaire?

ANSWER: This refers to the included Past Performance Questionnaire. Please complete with the identity of the three references the questionnaire was sent to from your company for completion.

PAGE: 152

SECTION:

Instructions to Offeror

5. Evaluation Criteria Factor 1 – Technical Capabilities Factor 2 – Small Business Participation Factor 3 – Past Performance Factor 4 - Price

How would the VA like this information presented? Would the VA like to see each Factor in its own separate volume/electronic document, or would the VA like to see Factors 1-3 in one electronic document and Factor 4 in a separate electronic document?

ANSWER: See Page 151, Proposal Submission Information. Offers are to be submitted in two parts: 1) a price response and 2) a non-price response to the evaluation factors. Both responses are to be submitted together; however, the non-price and price responses shall be separated into two severable parts. The Non-Price response is to contain everything requested not concerning price.

PAGE: 80

4.9 Space Requirements

QUESTION:

Does the existing Kirksville CBOC facility meet the requirements for this solicitation?

ANSWER: Yes

PAGE: 19

2.6.2 Phlebotomist/Laboratory Technician: This service will be provided by PACT teamlet staff.

QUESTION:

With the amount of lab work needed, would this be better suited to have a full time Phlebotomist on staff vs. using PACT teamlet members?

ANSWER: No VA Staff will be on site.

PAGE: 81

4.9.1 Contractors shall provide space that meets the standards outlined in the PACT Space Module Design Guide (see link above) and for the purposes of this solicitation the following minimum space requirements are:

Description: Open Area Reception, waiting and patient transition.

Minimum quantity: 1 Purpose/Details: Reduce need for waiting room usage and use space gained for My HealtheVet and other value-added activities for Veterans. Create a calm pleasant environment.

Requirements:

Secure check-in station for patient privacy and employee safety.

Smooth workflow, communication and scheduling to reduce waiting Place minimal staff at front of clinic and limit their activities to assisting the patients in the reception area (on-stage work).

Move telephone, remote scheduling and paperwork off-stage to a more private area.

The RFP does not support additional administrative staffing beyond PACT team requirements, given the direction of moving administrative staff off stage, does the VA support/suggest additional staffing for front desk duties, if so, how many FTEs?

ANSWER: PWS Section 2.1 states: The staffing standard for support staff shall be in ratios to Primary Care Providers of at least three full time equivalent (FTE) support staff (1 FTE RNCM, 1 FTE Clinical Associate, 1 FTE Administrative Associate) for each FTE Primary Care Provider.

PWS Section 2.3.4 states: TEAMLET MEMBER 4: ADMINISTRATIVE ASSOCIATE: FTE Ratio Performance Standard: Current standard is 1.0 FTE administrative associate per 1.0 FTE PCP.

PAGE: 80

4.9 Space Requirements

QUESTION:

Will the VA specifically how many VA staff will be on site at the Kirksville CBOC and what space requirements will be needed for this staff?

ANSWER: No VA Staff will be on site.

PAGE: 93

4.11.1.2 the installation and maintenance of the network cabling infrastructure within the facility including all cabling located inside the walls and plenum space of the structure

QUESTION:

Will the Government please confirm if CAT 6 wiring is preferred and not CAT 6A?

ANSWER: CAT6 is sufficient with the exception of cabling for the clinical wireless Access Points. Those require CAT 6A. It is highly recommended to pull CAT 6A throughout to allow for scalability and to add some cost avoidance for any future service expansions.

PAGE: 94

SECTION:

4.11.2.5 Power requirements:

four (4) L6-20 receptacles. (1) L6-30 receptacle in the closet. Each receptacle should be on a separate circuit. Receptacles should be located in close proximity to the top or side of the rack, not to impede the walkway or cable management

QUESTION:

Could the government please confirm the power requirements and if two 20-amp dedicated receptacles on the network rack are acceptable?

ANSWER: That should be sufficient. Tripp Lite PDU’s are utilized as a standard.

PAGE: 95

SECTION:

4.11.2.6.6 Racks - both racks will have 2 shelves on the bottom installed to hold IT computers

QUESTION:

Could the government please confirm if shelves are required?

ANSWER: Yes.

PAGE: 95

SECTION:

4.11.2.6.7 Infrastructure installer should install Leviton CAT6 patch panels and connectors in the rack.

QUESTION:

Could the government please confirm if a comparable brand to Leviton is suffice.

ANSWER: Panduit is used as a standard.

PAGE: 96

4.11.3.7 providing one small desktop color printer for printing patient education information.

QUESTION:

Could the government please confirm if VA is purchasing the color printer or Contractor?

ANSWER: The VA will be responsible for providing one small desktop color printer for printing patient education information.