36C25525Q0419.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. UEI: EFT:

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

36C25525Q0419 06-25-2025

Patricia A. Trusler 913.946.1115 07-25-2025

15:00 CDT

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

Leavenworth KS 66048

X

621492

$47 Million

N/A

X

Robert J. Dole VAMC 5500 E. Kellogg Wichita KS 67218

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15

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

Under the Authority of Public Law 104-262, 38 USC 8153, and FAR Part 13 the contractor is to provide Dialysis Services in accordance with the terms and conditions and prices stated herein. Health care resources consist of registered nurses and equipment outlined in the Performance Work Statement. Services are to be furnished for Robert J. Dole VA Medical Center, Wichita KS. Price Schedule is located in Section B.2.

See CONTINUATION Page

To be funded by individual Task Orders

X X

X 1

Leah Thurman

VA-VHA-RPOC-2024-0060

36C25525Q0419

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2023)

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) ... 44

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.10 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.11 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.12 VAAR 852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899

(DEVIATION)(APR 2025)

C.13 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

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

C.15 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) . 48

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

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION FEB 2025)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.201-1 ACQUISITION 360: VOLUNTARY SURVEY (SEP 2023)

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFEROR – COMMERCIAL

ITEMS

E.4 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.5 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.6 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

E.9 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.10 VAAR 852.228-71 INDEMNIFICATION AND INSURANCE (MAR 2018)

E.11 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE

RESOLUTION (OCT 2018)

E.12 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.13 VAAR 852.273-70 LATE OFFERS (NOV 2021)

E.14 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

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:

Name of Company:

Name:

Title:

Address:

Phone Fax No.:

Unique Entity ID (UEI): ________________________________

b. GOVERNMENT: Contracting Officer (90C)

Leah Thurman, Contracting Officer Department of Veterans Affairs

Network Contracting Office (NCO) 15

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address:

[X] 52.232-33, Payment by Electronic Funds Transfer Other than Central Contractor Registration, 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 in arrears

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. The latest information shall be used for invoicing payments and may change during the Period of Performance of this acquisition. Current invoicing information is located at http://www.fsc.va.gov/einvoice.asp.

Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin TX 78744

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

AMENDMENT NO DATE

6. POST-AWARD ORIENTATION: The Contracting Officer has determined a post award orientation will not be scheduled for this acquisition in accordance with FAR 42.502.

7. MANDATORY WRITTEN DISCLOSURES

Mandatory written disclosures required by FAR clause 52.203-13 to the Department of Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA OIG Hotline at https://www.vaoig.gov/hotline/online-forms and clicking on “Submit a Complaint”. If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instructions.

https://www.vaoig.gov/hotline/online-forms

B.2 PRICE SCHEDULE

The contractor shall furnish all personnel to provide non-personal Healthcare Resources in accordance with the attached Performance Work Statement, to furnish to and at the Department of Veterans Affairs, Robert J. Dole VAMC, 5500 Kellogg, Wichita, KS 67216-1607. The contractor’s Hemodialysis nursing care shall cover the range of Hemodialysis 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 established by Commission on Collegiate Nursing Education CCNE: www.aacn.nche.edu/accreditation.

All services shall be performed on-site at the Robert J. Dole VAMC, 5500 Kellogg, Wichita, KS 67216-1607. Any services provided off-site shall not be compensated. The services are for one year with the option to extend for four (4) one (1) year options, which may be exercised at the discretion of the Government.

The prices provided in the Price Schedule shall be inclusive of all Line Item(s) defined in the

PWS.

Contract Minimum and Maximum: In accordance with FAR Clause 52.216-22, Indefinite quantity, the overall guaranteed minimum amount established is $5,000.00 applicable during the fiscal year of the base award and the overall maximum amount for this contract is $1,831,000.00.

Place of Performance: Services shall be provided onsite, Robert J. Dole VAMC, 5500 East Kellogg Ave., Wichita, KS 67218.

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

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, 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.

http://www.aacn.nche.edu/accreditation

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

QUANTITY UNIT UNIT

PRICE

AMOUNT

400.00 EA

Acute Hemodialysis Services

Contract Period: Base POP Begin: 12-01-2025 POP End: 11-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers PRODUCT/SERVICE CODE: Q401 - Medical - Nursing

85.00 EA

Continuous Ambulatory Peritoneal Dialysis (CAPD)

Contract Period: Base POP Begin: 12-01-2025 POP End: 11-30-2026

65.00 EA

Cycler Peritoneal Dialysis (CCPD)

Contract Period: Base POP Begin: 12-01-2025 POP End: 11-30-2026

30.00 EA

Catheter Assist

Contract Period: Base POP Begin: 12-01-2025 POP End: 11-30-2026

Contract Period: Option 1 POP Begin: 12-01-2026 POP End: 11-30-2027

POP Begin: 12-01-2026 POP End: 11-30-2027

POP Begin: 12-01-2026 POP End: 11-30-2027

Contract Period: Option 1 POP Begin: 12-01-2026 POP End: 11-30-2027

Contract Period: Option 2 POP Begin: 12-01-2027 POP End: 11-30-2028

POP Begin: 12-01-2027 POP End: 11-30-2028

POP Begin: 12-01-2027 POP End: 11-30-2028

Contract Period: Option 2 POP Begin: 12-01-2027 POP End: 11-30-2028

Contract Period: Option 3 POP Begin: 12-01-2028 POP End: 11-30-2029

POP Begin: 12-01-2028 POP End: 11-30-2029

POP Begin: 12-01-2028

POP End: 11-30-2029 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

POP Begin: 12-01-2028 POP End: 11-30-2029

Contract Period: Option 4 POP Begin: 12-01-2029 POP End: 11-30-2030

POP Begin: 12-01-2029 POP End: 11-30-2030

Contract Period: Option 4 POP Begin: 12-01-2029 POP End: 11-30-2030

POP Begin: 12-01-2029 POP End: 11-30-2030

GRAND

TOTAL

B.3 PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT Onsite Acute/Chronic Hemodialysis Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide on-site acute/chronic hemodialysis and peritoneal services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Robert J. Dole VA Medical Center.

1.2. Place of Performance: Robert J. Dole VA Medical Center, 5500 E. Kellogg, Wichita, Kansas 67218

1.3. Authority: Title 38 USC 8153, Sharing of Health-Care Resources (HCR) Authority, FAR

Part 12 and 13.

1.4. Policy/Handbooks:

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 1100.21: Privileging

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=10179

1.4.3. VHA Directive 1230(5) Outpatient Scheduling Management:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9810

1.4.5. VHA Directive 1192.01 "Seasonal Influenza Vaccination Program for VHA Health Care Personnel" https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.4.6. VHA Directive 6300(1) Records Management

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8113

1.4.7. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.8. VHA Directive 1100.18 Reporting and Responding To State Licensing Boards https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174

1.4.9. VHA Directive 1100.20 Credentialing of Health Care Providers:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=944

1.4.10. VHA Directive 1907.01(1) VHA Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

1.4.11. VHA Directive 1605.01 Privacy and Release of Information https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=11388

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.html https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=10179 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9810 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8113 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=11388 http://www.justice.gov/oip/foia%20updates/Vol%20XVII%204/page2.html

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. CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CDR: Contract Discrepancy Report

1.5.6. CEU: Certified Education Unit

1.5.7. CME: Continuing Medical Education

1.5.8. CMS: Centers for Medicare and Medicaid Services

1.5.9. 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.

1.5.10. 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.

1.5.11. COS: Chief of Staff

1.5.12. CPARS: Contractor Performance Assessment Reporting System

1.5.13. 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.

1.5.14. EHR: Electronic Health Record

1.5.15. 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.

1.5.16. HHS: Department of Health and Human Services

http://www.aacn.nche.edu/accreditation

1.5.17. HIPAA: Health Insurance Portability and Accountability Act

1.5.18. HR: Human Resources

1.5.19. ISO: Information Security Officer

1.5.20. 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.

1.5.21. MOD: Medical Officer of the Day

1.5.22. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

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

1.5.24. POP: Period of Performance

1.5.25. PWS: Performance Work Statement

1.5.26. PRN: Pro Rata Nurse

1.5.26. OASP: Quality Assurance Surveillance Plan

1.5.27. Veterans Integrated Services Network (VISN): The regional oversight for the

VA medical centers.

1.5.28. VetPro: A federal web-based credentialing program for healthcare providers.

1.5.29. 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.

1.5.30. 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 Robert J. Dole, Wichita, Kansas VA Medical Center.

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 http://www.nlnac.org/ nurses license in any State, Territory, or Commonwealth of the United States or the District of Columbia.

2.1.2. Credentialing-Credentialing is to be done in accordance with the provisions of VHA Directive 1100.20 Credentialing of Health Care Providers. Contractor personnel must be able to pass the VAMC's credentialing process. VetPro will be completed annually to meet VHA Directive requirements. If a contract provider(s) is not credentialed or has credentials 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.

2.1.4. 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.

2.1.4.1. The contractor shall be certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) through the American Heart Association. All continuing education courses required for maintaining certification must be always kept up to date. Documentation verifying current certification shall be provided by the Contractor to the VA Contracting Officer Representative (COR) on an annual basis for each year of contract performance.

2.1.5. STANDARD INFECTION CONTROL MEASURES (PPD,

IMMUNIZATIONS, 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.

2.1.5.1. TUBERCULOSIS TESTING: Contractors shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor's physician(s) upon hire in accordance with CDC guidance. {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.

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

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

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

2.1.5.5. 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}.

2.1.5.6. COVID-19: Contractors shall comply with local VAMC guidance.

2.1.5.7. 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.

2.1.5.8. The facility 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 https://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.

2.1.5.9. 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 if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the quote.

2.1.5.10. Conflict of Interest: The Contractor and all Contractor’s physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote Contractor shall provide a statement https://www.cdc.gov/hicpac/pdf/InfectControl98.pdf 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 and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.6. Citizenship related Requirements:

2.1.6.1. 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;

2.1.6.2. 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.

2.1.6.3. 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.

2.1.6.4. 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.

2.1.6.5. 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.

2.1.7. 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.

2.1.7.1. 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.

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

2.2. Clinical/Professional 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 Directive 1100.20 Credentialing of Health Care Providers and VHA Directive 1100.21.

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

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor’s 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.

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

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 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.

2.7. 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:

2.7.1. Workers' compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. 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.

2.9. Key Personnel:

2.9.1. The Contractor shall assign to this contract the following key personnel:

First and Last Name:

2.9.2. 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 Contracting Officer, in writing, within 5 calendar day(s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the Contracting Officer at least 15 calendar days prior to making any permanent substitutions.

2.9.3. 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.

2.9.4. 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. Any period exceeding two weeks will require the procedure as stated above.

2.9.5. 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.

2.9.6. The Contractor shall assign to this contract the, following key personnel: Acute care nurses.

2.9.7. Contingency Plan: Because continuity of care is an essential part of Facility’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.

3. VA HOURS OF OPERATION/SCHEDULING:

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

3.2. Business hours for the VAMC follow:

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

3.3. Federal Holidays: Clinical Contractor shall perform work on federal holidays.

The eleven (11) Federal holidays observed by VA are as follows;

(a) New Year's Day 1 January

(b) Martin Luther King, Jr. Birthday 3rd Monday in January*

(c) President's Day 3rd Monday in February*

(d) Memorial Day Last Monday in May *

(e) Juneteenth National Independence Day 19 June

(f) Independence Day 4 July

(g) Labor Day 1st Monday in September*

(h) Columbus Day 2nd Monday in October*

(i) Veterans Day 11 November

(j) Thanksgiving Day 4th Thursday in November*

(k) Christmas Day 25 December any other day specifically declared by the President of the United States to be a national holiday. Asterisk (*) indicates the dates change each year.

4. CONTRACTOR RESPONSIBILITIES

4.1. The contractor shall provide the dialysis system and registered nurses to perform the requirements of this contract as outlined below. Personnel assigned by the contractor to perform services covered by the contract shall hold a State Board of Nursing license. The Wichita VAMC will provide the water treatments, the Contractor shall provide needed labor, labor shall be continuous (7 days per week/24 hours per day) on a stand-by PRN coverage, supplies, and equipment for acute hemodialysis and peritoneal dialysis coverage at the Robert J. Dole VA Medical Center, 5500 E. Kellogg, Wichita, Kansas.

4.2. The contractor shall provide acute/chronic hemodialysis on patients residing in the on-site Transitional Living Center (TLC). Patients residing in the TLC normally have dialysis services performed in an outpatient dialysis unit, however when the need arises for dialysis of a TLC patient in the inpatient unit the contractor will be responsible for performing these services. The VA will provide adequate clinical space.

4.3. The contractor shall provide a dialysis system compatible with the Mar-Cor Millenium Portable RO Machines water treatment system in place at the Wichita VAMC.

4.4. Scheduled Dialysis Services shall be provided during normal business hours for each patient identified by the Wichita 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 Wichita VAMC within two (2) hours of notice. 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 Wichita 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 perform the required services as specified for payment of service to be authorized.

4.7. The contractor shall ensure that the water treatment system in place at the Wichita VAMC that is utilized in the performance of this contract is maintained to meet the AAMI (Association for the Advancement of Medical Instrumentation) recommendations regarding water and dialysate fluid safety for hemodialysis.

Any damage to the VA equipment or property as a result of contractor negligence or contractor equipment malfunction shall be made whole at the contractor's expense.

4.8. An on-going teaching program shall be offered to patients to allow them to gain knowledge of the following:

4.8.1. A self-care concept.

4.8.2. Normal kidney structure and function

4.8.3. Causes of kidney failure

4.8.4. Effects of kidney failure on the body

4.8.5. Medication regimen

4.8.6. Dietary regimen

4.8.7. Circulatory access

4.8.8. Hemodialysis/continuous ambulatory peritoneal dialysis (CAPD) principles and procedures.

4.9. Required medications (antihypertensives, erythropoietin, antimicrobial agents, etc.) will be provided by the VA pharmacy upon submission of a prescription written by the Nephrologist.

4.10. A specific plan of care shall be designed for each patient based upon nursing diagnosis or clinical nursing problems, expected patient outcomes and nursing intervention. Any of the following nursing diagnosis experienced by the patient shall be addressed by the plan of care:

4.10.1. Impairment of skin integrity

4.10.2. Fluid volume excess

4.10.3. Alteration in cardiac output related to hyperkalemia.

4.10.4. Alteration in cardiac output secondary to hyperkalemia

4.10.5. Alteration in cardiac output related to uremia or dialysis-associated pericarditis, pericardia, effusion and pericardial tamponade secondary to uremia and dialytic therapy.

4.10.6. Activity intolerance related to uremia.

4.10.7. Sexual dysfunction related to effects of uremia on endocrine system and/or psychosocial impact of renal failure and its treatment.

4.10.8. Alterations in comfort related to peripheral neuropathy caused by effects of uremia and peripheral nerves.

4.10.9. Impaired gas exchange

4.10.10. Alterations in oral mucous membranes

4.10.11. Alterations in nutrition, less than body requirements

4.10.12. Impaired physical mobility

4.10.13. Anxiety

4.10.14. Powerlessness

4.10.15. Noncompliance

4.10.16. Grieving

4.10.17. Alterations in self-concept

4.11. Customer/patient satisfaction:

4.11.1. 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).

4.11.2. 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.

4.12. The contractor shall offer support for the patient and family members in achieving and maintaining a lifestyle meaningful to them. Family members shall be advised on the patients' nutritional needs, daily living needs, and other special needs.

4.13. MEDICAL RECORDS

4.13.1. Authorities: Contract personnel providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the 5 U.S.C.552a (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).

4.13.2. 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 of VA patients. Based on this exception, a BAA is not required for this contract. Health records generated by this contract or provided to the Contractors by the VA are covered by the VA Privacy Act system of records entitled ‘Patient Medical Records-VA’ (24VA10A7). 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 provided to VA patients are captured in the VA electronic health record system as required by VA policy.

4.13.3. Disclosure: Contract’s personnel may have access to patient medical records for the purpose of providing medical care and services to VA patients and performing services under the contract; however, Contractor shall obtain permission from the VA before disclosing any patient information outside the VA. VA authorizes the Contractor to discuss patient health information for coordination of care with community health care providers in compliance with VA regulations, HIPAA and VHA Directive 1605.01, Privacy and Release of Information. The VA will provide the Contractor with a copy of VHA Directive 1907.01, VHA Health Information Management and Health Records and VHA Directive 1605.01, 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.

4.13.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Directive 1907.01 VHA Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 and all guidelines provided by the facility.

4.13.5. Release of Information: The VA shall maintain control of releasing any copies of patient health information or health records and will follow policies and standards as defined, but not limited to Privacy Act requirements. Contractor will not release or disclose copies of records and will refer all such requests to the Release of Information Department at the VA facility were assigned.

4.13.6. Management for Medical Records: National Archives and Records Administration record disposition requirements are found in RCS 10-1 Chapter 6, 6000 series.

4.14. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY

IMPROVEMENT(QI)

4.14.1. Quality Management/Quality Assurance Surveillance: Contract personnel shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, and Peer Reviews. Methods of Surveillance: Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE). Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.

4.14.2. Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. If the Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

4.14.3. 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. The CO and COR shall deal with issues raised concerning Contractor’s conduct. The final arbiter on questions of acceptability is the CO.

4.14.4. Performance Standards:

4.14.4.1. Measure: Provider Quality Performance

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

Performance Requirement: All Contractor’s provider(s) shall perform in accordance with clinical standards.

Standard: OPPE documentation for all (100%) staff providing services under the contract. All staff (100%) meet Standards.

Acceptable Quality Level: 100% meet Standards Surveillance Method: OPPE data pertinent to care performed for each provider working under this contract. OPPE data will review the following elements:

A. Patient Care Performance B. Medical/Clinical knowledge C. Practiced Based Learning and Improvement D. Interpersonal and Communication Skills E. Professionalism F. System Based Practice Frequency: Every 6 months

4.14.4.2. Measure: Coverage

Performance Requirement: Response to emergency within two (2) hours of notice or request.

Standard: (100%) No more than 2 late arrivals per quarter.

Acceptable Quality Level: 95% Surveillance Method: Periodic Inspection and validated user/customer complaints.

Frequency: Every 3 months

4.14.4.3. Measure: Qualifications of Key Personnel

Performance Requirement: All Contractor’s registered nurse(s) shall be State licensed.

Standard: All (100%) Contractor’s registered nurse(s) shall hold a current State board of nursing license.

Acceptable Quality Level: 100% Surveillance Method: Random sampling of records.

Frequency: Every 3 months

4.14.4.4. Measure: Scope of Practice/Privileging

Performance Requirement: All (100%) Contractor’s registered nurse(s) perform within their scope of practice/privileges 100% of the time.

Standard: All (100%) Contractor’s registered nurse(s) perform within their scope of practice/privileges.

Acceptable Quality Level: Contractor’s registered nurse(s) perform within their scope of practice/privileges 95% of the time.

Surveillance Method: Random Inspection of records.

Frequency: Monthly

4.14.4.5. Measure: Invoices and Supporting Documentation

Performance Requirement: Invoices and supporting documentation must be submitted no later than the 20th workday of the month.

Standard: All (100%) contractor’s invoices and supporting documentation are submitted no later than the 20th. workday of the month.

Acceptable Quality Level: All (97%) Contractor’s invoices and supporting documentation are submitted no later than the 20th. workday of the month.

Surveillance Method: Periodic inspection.

Frequency: Periodic Inspection

4.14.4.6. Measure: Maintains licensing, registration, and certification Performance Requirement: Updated Licensing, registration and certification shall be provided as they are renewed. Licensing and registration information kept current.

Standard: All (100%) licensing, registration(s) and certification(s) for Contractor’s registered nurse(s) shall be provided as they are renewed.

Licensing and registration information kept current.

Acceptable Quality Level: 97% licensing, registration(s) and certification(s) for Contractor’s physician(s) shall be provided as they are renewed. Licensing and registration information kept current. No acceptable deviation.

Surveillance Method: Periodic Inspection or Random Sampling Frequency: Monthly

4.14.4.7. Measure: Mandatory Training, Privacy, Confidentiality and HIPAA Performance Requirement: Contractor personnel shall complete all required training on time per facility policy. Contractor personnel are aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA and complies with all standards Zero breaches of privacy or confidentiality.

Standard: All (100%) Contractor’s physician(s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and

HIPAA.

Acceptable Quality Level: 100% compliance Surveillance Method: Periodic Inspection; Contractor shall provide evidence of annual training required by the facility, reports violations per VA Directive 6500.6.

Frequency: Periodic Inspection

4.14.4.8. Measure: Mandatory Training

Performance Requirement: Contractor shall complete all required training per VAMC policy.

Standard: All (100%) required training is complete on time by Contractor’s registered nurse(s).

Ac…