36C25622R0096_1 Psychiatrists SLVHCS NOLA 16 Aug 22.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

36C25622R0096_1

Thomas Kovarovic,Contract Specialist 501-257-1372 09-15-2022

3PM CST

Department of Veterans Affairs

NCO 16

Central Arkansas Veterans HCS

2200 Fort Roots Drive, Bldg. 41, Room 200

North Little Rock AR 72114 1706

X 100

X

621112

$12 Million

N/A

Department of Veterans Affairs

Southeast Louisiana Veterans HCS

2400 Canal Street

New Orleans LA 70119

NCO 16

Central Arkansas Veterans HCS

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp

Invoice Setup Information 1-877-489-6135 invoice must be submitted electronically

1-877-489-6135

See CONTINUATION Page

The contractor shall provide one (1) Substance Use Disorder

Treatment (SUDT) Psychiatrist and Two (2) General

Psychiatrists Psychiatrists. The Psychiatrists must be Board Certified or

Board Eligible.

Contractor shall furnish services at Southeast Louisiana

Veterans Health Care System (SLVHCS) at 2400 Canal St.

New Orleans, LA 70119 or at any of the eight Community Based

Outpatient Clinics Outpatient Clinics listed on page 5 of this solicitation.

This Acquisition will be executed IAW FAR Part 15

Reference Price Schedule on Page 5.

Proposals are due by 15 Sep 2022 at 3:00 PM CST

31 January 2022 at 3:00 PM CST. No late Proposals will be accepted. All questions must be submitted via email to thomas.kovarovic@va.gov No Later than 29 August 2022 at 3:00 PM CST

CST.

See CONTINUATION Page

X 1

Billy Morris

Contracting Officer

36C25622R0096

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

B.4 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2021)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 51

C.7 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (NOV 2021)

C.8 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.9 VAAR 852.219-77 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (SEP 2021)

(DEVIATION)

C.10 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022)

C.12 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.13 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.14 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.15 VAAR 852.237-75 KEY PERSONNEL (OCT 2019

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 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

ITEMS

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 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.9 ADDENDUM TO 52.212-2 EVALUATION COMMERCIAL ITEMS

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022)

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 36C256

NCO 16

Central Arkansas Veterans HCS

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 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.

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 invoice must be submitted electronically

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

AMENDMENT NO DATE

B2. SCHEDULE OF SERVICES

The contractor shall furnish all personnel to provide services necessary to perform psychiatric care for Veterans and other eligible beneficiaries on site or virtual at SLVHCS at 2400 Canal Street, New Orleans, LA 70119, or at any of the eight Community Based Outpatient Clinics. The contractor’s board certified or board eligible psychiatrist(s) care shall cover the range of Substance Use Disorder Treatment (SUDT) psychiatry and general psychiatry services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American Psychiatric Association (APA) Guidelines: American Psychiatric Association Practice Guidelines (psychiatryonline.org)

The Contractor shall propose a minimum of three (3) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Place of Performance: Services shall be provided on site or virtual at SLVHCS at 2400 Canal

Street, New Orleans, LA 70119, or at any of the eight Community Based Outpatient Clinics:

** The word “Virtual” defined as the remote diagnosis and treatment of patients by means of telecommunications technology. There may be occasions when it is necessary for the psychiatrists to perform duties virtually at SLVHCS or at other approved locations which will be determined on case-by-case basis depending on the needs of SLVHCS. SLVHCS will provide the laptop and docking station only to setup a virtually office when a contract psychiatrist is working remote from the facility. All other items to setup the virtual office will be provided by the vendor.

Canal Street VA Outpatient Clinic 3434 Canal Street New Orleans, LA 70119

Baton Rouge Outpatient Clinic (South Clinic) 7850 Anselmo Lane Baton Rouge, LA 70809

Bogalusa VA Outpatient Clinic 521 Ontario Ave. Bogalusa, LA 70427

Franklin VA Outpatient Clinic 603 Haifleigh Street Franklin, LA 70538

Hammond VA Outpatient Clinic 1131 South Morrison Boulevard Hammond, LA 70483

Houma CBOC 6433 West Park Ave. Houma, LA 70364

Slidell VA Outpatient Clinic 60491 Doss Drive Ste. B Slidell, LA. 70460

St. John VA Outpatient Clinic 4004 West Airline Hwy. Reserve, LA 70084.

https://psychiatryonline.org/guidelines https://psychiatryonline.org/guidelines

Period of Performance: BASE PERIOD: February 1, 2023 to September 30, 2023

LIN SLIN Description Est.

Qty.

Unit Unit Cost Est. Total

Annual

Cost

0001 None Board Certified or Board Eligible

Two (2) Psychiatrists

Est.

Hours

KEY PERSONNEL

0001 0001a

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $ _______/hr $

0001 0001b

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

0002 None Board Certified or Board Eligible

SUDT Psychiatrist

1344 Est.

KEY PERSONNEL

0002 0002a

Board Certified or Board Eligible

SUDT Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

TOTAL FOR BASE PERIOD

Est.

OPTION PERIOD 1: October 1, 2023 to September 30, 2024

Unit Unit Cost Est. Total

Annual

Cost

0001 None

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $ _______/hr $

0001 0001b

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

2000 Est.

KEY PERSONNEL

0002 0002a

Board Certified or Board Eligible

SUDT Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

TOTAL FOR OPTION PERIOD 1

Est.

OPTION PERIOD 2: October 1, 2024 to September 30, 2025

LIN SLIN Description Qty. Unit Unit Cost Total

Annual

Cost

0001 None

Hours

KEY PERSONNEL

0001 0001a

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $ _______/hr $

0001 0001b

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

0002 0002a

Board Certified or Board Eligible

SUDT Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

TOTAL FOR OPTION PERIOD 2 Est.

Hours $

OPTION PERIOD 3: October 1, 2025 to September 30, 2026

Unit Unit Cost Est. Total

Annual

Cost

0001 None

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $ _______/hr $

0001 0001b

Board Certified or Board Eligible

Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

2000 Est.

KEY PERSONNEL

0002 0002a

Board Certified or Board Eligible

SUDT Psychiatrist

NAME:____________

TITLE:____________

Est.

Hours $________/hr $

TOTAL FOR OPTION PERIOD 3

Est.

Total for base performance period and all option years: $____________________

Estimated Quantities - All quantities listed herein are estimated quantities. The Government is not obligated to purchase any specified amount of services under this contract beyond the contractual guaranteed minimum, but will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contract.

In accordance with FAR 16.504, the guaranteed minimum value of services the Government will acquire under the contract is $10,000.00. The maximum value of services the Government will acquire under the contract shall not exceed $8,000,000.00.

Task Orders will be issued by the Contracting Officer to fund services provided against the contract. Invoices shall be in accordance with the price schedule.

Current Pricing will apply to any extension of Services per FAR clause 52.217-8 – Option to

Extend Services.

For purposes of award of this contract, the Government intends to evaluate the option to extend services under FAR 52.217-8 as follows: The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be those rates in effect under the contract each time an option is exercised under this clause. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the

Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

B3. PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1 Services Provided: The contractor shall provide three (3) Board Certified or Board Eligible psychiatrists to provide psychiatric care. Services shall be provided on site or virtual at SLVHCS at 2400 Canal Street, New Orleans, LA 70119, or at any of the eight Community Based Outpatient Clinics listed on page 5 of this solicitation.

1.1.1 The contractor shall provide two (2) general psychiatrists who will provide mental health therapy, assessments, and medication management for the substance disorder, Inpatient, Emergency, Outpatient and Counseling Liaison psychiatry disciplines. The general contract psychiatrists will provide face-to-face or tele-med initial diagnosis, assessment, medication management, evidenced-based therapy sessions, and specialized consolations to veterans assigned to SLVHCS. Services shall be provided on site or virtual at SLVHCS at 2400 Canal Street, New Orleans, LA 70119, or at any of the eight Community Based Outpatient Clinics. The psychiatrists will provide acute, rehabilitative, and long-term treatment for veterans. The psychiatrist is expected to see 15 patients per day when providing medication management for established patients during 30-minute visits. In the case of a new patient visit, the patients seen per day would be less as the appointment slots are 60-minute visits. The contractor will be notified of the appropriate clinic profile upon contract award.

1.1.2 The contractor shall provide one (1) Substance Use Disorder Treatment (SUDT) psychiatrist to provide therapeutic care, treatment, medication management, and rehabilitative services to veterans suffering from opiate and alcohol addictions in an outpatient and inpatient setting. The SUDT psychiatrist will support an outpatient buprenorphine clinic, refer veterans for in/outpatient detox, and work with the SLVHCS Pain Team consulting patients with chronic pain and opioid dependence issues.

Additionally, the SUDT psychiatrist will provide psychiatric care to all mental health clinics at all locations. Services shall be provided on site or virtual at SLVHCS at 2400 Canal Street, New Orleans, LA 70119, or at any of the eight Community Based Outpatient Clinics.

1.1.3 All contract psychiatrists will document all patient interactions in the electronic medical record the same day but not later than 24 hours of visit. The contractor will be notified of the appropriate clinic profile upon awarding of this proposed contract. The services performed by the contractor will be performed in accordance with VA policies and procedures and the regulations of the medical staff bylaws of the VA facility. The services to be performed will be monitored by the Chief of Staff, Mental Health Service, and the Team Leader, Ambulatory Mental Health Service. The VA will notify the contractor by written notification when services are required at an alternate location. It is the responsibility of the contractor to coordinate the relocation and lodging for their staff.

1.1.4 Background: The locum psychiatrist is expected to see up to 15 patients per day providing medication management, assessment, and/or addiction therapy during outpatient visits and inpatient setting. It is the responsibility of the contractor to coordinate the relocation and lodging for their staff. Any modifications to this contract will be prepared by the VA Contracting Officer. Individuals who present with severe mental health depression are admitted to the New Orleans Medical Center or other VA facilities or local hospital under a physician emergency certificate. The patient is transported through a 911 call or transported by contract ambulance service to an appropriate VA medical center, as their condition requires.

1.2 Place of Performance: Contractor shall furnish services onsite or virtual at the Southeast

Louisiana Veterans Health Care System (SLVHCS) 2400 Canal Street, New Orleans, LA.

70119 or at the eight Community Based Outpatient Clinic (CBOC) locations as needed that are listed on page 5 of this solicitation.

1.3 Authority: Title 38 USC 8153. In accordance with FAR Parts 12 and 15.

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

VHA performance and quality criteria and standards listed within this Performance Work

Statement (PWS). Performance and quality standards may change during the contract.

New or revised quality/performance criteria or standards will be provided to the Contractor before implementation date and throughout the life of the contract through written modifications, as applicable.

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=9174

1.4.3 VHA Handbook 1100.19: Credentialing and Privileging:

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.4 VHA Directive 1003.04: VHA Patient Advocacy:

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

1.4.5 VHA Directive 1088: Communicating Test Results to Providers and Patients:

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

1.4.6 VHA Directive 1192.01: Seasonal Influenza Prevention Program:

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

1.4.7 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

1.4.8 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8579

1.4.9 VA Directive 1663: Health Care Resources Contracting – Buying:

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

1.4.10 VHA Directive 1907.01: VHA Health Information Management and Health

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

1.4.11 VHA Directive 1100.20 Credentialing of Health Care Providers:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=9444

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 ABA: American Board of Anesthesiology http://www.theaba.org/ https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 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=8948 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8579 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9444&data=04%7C01%7C%7C5a2fc81d5c9e4c31696308d9ca3b3c47%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637763178024295633%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=g4iIWP0fMWV1ITn9%2F0vT4lpul7nFJAe%2FDMHlz4MTfT8%3D&reserved=0 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.theaba.org/

1.5.2 ACGME: Accreditation Council for Graduate Medical Education

1.5.3 ACLS: Advanced Cardiac Life Support

1.5.4 AOD: Admitting Officer of the Day

1.5.5 ASA: American Society of Anesthesiologists

1.5.6 BLS: Basic Life Support

1.5.7 CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

1.5.8 CDC: Centers for Disease Control and Prevention

1.5.9 CR: Contract Discrepancy Report

1.5.10 CEU: Certified Education Unit

1.5.11 CME: Continuing Medical Education

1.5.12 CMS: Centers for Medicare and Medicaid Services

1.5.13 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.

1.5.14 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.

1.5.15 COS: Chief of Staff

1.5.16 COVID-19: Coronavirus Disease 2019

1.5.17 CPARS: Contractor Performance Assessment Reporting System

1.5.18 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.

1.5.19 DEA: Drug Enforcement Agency

1.5.20 ED: Emergency Department

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

1.5.22 FSMB: Federation of State Medical Boards

1.5.23 HHS: Department of Health and Human Services

1.5.24 HIPAA: Health Insurance Portability and Accountability Act

1.5.25 HR: Human Resources

1.5.26 ISO: Information Security Officer

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 http://www.aacn.nche.edu/accreditation 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 NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

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

1.5.32 NP: Nurse Practitioner

1.5.33 NPPES: National Plan and Provider Enumeration System

1.5.34 PA: Physician Assistant

1.5.35 PALS: Pediatric Advanced Life Support

1.5.36 POP: Period of Performance

1.5.37 PPD: Purified Protein Derivative

1.5.38 PWS: Performance Work Statement

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

1.5.40 QA/QI: Quality Assurance/Quality Improvement

1.5.41 QM/PI: Quality Management/Performance Improvement

1.5.42 QASP: Quality Assurance Surveillance Plan

1.5.43 SUDT: Substance Use Disorder Treatment

1.5.44 Veterans Health Administration (VHA): The central office for administration of the

VA medical centers through throughout the United States. The VHA is located in

Washington, D.C.

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

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

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

1.5.48 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 Southeast Louisiana Veterans Health Care System (SLVHCS) Medical Center.

2 QUALIFICATIONS:

2.1 Staff/Facility

2.1.1 License: The contractor’s psychiatrist(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) when services are performed onsite on VA property. The qualifications of such personnel shall also be subject to review by the VA Chief of

Staff and approval by the VA Facility Director.

All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s psychiatrist(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 revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract. The government specifically reserves the right to reject any of the contractor’s personnel and refuse them permission to provide services under this contract.

2.1.2 Board Certification: Contractor’s psychiatrists(s) shall be Board Certified or Board

Eligible by the American Board of Psychiatry and Neurology (ABPN) and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support

(ACLS) or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3 Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 and VHA Directive

1100.20 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 approval by the (SLVHCS) Professional Standards Board, Medical Executive

Board and Medical Center Director.

2.1.3.1 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.

2.1.4 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. All personnel shall be computer literate and be able to learn the Computerized Patient Record System (CPRS).

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.

2.1.5 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 credentials’ 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).

2.1.6 Training (ACLS, 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 contractor’s physician(s) as required by the VA.

Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training (The following training is mandatory per VHACO for Contracted Physicians)

Frequency Annual Hours

Active Threat Training Once a year 1 hour

Government Ethics Once a year 1 hour

Prevention of Workplace Harassment/No Fear Act

Once a year 1 hour

VA Core Values Training (ICARE Recommitment)

Once a year 1 hour

VA Privacy and Information Security Awareness and Rules of Behavior

Once a year 1 hour

Privacy and HIPAA Training Once a year 1 hour

ACLS/BLS Bi-annually 2 hours

Prevention/Management of Disruptive Behavior/Violence Prevention

Once a year 1 hour

Suicide Prevention: Suicide Risk Management Training for Clinicians

Once a year 1 hour

EHR Once a year 1 hour

VA Mandatory Training As Assigned Variable

2.1.7 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.

2.1.7.1 TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis

Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor's physician(s) 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.

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

2.1.7.3 VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians

{This is applicable to all health care workers}.

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

2.1.7.5 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}.

2.1.7.6 COVID-19: Contractors shall comply with VHA Supplemental Contract Requirements for

Combatting COVID-19 {This is applicable to all health care workers}. – See Section D attachment.

2.1.7.7 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.

2.1.7.8 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.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.1.8 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 proposal. The online application to obtain an NPI is at https://nppes.cms.hhs.gov/NPPES.

2.1.9 DEA: Contractor shall provide copy of current DEA certificate.

2.1.10 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 proposal and during the entirety of contract performance.

At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70

Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.11 Citizenship related Requirements:

2.1.11.1 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;

2.1.11.2 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.

2.1.11.3 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 https://nppes.cms.hhs.gov/NPPES 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.

2.1.11.4 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.

2.1.11.5 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.

2.1.12 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.

2.1.12.1 Therefore, Contractor shall review the HHS OIG List of Excluded

Individuals/Entities on the HHS OIG web site at https://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.

2.1.12.2 By submitting their proposal, the Contractor certifies that the HHS OIG List of

Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2 Clinical/Professional 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 1100.20 and VHA Directive 2012-030.

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 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.

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

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, and

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 3.0 FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

2.9.2 The minimum number of Board Certified or Board Eligible Psychiatrists required to be on site on a daily basis is 3 as defined in paragraph Hours of Operation in this section.

2.9.3 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 Southeast Louisiana Veterans Health Care System immediately of the schedule change.

2.9.4 Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The

Contractor shall notify the CO, in writing, within 30 calendar day (s) prior to 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 30calendar days prior to making any permanent substitutions.

2.9.4.1 The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 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.

2.9.4.2 For temporary substitutions where the key person shall not be reporting to work for 3 consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3 The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives.

Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any

Contractor’s 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.

2.9.4.4 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 VA HOURS OF OPERATION

3.1 VA Business Hours: Monday through Friday, 8:00am to 4:30pm

3.1.1 Patients must be seen by a Contractor’s Psychiatrist(s) on-site or virtual at SLVHCS at 2400 Canal Street, New Orleans, LA 70119, or at any of the eight Community

Based Outpatient Clinics as listed in the Schedule of Services in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2 Contractor’s physician(s) s shall be available and present in clinic during normal clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 8:00am to

4:30pm.

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

Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared to be a national holiday.

3.3 Cancellations: In the event of a last-minute cancellation, the Contractor shall notify the

Associate Chief of Staff for Mental Health of cancellation by phone or as soon as possible.

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 Psychiatry services 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 Psychiatric Association (APA) Guidelines:

https://www.psychiatryonline.org/guidelines

4.2.2 The professional standards of the Joint Commission (TJC):

http://www.jointcommission.org/standards_information/standards.aspx

4.2.3 The standards of the American Hospital Association (AHA):

http://www.hpoe.org/resources?show=100&type=8 and;

4.2.4 The requirements contained in this PWS

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 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).

4.3.2 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 of VA patients. Based on this exception, a BAA is not required for this contract.