36C25623Q0005.docx

36C25623Q0005

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

36C25623Q0005 02-2 -2023 Troy Davis 713-770-2659 03-1 -2023 12pm

CST

36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston TX 77056 X X 561320 $30 Million N/A X 36C598 Department of Veterans Affairs John L. McClellan (JLM) Memorial Veterans Hospital 4300 West 7th Street Little Rock AR 72205 36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston TX 77056

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

Setup 1-877-489-6135

(512) 460-5429 See CONTINUATION Page Contractor to provide qualified Autologous Transfusion Services and instrumentation at JLM Memorial Veterans Hospital, 4300 West 7th Street, Little Rock AR 77205.

B.2 Reference Schedule of Services and B.3 Performance Work Statement on page through 3 Addendum to 52.212-1 is attached and provides instructions to offerors on pages 47.

This is a single award solicitation in accordance with Federal Acquisition Regulation (FAR) 12, 13, 13.5, and 16.504 See CONTINUATION Page X X one( 1) Stephanie Keo

VA-VHA-2020-49890DD7

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston TX 77056-5643 Phone: 713-791-1414 ext 26408 E-mail: stephanie.keo@va.gov

Troy Davis, Contract Specialist Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Road, Suite 750 Houston TX 77056-5643 Phone: 713-770-2659 E-mail: troy.davis@va.gov

Tyler Jacobs, Contracting Officer Representative Department of Veterans Affair John L. McClellan Memorial Veterans Hospital 4300 West 7th Street Little Rock AR, 72205-5484 Phone: 501-257-6816 Email: tyler.jacobs@va.gov

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

or

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. Invoicing shall be in accordance with the requirements of The Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and 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

5. MANDATORY WRITTEN DICLOSURES: 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 http://www.va.gov/oig/contacts/hotline.asp and clicking on "FAR clause 52.203-13 Reporting." If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instruction.

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

7. The Contracting Officer will issue a post award orientation letter (in lieu of a conference) for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

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

(End of B.1 Contract Administration Data)

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

The contractor shall provide Auto-Transfusion Services (Cell Saver Blood Recovery) in accordance with the Performance Work Statement (PWS). The Government shall only pay for services ordered and received. Services shall include all resources, labor, travel, transportation, parts, materials, equipment, and IT connectivity necessary to meet the PWS requirements. Ordering period is 5 months.

Contract Period: Base

POP Begin: 05-01-2023

POP End: 09-30-2023

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

MANUFACTURER PART NUMBER (MPN): NA

0001AA

Auto-Transfusion Services (CellSaver Blood Recovery) Unit of "EA" means per procedure (pre-surgical case 4 hours). Pricing is all-inclusive and that no additional cost for emergencies or supplies will be billed.

Contract Period: Base

POP Begin: 05-01-2023

POP End: 09-30-2023

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

0001AB

Additional Hourly Rate (surgical case takes more than 4 hours) Unit of "EA" means per procedure Contract Period: Base

POP Begin: 05-01-2023

POP End: 09-30-2023

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

0001AC

Cancellation Rate Contract Period: Base

POP Begin: 05-01-2023

POP End: 09-30-2023

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

The contractor shall provide Auto-Transfusion Services (Cell Saver Blood Recovery) in accordance with the Performance Work Statement (PWS). The Government shall only pay for services ordered and received. Services shall include all resources, labor, travel, transportation, parts, materials, equipment, and IT connectivity necessary to meet the PWS requirements. Ordering period is 12 months.

Contract Ordering Period: 1

POP Begin: 10-01-2023

POP End: 09-30-2024

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

1001AA

Auto-Transfusion Services (CellSaver Blood Recovery) Unit of "EA" means per procedure (pre-surgical case 4 hours). Pricing is all-inclusive and that no additional cost for emergencies or supplies will be billed.

Contract Ordering Period: 1

POP Begin: 10-01-2023

POP End: 09-30-2024

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

1001AB

Additional Hourly Rate (surgical case takes more than 4 hours)

Contract Ordering Period: 1

POP Begin: 10-01-2023

POP End: 09-30-2024

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

1001AC

Cancellation Rate Contract Ordering Period: 1

POP Begin: 10-01-2023

POP End: 09-30-2024

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

The contractor shall provide Auto-Transfusion Services (Cell Saver Blood Recovery) in accordance with the Performance Work Statement (PWS). The Government shall only pay for services ordered and received. Services shall include all resources, labor, travel, transportation, parts, materials, equipment, and IT connectivity necessary to meet the PWS requirements. Ordering period is 12 months.

Contract Ordering Period: 2

POP Begin: 10-01-2024

POP End: 09-30-2025

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

2001AA

Auto-Transfusion Services (CellSaver Blood Recovery) Unit of "EA" means per procedure (pre-surgical case 4 hours). Pricing is all-inclusive and that no additional cost for emergencies or supplies will be billed.

Contract Ordering Period: 2

POP Begin: 10-01-2024

POP End: 09-30-2025

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

2001AB

Additional Hourly Rate (surgical case takes more than 4 hours)

Contract Ordering Period: 2

POP Begin: 10-01-2024

POP End: 09-30-2025

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

2001AC

Cancellation Rate Contract Ordering Period: 2

POP Begin: 10-01-2024

POP End: 09-30-2025

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

The contractor shall provide Auto-Transfusion Services (Cell Saver Blood Recovery) in accordance with the Performance Work Statement (PWS). The Government shall only pay for services ordered and received. Services shall include all resources, labor, travel, transportation, parts, materials, equipment, and IT connectivity necessary to meet the PWS requirements. Ordering period is 12 months.

Contract Ordering Period: 3

POP Begin: 10-01-2025

POP End: 09-30-2026

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

3001AA

Auto-Transfusion Services (Cell Saver Blood Recovery) Unit of "EA" means per procedure (pre-surgical case 4 hours). Pricing is all-inclusive and that no additional cost for emergencies or supplies will be billed.

Contract Ordering Period: 3

POP Begin: 10-01-2025

POP End: 09-30-2026

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

3001AB

Additional Hourly Rate (surgical case takes more than 4 hours)

Contract Ordering Period: 3

POP Begin: 10-01-2025

POP End: 09-30-2026

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

3001AC

Cancellation Rate Contract Ordering Period: 3

POP Begin: 10-01-2025

POP End: 09-30-2026

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

The contractor shall provide Auto-Transfusion Services (Cell Saver Blood Recovery) in accordance with the Performance Work Statement (PWS). The Government shall only pay for services ordered and received. Services shall include all resources, labor, travel, transportation, parts, materials, equipment, and IT connectivity necessary to meet the PWS requirements. Ordering period is 12 months.

Contract Ordering Period: 4

POP Begin: 10-01-2026

POP End: 09-30-2027

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

4001AA

Auto-Transfusion Services (CellSaver Blood Recovery) Unit of "EA" means per procedure (pre-surgical case 4 hours). Pricing is all-inclusive and that no additional cost for emergencies or supplies will be billed.

Contract Ordering Period: 4

POP Begin: 10-01-2026

POP End: 09-30-2027

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

4001AB

Additional Hourly Rate (surgical case takes more than 4 hours)

Contract Ordering Period: 4

POP Begin: 10-01-2026

POP End: 09-30-2027

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

4001AC

Cancellation Rate Contract Ordering Period: 4

POP Begin: 10-01-2026

POP End: 09-30-2027

PRINCIPAL NAICS CODE: 561320 - Temporary Help Services

PRODUCT/SERVICE CODE: Q702 - Technical Medical Support - Medical logistics, biomedical equipment, occupational/public health, medical supply, medical readiness.

Base Period Total: $____________ Ordering Period 1: $____________ Ordering Period 2: $___________ Ordering Period 3: $____________ Ordering Period 4: $_____________

Grand total for Base and all ordering period: $___________________ (End of B.2 Price/Cost Schedule)

B.3 Statement Of Work

Statement of Work for Blood Transfusion Services (Cell Saver Blood Recovery)

1. GENERAL:

1.1. Services Provided: Contractor shall provide trained operators for the set up, management and maintenance of Autologous Transfusions Systems services to the Department of Veterans Affairs (VA), Central Arkansas Veterans HealthCare System (CAVHS), 4300 West 7th Street, Little Rock, Arkansas 72205.

1.2. Place of Performance: Central Arkansas Veterans Healthcare System (CAVHCS), John L. McClellan Memorial Veterans Hospital, 4300, West 7th Street, Little Rock AR, 72205.

1.3. Authority: Federal Acquisition Regulation (FAR) parts 12, and 13.5.

1.4. Scope: Contractor shall provide the cell-saving machine(s) with related software (one software harness with tubing, bowl and one blood transfer pack) (the "Pack") to be used before, during and after surgery for the purpose of salvaging the patient's own blood. To enhance the ability of VA and contractor to timely provide to VA's patients the services described hereinabove, the cell saving machine(s) may be stored in VA's operating room suite. VA agrees to be responsible for the security of said equipment and assumes responsibility for any damage to or loss of said equipment while in its care.

1.4.1. VA shall provide all heparin, IV solutions, blood filters and bags, patient auto-transfusion records and labels and all other patient chargeable items not specifically mentioned herein. However, notwithstanding anything herein to the contrary, Contractor’s cell-saving equipment shall not be operated by anyone other than the employees, or agents of Contractor or any other person(s) as set forth in writing by Contractor unless a life-threatening situation exists as determined by a physician performing services at VA using reasonable judgment.

1.4.2. The Contractor shall comply with appropriate and applicable policies, procedures, bylaws, and regulations of the CAVHS as well as with Joint Commission (JC) College of American Pathologists, and CMS requirements related to services provided. The Contractor shall conduct quality assurance activities maintain quality assurance programs required by the above program’s guidelines. The Contractor shall maintain an active license and insurance during the life of the contract.

2. QUALIFICATIONS:

2.1. Contractor shall be financially responsible and able to show evidence of their responsibility, ability, experience, equipment, facilities and personnel directly employed or supervised by them to render prompt and satisfactory service in the volume required for all items under this contract. By execution of this contract, the Contractor is certifying that all requirements of Federal, State, or local laws, codes, and/or regulations regarding the operation of this type of service will be met.

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

3. HOURS OF OPERATION

3.1. Contractor will have trained operators on call twenty-four (24) hours a day, seven (7) days a week for autologous operative cases.

3.1.1. Contractor’s services shall be available and present for all hours of possible scheduled procedures, CAVHS which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff.

3.1.2. During Nights/Weekends/Holidays contractor providers of care should report and be ready in the operating room within 30 minutes of being called for surgery. Nights/weekends refer to hours outside the normal operating room hours of 0730-1800.

3.1.3. During normal hours of operation contractor must be onsite and ready to perform services 45 minutes prior to the start of surgery. Equipment and technicians must be cleared through biomed and SPS 45 minutes prior to surgical procedure.

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 by the President of the United States to be a national holiday.

3.1.4. Cancellations: contractor will not cancel service for any reason. Unless a state of emergency has been declared or clinics are otherwise cancelled by the VAMC, the contractor shall be responsible for providing services

4. CONTRACTOR RESPONSIBILITIES

4.1. Supervision: Contractor is responsible for supervision of his employees. The operating surgeon, nurse manager is available to provide consultation or suggestions to Contractor on how to perform such services without effecting the independence of Contractor.

4.2. Personnel Policy: The Contractor shall assume full responsibility for the protection of its personnel furnishing services under this contract, in accordance with the personnel policy of the Contractor, such as providing worker's compensation, professional liability insurance, health examinations, income tax withholding, and social security payments. The parties agree that the Contractor, its employees, agents, and sub-contractors shall not be considered VA employees for any purpose.

4.3. Tools, Equipment, and Supplies. Except to the extent set forth herein, to the extent possible in the industry of autologous blood servicing, Contractor shall be responsible for supplying its own office space, transportation, and significant equipment and supplies as necessary to properly perform the services described herein. Contractor shall furnish VA a certificate of insurance evidencing that it has in force liability insurance regarding its personnel, equipment and operations with a minimum coverage of $3,000,000 per occurrence and $1,000,000 in the aggregate. Contractor assumes the responsibility of having its agents, contractors, servants credentialed in a timely manner, per VA policy on Allied Health Personnel. Contractor shall also be responsible for paying its employees, agents and representatives own travel or other expenses incurred in connection with the services rendered under this agreement and shall not be entitled to any reimbursement from VA for any expenses. A list of Contractor employees and representatives shall be provided to VA

4.4. DELIVERABLES:

4.4.1. Set-up cell saver equipment and perform pre-operative (pre-op) activates as required by the operating room (OR) schedule.

4.4.2. Perform cell saver operations, which includes:

Step 1: Suction: The blood is sucked away from the operative site via a dual-limen tube, which mixes the blood immediately with the anticoagulant into a custom-made reservoir.

Step 2: Filtration: The contents of the reservoir are filtered to remove large closets and debris. Most collection reservoirs have filters in the 40-150 um range.

Step 3: Separation: The remaining volume is drawn into a centrifuge to be processed. Sterile isotonic saline solutions is pumped into the centrifuge bowl. The force supplies by the centrifuge holds the more dense RBCs against the outer wall of the bowl. The less dense plasma moves towards the center of the bowl where it spills over into a waste bag. Almost on-third of red cell volume may be lost in the scavenging device during processing, depending on the type of device in use. Photo-optics are used to detect the maximum cell density and then to initiate the washing of the packed suspension with a selected volume of saline.

Step 4: Disposal: Waste products, including white blood cells, platelets, plasma, anticoagulant, fat, clotting factors, and free plasma hemoglobin are collected in a bag and are disposed of as clinical waste.

Step 5: Cell salvage: Packed RBCs are collected in a separate bag. The quality of the collected red cells depends upon the volume of wash solutions used, the degree of concentration achieved and the quality of the blood before washing, the type of surgery, and the presence of residual contaminates.

Step 6: Reinfusion: The collected red cells can be reinfused immediately or for up to four (4) hours after processing if kept at room temperature. If citrate is used as an anticoagulant, rapid liver metabolism makes citrate toxicity unlikely, but in compromised liver function, correction with small doses of calcium (10 ml of 10% calcium gluconate) provides immediate and non-toxic reversal. It is recommended that the standard label should be used for the cell-salvaged blood. Labelling of autologous salvaged red cells is as important as the labelling of allogeneic (donor) units.

4.5. MEDICAL RECORDS

4.5.1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

4.5.2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

4.5.3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4.5.4. Central Arkansas Veterans Healthcare system and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of Central Arkansas Veterans Healthcare system or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to Central Arkansas Veterans Healthcare system. The agency must report promptly to NARA in accordance with 36 CFR 1230.

4.5.5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government's behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to Central Arkansas Veterans Healthcare system control, or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand-carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

4.5.6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and Central Arkansas Veterans Healthcare system guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

4.5.7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with Central Arkansas Veterans Healthcare system policy.

4.5.8. The Contractor shall not create or maintain any records containing any non-public Central Arkansas Veterans Healthcare system information that are not specifically tied to or authorized by the contract.

4.5.9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

4.5.10. The Central Arkansas Veterans Healthcare system owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which Central Arkansas Veterans Healthcare system shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

4.5.11. Training. All Contractor employees assigned to this contract who create, work with or otherwise handle records are required to take Central Arkansas Veterans Healthcare system provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

4.6. GOVERNMENT RESPONSIBILITIES:

4.6.1. VA Support Personnel, Services or Equipment: CAVHS will not be required to provide support staff in setting up the equipment. CAVHS will not be required to trouble shoot equipment contractor’s equipment failures.

4.6.2. Contract Administration/Performance Monitoring: After award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to: The primary Contracting Officer Representative (COR) and the Contracting Officer (CO) assigned to the contract.

CO Responsibilities:

Stephanie Keo, Contracting Officer Department of Veterans Affairs Network Contracting Office 16 5057 Westheimer Rd., Ste 750 Houston TX 77056 Phone: 713-791-1414 ext 26408 E-mail: stephanie.keo@va.gov

Troy Davis, Contract Specialist Department of Veterans Affairs Network Contracting Office 16 5057 Westheimer Rd., Ste 750 Houston TX 77056 Phone: 713-770-2659 E-mail: troy.davis@va.gov

4.6.3. The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue any modification to include (but not limited to) terms affecting price, quantity or quality of performance of this contract.

4.6.4. The Contracting Officer shall resolve complaints concerning contractor relations with the Government employees or patients. The Contracting Officer is final authority on validating complaints. In the event the contractor effects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.

4.6.5. In the event that contracted services do not meet quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for contractor personnel to be provided by the VA; replacement of the contract personnel and/or renegotiation of the contract terms or termination of the contract.

COR Responsibilities:

Tyler Jacobs, COR Business Manager Surgery & Anesthesia Services, 4300 West 7th Street, Little Rock, AR. 72205.

Office phone: 501-257-6816 Fax: 501-257-6816 E-mail: tyler.jacobs@va.gov

4.6.6. The COR shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer.

4.6.7. The COR will maintain a record-keeping system of services by Excel database. The COR will review this data monthly when invoices are received and certify all invoices for payment by comparing the hours documented on the VA record-keeping system and those on the invoices. Any evidence of the contractor's non-compliance as evidenced by the monitoring procedures shall be forwarded immediately to the CO.

4.6.8. The COR will review and certify monthly invoices for payment. If in the event the contractor fails to provide the services in this contract, payments will be adjusted to compensate the Government for the difference.

4.6.9. All contract administration functions will be retained by the VA.

4.6.10. Special Contract Requirements: The administration of the contract will require maximum coordination between the Government and the Contractor.

4.6.10.1. The CO is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the CO on all matters pertaining to contract administration. Only the CO is authorized to make commitments or issue changes that shall affect price, quantity or quality of performance of this contract.

4.6.10.2. There may be a need for an increase in services as Veteran beneficiary demands for service increases. If there’s such a need for additional services, a modification will be negotiated to increase services by the CO.

4.6.10.3. The COR shall be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

4.6.10.4. IN THE EVENT THE CONTRACTOR EFFECTS ANY SUCH CHANGE AT THE DIRECTION OF ANY PERSON OTHER THAN THE CONTRACTING OFFICER WITHOUT AUTHORITY, NO ADJUSTMENT SHALL BE MADE IN THE CONTRACT PRICE TO COVER AN INCREASE IN COSTS INCURRED AS A RESULT THEREOF.

4.7. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI)

4.7.1. Quality Management/Quality Assurance Surveillance: 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.

4.7.2. 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.

4.7.3. 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.

4.7.4. Performance Standards:

4.7.4.1. Measure: Response time and scheduling

Performance Requirement: Contractor must meet the requirement as outlined in Statement of Work Section 1.5.

Standard: 99% - contractor is available and responds to CAVHS Operating Room (OR) schedule.

Acceptable Quality Level: 99% meets standards.

Surveillance Method: Direct Observation and Evaluation.

Frequency: Daily

4.7.4.2. Measure: Performs pre-op activities in preparation of surgery Performance Requirement: Contractor shall meet the requirements as outlined in Statement of Work section 2.1.

Standard: 99% - performs pre-operative activities to meet OR schedule.

Acceptable Quality Level: 99% Compliance.

Surveillance Method: Direct Observation and Evaluation.

Frequency: Daily

4.7.4.3. Measure: Complete Blood Cell Saver Recovery Services Performance Requirement: The contractor shall employ sufficient personnel to carry out the policies, responsibilities, and the program for the facility as outlined in the Statement of Work section 2.1 through 2.4.

Standard: 99% - performs blood cell saver services within all applicable guidelines and regulations.

Acceptable Quality Level: 99% Compliance.

Surveillance Method: Direct Observation by OR Team.

Frequency: Daily

4.7.4.4. Measure: Performs post-op activities as required by the patient’s condition Performance Requirement: Contractor shall meet the requirements as outlined in Statement of Work section 2.3.

Standard: 99% - performs any post-operative activities to sustain a patient’s health.

Acceptable Quality Level: 99% Compliance.

Surveillance Method: Direct Observations and Evaluation.

Frequency: Daily

4.7.4.5. Measure: Maintains licensing, registration, and certification Performance Requirement: updated licensing, registration, and certification.

Standard: All (100%) current licensing, registration, and certification.

Acceptable Quality Level: 100% compliance Surveillance Method: periodic sampling of invoices submitted to the VA electronic invoicing system.

Frequency: Random

4.7.4.6. Measure: Billing for Services

Performance Requirement: billing invoices must be submitted timely.

Standard: All (100%) of invoice should be submitted timely by the 7th business day of the following month after services performed.

Acceptable Quality Level: 100% compliance Surveillance Method: periodic sampling of invoices submitted to the VA electronic invoicing system.

Frequency: Random

4.7.4.7. Measure: CPARS

Performance Requirement: reporting must be submitted timely.

Standard: All (100%) reporting.

Acceptable Quality Level: 100% compliance Surveillance Method: annually.

Frequency: Random

4.7.4.8. Measure: Employment Eligibility Verification

Performance Requirement: reporting must be submitted timely.

Standard: All (100%) reporting.

Acceptable Quality Level: 100% compliance Surveillance Method: annually.

Frequency: Random

4.7.5. Registration with Contractor Performance Assessment Reporting System (CPARS and Employment Eligibility Verification (E-Verify)

4.7.5.1. As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates Contractor past performance on all contracts that exceed the Simplified Acquisition Threshold and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the Contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Sea Logistics Center in Portsmouth, New Hampshire. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardee performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for Contractor responsibility determination information.

4.7.5.2. Each Contractor whose contract award is estimated to exceed the Simplified Acquisition Threshold requires a CPARS evaluation. A government Focal Point will register your contract within thirty days after contract award and, at that time, you will receive an email message with a User ID (to be used when reviewing evaluations). Additional information regarding the evaluation process can be found at www.cpars.gov or if you have any questions, you may contact the Customer Support Desk @ DSN: 684-1690 or COMM: 207-438-1690.

4.7.5.3. For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the Contractor’s performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the Contractor’s designated representative for comment. The Contractor representative will have sixty (60) days to submit any comments and re-assign the report to the CO.

4.7.5.4. Failure for the Contractor’s representative to respond to the evaluation within those sixty (60) days, will result in the Government’s evaluation being placed on file in the database with a statement that the Contractor failed to respond; the Contractor’s representative will be “locked out” of the evaluation and may no longer send comments.

4.7.5.5. Employment Eligibility Verification. The contractor shall enroll in the E-Verify program within 30 calendar days of contract award at http://www.dhs.gov/E-Verify gov/E-Verify. For each employee assigned to the contract, initiate verification within 90 calendar days after date of enrollment or within 30 calendar days of the employee’s assignment to the contract, whichever date is later. If the contractor is enrolled as a Federal Contractor in E-Verify at time of contract award, the contractor shall use E-Verify to initiate verification of employment eligibility of all new employees. The contractor shall log into the E-Verify program at least every three months after contract award to maintain employment eligibility of all employees. See E-verify Job Aid attached at section D3.

5. Billing

5.1 Payment for Services: Contractor is paid by the operative case where other services performed. According, in exchange for the services rendered by contractor VA shall pay per operative surgical procedure at a set rate up to 4 hours. The contractor shall be paid at a specified rate er hour after the initial 4 hours of rendered services. Contractor can request amendments to the contract if inflation or other market changes increase cost significantly. The contractor will be re-imbursed for on-call hours, cancelled surgical cases, and emergency call in procedures. For purposes of determining the hours of services provided by the contractor, the services shall begin when the representative arrives at the VA location and continues until said representative leaves the patient bedside having completed the care at the VA premises. Contractor will only invoice for an additional hour, past the initial 4 hours, beginning at the first 15 minute increment.

5.1.1. Strictly as a means of administrative convenience, said payment set forth here in above shall be payable to the contractor within thirty (30) days following provisions of their service. For the purpose of this contract the calendar year shall be an effective October 1 through September 30 for pricing services.

5.2. Invoice requirements and supporting documentation: Supporting documentation and invoice must be submitted no later than the 20th workday of the month. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g), all invoices must include:

· Name and Address of Contractor

· Invoice Date and Invoice Number

· Contract Number and Purchase/Task Order Number

· Date of Service

· Surgical procedure and time procedure began/ended

· Contractor’s physician(s) (Name of Contractor’s employee)

· Rate charged/standard/weekend/holiday

· Any additional itemized charges in addition to the base charge

· Total price

5.3. Vendor Electronic Invoice Submission Methods: Invoices will be electronically submitted to the Tungsten website at http://www.tungstennetwork.com/uk/en/ Tungsten direct vendor support number is 877-489-6135 for VA contracts. The VA-FSC pays all associated transaction fees for VA orders. During Implementation (technical set-up) Tungsten will confirm your Tax Payer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your Certifying Official for approval and payment. In order to successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted through Tungsten to the VA-FSC should mirror your current submission of Invoice, with the following items required. Clarification of additional requirements should be confirmed with your Certifying Official (your CO or buyer). The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements. For additional information, please contact:

Tungsten Support Phone: 1-877-489-6135 Website: http://www.tungsten-network.com/uk/en/ Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email: vafscched@va.gov

5.4. Vendor Electronic Invoice Submission Methods. Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.