36C25623R0008 0001.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

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

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

15C. DATE SIGNED

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

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

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

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

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

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

(If other than Item 6)

(Specify type of modification and authority)

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

1 13

0001 10-03-2023

36C256

Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Rd. Suite 750

Houston TX 77056

36C256

Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Rd. Suite 750

Houston TX 77056

To all Offerors/Bidders

36C25623R0008

09-21-2023

X x x

Due 10/20/2023 at 12:00 PM CST x 1 (one)

The purpose of this amendment is to post questions and answers.

NOTE: Please note the Specialized Standard that is hereby incorporated on page 8. FAQs on the Specialized Standard are Located at question 43 - 45 and any questions specifically about the Specialized Standard are due on 10/10/23 at 12pm CST.

A. See attached questions and answers starting on page 2.

B. See the revised 52.212-1 addendum and the 52.212-2 addendum starting on page 6.

C. The hour and date specified for receipt of Offers remains unchanged.

D. This amendment will need to be signed and returned with proposal submission to be eligible for award.

E. NOTE: Please note the Specialized Standard that is hereby incorporated on page X. FAQs on the Specialized Standard are

Stephanie Keo Contracting Officer

VA-VHA-2020-49890DD7

Amendment: 0001 Questions and Answers Solicitation: 36C25623R0008 Onsite ER Physician Services

1. Question: On what date should our Key Personnel be available to work?

Answer: Immediately after contract award.

2. Question: In lieu of the Past Performance Questionnaire, will the VA accept CPARS or previously completed Past Performance Questionnaires?

Answer: No.

3. Question: There is 7.39 FTE for EM physicians and 1.28 FTE for EM mid level providers. My question was: Is the contract currently fully staffed and if so how many providers are currently covering that contract?

Answer: 37 Physicians and 14 mid levels.

4. Question: What additional support staff is available? (Gastro, General Surgery, Psy, RNs, techs):

Answer: The MEDVAMC has all specialties available.

5. Question: How many patients per hour on average will the Provider see during the day? night?:

Answer: Providers are expected to see average of 20-25 per 12 hours shift. The contact covers only afterhours during during weekdays and 24 hours on weekends and Holidays

6. Question: What trauma level is the Hospital?

Answer: The Hospital is not a Trauma center. If it has to be given a level, it will rank on level 3

7. Question: What is the annual volume in the ER?

Answer: 45K

8. Question: Is supervision of PA’s or NP’s required? If so, who covers this? VAMC or contractor?

Answer: This is a non-personal services contract. The Government does not supervise contract employees. If the NP or PA seek help it is the contractor’s responsibility

9. Question: # of beds in the ER:

Answer: 30

10. Question: Is there a Fast Track? Who covers it? What are the hours?

Answer: Yes, cover by either Mid level or MD. Details are in the contract

11. Question: Who handles admissions?

Answer: Admissions are called to the admitting teams

12. Question: Is Psychiatric admissions required?

Answer: If patient needs admission, the Mental Health services will handle it

13. Question: What backup specialties available or lacking?

Answer: Medicine cover the medical subspeciality. There are also Ophtalmology/ENT/General surgery/Vascular/Neuro/neuro surgery/OMF/Plastic/Ortho. Lacks Obstetric (cases will be transferred out)

14. Question: How far in advance is the schedule made?

Answer: The schedule/assignment for the contract providers is created at the time discretion of the contractor in order to meet the requirement.

15. Question: How many ER Physicians on staff during the day? Night?

Answer: Staffing and schedule provided on page 30 of the solicitation, including Holidays.

16. Question: How many Mid-level providers on staff during the day? Night?

Answer: Staffing and schedule provided on page 30 of the solicitation, including Holidays.

17. Question: Who handles admissions?

Answer: The provider places the order for admission.

18. Question: Are there other EM providers working or does this contract cover all staffing in the

ED?

Answer: There are other EM providers

19. Question: Who schedules the providers?

Answer: Current EM providers are scheduled by the Chief of the EM, and contract physicians will coordinate their schedule with the vendor

20. Question: When are the instances of single and double physician coverage?

Answer: There are multiple physicians working the EM at all times

21. Question: Is there a fast track / urgent care? If so, will the physicians cover?

Answer: Yes. during the hours described.

22. Question: What nursing and support staff coverage is available?

Answer: There are nursing staff, escorts, and administrative staff in the ED.

23. Question: What back-up specialties are available in the hospital?

Answer: The MEDVAMC has all specialties available

24. Question: Is the contract currently staffed at 100% or are there current openings?

Answer: Currently staffed at 100%

25. Question: Addendum to FAR 52.212-1 on page 81 lists a number of documents that must be provided for submitted physicians, however, FAR 52.212-2 does not reference under which factor this information should be submitted, can the Government confirm in which volume they would like this information?

Answer: Correction: Each section shall be a “stand alone” document and be complete by itself.

26. Question: PWS 2.1.2 states “All contractor’s physician(s) are strongly encouraged, but not required to be certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) if Board Certified/Board Eligible in Emergency Medicine unless required by facility policy.”

However in FAR 52.212-1 page 81, BLS and ACLS certificates are listed as a required document for submission. Please confirm that BLS & ACLS certificates are not required for submitted physicians.

Answer: Correction. All contract providers must be BLS/ACLS certified, no option to have a waiver.

27. Question: Addendum to FAR 52.212-2 under Factor 2 (page 90) states that the Physician

Liaison must have be able to be within the “local commuting distance” of the facility. Can the Government define what an acceptable “local commuting distance” would be?

Answer: 50 mile radius

28. Question: Will the government please clarify the government’s expectation on how to fill in the

CLINs to comply with Comment 1, Comment 2, and remain specific, and complete in every detail?

Answer: The expectation is that the contractor will have at least twice the required number of FTE, qualified and available to be scheduled. If one of the physicians calls out, it is expected that there will be a qualified physician available to fill-in.

29. Question: Does the government have relevant historical data or future data that would reflect potential surges in emergency services? i.e., metrics that would require extra support for holidays, planned changes or updates in the facilities, services, etc.

Answer: EM sees approximately 800 patients per month, with Mondays being the busiest days.

Planned changes/updates: transition from VISTA/CPRS to Cerner, tentatively scheduled for 2025.

30. Question: Please confirm whether it is sufficient to provide a copy of the Managing Partner’s

VetCert qualification to satisfy the proposal requirements.

Answer: The firm must be must be registered and certified at time of proposal and award as a SDVOSB in the SBA Veteran Small Business Certification (VetCert) Program located at Veteran https://veterans.certify.sba.gov/

Small Business Certification (sba.gov). If the firm is not VetCert certified, it is not eligible for award.

31. Question: Will the Contractor’s Technical and Management Approach (Technical) and

Qualification and Quality of the Liaison Physician (Technical) need to be in separate volumes in addition to being stand-alone documents?

Answer: There are no volumes only sections. This has been corrected at question 12. “At a minimum, proposals will consist of Contractor’s Technical and Management Approach (Technical), Qualification and Quality of the Liaison Physician (Technical), Past Performance, and Price.”

32. Question: Are the SF 1449, SF 30s, attachments D.1, D.5, D.6, D.7, D.8, D.9, fill in provisions of reps and certs, Certification that staff list has been compared to OIG list, Proof of Indemnification and Medical Liability Insurance, as well as proof of SAM and Vet Cert registrations all to be in separate files? If not, how should these files be organized for submission?

Answer: Paragraph 3 of the 52.212-1 addendum (on page 80) has 4 sections and the corrected sentence states, “Each section shall be a “stand alone” document and be complete by itself.” An offeror may use a table of contents if needed.

33. Question: Based on the schedule provided in PWS 3.1, there are no ED Physicians or Mid-

Levels scheduled between the hours of 7:30 am and 5:00 pm on weekdays, however: 3.1 states that the VAMC ED operates 24/7. Are contract or VA physicians covering these hours? If contract, can you provide the contract number?

Answer: 7:30am – 5:00pm, the VAMC ED is covered by local physicians, residents, and mid-level providers.

34. Question: Many of the Line Items in the Schedule of Services are blacked out. Does the government still require this information?

Answer: Please complete the areas of the schedule that can be read.

35. Question: Is the physician liaison required to be identified as key personnel in the LINs?

Answer: No.

36. Question: Can the Government please clarify ” NOTE: 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.” Will the options only be evaluated on the basis of no more than 6 months of being exercised despite being 1 year options in the LINs?

Answer: Please read the 52.217-8 clause on page 56.

37. Question: Please confirm: Mid-level weekday shift is currently only from 5:00 pm to 9:00 pm?

Answer: The Mid-level shift, M-F is 5-9pm, however the shift structure/length may change at the discretion of the ED or facility leadership.

38. Question: Are all shifts currently being covered?

Answer: Yes

39. Question: What is the annual volume in the ED?

Answer: 45K

40. Question: How many patients per hour are the contract physicians expected to see?

Answer: Mondays are the busiest days, but the ER pt numbers vary daily

41. Question: Are there currently any vacancies?

Answer: There are currently no ER physician vacancies

42. Question: Will the government accept board-eligible, certified Internal Medicine or family practice Physicians with EM or Urgent care experience within the last 12 months?

Answer: Board Certified / Board Eligible Emergency Medicine Physicians who have recent clinical experience, within the last two (2) years practicing in an ED setting.

43. Question: A question regarding the Prior Experience Specialized Standard… we are a locum tenens medical staffing agency with experience providing a pool of Emergency Medicine Physicians to staff emergency departments 24/7 for both government and commercial facilities.

We do not have VA experience within the last 3 years. Would our other experience suffice for the Prior Experience Specialized Standard, or must it unequivocally be VA experience to qualify?

Answer: The response to your question is to please follow the instructions of the solicitation.

Please allow me to expound on the response.

Pardon me if the response is short and not a detailed response that you may be seeking—it is not my intent to be curt.

The reason for the short response is that your question calls for a determination to be made now so that you have assurances that what you want to submit is acceptable despite the specific information requested of the specialized standard.

Therefore it is best that the response to your question is that you should following the instructions of the solicitation.

44. Question: So, to clarify, you want us to include a completed copy of Past Performance with the bid, but then send you the exact same information on a separate document named “Prior Experience”. Do I have an accurate understanding of how you want this done?

Answer: To clarify this for you…the information is not exactly the same and will not be used the same. Please do not get hung up on the “same information”.

Prior experience is asking for “at least 3 years of prior experience in actually providing ER Physician Services for the VA Emergency Department, 24-hours a day, 7-days a week and will be considered for special responsibility purposes”. Reference FAR part 9.104-2(a)

45. Question: The RFP states that, “All Offerors must provide at least 3 years of prior experience in actually providing ER Physician Services for the VA Emergency Department 24-hours a day, 7-days a week and will be considered for special responsibility purposes.”

a. Question: We possess more than 3 years of experience providing ER Physicians to complex hospital environments for the Department of Defense. Will the Government consider/accept/evaluate such Past Performance to meet the above requirement?

Answer: Please re-read the specialized standard carefully and please do not skim. Then consider the “note” following the specialized standard. “Note: Prior experience is not past performance. Prior experience refers to whether an offeror has done similar work before;

whereas, past performance describes how well the offeror has done that work.”

Ref: FAR 9.104-2(a) Part 9 - Contractor Qualifications | Acquisition.GOV

(End of Questions and Answers)

REVISED 52.212-1 ADDENDUM

INSTRUCTIONS TO OFFERORS

1. The sole points of contact for this acquisition are the Contract Specialist and the Contracting Officer. Proposals will only be accepted by email and no other delivery method (i.e. hand delivered, fax, etc) will be accepted. Proposals are due by the date and time in block 8 on page one of this solicitation. Proposal maximum file size per email is 9MB or less; therefore, multiple emails will be accepted with a proposal. A confirmation email will be sent by the Contracting Specialist to confirm receipt of proposal.

It is the offeror’s sole responsibility to follow up if no confirmation email was received from the Contracting Specialist before the closing date and time of the Solicitation. If an offeror cannot send the proposal via email, please advise Contracting Specialist Troy Davis or email troy.davis@va.gov.

It is the Offeror’s full responsibility to ensure a legible proposal is submitted to the Contracting Officer and/or Contract Specialist before the closing date and time of the solicitation Late proposals will NOT be accepted. Faxed proposals will NOT be accepted. Failure to conform with solicitation requirements will render contractor ineligible for award and that proposal will not be evaluated.

2. Questions/Comments for the RFP must be submitted in writing to the Contracting Officer identified above no later than September 28, 2023 at 12 noon CST to ensure Government consideration. No questions will be accepted after September 28, 2023 12:00 pm CST. No questions will be accepted or answered by Fax or via telephone calls. Responses to questions will be consolidated and posted on the Contract Opportunities website as soon as possible via solicitation amendment. Offerors will review the Frequently Asked Questions (FAQ) attachment at D.10 prior to submitting a question to avoid duplication.

All questions, comments and requests for information regarding this acquisition shall be sent by email, cite the solicitation number in the subject line, and be directed to the Contracting Officer and Contract Specialist using the following contact information:

https://www.acquisition.gov/far/part-9#FAR_9_104_1 mailto:troy.davis@va.gov

Name Email Stephanie Keo, Contracting Officer stephanie.keo@va.gov Troy Davis, Contract Specialist troy.davis@va.gov

3. This section provides specific instructions on the format and content of each proposal. Each section shall be a “stand alone” document and be complete by itself.

Any offeror that does not submit the correct number of electronic copies (and any other requirements) will be rendered technically unacceptable and will not be considered further for award. At a minimum, proposals will consist of Contractor’s Technical and Management Approach (Technical), Qualification and Quality of the Liaison Physician (Technical), Past Performance, and Price.

a. Complete blocks 17a, 30a, 30b, and 30c of a legible Standard Form (SF) 1449, Solicitation/Contract/Order for Commercial Items. To include any amendments (SF30) if applicable.

b. Insert legible proposed unit and extended prices in Section B.2 Schedule of Services for each Line Item Number including all option years. The extended amount must equal the whole dollar unit price multiplied by the number of units.

Line items for the base period and each option year shall be sufficiently completed.

The price proposal shall be legible, specific, complete in every detail.

c. The Offeror shall submit the following legible attachments that require to be filled-in, signed and submitted with the proposal:

Section Attachment Title

D.1 Quality Assurance Surveillance Plan – Signature required D.5 Organization Conflict of Interest – Signature required D.6 Contractor Certification Immigration and Nationality Act – Signature required D.7 Past Performance References – Fill as necessary D.8 Past Performance Questionnaire – Fill as necessary

NOTE: Past performance questionnaires are to be forwarded directly to the Contract Specialist by 4pm CST, October 6, 2023. Past performance questionnaires sent directly from the offeror WILL NOT be accepted. It is the Offeror’s responsibility to ensure their references complete and submit these questionnaires.

D.9 Information Security Rules of Behavior – Fill as necessary Complete the fill-in provisions 52.204-24, 52.209-7 and VAAR

852.219-75 Must submit proof of active SAM and VetCert registrations with proposal

Note: Failure to certify VAAR 852.219-75 will render an offer technically unacceptable and ineligible for award.

d. In addition to meeting basic qualifications as identified in paragraph 2, Qualifications, of the PWS, Proposals shall offer at least the number of physicians required to provide the 24/7 coverage, additional coverage M-F, and contingency (short notice) coverage. The completion and submission of the following items must be included in the Contractor’s Proposal:

mailto:stephanie.keo@va.gov mailto:troy.davis@va.gov

Key Personnel: Copies of any and all Active/unrestricted license in a State, Territory, or Commonwealth of the U.S. or in the District of Columbia, board certifications, NPI, DEA certificate, to include primary source verification of all licensed and certified staff, American Heart Association issued Basic Life Support and Advanced Cardiac Life Support certification cards (must be current), Three (3) references to include their email address, Included shall be a letter of commitment and availability signed by the offered physician(s) attesting to his/her availability to work on this contract starting on or about August 1, 2023 Certification that staff list have been compared to OIG list Proof of Indemnification and Medical Liability Insurance Contingency plan for replacing physicians and mid-levels to maintain services as required under the terms of the contract

Note: Proposals that do not contain the required licensing/certification at the time of offers due shall automatically be rendered technically unacceptable and will not be eligible for award.

Specialized Standard

Prior experience: All offerors must provide at least 3 years of prior experience in actually providing ER Physician Services for the VA Emergency Department, 24-hours a day, 7-days a week and will be considered for special responsibility purposes. Demonstrating familiarity with VA Emergency Department operations and procedures is needed to provide critical emergency health services to our Veterans and to ensure adequate contract performance. This is a specialized standard and not an evaluation factor and shall be a separate “stand alone” document that is titled “Prior Experience” (to include the offeror’s name) and submitted to the Contract Specialist no later than 12pm CST, October 13, 2023. To assist the contracting officer in determining if the special standards of responsibility applicable to this procurement are met, offerors are asked to provide the following information:

i. Contract number

ii. Estimated annual dollar value of contract

iii. Description of services (including location) provided and the offeror’s level of responsibility and authority on the project.

iv. Date of contract start and completion.

v. Name, title, address, phone number, and email of customer contact. It is incumbent on the offeror to ensure the customer information is current and accurate.

Failure to submit this information to the Contract Specialist by 12pm CST, October 13, 2023 could result in a contracting officer’s determination that an otherwise successful offeror is not eligible for contract award and that proposal will not be evaluated.

Note: Prior experience is not past performance. Prior experience refers to whether an offeror has done similar work before; whereas, past performance describes how well the offeror has done that work.

4. Potential contractors must be registered in the System for Award Management (SAM) at time of offer and award to be eligible for award. The SAM website is http://www.sam.gov. Additionally, this is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) potential contractors must be registered and certified at time of proposal and award as a SDVOSB in the SBA Veteran Small Business Certification (VetCert) Program located at Veteran Small Business Certification (sba.gov). To be eligible for award as a small business concern, Offerors must meet the small business size standard for NAICS 621111. Offers are due by the date and time in block 8 on page one of this solicitation. Offers shall be submitted via e-mail to troy.davis@va.gov.

(End of Addendum 52.212-1)

REVISED 52.212-2 ADDENDUM

1. BASIS OF AWARD (Addendum to FAR 52.212-2)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Factor 1 - Contractor's Technical and Management Approach (Technical) Factor 2 - Qualification and Quality of Liaison Physician (Technical) Factor 3 - Past Performance Factor 4 - Price

Technical and past performance, when combined, are significantly more important than price (Refer to Addendum).

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

1. BASIS OF AWARD (Addendum to FAR 52.212-2)

a. Award will be made to an offeror on the basis of a best-value trade-off per FAR 15.101-1.

The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer, conforming to the solicitation, will be most advantageous to the Government, price and other factors considered. The Government intends to evaluate without conducting discussions with offerors, or solicit final revised quotes; thus, each initial offer should contain the http://www.sam.gov/ http://www.sam.gov/ mailto:troy.davis@va.gov.N offeror’s best terms from a cost or price and technical standpoint. The following factors (no sub-factors), listed in descending order of importance, will be evaluated:

b. All non-price factors (Factors 1, 2, and 3), when combined, are significantly more important than price (Factor 4) for the purposes of determining the best value to the Government, therefore, the Government may award to other than the lowest priced offeror if it is in the Government’s best interest to do so.

c. Resulting Contract shall be based on the Contractor’s Technical Capabilities to provide the services listed in the Performance Work Statement (factors 1 & 2), their Past Performance (factor 3), and the proposed Price (factor 4).

d. All proposals will be evaluated in accordance with FAR 15.3. The Government intends to award without discussions with offerors, however the Government reserves the right to conduct discussions if it is in its best interest to do so. If discussions are conducted, the Government may establish a competitive range of the most highly rated proposals, unless the range is further reduced for purposes of efficiency pursuant to FAR 15.306(c)(2).

2. EVALUATION FACTORS AND CRITERIA.

Offerors should address in detail their Technical Capabilities by describing their proposed approach to each factor. All factors will be considered based solely on the proposal provided and the contractor’s ability to meet those requirements. Performance and Proposal Risk shall also be evaluated. The bulleted items should not be construed as sub-factors.

Factor 1 – Contractor’s Technical and Management Approach (Technical). The Government will evaluate the offeror's capabilities to provide Emergency Medicine Physician and Mid-Level Services as outlined in the RFP. The services recommended by the offeror will be evaluated in how they satisfy all of the PWS and instructions provided in the RFP. Each required item of the offeror’s Technical and Management Approach (outlined at E.3 Instructions to Offerors) will be rated to the extent in which the proposal demonstrates a clear understanding of the requirements, and the contractor’s ability to meet those requirements.

The Quality Control Plan key areas that proposals shall address are:

• Experience of the Contract Manager administering the Contract, their longevity at the company, and their availability throughout the life of the contract.

• Recruitment and Retention Methodologies to ensure successful Emergency Department

(ED) operations 24/7 to include contingencies for filling shifts on short notice due to unplanned absences.

• Process for the initial submission and ongoing maintenance of provider credentialing and privileging including yearly health requirements.

Factor Evaluation Factors 1 Contractor’s Technical and Management Approach (Technical) 2 Qualification and Quality of Liaison Physician (Technical) 3 Past Performance 4 Price

• Plan for training and oversight of all initial and yearly mandatory training for contract providers including the Computerized Patient Recordkeeping System to ensure accurate patient documentation is completed prior to the end of each shift.

• The Contractor’s Quality Improvement/Quality Assurance Programs to ensure successful

ED operations 24/7, Patient Satisfaction, and Patient Safety.

• Plan for transition of key personnel during the first 90 days of the contract period of performance to ensure successful ED operations 24/7.

Factor 2 – Qualification and Quality of Liaison Physician (Technical). This factor will be evaluated at the factor level and will be used to determine the qualifications and quality of the offered physician as the contact/liaison. In addition to meeting basic qualifications as identified in paragraph 2, Qualifications, of the PWS, the PWS states that the contractor shall designate a physician(s) to serve as a primary point of contact/liaison to provide oversight of the quality of work and performance of contract employees in support of the Emergency Department program. More than one is allowable and encouraged for contingency (short notice) coverage, however, for those physicians, the following additional information is requested and should be noted and may have already been provided as part of key personnel in Factor 1 Contractor’s Technical and Management Approach. Key areas that proposals shall address are:

Physician (contact/liaison):

(*) Relevant experience in clinical oversight of a level II Emergency Department 24/7 with 100% contract providers including managing short notice shift vacancies.

(*) Experience in the daily management of Emergency Department Flow

(*) Past experience serving as an ED subject matter expert

(*) Ability to respond to emergencies and meet required attendance at short notice meetings on the Micheal E. Debakey VA Medical Center campus or within a 50 mile radius of the Micheal E. Debakey VA Medical Center.

Factor 3 – Past Performance. This factor will be evaluated at the factor level and will be used to assess an offeror’s likelihood of performing successfully on this contract. Past performance will be assessed for relevancy, recent, and confidence/success. For this factor:

• The Government shall review available past performance data in the Federal Awardee Performance and Integrity Information System found in the Past Performance Information Retrieval System found at https://fapiis.ppirs.gov/.

• Offerors shall identify three (3) current or recently completed (within the past three years) contracts that are similar in scope and dollar value to the contract being offered herein, to include contract name, dates of performance, point of contact, telephone number and e-mail address. Contracts listed may include those entered into with the Federal Government, State or local agencies, or commercial customers. Refer to ATTACHMENT D.7 in section D.

• Each offeror shall provide their references with a copy of the Past Performance

Questionnaire attached in section D.8, and have it returned to the point of contact by the response date listed on the questionnaire. Questionnaires can be scanned and emailed https://fapiis.ppirs.gov/ from the references only to Troy.davis@va.gov . It is the Offeror’s responsibility to ensure their references complete and submit these questionnaires.

• The Government reserves the right to obtain past performance information from any available source and may contact customers other than those identified by the Offeror when evaluating past performance.

• In accordance with FAR 15.305(a)(2)(iv), if an offeror has no record of relevant past performance or for whom information is not available, they will not be rated favorably or unfavorably.

Factor 4 – Price.

• Offerors shall submit their Price using the Schedule of Services. The price proposal shall be specific, complete in every detail, and separate from the technical proposal. Line items for base period and each option year shall be sufficiently completed.

• Prices shall be evaluated for fairness and reasonableness and will be compared against competing proposals and the independent Government cost estimate.

• Prices shall be listed as an all-inclusive hourly rate for services.

(End of Basis of Award)

(End of Amendment 0001) mailto:Troy.davis@va.gov