36C25719R0002-009.pdf

31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) Yomika Brock

30c. DATE SIGNED

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NO. PAGE 1 OF 87

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

7. FOR SOLICITATION

INFORMATION CALL:

9. ISSUED BY

a. NAME

SONIA BOYD

CODE 36C257 10. THIS ACQUISITION IS

36C25719R0002

b. TELEPHONE NO. (No Collect Calls) 9727080820

UNRESTRICTED OR XSET ASIDE:

04-15-2020

8. OFFER DUE DATE/LOCAL

TIME 5-15-2020

4:00PM CST

100 % FOR:

Department of Veterans Affairs NCO 17 North Texas Healthcare System

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

NCO 17 Network Contracting Activity 4500 S. Lancaster Road Dallas TX 75216

HUBZONE SMALL

BUSINESS

X SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS: 621512

SIZE STANDARD:

$16.5 Million

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

X SEE SCHEDULE

15. DELIVER TO

12. DISCOUNT TERMS

CODE 36C257

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

16. ADMINISTERED BY

13b. RATING

N/A

14. METHOD OF SOLICITATION

RFQ IFB

CODE

X RFP

36C257

Department of Veterans Affairs North Texas Healthcare System 4500 S. Lancaster Road Dallas TX 75216

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE

NCO 17

Department of Veterans Affairs North Texas Veterans Health Care Center 124 E. Hwy 67 Duncanville, TX 75137

18a. PAYMENT WILL BE MADE BY CODE

This is accomplished through the Tungsten Network located at:

http://www.fsc.va.gov/einvoice.asp This is mandatory and the sole method for submitting invoices.

PHONE:(877) 353-9791 FAX: (512) 460-5540

TELEPHONE NO. DUNS: DUNS+4:

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.

ITEM NO.

20. See CONTINUATION Page

SCHEDULE OF SUPPLIES/SERVICES

The contractor shall provide teleradiology services by providing interpretations of imaging examinations.

Services shall be provided off-site in support of the North Texas Veterans Affairs Medical Center Dallas Texas

It is anticipated that the period of performance will be for 9/1/2020 thru 8/31/2021 with four (4), one (1) year option periods.

Reference page 5 for the Price/Cost Schedule.

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA See CONTINUATION Page 26. TOTAL AWARD AMOUNT (For Govt. Use Only) x 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA X 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

X 28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

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) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212 http://www.fsc.va.gov/einvoice.asp

36C25719R0002

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.2 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (JUN 2016)

C.4 52.216-18 ORDERING (OCT 1995)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.9 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984)

C.10 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.11 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.13 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.14 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

C.15 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)

C.16 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

C.17 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.18 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.19 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(JAN 2008)

C.20 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.21 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)53

C.22 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (MAR 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D1. QUALITY ASSURANCE SURVEILLANCE PLAN

D2. ORGANIZATIONAL CONFLICT OF INTEREST- APPENDIX A

D3. VA DIRECTIVE 1663 DATED MAY 2018

D4. PAST PERFORMANCE QUESTIONNAIRE / SURVEY (This questionnaire/survey will be deleted from any resulting contract)

D5. CONTRACTOR CERTIFICATION IMMIGRATION AND NATIONALITY ACT

D6. CONTRACTOR RULES OF BEHAVIOR

D7. PAST PERFORMANCE REFERENCES

D8. GUIDELINE FOR COMMUNICATION OF SIGNIFICANT IMAGING RESULTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.3 52.216-1 TYPE OF CONTRACT (APR 1984)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016)(DEVIATION)

E.6 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 VAAR 852.273-73 EVALUATION - HEALTH-CARE RESOURCES (JAN 2003)

E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) ..70

E.10 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.11 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

D9. MINIMUM NECESSARY STANDARD FOR PROTECTED HEALTH INFORMATION

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

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

a. Contractor:

Title:

Address:

Telephone:

Facsimile:

E-mail:

Federal Taxpayer Identification Dun and Bradstreet Number

b. GOVERNMENT: Contracting Officer (90C)

Yomika Brock Department of Veterans Affairs Network Contracting Office 17 North Texas Health Care System 124 E. Hwy 67 Suite 100 Duncanville TX 75137 972-708-0815 Yomika.brock@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with FAR 52.232-33, Payment by Electronic Funds Transfer – System for Award Management

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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

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

AMENDMENT NO DATE

mailto:Yomika.brock@va.gov http://www.fsc.va.gov/einvoice.asp

B.2 SCHEDULE OF SERVICES

The Government intends to award a Firm Fixed Price, Indefinite Quantity Contract for teleradiology services to a Service-Disabled Veteran Owned Small Business. Services shall be provided off-site at the contractor’s location. The Contractor shall furnish all personnel to provide services necessary to perform Tele-Radiology Physician Services to eligible beneficiaries of the North Texas Healthcare System (VANTHCS). The contractor shall furnish all necessary hardware, software, connections, labor, including specific Teleradiology workstations and supervision to provide the service in accordance with the PWS. The contractor will be reimbursed at the rates specified within the price/cost schedule for services provided.

VA Radiology Services follow the guidelines and directives laid down by the National Radiology Program Office. A contractor providing teleradiology services shall provide services that meet or exceed those standards A contractor providing teleradiology services shall provide services that meet or exceed the American College of Radiology Guidelines http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines- by-Modality.

The guaranteed minimum amount, including the base year and any option periods exercised is $480,000.00 dollars and the maximum amount, including the base year and any option periods exercised shall not exceed $12,000,000.00 dollars.

Task Order Procedures: Task orders shall be placed against this IDIQ contract at the time of contract award and at the time of option period exercised annually thereafter, if option periods are exercised by the Contracting Officer. The Task Orders shall specify quantities of services for each period of performance and shall comply with FAR 52.216-18 and FAR 52.216-19.

In accordance with FAR 16.504, the guaranteed minimum contract quantity of services the Government will acquire under the contract for the base period of performance, and any option years exercised, is $480,000.00. The maximum quantity/amount of services the Government will acquire under the contract for the base period of performance and all exercised option years shall not exceed $12,000,000.00

Post Award Conference: The Contracting Officer will schedule a post award conference for contract orientation purposes.

Pricing Instructions: The Offeror is instructed to complete the Unit Price and Total for all of the CLINS 0001-4013. This includes options under FAR 52.217-8, Option to Extend Services, which applies to this solicitation. Evaluation of options under FAR 52.217-8 will be accomplished by using the prices offered for the last option period to determine the price for a 6-month option period, which will be added to the base and other option years to arrive at the total price. Evaluation of options will not obligate the Government to exercise the option(s).

http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-

BASE YEAR SEPTEMBER 1, 2020 - AUGUST 31, 2021

CLIN DESCRIPTION Est Qty Unit Price

Total

0001 Interpretation of General X-Ray 25000

0002 Interpretation of Ultrasound images 2600

0003 Interpretation of Magnetic Resonance 2000

0004 Interpretation of Computed Tomography 7000

0005 Interpretation of Nuclear Medicine Studies 80

0006 CT Abdomen & Pelvis 4000

0007 CT Cardiac 2

0008 CTA General (Head, Neck, Body) 1200

0009 CTA Cardiac 2

0010 CTA Abdomen & Pelvis 400

0011 CTA Runoffs 150

0012 Interpretation of CT Angiography/Coronary Studies Cardiac/Coronary Computed Tomography Angiogram

Estimated Total

OPTION YEAR 1 SEPTEMBER 1, 2021 - AUGUST 31, 2022

CLIN

DESCRIPTION

Est Qty Unit

Price

Total

1001 Interpretation of General X-Ray 25000

1002 Interpretation of Ultrasound images 2600

1003 Interpretation of Magnetic Resonance 2000

1004 Interpretation of Computed Tomography 7000

1005 Interpretation of Nuclear Medicine Studies 80

1006 CT Abdomen & Pelvis 4000

1007 CT Cardiac 2

1008 CTA General (Head, Neck, Body) 1200

1009 CTA Cardiac 2

1010 CTA Abdomen & Pelvis 400

1011 CTA Runoffs 150

1012 Interpretation of CT Angiography/Coronary Studies Cardiac/Coronary Computed Tomography Angiogram

OPTION YEAR 2 SEPTEMBER 1, 2022 - AUGUST 31, 2023

2001 Interpretation of General X-Ray 25000

2002 Interpretation of Ultrasound images 2600

2003 Interpretation of Magnetic Resonance 2000

2004 Interpretation of Computed Tomography 7000

2005 Interpretation of Nuclear Medicine Studies 80

2006 CT Abdomen & Pelvis 4000

2007 CT Cardiac 2

2008 CTA General (Head, Neck, Body) 1200

2009 CTA Cardiac 2

2010 CTA Abdomen & Pelvis 400

2011 CTA Runoffs 150

2012 Interpretation of CT Angiography/Coronary Studies

OPTION YEAR 3 SEPTEMBER 1, 2023 - AUGUST 31, 2024

3001 Interpretation of General X-Ray 25000

3002 Interpretation of Ultrasound images 2600

3003 Interpretation of Magnetic Resonance 2000

3004 Interpretation of Computed Tomography 7000

3005 Interpretation of Nuclear Medicine Studies 80

3006 CT Abdomen & Pelvis 4000

3007 CT Cardiac 2

3008 CTA General (Head, Neck, Body) 1200

3009 CTA Cardiac 2

3010 CTA Abdomen & Pelvis 400

3011 CTA Runoffs 150

3012 Interpretation of CT Angiography/Coronary Studies

OPTION YEAR 4 SEPTEMBER 1, 2024 - AUGUST 31, 2025

4001 Interpretation of General X-Ray 25000

4002 Interpretation of Ultrasound images 2600

4003 Interpretation of Magnetic Resonance 2000

4004 Interpretation of Computed Tomography 7000

4005 Interpretation of Nuclear Medicine Studies 80

4006 CT Abdomen & Pelvis 4000

4007 CT Cardiac 2

4008 CTA General (Head, Neck, Body) 1200

4009 CTA Cardiac 2

4010 CTA Abdomen & Pelvis 400

4011 CTA Runoffs 150

4012 Interpretation of CT Angiography/Coronary Studies

Period of Performance Price Base Option Year I Option Year II Option Year III Option Year IV

B.3 PERFORMANCE WORK STATEMENT

TELE- RADIOLOGY SERVICES

1. GENERAL:

1.1. Services Provided: The Contractor shall provide board-certified or Radiology Physician

Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the VA North Texas Health Care System (VANTHCS) (549). A contractor providing tele-radiology services shall provide services consistent with The Joint Commission and that meets or exceeds VA and the American College of Radiology Guidelines as defined in this document.

1.2. Place of Performance - Services shall be provided for the following VANTHCS sites:

Dallas (VANTHCS – Medical Center): 4500 S. Lancaster Rd, Dallas, TX 75216

Garland (Garland VA Outpatient Clinic): 2300 Marie Curie Dr., Garland, TX 75042

Fort Worth Outpatient Clinic: 2201 SE Loop 820, Fort Worth, TX 76119

Bonham (Sam Rayburn Memorial Veterans Center): 1201 E 9th St, Bonham, TX 75418

Tyler (Tyler VA Primary Care Clinic): 7916 S. Broadway Ave, Tyler, TX 75703

Plano (Plano VA Outpatient Clinic): 3804 W 15th St, Plano, TX 75075

Grand Prairie (Grand Prairie VA Outpatient Clinic): 2737 Sherman St, Grand Prairie, TX 75051

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. 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:

1.4.1. - VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2.

1.4.2. VHA Directive 2006-041 - This Directive was rescinded on July 27, 2018 by VHA Notice 2018-34, please note that VHA's customer service program and Veteran health care service standards can be found in VHA Directive 1003, VHA HB 1003.1, VHA HB 1003.2 and VHA Directive 1230. MSO is working on updating templates to include this information. Please see the following hyperlink for additional information https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475

1.4.3. - VHA Handbook 1100.17: National Practitioner Data Bank Reports -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.4. - VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.5. - VHA Handbook 1100.19 Credentialing and Privileging -http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.6. VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

1.4.7. - Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.8. VHA Directive 2010-018 “Facility Infrastructure”

www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227

1.4.9. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

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. ABR: American Board of Radiology

1.5.2. ACEP: American College of Emergency Physicians

1.5.3. ACGME: Accreditation Council for Graduate Medical Education

1.5.4. AOBOR: American Osteopathic Board of Radiology

1.5.5. AOD: Admitting Officer of the Day

1.5.6. CDC: Centers for Disease Control and Prevention

1.5.7. CDR: Contract Discrepancy Report

1.5.8. CEU: Certified Education Unit

1.5.9. CME: Continuing Medical Education

1.5.10. CMS: Centers for Medicare and Medicaid Services

1.5.11. 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.

1.5.12. 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.

1.5.13. COS: Chief of Staff

1.5.14. CPARS: Contractor Performance Assessment Reporting System

1.5.15. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.5.16. 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.

1.5.17. CS: Contract Specialist

1.5.18. DEA: Drug Enforcement Agency

1.5.19. FSMB: Federation of State Medical Boards

1.5.20. HHS: Department of Health and Human Services

1.5.21. HIPAA: Health Insurance Portability and Accountability Act

1.5.22. HR: Human Resources

1.5.23. ISO: Information Security Officer

1.5.24. MOD: Medical Officer of the Day

1.5.25. 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).

1.5.26. NPPES: National Plan and Provider Enumeration System

1.5.27. POP: Period of Performance

1.5.28. PPD: Purified Protein Derivative

1.5.29. PWS: Performance Work Statement

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.5.30. 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.

1.5.31. QA/QI: Quality Assurance/Quality Improvement

1.5.32. QM/PI: Quality Management/Performance Improvement

1.5.33. QASP: Quality Assurance Surveillance Plan

1.5.34. 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.

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

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

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

1.5.38. 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 VANTHCS (549) Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License - Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in State of Texas where services are being performed.

All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Information on state licensing in tele-radiology may be found at this site: http://www.acr.org/Advocacy/State-Local-Relations/Legislative- Issues/Teleradiology/Teleradiology-Licensing-Requirements-by-State . Contract physician(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.

2.1.2. American Board of Radiology Certification - All contract physician(s) shall be board certified or board eligible by the American Board of Radiology and/or American Osteopathic Board of Radiology. 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 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 contract physician(s) prior to obtaining approval by the http://www.acr.org/Advocacy/State-Local-Relations/Legislative-Issues/Teleradiology/Teleradiology-Licensing-Requirements-by-State http://www.acr.org/Advocacy/State-Local-Relations/Legislative-Issues/Teleradiology/Teleradiology-Licensing-Requirements-by-State

(VANTHCS) (549) Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. If a contract 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.

2.1.3.2. When telemedicine services are being provided by contract physician (s) who direct, diagnose or otherwise provide clinical treatment to a patient via a telemedicine link, the contract physician (s) must be appointed, credentialed, and privileged at the VA facility (facilities) which receive the telemedicine services (patient site), as well as at the site providing the services. The following requirements apply:

2.1.3.3. Contract licensed independent practitioners must be credentialed and privileged through the VA facility’s Medical Staff Office in accordance with VHA Handbook 1100.19, Credentialing and Privileging.

2.1.3.4. Separately delineated privileges for telemedicine services must be requested and assigned in this process.

2.1.3.5. In general, the credentialing process should be started at least 60-90 days in advance of estimated entry on duty. The time required for this process may be expedited when patient care needs are urgent.

2.1.3.6. The VA’s Medical Staff Office or Human Resources Management Service will provide an instruction packet containing forms and a detailed listing of required documentation, including curriculum vitae, current references, signed release of information from the candidate, and statement that the candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out the assigned duties, and additional credentialing forms. The candidate will also be required to make application through the VetPro internet-based process. The candidate will need to be enrolled in VetPro by the Credentialing Coordinator at the VA or by the Human Resources Management Service designee. The website address is:

http://fep.vetpro.org/ It is the Contractor’s responsibility to contact the VANTHCS (549) Credentialing to request a package and instructions.

2.1.3.7. When contract physician (s) provide only teleconsultation by offering advice that supports care provided by VA’s on site licensed independent providers, the Contractor must furnish VA with a copy of the contract physician (s) credentials, verification of credentials, and current clinical privileges. The contract physician (s) providing teleconsultation services do not have to be separately privileged at the VA facility.

2.1.3.8. The Contractor must furnish a copy of its policy and procedures for credentialing and privileging to the Contracting Officer and COR for review to ensure these meet the VA’s requirements for establishment of competence through these mechanisms.

2.1.4. Technical Proficiency - Contract 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. 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 contract physician(s) and contract 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. Contract physician (s) registered or certified http://fep.vetpro.org/ 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 contract physician(s).

2.1.6. Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract physician (s) as required by the VA.

Training Frequency (once a year, etc.)

Annual Hours

VA 10176 – VA Privacy and Information Security Awareness and Rules of Behavior

Once a year 1

VA10203 – Privacy and HIPAA Training

Once a year 1

2.1.7. 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.

2.1.8. DEA - Contractor shall provide copy of current DEA certificate.

2.1.9. Conflict of Interest: The Contractor and all contract 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 (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.10. Citizenship related Requirements:

2.1.10.1. 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;

2.1.10.2. 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.

2.1.10.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.10.4. 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.

2.1.10.5. 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.

2.1.11. 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.

2.1.11.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract 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.

2.1.11.2. 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 Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional direction of all clinical personnel covered by this contract for quality purposes will be provided by the VANTHCS (549) COS and/or the Chief of the Service or his designee.

A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non Personal Healthcare Services: The parties agree that the Contractor and all contract physician (s) shall not be considered VA employees for any purpose.

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

2.4. Inherent Government Functions: Contractor and Contract 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.

2.5. No Employee status: The Contractor shall be responsible for protecting Contract 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:

2.5.1. Workers’ compensation

2.5.2. Professional liability insurance

2.5.3. Health examinations

2.5.4. Income tax withholding, and

2.5.5. Social security payments.

2.6. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s). When a Contractor or contract 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.

2.7. 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 contract physician (s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

2.7.1. Contractor shall submit a listing of proposed key personnel performing technical delivery of services in the following format:

Provider Name: Title/Rank: .

Curriculum Vitae and qualification documents of each key personnel shall be submitted with the proposal.

2.8. Emergency 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) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least (30) calendar days prior to making any permanent substitutions

2.8.1. 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 (30) 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

2.8.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive work days 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

3. Hours of Operation

3.1. Business Hours: Contractor shall provide final interpretations of emergent/urgent diagnostic radiologic examinations (general radiology, CT, US, MRI, and Nuclear Medicine) during evening/overnight hours (4PM-8AMdaily), weekend daytime hours (0800-1600 Saturday and Sunday), and daytime National Holiday hours (0800-1600). In the event of VAMC internal radiologist staffing shortages or other occurrences affecting productivity, the contractor will provide final interpretations of non-emergent/urgent diagnostic radiologic examinations performed at any time including normal weekday business hours, 8AM-4PM, as determined by the VAMC.

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

• 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.

3.3. Continuity of services under contact:

3.3.1. Unless a state of emergency has been declared or services are otherwise cancelled by the VAMC, the Contractor shall be responsible for providing services.

3.3.2. Contractor is responsible for providing qualified personnel to read films. The VA must be informed at least 48 hours in advance if there will be a significant change in contractor’s ability to perform to allow for planning of service coverage and workload distribution. Requirements as noted in attachment B will be provided to all VAMCs and maintained by the contractor.

3.3.3. The contractor shall maintain open and professional communication with members of the VANTHCS and Facility Diagnostic Imaging staff. The contractor shall provide up- to-date points of contact to facilitate communication on clinical, technical and administrative issues. Clinical staff will be available by phone and pager 24/7. The Contractor will provide a schedule of radiologists with telephone numbers for consultation by VA technologists and referring physicians. The contractor will provide a FAX number for the transmission of radiographic orders.

3.3.4. The Contractor shall provide a single phone number with a list of individuals who could be contacted to immediately resolve any difficulties experienced during the hours of teleradiology services and STAT studies after hours. The COR will assure up-to-date rosters of staff are provided to the Contractor.

3.3.5. Tele-Communications

3.3.5.1. The contractor will secure and maintain the communications link between the contractor’s facility and the VAMCs’ facilities at the contractor’s expense.

These expenses may be included in contractor’s proposal as a separate item.

The cost to establish and maintain this communication link may be provided if the Government deems it is more cost effective to the Government.

3.3.5.2. In the event of telecommunications failure, the Government shall package, hard copy film or alternative media in Government-provided shipping containers, and ship to the contractor’s facility; using Government provided pre-paid shipping documentation. The contractor’s place of business must be within the confines of the continental United States.

3.3.5.3. The contractor shall make provisions for the proper maintenance and functioning of all imaging, teleradiology and associated equipment, facilities and fixtures as may reasonably be required by Contract Physicians to perform services hereunder.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide contract physician (s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.2. Management and Supervision:

4.2.1. The Contractor shall be responsible for supervising the daily services provided under this contract by the Contractor’s staff.

4.2.2. The Contractor shall have written policies and procedures regarding staff credentials and privileging.

4.2.3. The VAMC will provide to the Contractor policies, procedures and processes necessary to allow cooperative functioning between the agency and VAMC.

Updates and refreshers will be provided to the Contractor upon request and when policy procedures or process changes.

4.2.4. The Contractor shall complete background investigations to insure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

4.3. Standards of Care: The contract physician (s)’ care shall cover the range of Radiology 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:

4.3.1. The American College of Radiology Guidelines:

http://www.acr.org/~/media/ACR/Documents/PGTS/toc.pdf

4.3.2. ACR Practice Parameter for Communication of Diagnostic Imaging Findings http://www.acr.org/~/media/C5D1443C9EA4424AA12477D1AD1D927D.pdf

4.3.3. VA Standards:

Urgency. The ordering physician may specify the timeframe for performance of a study.

• “Routine” studies of outpatients should be Interpreted within 24 hrs. of image transmission.

• “Urgent” studies should be read within 1 hour of image transmission.

• “STAT” studies should be interpreted immediately In the case of strokes or acute fractures involving inpatients or ED, a read time of 20 mins is required.

http://www.acr.org/%7E/media/ACR/Documents/PGTS/toc.pdf http://www.acr.org/%7E/media/C5D1443C9EA4424AA12477D1AD1D927D.pdf

• “Wet reading” is a request for the radiologist to contact the ordering physician directly with results, and implies interpretation of the exam immediately

4.3.4. VHA Directive 2006-041 - This Directive was rescinded on July 27, 2018 by VHA

Notice 2018-34, please note that VHA's customer service program and Veteran health care service standards can be found in VHA Directive 1003, VHA HB 1003.1, VHA HB 1003.2 and VHA Directive 1230. MSO is working on updating templates to include this information. Please see the following hyperlink for additional information https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475

4.3.5. The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_requirements.aspx

4.3.6. The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and;

4.3.7. The requirements contained in this PWS

4.4. MEDICAL RECORDS

4.4.1. Authorities: Contract physician (s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (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).

4.4.2. 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. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19).

Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense.

Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.4.3. Disclosure: Contract physician(s) may have access to patient medical records:

however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records.

The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475 http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.hpoe.org/resources?show=100&type=8 http://www.rms.oit.va.gov/SOR_Records/24VA19.asp http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423

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

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAMC.

4.4.4.1. All images interpretations will either meet or exceed established VANTHCS standards of timeliness, accuracy, content and signature. Only VAMC approved abbreviations will be used for documentation of the patient health record. All imaging exam interpretations shall either meet or exceed established standards of timeliness, accuracy, content, and signature. Only medical abbreviations from The Joint Commission’s National Patient Safety Goals, current edition, will be used for documentation of the patient health record. Those abbreviations not acceptable to conform with the JCAHO directives are included Attachment “Do Not Use List”.

4.4.4.2. Interpretations shall include the following information:

patient’s full name, SSN, date of birth, clinical history, exam case number (accession number), date of interpretation, requesting physician, exam type, interpretation, and signature of contract radiologist providing interpretation.

4.4.4.2.1. Each VAMC will provide necessary procedures for reports to be reviewed, edited (if required), and for electronic signature…