36C25724Q0471 - Questions and Answers.docx
DOCX document 64 KB Posted
- Attached to
- Q523--Neuromonitoring Services
- Solicitation number
- 36C25724Q0471
About this file
This document is a set of Questions and Answers related to Solicitation 36C25724Q0471 for Neuromonitoring Equipment and Technician Services. The solicitation is being procured as a 100% Total Service-Disabled Veteran-Owned Small Business Set-Aside by the Department of Veterans Affairs, Veterans Integrated Service Network 17.
The key details include:
- Historical data on neurosurgery cases and cancellations from FY2023 and FY2024
- Expectations for 24/7 on-call support with a one-hour response time, though only one concurrent case can be monitored at a time
- Clarification that performance is to begin on January 1, 2025, with the government able to award the contract anytime before December 31, 2024
- Confirmation that only the main Dallas VAMC location is equipped for the required neurosurgical services
- Uncertainty around whether the 15-minute monitoring billing increment is a valid pricing structure per the solicitation
- Incumbent contractor is NUVASIVE CLINICAL SERVICES MONITORING, INC. with a period of performance from 1/1/20 to 12/31/24.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C25724Q0471 0002 - Amendment to Extend Offer Date-Post Q and A.docx | DOCX document | |
| 36C25724Q0471 0001 Amendment to Extend Offer Date.docx | DOCX document | |
| D.5 QASP - NEUROMONITORING.pdf | ||
| D.1 PAST PERFORMANCE SURVEY.docx | DOCX document | |
| D.6 WAGE DETERMINATION 2015-5227 rev 23 7.22.24.pdf | ||
| S02 36C25724Q0471 - Neuromonitoring Services.pdf | ||
| D.2 CONTRACTOR RULES OF BEHAVIOR.docx | DOCX document | |
| D.4 ORGANIZATIONAL CONFLICTS OF INTEREST.docx | DOCX document | |
| D.3 CONTRACTOR CERTIFICATION OF IMMIGRATION.docx | DOCX document |
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36C25724Q0471 – Neuromonitoring Equipment and Technician Services
Technical Questions/Answers 36C25724Q0471 – Neuromonitoring Equipment and Technician Services
Technical Questions/Answers
1. Please provide historical data about individual procedure types, dates, and total monitoring time by procedure for 2023 and YTD 2024.
Typical procedure types include but are not limited to: see below, the monitoring times vary per procedure.
204 TOTAL NEUROSURGERY CASES FROM 10/01/22 TO 09/30/23
166 TOTAL NEUROSURGERY CASES FROM 10/01/23 TO 09/30/24
2. Are there surgical day/blocks when the monitored cases typically fall?
Monitored cases fall all business weekdays except Thursday. There may be cases scheduled on a Thursday if some other service gives up their block time, but Neurosurgery does not have any allotted block time on Thursdays.
3. We see that it’s 24/7/365 – does that mean someone on call 24/7? How fast should we arrive after a call?
Yes, someone should be available 24/7, but we can only run 1 Neurosurgery case at a time, a 2nd team does not need to be available if one is already working. Response time is one hour.
4. How many concurrent cases?
See answer to question 1 above for cases from 2022 – 2023 and 2023 to date. Also, see Solicitation Section B.2 Schedule of Services for Solicitation Quantities.
5. Are there specific days and block times for IONM cases? If so what are they?
No, not at the present time. The IONM time would be possible throughout the Neurosurgery block time as in #2 above.
6. How often, if at all, do you anticipate having more than 1 monitored case being performed simultaneously?
Never.
7. In 2023, how many cases were cancelled “after 5 p.m. of the day preceding surgery and before surgery time”?
We capture data for cancellations within 2 days.
8. In 2023, how many cases were cancelled “after the boarded surgery time”?
We capture data for cancellations within 2 days.
Below please find the FY 23 and FY 24 Cancellation Report for Neurosurgery.
Cancellations OCT 01, 2022 to SEP 30, 2023
** Neurosurgery **
TOTAL SCHEDULED SURGICAL CASES: 254
TOTAL CANCELLATIONS 54
Cancellations OCT 01, 2023 to SEP 30, 2024
** Neurosurgery **
TOTAL SCHEDULED SURGICAL CASES: 198
TOTAL CANCELLATIONS 35
9. In 2023, how many cases were scheduled “after 3 p.m. of the day preceding surgery”?
We capture data for add-on cases not scheduled 2 days prior.
10. Are any significant changes in procedure volumes, days of the week, or procedure types anticipated in 2025?
Any significant changes to procedure volumes in 2025 are currently unknown.
11. Section B.2 indicates that full performance start should commence on January 1, 2025.
a. Please clarify the anticipated award date.
The Government may award this requirement at anytime before December 31, 2024.
b. Will the VA agree that performance start will happen no sooner than 60 days after award?
The anticipated performance start date is currently scheduled for January 01, 2025.
12. Scope of Work, page 15 of 85: Is that another alternative site for services other than North Texas VHCS (VANTHVS) 4500 South Lancaster Road, Dallas, Texas? What are the "associated areas" of the Dallas VAMC?
No additional VA North Texas sites are equipped for surgery; only the main hospital at 4500 S. Lancaster Rd, 75216
13. Neurosurgical IONM Products: Are the following products/supplies required for this contract? If so, how often does the surgeon utilize them?
Supplies use unknown.
14. Single Pediatric needle
15. Monopolar disposable probe, 100 mm x 0.75 mm
16. ET Tube dragonfly 2-chan laryngeal surface elec 6.0 - 7.5mm
17. ET Tube dragonfly 2-chan laryngeal surface elec 8.0 - 9.5 mm
18. Price Schedule: On page 16 of 85, B.3.4.1.4, Monitoring professionals, "When monitoring remotely, they can only bill for the time spent monitoring a Medicare patient in 15-minute increments." The price schedule under B.2.schedule of services on page 7 of 85 does not have specific services or a CLIN/item number. Is the 15-minute monitoring a billable item? Is this an error in the solicitation?
Still waiting on reply
19. Background investigations, B.4.2.3.3.1, page 21 of 85: The contractor is responsible for reimbursement to the VA of $231 per case for background investigations within 30 days. Will the awardee be billed $231 per case for background investigations?
unknown
20. Is there an incumbent? If so, how long has the incumbent provided services?
If possible, who is the incumbent?
Period of Performance: 1/01/20 – 12/31/24 Incumbent: NUVASIVE CLINICAL SERVICES MONITORING, INC.
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