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NAVAHCS Virtual Pharmacy Services Federal contract opportunity
Solicitation number
36C25819Q0010
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22

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36C25819Q0010

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C25819Q0010 10-25-2018 Blaine Greenwalt 520-792-1450 x4457 11-12-2018

4:00PM AZ MST

Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson

AZ

85723 X X 446110 $27.5 Million Net 30 Days X N/A X Department of Veterans Affairs Southern Arizona VA Healthcare System 3601 S. 6th Avenue Tucson

AZ

85723 Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson

AZ

85723

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.

See CONTINUATION Page Contractor shall provide all parts, labor, and supplies to provide Virtual Pharmacy Services for the Northern Arizona Healthcare System (NAVAHCS) in Prescott, AZ.

$0.00 See CONTINUATION Page X X X Thomas Robinson Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS1
SECTION B - CONTINUATION OF SF 1449 BLOCKS3
B.1 CONTRACT ADMINISTRATION DATA3
B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)4
B.3 PRICE/COST SCHEDULE12
ITEM INFORMATION12
B.4 DELIVERY SCHEDULE14
SECTION C - CONTRACT CLAUSES16
C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)16
C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)16
C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)16
C.4 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)17
C.5 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)17
C.6 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)18
C.7 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)19
C.8 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018)19
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS27
SECTION E - SOLICITATION PROVISIONS28
E.1 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013)28
E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017)29
E.3 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)34
E.4 EVALUATION—COMMERCIAL ITEMS (CONTINUED)35
E.4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (NOV 2017)36
E.5 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998)52
E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)52
E.7 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (JAN 2008)53
E.8 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)53

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C258 Thomas Robinson

Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson AZ 85723

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

[]
52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or
[]
52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly[]
b. Semi-Annually[]
c. Other[X] MONTHLY BASED ON APPROVED INVOICES

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.

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.

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

AMENDMENT NO
DATE

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes . Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

1. INTRODUCTION:

Contractor shall provide Virtual Pharmacy services to complete pending medication/supply orders (henceforth referred to as “medication orders”) for VA medical facility located in Prescott, AZ, known as Northern AZ VA Health Care System, (NAVAHCS). Services include the professional pharmacist’s review and problem solving needed to assure medication orders are safe and accurate. Contractor must be a U.S.-based company capable of providing pharmacy services to be completed via a secure web-based system provided by the contractor. Contractor’s pharmacists will be required to use a Personal Identity Verification (PIV) card to log into the Citrix Access Gateway (CAG) by utilizing VA’s Virtual Private Network (VPN). Contractor’s pharmacists will have access to VA Electronic Health Record. (henceforth referred to as “CPRS/VISTA”) at each site. Contractor shall provide an adequate number of licensed pharmacists to process all orders accurately and timely to completion and to support resolution of questions and consultations in a timely manner.

A. This contract is for non-personal services. It does not create employment rights with the U.S. Government whether actual, inherent, or implied. By agreeing to perform the services described in these specifications, the contractor acknowledges that he/she is not, and shall not become, an employee of the U.S. Government. Contractor agrees that contractor will not bring any cause of action in any forum claiming that a contract pharmacist has become an employee of the U.S. Government.

B. This contract is a “non-personal services contract” as defined in FAR 37.101. It is, therefore, understood and agreed that the contractor and/or the contractor’s employees or subcontractor:

1) Shall perform the services specified herein as independent contractors, not as employees of the government.

2) Shall manage and administer the work required and bear sole responsibility for complying with all technical, schedule, or financial requirements or constraints attendant to the performance of this contract.

3) Shall be free from supervision or control by any government employee with respect to the manner or method of performance of the services specified.

4) Shall, pursuant to the government’s right and obligation to inspect, accept, or reject the work, comply with such general direction of the Contracting Officer, or the duly authorized representative of the Contracting Officer as is necessary to ensure accomplishment of the contract objectives.

C. Contractor shall provide sufficient number of pharmacists to review authorized medication orders for each site. Each contract pharmacist must have a full, current and unrestricted license to practice pharmacy in a State, Territory or Commonwealth of the United States or the District of Columbia. Contract pharmacist(s) must maintain current registration and must be proficient in verbal and written English.

D. The contractor’s pharmacists will review authorized provider medication orders at specified time periods identified in the Delivery Schedule. After review, contract pharmacist(s) will process and verify orders remotely.

E. Contractor shall provide and document a general orientation for all the contractor’s pharmacists who provide work on this contract before commencement of work. Documentation of the orientation will be provided to the Contracting Officer. Contractor’s orientation should include, but is not limited to, the following topics:

1) Fire and safety policy and procedure

2) Infection control policy and procedure

3) Emergency Preparedness/Disaster policy and procedure

F. VA will monitor contractor performance to ensure compliance with the contract. Please refer to the Quality Assurance Surveillance Plan (QASP) for additional information.

G. Notwithstanding other contract requirements, upon request of the Contracting Officer, the contractor will remove any pharmacist who does not comply with orientation requirements or meet competency requirements for the work being performed.

2. OBJECTIVES: The contractor and Contracting Officer Representative (COR) from the location will work together to increase the efficiency of the virtual pharmacy program, and both parties will collaborate to enhance services and increase effectiveness as it relates to the delivery of medication orders.

3. SCOPE OF VIRTUAL PHARMACY SERVICES:

A. The contractor’s pharmacists shall provide drug knowledge resources and pharmacist medication order review and verification services as stated for NAVAHCS. The contractor’s pharmacists will review authorized provider medication orders that are transmitted to or accessed by the pharmacist during the required time periods identified below.

DELIVERY SCHEDULE

a. Monday-Friday 9PM-7AM MST (including all federal holidays)

b. Saturday-Sunday 4PM-7AM MST (including all federal holidays

B. The contractor’s pharmacists will check for medication orders in the Inpatient pharmacy package pending orders queue at least every thirty (30) minutes. After review, the contract pharmacist(s) will process and finish/verify orders via remote access. The VA site representative shall work with the contractor to develop a contingency plan to accommodate the verification process in the event of downtime.

C. VA site may call in emergency orders and questions or consultation requests. Contract pharmacist(s) shall process emergency orders within 15 minutes of contact.

D. Contract pharmacist(s) shall evaluate each prescription for drug-drug interactions, therapeutic duplications, contraindications, recorded drug allergies, appropriate doses, appropriate route of administration, appropriate administration time(s), accurate directions, and, as applicable, appropriate order start time to ensure the final order will be active at the appropriate time and understandable to the nurse administering or patient taking the medication. Contract pharmacist(s) shall clarify with the appropriate party prior to processing any pending medication not meeting standards for completeness, restrictions, lacking clinical information and those requiring consults.

E. Using the VA National Formulary (VANF), which is updated monthly and accessible at http://www.pbm.va.gov/PBM/NationalFormulary.asp, contract pharmacist(s) shall review pending orders and make efforts to utilize formulary agents. If efforts are unsuccessful, and the order is due prior to the resumption of regular pharmacy services, the order shall be processed and follow-up actions will be taken by the facility. If efforts are unsuccessful, but the order is due after the resumption of regular pharmacy services, the order shall remain pending and the appropriate VA site will provide this information and steps taken during the shift sign-off process.

F. Each of the contractor’s pharmacists shall provide daily shift “sign off” (by appropriate secure method agreed to with each site) to include a summary of outstanding issues for follow-up by appropriate VA pharmacy staff.

G. The contractor shall:

1) Provide monthly report of activities under the contract (i.e. number of orders, number of questions answered, etc.) furnished to each site. Monthly reports are due by the 15th of the next month unless a different date is agreed upon by the contractor and VA.

2) Provide quarterly reports on quality improvement indicators for each site including:

· Potential prescribing errors and other medication errors;

· Suspected adverse drug reactions or events;

· Other reports as requested and agreed to by the contractor and VA;

· Information on educational needs for virtual pharmacists pertaining to station policies/procedures; and,

· Quarterly reports are due no later than 30 days after the end of each quarter, unless a different date is agreed upon by the contractor and VA.

3) Provide contract supervisor or designee contact for each site to discuss errors, near misses, and any customer service complaints related to virtual pharmacist services. Contractor shall be available to respond to concerns within 2 business days of contact by VA.

4) Provide backup secure contact (i.e., phone/fax) in the event of primary communication method failure or network downtime.

5) Comply with all applicable policies, rules, and regulations of each facility of which they have been duly notified and shall not knowingly engage in any activity detrimental to the interest of the VA.

6) Comply with all applicable standards of the Joint Commission including maintenance of competency training for all staff providing services to the VA.

7) Complete and input all transcription notes directly into CPRS/VISTA.

4. GOVERNMENT RESPONSIBILITIES:

A. VA shall provide the following:

1) Assistance with the background check process for each contract pharmacist to obtain a Personal Identity Verification (PIV) card to log into the Citrix Access Gateway (CAG).

2) Virtual access to applicable parts of VA’s network and electronic medical records.

3) List of clinical leadership, night nursing supervisors, pharmacy staff, and nursing unit contact information for each site.

4) List of necessary provider contact information for each site.

5) List of important points-of-contact for each site and may include, but is not limited to, Administrative Officer of the Day (AOD), on-call VA Pharmacist, Pharmacy Chief or designee, and Medical Administrative Assistants (MAAs).

6) Supervisor or designee contact information in the event of an emergency or catastrophic down time.

7) Information on policies and procedures unique to each facility, which may include, but is not limited to, medications available in Automated Dispensing Cabinets, ward stock lists, restricted intravenous medications, and IV admixture standards and rates.

8) Contact information, backup contact information, hours of operation, and order processing instructions for regular and STAT orders specific for each site.

5. THE JOINT COMMISSION (TJC) AND OTHER SPECIAL REQUIREMENTS:

A. The Joint Commission: Contractor will be responsible for ensuring contract pharmacists providing services on this contract are fully trained and completely competent to perform the required work. Although this contract does not require TJC accreditation or other regulatory requirements regarding worker competency, the contractor must perform the required work in accordance with the TJC standards. The contractor is required to provide a current performance evaluation (proficiency or competency) on each pharmacist providing services under the contract. The contractor will provide current copies of the performance evaluations at the time of contract award and annually on the anniversary date of contract award to the Contracting Officer, or upon request.

B. Health and Human Services (HHS)/Office of Inspector General (OIG): To ensure that the individuals providing services under the contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the Contractor is required to check the HHS - OIG, List of excluded individuals/entities on the OIG Website www.hhs.gov/oig for each person providing services under this contract. Further, the contractor is required to certify in its proposal that all persons listed in the contractor’s proposal have been compared against the OIG list and are not listed. During the performance of this contract, the contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities.

C. Records Management:

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

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

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

4) NAVAHCS and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of NAVAHCS or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701.

5) In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to NAVAHCS. The agency must report promptly to NARA in accordance with 36 CFR 1230.

6) The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the resulting contract. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to NAVAHCS control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with paragraph 5.C.4) above.

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

8) The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with NAVAHCS policy.

9) The Contractor shall not create or maintain any records containing any non-public NAVAHCS information that are not specifically tied to or authorized by the contract.

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

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

12) Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training, Talent Management System (TMS) Item #3873736, Records Management for Records Officers and Liaisons. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

[Note: To the extent an agency requires contractors to complete records management training, the agency must provide the training to the contractor.]

D. Privacy Policy Training: Contractor personnel must complete VHA national Privacy Policy/Information Security training and/or other VHA approved privacy trainings for contractor-furnished trainings that meet the requirements of the HHS Standards for Privacy of Individually-identifiable Health Information as determined by the VHA. Each of the contractor’s pharmacists must also sign VA’s Contractor Rules of Behavior. Proof of training (i.e. training completion certificate) must be provided to the COR and the Information Security Officer at each facility (to be named upon award) for each contract pharmacist providing the services under this contract.

E. Protected Health Information (PHI): Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPPA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information.

F. End of Contract Responsibility: The contractor agrees to provide self-certification that the data destruction requirements have been met and sent to the VA Contracting Officer within 30 days of termination of the contract.

6. QUALITY ASSURANCE SURVEILLANCE: Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP. Regardless of the surveillance method, the CO shall always contact the contractor or on-site representative when a problem is identified, and inform the manager of the specifics of the problem. The CO, with assistance from the COR, shall be responsible for monitoring the contractor’s performance in meeting a specific performance standard/AQL.

a. Direct Observation

b. Management Information Systems (MIS).

c. Progress or Status meetings

d. Periodic Inspections

e. User Survey-incident reports/error reported, and customer service complaints

f. Documentation

Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a give standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used.

Exceptional: Performance meets contractual requirements and exceeds the governments benefit. The contractual performance of the element or sub-element being assessed was accomplished with a few minor problems for which corrective actions taken by the contractor were highly effective.

Very Good: Performance meets contractual requirements and exceeds the governments benefit. The contractual performance of the element or sub-element being assessed was accomplished with a few minor problems for which corrective actions taken by the contractor were effective

Satisfactory: Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Marginal: Performance does not meet contractual requirements. The contractual performance of the element or sub-element reflects a serious problem for which the contractor has not yet identified corrective actions. The contractors proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory: Performance does not meet contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains problems for which corrective actions taken by the contractor appear or were unsatisfactory.

DOCUMENTING PERFORMANCE

a. ACCEPTABLE PERFORMANCE. The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

b. UNACCEPTABLE PERFORMANCE. When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. The COR shall document the discussion and place it in the COR file.

When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state the length of time after receipt that the contractor must present this corrective action plan to the COR. The Government shall review the contractor's corrective action plan to determine acceptability.

Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

A. Performance Requirement Summary (PRS): The following PRS lists the contract’s special requirements described in Section 5 above, their associated performance standards, the Acceptable Quality Levels (AQL), and the methods of surveillance listed below

#
Service Requirement
Performance Standard
AQL
Methods
1
Privacy Policy Training
Contractor personnel complete Privacy Policy Training annually.
100%
Vendor to provide certificate of completion of contracted employees annually or upon request
2
Records Management
Maintain 100% accountability of all records without data breach.
100%

Review by exception

3
Records Management
Annual Completion of TMS #3873736, Records Management for Records Officers and Liaisons.
100%
Vendor to provide certificate of completion of contracted employees annually or upon request

B. Quality Assurance Surveillance Plan (QASP): The QASP will be used to document the contractor’s performance. The QASP includes various methods of assessing performance to ensure contract requirements are being met.

#
Service Requirement
Performance Standard
AQL
Methods
1
Rx Processing
Process Inpatient medication orders in less than 1 hour.
100%
Review by exception and customer service complaints
Rx Processing
No Non-Formulary medications are processed without approval.
95%
Review by exception
2
Drug Information Source
Reviews appropriate patient safety monitors when processing medication orders. (i.e. lab data, drug-drug interactions, and adverse drug events and allergies)
99%
Review by exception
3
Med Error Reporting
Medication orders are processed accurately and errors reported and investigated
99%
Review by exception
4
Records Management
Maintain 100% accountability of all records without data breach.
100%

Review by exception

5
Customer Service
Provides excellent customer service to field and site POC
100%
Review by exception
Customer Service
Responds to inquiries/questions timely
100%
Review by exception

C. Evaluation of PRS and QASP: The PRS and QASP will be incorporated into any subsequent contract. The contractor will be given the opportunity to correct or address any adverse findings resulting from observations throughout the Period of Performance. Furthermore, failure to correct any major nonconformance could result in termination of the contract for cause and/or adversely impact the contractor’s ability to be selected for future contracts as documented in the Contractor Performance Assessment Report System (CPARS).

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
10.00
MO
__________________
__________________

Contractor shall supply all labor, tools, equipment, vehicles, facilities, management, and all other elements necessary to provide "Virtual Pharmacy Services" for NAVAHCS in accordance with the SOW.

Contract Period: Base 1 Dec 2018 - 30 Sep 2019 Contract Period: Base POP Begin: 12-01-2018 POP End: 09-30-2019 PRINCIPAL NAICS CODE: 446110 - Pharmacies and Drug Stores PRODUCT/SERVICE CODE: Q517 - Medical- Pharmacology

12.00
MO
__________________
__________________

Contractor shall supply all labor, tools, equipment, vehicles, facilities, management, and all other elements necessary to provide "Virtual Pharmacy Services" for NAVAHCS in accordance with the SOW.

1 Oct 2019 - 30 Sep 2020 Contract Period: Option 1 POP Begin: 10-01-2019 POP End: 09-30-2020

12.00
MO
__________________
__________________

Contractor shall supply all labor, tools, equipment, vehicles, facilities, management, and all other elements necessary to provide "Virtual Pharmacy Services" for NAVAHCS in accordance with the SOW.

1 Oct 2020 - 30 Sep 2021 Contract Period: Option 2 POP Begin: 10-01-2020 POP End: 09-30-2021

12.00
MO
__________________
__________________

Contractor shall supply all labor, tools, equipment, vehicles, facilities, management, and all other elements necessary to provide "Virtual Pharmacy Services" for NAVAHCS in accordance with the SOW.

1 Oct 2021 - 30 Sep 2022 Contract Period: Option 3 POP Begin: 10-01-2021 POP End: 09-30-2022

12.00
MO
__________________
__________________

Contractor shall supply all labor, tools, equipment, vehicles, facilities, management, and all other elements necessary to provide "Virtual Pharmacy Services" for NAVAHCS in accordance with the SOW.

1 Oct 2022 - 30 Sep 2023 Contract Period: Option 4 POP Begin: 10-01-2022 POP End: 09-30-2023

GRAND TOTAL
__________________

B.4 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Northern Arizona VA Health Care System

500 N. US Highway 89 Bldg 15 Prescott, AZ 86313 5001

USA

10.00

MARK FOR:
Hilda Garduno

928-445-4860 x6609 hilda.garduno@va.gov

1001
SHIP TO:
Northern Arizona VA Health Care System

500 N. US Highway 89 Bldg 15 Prescott, AZ 86313 5001

USA

12.00
10/01/2019 - 09/30/2020
MARK FOR:
Hilda Garduno
2001
SHIP TO:
Northern Arizona VA Health Care System

500 N. US Highway 89 Bldg 15 Prescott, AZ 86313 5001

USA

12.00
10/01/2020 - 09/30/2021
MARK FOR:
Hilda Garduno
3001
SHIP TO:
Northern Arizona VA Health Care System

500 N. US Highway 89 Bldg 15 Prescott, AZ 86313 5001

USA

12.00
10/01/2021 - 09/30/2022
MARK FOR:
Hilda Garduno
4001
SHIP TO:
Northern Arizona VA Health Care System

500 N. US Highway 89 Bldg 15 Prescott, AZ 86313 5001

USA

12.00
10/01/2022 - 09/30/2023
MARK FOR:
Hilda Garduno

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

FAR Number
Title
Date
52.203-16
PREVENTING PERSONAL CONFLICTS OF INTEREST
DEC 2011
52.203-17
CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS
APR 2014
52.204-4
PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER
MAY 2011
52.212-4
CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS
JAN 2017
52.232-18
AVAILABILITY OF FUNDS
APR 1984
52.232-40
PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS
DEC 2013

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed 58 months.

(End of Clause)

C.4 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

The Contractor shall not make reference in its commercial advertising to Department of Veterans Affairs contracts in a manner that states or implies the Department of Veterans Affairs approves or endorses the Contractor’s products or services or considers the Contractor’s products or services superior to other products or services.

(End of Clause) C.5 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

(a) Definition. For the Department of Veterans Affairs, “Service-disabled veteran-owned small business concern or SDVSOB”:

(1) Means a small business concern:

(i) Not less than 51 percent of which is owned by one or more service-disabled veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled veterans or eligible surviving spouses (see VAAR 802.201 Surviving Spouse definition);

(ii) The management and daily business operations of which are controlled by one or more service-disabled veterans (or eligible surviving spouses) or, in the case of a service-disabled veteran with permanent and severe disability, the spouse or permanent caregiver of such veteran;

(iii) The business meets Federal small business size standards for the applicable North American Industry Classification System (NAICS) code identified in the solicitation document;

(iv) The business has been verified for ownership and control pursuant to 38 CFR 74 and is so listed in the Vendor Information Pages database, (https://www.vip.vetbiz.gov); and

(v) The business will comply with subcontracting limitations in 13 CFR 125.6, as applicable

(2) “Service-disabled veteran” means a veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

(b) General.

(1) Offers are solicited only from verified service-disabled veteran-owned small business concerns. Offers received from concerns that are not verified service-disabled veteran-owned small business concerns shall not be considered.

(2) Any award resulting from this solicitation shall be made to a verified service-disabled veteran-owned small business concern.

(c) Agreement. A service-disabled veteran-owned small business concern agrees that in the performance of the contract, the concern will comply with the limitation on subcontracting requirements in 13 CFR §125.6.

(d) A joint venture may be considered a service-disabled veteran owned small business concern if the joint venture complies with the requirements in 13 CFR 125.15, provided that any reference therein to SDVO SBC is to be construed to apply to a VA verified SDVOSB as appropriate.

(e) Any service-disabled veteran-owned small business concern (non-manufacturer) must meet the requirements in FAR 19.102(f) of the Federal Acquisition Regulation to receive a benefit under this program.

(End of Clause)

C.6 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)

(a) Definitions. As used in this clause—

(1) Contract financing payment has the meaning given in FAR 32.001.

(2) Designated agency office has the meaning given in 5 CFR 1315.2(m).

(3) Electronic form means an automated system transmitting information electronically according to the Accepted electronic data transmission methods and formats identified in paragraph (c) of this clause. Facsimile, email, and scanned documents are not acceptable electronic forms for submission of payment requests.

(4) Invoice payment has the meaning given in FAR 32.001.

(5) Payment request means any request for contract financing payment or invoice payment submitted by the contractor under this contract.

(b) Electronic payment requests. Except as provided in paragraph (e) of this clause, the contractor shall submit payment requests in electronic form. Purchases paid with a Government-wide commercial purchase card are considered to be an electronic transaction for purposes of this rule, and therefore no additional electronic invoice submission is required.

(c) Data transmission. A contractor must ensure that the data transmission method and format are through one of the following:

(1) VA’s Electronic Invoice Presentment and Payment System. (See Web site at http://www.fsc.va.gov/einvoice.asp.)

(2) Any system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) and chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org) includes additional information on EDI 810 and 811 formats.

(d) Invoice requirements. Invoices shall comply with FAR 32.905.

(e) Exceptions. If, based on one of the circumstances below, the contracting officer directs that payment requests be made by mail, the contractor shall submit payment requests by mail through the United States Postal Service to the designated agency office. Submission of payment requests by mail may be required for:

(1) Awards made to foreign vendors for work performed outside the United States;

(2) Classified contracts or purchases when electronic submission and processing of payment requests could compromise the safeguarding of classified or privacy information;

(3) Contracts awarded by contracting officers in the conduct of emergency operations, such as responses to national emergencies;

(4) Solicitations or contracts in which the designated agency office is a VA entity other than the VA Financial Services Center in Austin, Texas; or

(5) Solicitations or contracts in which the VA designated agency office does not have electronic invoicing capability as described above.

(End of Clause)

C.7 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

The contractor shall obtain all necessary licenses and/or permits required to perform this work. He/she shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract. He/she shall be responsible for any injury to himself/herself, his/her employees, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by his/her employees fault or negligence, and shall maintain personal liability and property damage insurance having coverage for a limit as required by the laws of the State of Arizona. Further, it is agreed that any negligence of the Government, its officers, agents, servants and employees, shall not be the responsibility of the contractor hereunder with the regard to any claims, loss, damage, injury, and liability resulting there from.

(End of Clause) C.8 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(3) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(4) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[X] (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

[] (2) 52.203-13, Contractor Code of Business Ethics and Conduct (OCT 2015) (41 U.S.C. 3509).

[] (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[X] (4) 52.204–10, Reporting Executive Compensation and First-Tier Subcontract Awards (OCT 2016) (Pub. L. 109–282) (31 U.S.C. 6101 note).

[] (5) [Reserved] [X] (6) 52.204–14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (7) 52.204–15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[X] (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (OCT 2015) (31 U.S.C. 6101 note).

[X] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C. 2313).

[] (10) [Reserved] [] (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

[] (ii) Alternate I (NOV 2011) of 52.219-3.

[] (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (ii) Alternate I (JAN 2011) of 52.219-4.

[] (13) [Reserved] [] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

[] (ii) Alternate I (NOV 2011).

[] (iii) Alternate II (NOV 2011).

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

[] (ii) Alternate I (Oct 1995) of 52.219-7.

[] (iii) Alternate II (Mar 2004) of 52.219-7.

[X] (16) 52.219-8, Utilization of Small Business Concerns (NOV 2016) (15 U.S.C. 637(d)(2) and (3)).

[] (17)(i) 52.219-9, Small Business Subcontracting Plan (JAN 2017) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (NOV 2016) of 52.219-9.

[] (iii) Alternate II (NOV 2016) of 52.219-9.

[] (iv) Alternate III (NOV 2016) of 52.219-9.

[] (v) Alternate IV (NOV 2016) of 52.219-9.

[] (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

[] (19) 52.219-14, Limitations on Subcontracting (JAN 2017) (15 U.S.C. 637(a)(14)).

[] (20) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

[] (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f).

[X] (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C 632(a)(2)).

[] (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (DEC 2015) (15 U.S.C. 637(m)).

[] (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (DEC 2015) (15 U.S.C. 637(m)).

[X] (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

[] (26) 52.222–19, Child Labor—Cooperation with Authorities and Remedies (JAN 2018) (E.O. 13126).

[X] (27) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

[X] (28) 52.222–26, Equal Opportunity (SEP 2016) (E.O. 11246).

[X] (29) 52.222-35, Equal Opportunity for Veterans (OCT 2015) (38 U.S.C. 4212).

[X] (30) 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793).

[X] (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

[X] (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

[X] (33)(i) 52.222-50, Combating Trafficking in Persons (MAR 2015) (22 U.S.C. chapter 78 and E.O. 13627).

[] (ii) Alternate I (MAR 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

[X] (34) 52.222-54, Employment Eligibility Verification (OCT 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

[] (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008) (42 U.S.C.6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

[] (ii) Alternate I (MAY 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

[] (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (JUN 2016) (E.O. 13693).

[] (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (JUN 2016) (E.O. 13693).

[] (38)(i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (JUN 2014) (E.O.s 13423 and 13514).

[] (ii) Alternate I (OCT 2015) of 52.223-13.

[] (39)(i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (JUN 2014) (E.O.s 13423 and 13514).

[] (ii) Alternate I (JUN 2014)…

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