Vernal CBOC - Follow-up Questions and Response.pdf

1. QUESTION 1: Please advise how many exam rooms and how many consultation rooms the VA requires per PACT team.

Government Response: Reference PWS paragraph 4.9 Space Requirements: 4 exam rooms and 2 consult room for PACT and ancillary extended team. One consult room can be used for Mental Health, PCMHI, Social Work, Dietary & Pharm D.) The PWS para 4.9 updated to reflect.

Follow-up Question: Can the Government confirm that the Women’s Health Exam Room counts as one of the 4 exam rooms?

Government Response: Yes, one of the exam rooms counts as a Woman’s Health Exam room

2. QUESTION: Please provide the number of billable enrollees on the most current invoice.

Government Response: 796 Vets up to 1067

Follow-up Question: The 1067 number of billable enrollees exceeds the estimated number of 810 patients as set forth in Section 2.1 the PWS.

Can the Government confirm that the estimated 810 employees of the PWS is accurate?

Government Response: The 810 veterans is an “estimate”. If every billable enrollee were to transfer their care to this clinic, then it is estimated that up to 1067 veterans could possibly receive their care at this clinic. This volume of patients will not change the staffing requirements, as it is within the PACT staffing standards.

3. QUESTION: Please list the vaccines the contractor is responsible for purchasing and provide information on how many of each vaccine were used at the clinic in the past year.

Government Response: Drug/Vaccine QTY Shipped

Havrix (Hepatitis A Vaccine) Syringe 2

Heplisav-B (Hepatitis B Vaccine) Syringe 5

Flu Vaccine Syringe 70

Boostrix (TDAP Vaccine) Syringe 90

Shingrix (Shingles Vaccine) Syringe 70

Prevnar 20 (Pneumococcal Vaccine) Syringe 80

Gardasil (HPV) Syringe 5

Covid-19 Single Dose Vials 10

Pharmacy doesn’t have data on administration vs wasted doses.

Follow-up Question: Please clarify answer to question #15 in the Q&A. A list and quantity of vaccines used in the clinic in the past year was provided but not the complete list of vaccines the contractor is responsible for purchasing. Please provide a list of all vaccines the contractor would be required to provide for this contract.

Government Response: As guidance, the Contractor should provide vaccine from the CDC adult immunization schedule and ensure patients receive full immunization series. adult-combined-schedule.pdf (cdc.gov)

4. QUESTION 18: Does the government require CAT6 or CAT6A cabling

Government Response: Reference PWS paragraph 4.11.2.6.7 updated to read “Infrastructure installer should install CAT6A patch panels and connectors in the rack”.

Follow-up Question: Can you clarify whether VA requires CAT6 or CAT6A cabling throughout the Vernal CBOC, or just as the patch panels?

Government Response: CAT6A at the wireless access point (WAP) and a CAT6 for everything else.

5. QUESTION 24: PWS section 4.11.2.6.7 Infrastructure installer should install Leviton CAT6 patch panels and connectors in the rack.

Will the Government please confirm if a comparable brand to Leviton is suffice?

Government Response: Reference PWS paragraph 4.11.2.6.7 updated to read “Infrastructure installer should install CAT6A patch panels and connectors in the rack”.

Follow-up Question: Can the Government confirm whether a comparable brand to Leviton is sufficient to fulfill the requirement?

Government Response: See paragraph 4.11.2.6.7. The contractor shall install patch panels and connectors in the rack that meets the Government’s requirement.

6. QUESTION: We respectfully note that Section 6.1.2 of the PWS reads as follows:

“The Contractor shall have 120 days from contract award to commencement of the provision of medical care to local Veterans. However, the Contractor must have all start-up requirements in place and ready to commence operation NLT 113 calendar days from contract award. The final seven (7) days will be used for training and resolution of any last minute or unexpected technical or personnel related challenges. The Contractor shall comply with the following contract requirements prior to commencement of clinical operations:”

https://www.cdc.gov/vaccines/schedules/downloads/adult/adult-combined-schedule.pdf https://www.cdc.gov/vaccines/schedules/downloads/adult/adult-combined-schedule.pdf

We respectfully note that the scheduled provided in the amended Solicitation lists the period of performance starting on September 1, 2024. The timeframe as of today and September 1, 2024, is less than the number of days given for Contract start-up.

Will the Government provide an updated period of performance for the required services?

Government Response: The contract will have a twelve (12) month base period with four (4) twelve

(12) month option periods. The Schedule will be updated at award.

7. QUESTION: We respectfully note that page 163 of the Amended Solicitation reads as follows:

“Please indicate the name of the business on the first page only in the redacted proposal. DO NOT place business name on every page of the proposal, use “our company” in place of business name after the first page.”

We assume that the redacted nature of the proposal is not applicable to the Section B component of the submission. Can you clarify whether this assumption is correct?

Government Response: One copy of the Technical Proposal, Past Performance Proposal and Price Proposal will be redacted.

8. QUESTION: According to the most recent version of VHA Directive 1406, panel capability can be adjusted by the number of exam rooms per PCP FTE.

We assume that the total number of examination rooms counted to make this adjustment includes Women’s Health Examination Rooms. Can you clarify whether this assumption is correct?

Government Response: Yes, it is included in the requirements listed in PWS paragraph 4.9 Space Requirements 4 exam rooms and 2 consult rooms for ACT and ancillary extended team.

9. QUESTION: We respectfully note that the estimated quantity of patients set forth in the schedule does not increase in subsequent option years.

Can the Government confirm that the estimated quantity of patients in option years was intentional and that no increase in patients over time should be anticipated?

Government Response: Yes, based off census records, the medical does not predict an increase in the Veteran population in this rural area.

10. QUESTION: Can the Government clarify an anticipated award date for the Solicitation?

Government Response: The Government will post an award notice once the evaluation process is complete and an award decision is made.

11. QUESTION: Does the current CBOC meet the government’s space requirements?

Government Response: All offers must meet the Government’s space requirements per the Performance Work Statement in the RFP.

QUESTION: Please provide the number of billable enrollees on the most current invoice, not the active panel ranges.

Government Response: 796

12. QUESTION: Please confirm if the existing clinic number be rolled over to the new contractor.

Government Response: All phone numbers will be rolled to the new Vernal Clinic.

13. QUESTION: Being that all contracted staff must go through VA’s onboarding and credentialing, what is the attrition rate for this current contract for both providers and support staff?

Government Response: Reference Paragraph 2.10 for the credentialing process and qualifications for successful Onboarding.

14. QUESTION: During the duration of the current contract, has the clinic been fully staffed?

Government Response: Yes

15. QUESTION: When was the governments market research conducted to determine the maximum dollar amount for this solicitation? Would the government consider increasing the maximum value for this solicitation?

Government Response: The price maximum will be reviewed at contract award.

16. QUESTION: Would the government extend the due date for this solicitation by 30 days?

Government Response: Review amendment blocks 11 and 14 for offer Due Date and Time