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36C26119Q0007 A00002 Answers to Questions and Requests for Information
| 1 |
| Question |
| What is the trauma designation? Annual Volume? |
| Answer |
| Level 2 approx.: 41,000 |
| 2 |
| Question |
| Single or double coverage (if double- when is there double coverage)? |
| 3 |
| Question |
| Supervision of PA’s or NP’s required? |
| 4 |
| Question |
| # of beds in the ER |
| 5 |
| Question |
| Support Staff (i.e nurses/ techs) |
| 6 |
| Question |
| Backup specialties available? |
| Answer |
| telestroke Eye Clinic |
Infectious Disease Infusion Laboratory Mental Health Nuclear Medicine Oncology Pharmacy Prosthetics Pulmonary/PFT Radiology Rehab Rehab Medicine Acupuncture Audiology Anticoagulation Clinic Dental Dermatology Diabetes Endocrine GI (Gastroenterology) Home Telehealth Neurology Pain Clinic Rheumatology Cardiology Dialysis ENT (Surgery) Foot/ankle3 Nephrology Orthopedics (Surgery) Interventional Pain Clinic Plastic (Surgery) Podiatry Renal Thoracic Urology Vascular (Surgery)
| 7 |
| Question |
| Will 12 hour shifts be considered in lieu of 10? |
| 8 |
| Question |
| It states no minimum order or guarantee is set. Is it possible to reconsider with the level of effort? |
| Answer |
| Paragraph 3 in section B.2 states that the guaranteed minimum is $1,000. |
| 9 |
| Question |
| 3.1.3 p16 Shift times: Please elaborate on the letter codes so we have a better understanding if possible? |
| Answer |
| The letters have no particular meaning. They simply designate the assigned shift in the scheduling matrix. |
| 10 |
| Question |
| Please confirm or correct the request is for 52 shifts per month. |
| 11 |
| Question |
| 2.7 No Employee Status: Please clarify that the physicians will not have a supervisor therefore treated as a 1099/contractor not provided the standard W2 requirements |
| Answer |
| No Employee Status relates to the physician’s relationship with the VA and does not dictate the contractor's relationship with the physician. |
| 12 |
| Question |
| What is the amount of hours needed for ER coverage? How many FTE (Physicians) |
| Answer |
| The estimated amount of hours needed are in the price worksheet |
| 13 |
| Question |
| Is coverage at the VA Hospital in Las Vegas or Reno? |
| 14 |
| Question |
| Has funding been made for this contract? If so, for how long initially? If not, it would be subject to end of shutdown and dates of performance may change, correct? Please clarify |
| Answer |
| Yes, for 1 year; the VA will fund annually. Funding not affected by shutdown. |
| 15 |
| Question |
| Is this a new requirement? |
| Answer |
| No, the VA Southern Nevada Healthcare System has contracted for coverage since July of 2013 |
| 16 |
| Question |
| If not a new requirement, is there incumbent vendor and if so, what is the contract award #? |
| Answer |
| The incumbent contractor’s name and contract number are not required to prepare a response to this RFQ, please submit a FOIA request. |
| 17 |
| Question |
| If incumbent, are ED providers currently working on this contract eligible for "first right of refusal"? |
| Answer |
| No, in accordance with FAR 52.222-17, the right of first refusal is for intended for "service employees." |
| 18 |
| Question |
| Page 71, Section 2. Part II - Technical, item (b), 2. Recruiting: background and experience of individual responsible for recruiting and hiring, implies you are requesting CV/Resume of recruiter(s) assigned to recruit for this opportunity. (Reference page 78, Factor 3 Recruiting/Hiring) This can be problematic since it's not unusual for us to "source" candidates from other companies. We rarely know which recruiter(s) are being utilized by other companies for these sourcing needs and they can change or be re-assigned at any time. Additionally, our internal recruiting team has provided feedback that they do not feel comfortable submitting personal information to satisfy this requirement. Please consider removing this evaluation factor? |
| Answer |
| No, the CV/Resumes requested are for the Key Personnel (Physicians) presented. |
| 19 |
| Question |
| Page 71, Section 2. Part II - Technical, item (d), 7. Letter of commitment is a concern since it implies the candidate(s) submitted are contractually obligated to perform on this contract. While we understand the Government's reasoning and intent for requesting this letter of commitment, it must be noted that ED Physicians are routinely mobile and may work more than 1 or 2 contracts on a rotating basis. Schedules are subject to change, family situations may affect their initial availability, job opportunities change and other scenarios could interfere with this commitment beyond the vendor's and provider's control. In lieu of a Letter of Commitment, would you consider a Letter of Intent? This will allow some flexibility in those instances where situations occur beyond control and be less intimidating to candidates. |
| Answer |
| The requirement for a letter of commitment remains. |
| 20 |
| Question |
| Page 72, Section 3. Part III - Past Performance, item 2. regarding our clients returning the questionnaires. Historically, our clients have indicated they will not commit to completing and returning these questionnaires for various reasons. 1. It requires client legal approval. 2. It is time consuming and takes them away from performing critical job functions. 3. The contact that was in charge of our performance is no longer there and no one else is available or authorized to complete. 4. For liability reasons or internal policy restrictions, they are not allowed to complete these questionnaires. In light of this feedback, would you consider using Evaluation Factor 4 Past Performance, items (a) and (b) on page 78 for those instances where we are not able to have our clients follow-through on the submission of PPQ's? It is a bit confusing since you are requesting PPQ's in additional to a listing of References which is unusual to require both. Please clarify. |
| Answer |
| Please submit both the past performance questionnaire and references. |
| 21 |
| Question |
| Please confirm that PALS is a requirement. |
| Answer |
| Yes, this is local policy. |
| 22 |
| Question |
| What is the annual patient volume? |
| 23 |
| Question |
| How many and what type of mid-levels are present during day vs night (if any)? |
| Answer |
| 2 daytime hours only between 8a-8p |
| 24 |
| Question |
| What times will mid-levels be on shift (if any)? |
| 25 |
| Question |
| Section 2.1.2, Qualifications, list PALS is required. We’ve never seen PALS requirement on VA locums contracts as it would be extremely rare for a pediatric emergency to arise at a VA facility. Would the government consider removing this requirement? |
| Answer |
| Given the location of this Hospital, pediatric patients have presented. It is uncommon, but remains likely to occur in the future. Therefore, PALS is a requirement. |
