36C26122Q0177 P0001.pdf

California

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 2

10-01-2021

None

612MCP

Department of Veterans Affairs VA Northern California Health Care System Network Contracting Office (NCO) 21 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609

612MCP

Department of Veterans Affairs Department of Veterans Affairs Network Contracting Office (NCO) 21 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012

To all Offerors/Bidders

36C26122Q1077

04-06-2022

X

X X

X

X 1

The purpose of this amendment is to post the answers to the questions posted.

See continuation page

Gary Basile

CONTRACTING OFFICER

CONTINUATION PAGE

What is the average patient volume day vs night? 38 day, 12 night

How many patients per hour will the Physician see on average during the day? 1-1.5/hour Night? 1-1.5/hour

Will the schedule be set or will there be various shifts requiring coverage each month? variable

How far in advance is the schedule made? 2 months

Is there a fast track in the ED? no

What support staff is available in the ER? Nursing, nurse assistant

What specialty support is available at the Hospital or on call? On call general surgery, orthopedics, ENT, urology, CRNA

What trauma level is the ER designated as? no trauma designation

Does the Hospital accept ambulances? yes

What is the average volume of patients seen per day by each physician? 12-20

What are the shift times?

12 hour shifts / 7a-7p and 7p - 7a / 9a -9p

Out of the 1500 hrs, are there more during nights or days? Nights will be priced more than days. Nights

Does the hospital ER schedule contractor physician consistently in a block (like 5 days or 5 nights in a row or will shifts be random). Our physicians will be coming from out of town so we prefer them to be in a block. Yes, 5-6 consecutive nights

Do you accept ER boarded physicians (ABEM) or FM physicians with ER experience in lieu of IM docs? yes

What are the total patient visits in the ER per year? 16,812 visits for 2021

How many days of orientation and training does this client require to onboard new providers? 3 days orientation/training

Can providers work 24 hour shifts? No

How many ER Physicians are on duty per day shift and per night shift? 3 day, 1 night

Number of beds in the ED? 16 plus 4 overflow

Number of beds in the ICU? Open or closed ICU? 6, closed

Does the ER physician on duty participate in code blue response team? no

Number of patients per day shift? 12-20

Number of patients per night shift? 12-20

Backup: How many ER physicians on staff? Do they have a respiratory team? What subspecialty support staff are available? 7 full time ED physicians plus fee basis providers, no respiratory team, but RT in house, cardiology, gastroenterology, oncology, nephrology, neurology, pulmonary on call

Equipment on site: Do they have MRI or CT onsite? Do they have x-ray and ultrasound? 24-hour CT and x-ray, MRI and US days only

Lab and pharm hours: Are labs and pharmacy available 24 hours a day? If not, what are the available hours? 24-hour lab and pharmacy

Nurse Support: How many RNs on duty per shift? Do Nurse Practitioners have full scope practice authority to diagnose, treat, and write prescriptions in the ED? 4-6/shift, full scope NP’s

Does the VA want to retain incumbent contract providers for the new contract term?

The contract will be awarded to the contractor that meets the requirements per the solicitation.

Will the Government accept Past Performance Questionnaires which have been recently completed in lieu of new PPQs for this proposal response? Our company has had two relevant PPQs signed by our Government COR within the past 2 months and those POCs are not currently available to respond to complete new PPQs. We are able to provide both signed PPQs as well as the POCs’ contact information with our proposal response.

Yes, they will be accepted. Please ensure that the same information that is required on the PPQ that is attached to the solicitation.

Is this a single or a multiple-award contract? Single Award

What are the past incumbents' rates for this position? The Department of Veterans Affairs is not required to provide this information as it is not relevant to the solicitation

Are physician resumes mandatory with the submission of the RFQ? Per 852.273-73, resumes are required

Will you consider providers willing to get an active license at the time of submission? Any state license accepted, candidates must have a valid and active license prior to submission of the quote

If not, what is the lead time for the vendors to submit a list of candidates? Must be able to start June 2022

Is the vendor expected to provide any medical equipment? No

Please clarify if there is a specific format that the RFQ will be required to follow for submission?

Per the solicitation, a signed SF1449 with all applicable required submissions per 52.212-

1. Also, there are requirements within the PWS that candidates will be required to fulfill.

Is a COI mandatory with the submission of the RFQ? Yes, per section 2.1.10

What EMR is the facility using? CPRS

Do you accept electronic signatures? Yes

What is the anticipated award date? June 01, 2022

If there is an incumbent, could you please provide the current / previous contract number?

Department of Veterans Affairs is not responsible to provide this information as it is not relevant to the solicitation.

Will the VA consider the final solicitation being set aside as a SDVOSB? If not, will SDVOSB companies be given first consideration in the evaluation process?

The set-aside is based on the the initial market research. Fair opportunity will be given to all submissions.

What is the annual volume of the ED? 16,812 visits for 2021

How many beds are in the ED? 46 average per day

What is the average census in the ED per shift? 20 beds including four overflow

In the RFP, Submission Instructions, Section (b), (2), (a), it states “ Candidates must have a current license to practice in every state” – can you clarify that means candidates must have a current license in any state? Current license in ANY state

Can you explain why an evaluation factor for experience is: Identify experience providing Emergency Department physicians in or around Fresno, California and Provide a chronological listing of previous locations and dates of employment as an ED Physician within the Fresno, CA area.

Typically for a contract of this type, it’s not required to have experience based on location. Can these factors be removed as they are unfair with regards to companies such as mine that may not have local candidates in the Fresno area but can travel in providers who are qualified for this position.

Factors will not be removed, all quotes will be provided the same consideration based on the requirements provided