36C26219Q0338-003.docx

36C26219Q0338

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

36C26219Q0338 03/03/2019

Rafael Cervantes 562-766-2281 04/03/2019

3:00pm PST 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

X

561320 $27.5 Million

X

N/A

Department of Veterans Affairs 4811 Airport Plaza Drive Suite 600

Long Beach CA 90815 36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

Department of Veterans Affairs Financial Services Center P.O. Box 149971

Austin TX 78714-9971

See CONTINUATION Page Please see schedule of services and price

This requirement is being procured as a 100% set-aside for

SDVOSB's.

See CONTINUATION Page

Don Weerasinghe Contracting Officer

Table of Contents

SECTION A 1

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL TEMS….……….1

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

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

a. CONTRACTOR:

b. GOVERNMENT: Department of Veterans Affairs, Network Contracting Office -22 Don Weerasinghe, Contracting Officer 4811 Airport Plaza Drive Suite 600, Long Beach, CA 90815 Telephone number: 562-766-2276 Email: Don.Weerasinghe@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with (IAW) Federal Acquisition Regulation (FAR):

3. INVOICES: Invoices shall be submitted in arrears:

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.

· Tungsten e-Invoice Setup Information: 1-877-489-6135

· Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

· FSC e-Invoice Contact Information: 1-877-353-9791

· FSC e-Invoice email: vafsccshd@va.gov VA’s Electronic Invoice Presentment and Payment System:

(See Web site at and submit invoices to: www.OB10.com (TUNGSTEN NETWORK) Register at: 877-752-0900 (Option #2)

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation 36C26219Q0338 numbered and dated as follows:

B.2 NOTIFICATION TO OFFERORS

1. Authority: Under the authority of 38 U.S.C. 7409, 38 U.S.C. 8153, and Federal Acquisition Regulation (FAR) Part 12—Acquisition of Commercial Items, and FAR Part 13—Simplified Acquisition Procedures, The Veterans Affairs (VA) Greater Los Angeles Healthcare System (VAGLAHS), requires a Contractor to provide Staffing Services of Psychiatrist services sufficient facilities to accommodate the 10 Veterans referred and admitted to VAGLAHS.

2. It is the Government’s intent to make an indefinite delivery/indefinite quantity (IDIQ) award in response to this solicitation. However, the Government reserves the right to make multiple IDIQ awards if it determines it is in the Government’s best interest to do so.

3. Offerors shall complete and return all information designated in the enclosed FAR clause 52.212-1, Instructions to Offerors – Commercial Items, paragraph b, and the addendum to FAR clause 52.212-1, prior to the time specified in block 8 of standard form (SF) 1449 to be considered for award. Offerors shall also respond to each evaluation factor listed in the enclosed FAR clause 52.212-2, Evaluation—Commercial Items. Failure to do so may preclude the offeror from consideration for award.

4. TECHNICAL INQUIRES: Direct all technical inquiries via email to the Administrative Contract Specialist (CS), Rafael Cervantes at rafael.cervantes@va.gov not later than March 15, 2019 3:00 PM (PST). An amendment will be posted to www.Fbo.gov to address any questions received. The Contractor shall acknowledge an amendment in section 5 above.

5. DUNS NUMBER: Provide the Dun and Bradstreet Number assigned to your business in the space provided below; (refer to FAR provision 52.212-1, Instructions to Offerors – Commercial Items):

5.1. ____________________________________

6. Post-Award Teleconference. The awarded Contractor(s) shall participate in a post-award orientation teleconference to review the contract requirements, start-up plan, and other contract management procedures.

B.3 SCHEDULE OF SERVICES AND PRICE

This is an indefinite delivery, indefinite quantity, (IDIQ) fixed-price contract. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government.

The guaranteed minimum award amount for this contract is $3,000. The maximum aggregate value of orders that can be placed under this contract is $6,000,000. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

The previous option year pricing will apply to any extension pursuant to FAR 52.217-8

Period of Performance: Base Period: To Be Decided – 12 Months

Bakersfield CBOC Location Board Certified Physician – Psychiatrist (1040 hours per Psychiatrist)

2,080

Hour (HR)

Lancaster CBOC Location Board Certified Physician – Psychiatrist (1040 hours per Psychiatrist)

TOTAL COST BASE YEAR (0011 + 0012) _$___________________

Period of Performance: Option Year 1: To Be Decided – 12 Months

Bakersfield CBOC Location Board Certified Physician – Psychiatrist (1040 hours per Psychiatrist)

Lancaster CBOC Location Board Certified Physician – Psychiatrist (1040 hours per Psychiatrist)

TOTAL COST OPTION YEAR 1 (0013+0014) $__________________

B.4 PERFORMANCE WORK STATEMENT

Psychiatrist services (Urgently Needed) for the Veterans Affairs Greater Los Angeles Healthcare System (VAGLAHS) Statement of Work

BACKGROUND AND OVERVIEW:

Under the authority of Public Law 104-262 and 38 USC 8153, the Veterans Affairs intends to establish a multiple Blanket Purchase Agreements (BPA) Staffing Services of Psychiatrist services for the Veterans Affairs Greater Los Angeles Healthcare System (VAGLAHS). The Contractor shall cover the range of services normally provided in a similar civilian healthcare facility, in a similar civilian healthcare facility, in accordance with the terms and conditions specified herein. The compensation levels proposed should reflect a clear understanding of work to be performed and should indicate the capability of the proposed compensation structure to obtain and retain suitably qualified personnel to meet mission objectives.

The Contractor should thoroughly review the specifications and become familiar with the areas of coverage in order to fully aware of the scope of requirements. Failure to understand the contract requirements shall not relieve the Contractor from performing in accordance with the meaning and intent of the specifications. The services to be performed by the Contractor will be performed in accordance with applicable guidelines of the American Board of Psychiatry Association and the services to be performed by the contractor will be under the direction of the VA Chief of Staff.

This BPA represents a firm, fixed-price all-inclusive of labor, administrative costs, incidental costs including housing, transportation and premium payments for applicable insurance coverage. Costs not incorporated into the Contractor’s price will NOT be reimbursed by the Government.

1. GENERAL REQUIREMENTS:

Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, the services and prices specified in the Section entitled Schedule of Supplies/Services of this contract.

a. Schedule of Supplies/Services may be changed by written modification to this contract. The modification shall be prepared by the Contracting Officer (CO) and, prior to becoming effective, shall be signed by both parties.

b. Contractor shall provide scheduled services throughout the contract period. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the Contractor at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming.

c. The services to be performed by the contractor shall be performed in accordance with VA policies, procedures and regulations of the medical staff by laws of the VA facility.

The Contractor shall provide for four (4) Psychiatrists to the VAGLAHS. Requirements are projected for the remainder of the BPA period at an estimate of 8,320 hours annually. However, the number of hours specified are estimated and are subject to change. Psychiatrist must be present at the VA facility during working hours and be performing the required services identified herein or the payment will be decreased accordingly during the billing cycle, and or may result in default procedures.

The position(s) located in the Department of Mental Health within the VAGLAHS. The psychiatrist services will be performed at the assigned location within the VAGLAHS. Sites shall consist of: the Community Based Outpatient Clinics (CBOC) of the VAGLAHS listed below. The Contractor shall furnish all labor, management, teaching, consultations and reports to cover the range of services in accordance with the terms and conditions contained herein:

Bakersfield CBOC 1801 Westwind Drive Bakersfield, CA 93301

Lancaster CBOC 547 West Lancaster Blvd. Lancaster, CA 93534

DUTIES: The duties and responsibilities are carried out throughout the assigned clinics including all clinical and other patient care areas involved within the service. The psychiatrist plans, conducts, and coordinates all aspects of diagnostic assessments, evaluations and therapeutic interventions. The psychiatrist must demonstrate professional knowledge of, and skill in applying, a wide range of theories, principles, and methodologies of the practice of psychiatry to a wide range of populations. The psychiatrist is an independent licensed practitioner.

2. PRINCIPAL DUTIES AND RESPONSIBILITIES:

The psychiatrist conducts, plans, and coordinates all clinical and administrative aspects of a full range of services associated with contemporary psychiatry practice.

The psychiatrist is responsible for independent diagnostic assessment and evaluation of cases that are referred for psychiatry services without limitation as to difficulty or complexity. The psychiatrist is responsible for the adequacy of assessment.

The psychiatrist will cooperate in formulating diagnostic and clinical judgments; assesses patient condition from close observation and consultation with other members of the inter- disciplinary health care team; and utilizing all diagnostic and evaluative procedures and techniques consistent with contemporary psychiatry practice.

Psychiatrist is responsible for planning, conducting, coordinating, and monitoring the effectiveness and clinical outcomes of patient-centered treatment and rehabilitative services to maximize and restore to the greatest extent possible physical and social functioning.

The psychiatrist develops and implements an effective and comprehensive treatment plan of care in collaboration with other health care practitioners; establishes and maintains an effective therapy relationship with the patient, family and caregivers; and adjusts treatment plan to patient response and indicators of progress.

Psychiatrist is responsible for mental status evaluations, formulations, diagnosis (es) and detailed treatment plans utilizing a Biopsychosocial paradigm. The Psychiatrist may need to make referrals for further diagnostic psychological or medical testing as needed.

Psychiatrist is responsible for; individual, group, family, and pharmacologic therapeutic interventions as necessary, crisis intervention and referral for psychiatric hospitalization; psychotherapy to include group, individual, behavior modification, cognitive behavioral, family and marital, and drug therapy.

Psychiatrist is responsible to work as a team member with other psychiatrist(s), social worker(s), psychologist(s), and behavior science specialist(s)-including medical students, interns, residents, and fellows-to; coordinate evaluations, treatment planning, and referrals, determine the need for supplemental data such as psychosocial history, medical history, neurological or other medical procedures or tests, etc, establish diagnosis and treatment plans for each patient. Consult with other psychiatrists in difficult and complex cases.

Psychiatrist is responsible to; work within the framework of approved medical and psychiatric practices, review patient histories and social work evaluations, interview patients to obtain insight into their problems and determine the need for long-term residential treatment, prepare inpatient workup to include history and physician plan, and participate in service and department peer review.

Psychiatrist serves as a consultant to other facility personnel involving the most difficult and complex cases and is a recognized subject matter expert on matters related to mental health disorders.

Psychiatrist will complete all documentation in accordance with facility policy. The Psychiatrist shall ensure documentation and reports are legible and verify the content and correctness of all prepared reports by affixing his/her electronic signature to all documents. As required, the Psychiatrist shall use CPRS to manage patients and medical information and communicate with other health care providers and ancillary staff. The contract Psychiatrist is required to annotate and sign medical records in accordance with VA regulations. VA staff may randomly review contract Psychiatrist annotated patient medical records. VA staff will note defects, omissions, addenda, etc., and contract personnel shall make required corrections.

Communication is required by this position and the psychiatrist will be expected to attend regular staff meetings and inter-disciplinary health care team meetings as appropriate; review policies and procedures, and attend in-service training.

3. QUALIFICATIONS:

a. The Psychiatrist shall be a Doctor of Medicine. The physician shall have completed a psychiatric residency approved by the Accreditation Council for Graduate Medical Education and be board certified in psychiatry.

b. The Psychiatrist shall possess a current valid unrestricted license to practice in the specialty of psychiatry in one of the 50 states in the United States, or District of Columbia, the Commonwealth of Puerto Rico, or a U.S. Territory. Subject to pre- employment credentialing of VA Health Care Provider IAW AR 690-300.

c. Applicants must provide evidence of at least one full, active, current and unrestricted licensure, registration, certification, and/or other relevant credentials for verification prior to appointment and throughout the employment process, as requested. They must agree to accept the professional obligations delineated in the Medical Staff Bylaws, Rules and Regulations provide to them. Medical Staff Bylaws, Rules and Regulations can be found at the following websites. Physicians must maintain current and active Basic Life Support (BLS) certification, and provide copy of BLS certification to COR every two years.

http://vhaglaweb3.v22.med.va.gov/Corporate/Bylaws2019.pdf

d. Within fifteen (15) days after notice of contract award, or when requested by the Contracting Officer (CO), Administrative Contracting Officer (ACO) or Contracting Officer Technical Representative (COR), the Contractor shall provide written verification of contract health care provider’s credentials to include the following:

i. Certified documentation of education, training and, license;

ii. Documentation of experience; and

iii. Current Basic Life Support (BLS) certification;

e. Title 42 CFR 415.184 - Psychiatric services: To qualify for physician fee schedule payment for psychiatric services furnished under an approved GME program, the physician must meet the requirements of §§415.170 and 415.172, including documentation, except that the requirement for the presence of the teaching physician during the service in which a resident is involved may be met by observation of the service by use of a one-way mirror, video equipment, or similar device.

4. COMPUTER SECURITY:

In the performance of official duties, the psychiatrist has regular access to printed and electronic files containing sensitive data that must be protected under the provisions of the Privacy Act of 1974 and other applicable laws, federal regulations, VA statutes and policy, and VHA policy. The psychiatrist is responsible for 1) protecting the data from unauthorized release or from loss, alteration, or unauthorized deletion and 2) following applicable regulations and instructions regarding access to computerized files, release of access codes, etc., as set out in the access agreement which the psychiatrist signs.

Psychiatrist uses word processing software to execute several office automation functions such as storing and retrieving electronic documents and files; activating printers; inserting and deleting text, formatting letters, reports, and memoranda; and transmitting and receiving e-mail. Psychiatrist uses application in the Veterans Health Information and Technology Architecture (VistA), Computerized Patient Record System (CPRS), and other authorized data sources to access information pertinent to the performance of these duties and responsibilities.

The C&A requirements do not apply. This acquisition will not require services that involve connection of one or more contractor-owned IT devices therefore a Security Accreditation Package is not required.

5. ADMISSION /ATTENDING RESPONSIBILITIES:

a. The Psychiatrist shall, to the maximum extent practicable, ensure that VA inpatient resources are utilized for all VA beneficiaries. Should a VA beneficiary require services or care beyond the capabilities of the VA, as determined by the attending physician and VA Chief of Staff (COS) or his/her designee, that patient shall be transferred to an appropriate Government or civilian medical treatment facility based upon patient condition. The Psychiatrist shall coordinate all transfers with the VA Utilization Review Nurse prior to actual transfer. The Psychiatrist shall seek the approval of the Utilization Review Nurse or designee before performing other actions for non-emergent surgical procedures or treatments.

b. Contractor’s personnel shall be subject to the same quality assurance standards in meeting or exceeding current recognized National Standards as established by the Joint Commission for Accreditation of Healthcare Organization (JCAHO). Copies of the quality assurance standards are on file in the Medical HCG and will be available to the Contractor. The Contractor shall perform services in accordance with the ethical, professional, and technical standards of the healthcare industry as consistent with VA policy, regulations, and procedures. Personnel provided by the contractor shall be technically proficient in the skills necessary to fulfill the Government’s requirements, including the ability to speak, understand, read and write English fluently. Contract personnel shall be responsible for compliance with all procedures in accordance with applicable VAGLAHS written policies, procedures, Bylaws of the Medical Staff and protocols. They shall not introduce new procedures or services without prior recommendation to and approval of the Chief of Staff (COS) or authorized representative(s) and through the Contracting Officer. Contractor shall ensure that all contract personnel have met qualifying criteria, including current and valid licenses and certifications. The Contractor will be responsible to ensure that Contractor’s employees providing work on this contract are fully trained and completely competent to perform the required work. Ultimately, the decision to reject and accept Contract Staff rests with the Department of Veterans Affairs. Non-acceptance of contract personnel does not relieve Contractor from satisfying and fulfilling the contract requirements.

6. ACCEPTANCE OF CONTRACTOR PERSONNEL:

The Government reserves the right to examine, approve and/or disapprove individuals based on the information provided in credentials and/or resumes, which must include (3) current references verifying practice experience.

7. CREDENTIALING AND PRIVILEGING REQUIREMENTS:

a. During the evaluation of credentials, a psychiatrist may perform services at the VA subject to Temporary Privileges as outlined in VA Regulation and Station Memorandum. The credentialing and privileging process shall be in accordance with all medical and surgical service chiefs, and any VA employees that could affect a contract, receives a copy of VHA Handbook 1660.3 and signs VA Form 10-21009 Acknowledgement Form; and approves a waiver to the general rule that part-time VA physicians should not provide the same services under contract for which they receive VA pay under special circumstances, VHA handbook 1100.19, (see 1663, paragraph 2c). The credentials required and privileges granted by the Government must be sufficient to allow for performance of all the requirements under this contract.

b. Initial applications for clinical privileges, including but not limited to, credentials actions history, malpractice history, and complete copies of the below listed documents, shall be submitted by the Contractor (signed by contract physician) to the VAGLAHS Medical Staff Office through the Contracting Officer’s Technical Representative (COR) for each proposed contract health care provider to perform under this contract, upon and as requested, by the Government. Additionally, the Contractor shall make all proposed Psychiatrists available for interview by the Government during the credentialing process.

i. Copy of valid, current, unrestricted State medical license and applicable Board Certification;

ii. Provider education and training;

iii. Current Advanced Cardiac Life Support (ACLS) certification or Basic Life Support (BLS) certification;

iv. A signed consent for release of information;

v. A copy of the proposed contract physician’s curriculum vitae, accompanied by that individual’s sworn affidavit of the truthfulness of same, indicating experience, training, and technical expertise in the type of care to be rendered;

vi. A list of all states in which the contract physician currently holds or has held a license to practice related services;

vii. Certification of current physical examination for each employee. The certification shall contain a signed statement by the examining physician that the contract health care provider is free of any contagious diseases. The examination shall be in compliance with public health regulations covering immunization and blood test requirements. Physical examination shall be current as of 30 calendar days prior to application for privileges;

viii. Reappointment shall occur not less than every two (2) years, in accordance with Handbook 1100 and other applicable VA Regulations and local Medical Staff Bylaws;

ix. Applications for clinical privileges for replacement and locum tenens contract health care providers shall be submitted to the VAGLAHS Medical Staff Coordinator through the COR, not less than 30 calendar days prior to the proposed contract physician’s intended tour of duty.

x. Only complete credential applications will be accepted by the Government for processing. Incomplete applications (those that do not fully comply with the requirements, as stated herein) will be returned to the Contractor without action;

xi. The Contractor shall take specific action, including Primary Source Verification, to ensure that proposed contract health care provider applications contain the required prerequisites for privileging and do not include any disqualifying impediments for privileges at the VA. This is the sole responsibility of the Contractor and is non-delegable; and

xii. The Contractor shall submit application only for those proposed contract health care providers who can reasonably be expected to render the actual, substantial services for performance of this contract. The submission of applications for credentialing of individuals who lack the requisite qualifications, or whose services are not intended for performance of this contract shall not be submitted and will not be accepted by the Government.

8. REVIEW OF CREDENTIALS PACKAGES:

The Government reserves the right to limit the number of credentialing packages it will evaluate.

9. DENIAL/TERMINATION OF PRIVILEGES:

a. Action to limit, suspend, or revoke clinical privileges shall be in accordance with the procedures outlined in VA Regulations and VAGLAHS Medical Staff Bylaws.

b. The Contractor shall be notified by the Contracting Officer or COR, as soon as possible when the necessity to exercise such authority becomes apparent. The CO or COR shall also provide the Contractor with copies of documentation initiating the revocation process if such action becomes apparent.

10. ADMINISTRATIVE DOCUMENTATION:

a. All personnel providing direct care services must have evidence of appropriate training prior to providing any services to Veterans.

b. All accidents, malfunctions, injuries and deaths related to the delivery of services shall be immediately reported verbally to the VA COR. The Contractor may be required to provide evidence of follow-up through a written report of the incident, describing the event, analysis of cause and effect, and corrective action taken. If such a report is requested by the VA COR, this will be done within three (3) working days of the verbal report.

11. TERMS OF THE CONTRACT:

The contract is effective Twelve Months from Date of Award with one (1) year option renewal period. The contract is subject to availability of VAMC appropriations.

a. The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting b.

c. Officer will be authorized to make commitments or issue changes that affect price, quantity, or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

d. The COR will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

12. CONTRACTOR LIAISON:

The Contractor shall designate one (1) employee who shall be responsible for the performance of the work under this contract. The liaison shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The liaison may be a contract health care provider performing under this contract. An alternate may be designated, but the Contractor shall identify, in writing, those times when the alternate shall act as the liaison.

Contractor Liaison: To be determined

13. NATIONAL PROVIDER IDENTIFIER:

a. The National provider identifier (NPI) is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA- standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The contractor shall ensure that the health care practitioners and/or medical center providing service under the contract obtains a NPI and provides it to the Contracting Officer.

b. Prior to acceptance, all contract providers must comply with hospital credentialing guidelines, providing all required information on the timeline established by the Medical Center Credentialing Officer. Credentialing and privileging shall be completed in accordance with the provisions of VHA Handbook 1100.19 dated October 2, 2007 found at the web address below.

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806

c. This Veterans Health Administration (VHA) Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; the Expedited Medical Staff Appointment Process; credentialing during activation of the facility Disaster Plan; requirements for querying the Federation of State Medical Boards (FSMB); credentialing and privileging requirements for Telemedicine and remote health care; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights; and the credentialing requirements for physician assistants (Pas) and advanced practice registered nurses (APRNs). The credentialing, but not privileging, requirements of this Handbook apply to physicians, dentists, and other practitioners allowed by law and the facility to practice independently who are assigned to Research or administrative positions not involved in patient care.

14. WORK ROSTER:

The Contractor Liaison shall prepare a monthly work schedule for each individual BPA health care provider listing the dates and tours of duty scheduled. A copy of the work schedule shall be provided to the COR by the 20th of each month for the succeeding month. Proposed work schedule changes shall be submitted to the COR at least forty-eight (48) hours prior to scheduled shifts.

In order to provide a continuity of patient care to VA beneficiaries the Contractor shall provide designated physician(s) to perform the requirements of this contract.

Name Title Name Title

Name Title Name Title

15. ARRANGE FOR REPLACEMENT STAFF:

The Psychiatrist shall provide scheduled services 5 (five) days each week up to forty (40) hours per week, throughout the contract period, and up to 2000 hours per year, excluding federal holidays and Government-designated training holidays. The POC will establish the specific schedule based on clinical requirements and patient needs. Normal duty hours are not flexible. Duty hours start at 8:00am through 4:30pm, including an hour lunch break, which is not paid by the Government. Work schedule with lunch break period, depending on work requirements. Hours are subject to change as mutually agreed between Psychiatrist and Government. In the event of the absence of Contractor’s personnel for any reason, the Contractor shall bear the responsibility of providing replacement personnel to provide the scheduled services. The POC shall arrange for pre-credentialed locum tenens coverage when contract health care providers will be unable to provide services for one (1) or more consecutive scheduled shifts.

16. CLINIC CHANGES:

Any request to alter or change the schedule of Clinics assigned to a BPA health care provider must be submitted to and approved by the VAGLAHS Chief of Psychiatry Service – 60 days in advance.

17. WORK HOURS:

The services covered by this BPA shall be furnished by the Contractor as defined herein. The Contractor will be required to furnish such services at 8:00am through 4:30pm, or as deemed necessary by the Chief of Mental Health, Monday through Friday, weekends and national holidays. Overtime and holiday hours worked shall be invoiced at a rate of the BPA only. ACOS Mental Health will determine overtime as the need arises.

18. NATIONAL HOLIDAYS:

Listed below are the ten legal National Holidays:

When one of the holidays falls on Sunday, the following Monday will be observed as a national holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a national holiday by U.S. Government Agencies. Also included would be any day specifically declared by the President of the United States of America as a National holiday. Note: Clinical services will not be required on national holidays.

19. OVERTIME AND HOLIDAYS:

Any overtime and/or holiday pay that may be entitled to the Contractor’s employees shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government.

20. ALTERNATE SOURCES:

a. If routine services are disrupted for more than two (2) consecutive scheduled shifts or emergent response requests, the Government reserves the right to procure such services from an alternate source, until routine services are restored by the Contractor. When the Government exercises its right to procure these services from an alternate source, the Contractor shall reimburse the government for all charges in excess of the amount that would have normally been incurred by the contract.

b. A copy of the other source’s time sheet or other verifiable documentation shall be used as the basis for any reimbursement.

21. CONFLICT OF INTEREST:

The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the VA unless such person seeks and receives approval in accordance with VA Regulations and public law. Nor shall the Contractor employ any person who is a member of the immediate family of a VA employee employed at the VAGLAHS if the employment of that family member would create a conflict of interest or the appearance of a conflict of interest, particularly with regard to influencing the contract negotiations, terms of the contract or the work carried out under the contract. In any such case VA must review the matter and give its approval in accordance with agency ethics rules.

22. GOVERNMENT TRAINING AND ORIENTATION:

a. The VA will provide a briefing to familiarize BPA personnel on the policies and procedures on the first scheduled duty day.

b. The Contractor shall ensure that all BPA physicians attend and participate in VA or any other mandatory training to include but not limited to Cyber Security Training (and sign a “Statement of Commitment and Understanding” of applicable confidentiality statutes and regulations), Diversity, Total Quality Improvement, Annual Fire Safety and Infection Control.

23. IDENTIFICATION BADGE:

An identification (ID) badge will be issued by the VAGLAHS to BPA physicians rendering services at the VA. The appropriate ID badge shall be worn at all times while on Government facility grounds, clearly displayed on the outermost garment (i.e. coat, jacket, sweater, shirt, blouse, lab coat and etc.).

24. PERSONAL HYGIENE AND CLOTHING:

In performance of this BPA, BPA health care providers shall be neat, clean, well groomed and shall otherwise exercise good personal hygiene. Appropriate and professional attire shall be worn at all times. Athletic and athletic-style (i.e., jogging suits, sweat suits, running shorts, and tee-shirts) shall not be worn by contract health care providers. Medical scrubs shall not be worn by contract health care providers while traveling to or from the VA. A laboratory style coat must be worn over scrubs when the contract health care provider is not performing duties in a clinical examination area, operating or procedure rooms. Medical scrubs and laboratory coats may be provided by the Government.

25. HEALTH REQUIREMENTS:

a. BPA physicians shall not perform services under this contract unless a pre-assignment medical examination has been performed within 30 calendar days of their first scheduled shift. Pre-assignment medical examinations shall be the responsibility of the Contractor at no cost to the Government.

b. As a condition of employment, Occupational Safety and Health Administration (OSHA) requires that all contract personnel who will have occupational exposure to blood, other body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine, sign a voluntary declination or have documented proof of immunity to Hepatitis B infection. Contract healthcare providers who sign declinations may latter receive the Hepatitis B vaccine without penalty.

c. Contract’s personnel having patient contact or exposure to biological or pathological specimens shall be immunized against, be granted an immunization waiver or have documented proof of immunity to: rubella, mumps, polio and Hepatitis B. In addition, contract health care providers shall be free of infectious diseases (to include but not limited to active Tuberculosis and Viral Hepatitis) that might reasonably be expected to place other workers, patients or the public at risk.

d. The Contractor shall provide the COR with certification that contract health care physicians have completed the medical evaluation required above, a minimum of five (5) working days prior to performance of contract services. This certification shall state the date that the examination was completed, the doctor’s name who performed the examination, a statement concerning the physical health of the individual and the following statement: Physician is suffering from no contagious diseases to include but not limited to, Tuberculosis, Hepatitis and Venereal Disease.

e. The Contractor shall provide the COR with all the information necessary to ensure that Government records are maintained correctly and in compliance with JCAHO, OSHA and the Center for Disease Control (CDC) health records requirements, for each individual contract health care provider.

f. The Government may take nose and throat cultures from contract health care providers when required by Government Infection Control Committees (ICC).

g. When a health care provider has been found medically unfit for providing services required under this contract, they shall be required to discontinue working immediately. Contract health care providers will not return to work until given clearance by the appropriate physician.

26. IMMUNIZATION WAIVER/EXEMPTIONS:

Waivers and exemptions may be granted in accordance with VA regulations and Medical Staff Bylaws.

27. DRUG SCREENING:

Contractor’s personnel are subject to random drug testing. They are also subject to drug testing when there is a reasonable suspicion that they use or are impaired by illegal drugs while on duty. Reasonable suspicion of drug use or impairment includes, but is not limited, to the following:

a. Observable phenomena, such as direct observation of drug use, possession or the physical symptoms of being under the influence of a drug;

b. A pattern of abnormal conduct or erratic behavior;

c. Arrest or conviction for a drug-related offense or the identification of a contractor’s personnel as the focus of a criminal investigating into illegal drug possession, use or trafficking;

d. Information provided either by reliable and credible sources or independently corroborated; or

e. Newly discovered evidence that the contract health care provider has tampered with a previous drug test.

28. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPPA):

Contractor shall take reasonable measures to ensure patient and confidentiality. The contract service providers herein agree to take all reasonable precautions to safeguard patient information from unauthorized access or modification, in both electronic and hard-copy formats. This includes not only electronics security measures such as “strong” user passwords on computer systems, but also physical barriers to prevent unauthorized use of computer work-stations; that hard copy patient files are secured lockable areas, hat files are in lockable cabinets, that the cabinets can in fact in locked, i.e., keys are available, and locking mechanisms work properly. This precaution also includes the proper transfer of patient information via electronic means, such as faxing or system to system transmission.

That no patient information of any type shall be given to outside parties, agencies or organization of any type without the expressed written consent of the patient and the VA Greater Los Angeles Healthcare System, and only in capacities directly related to the provision of the services contracted in this instrument. That only the minimum necessary patient information is used to provide appropriate service to the correct patient.

That the undersigned understands that all parties are bound by the requirements of the “Health Insurance Portability and Accountability Act of 1996” which provide guidance on the protection of patient privacy and confidentiality. This Act mandates that all government agencies and those bodies with whom they contract, must be in compliance with the directives are released, this current contract may require a modification to be in compliance depending on the effective date of the Act as decided by the Congress and President of the United States.

29. RELEASE OF MEDICAL INFORMATION:

The Contractor and contractor’s personnel shall only release medical information obtained during the course of this contract to those VA staff members involved in the necessary care and treatment of that individual patient. Patient list and name of patients are considered privileged information and shall not be disclosed or revealed in any way for use outside the VA without prior written permission from the Chief Executive Officer or his/her designee.

30. PERFORMANCE IMPROVEMENT (PI)/RISK MANAGEMENT:

Contractor health care providers shall participate in PI/Risk Management activities to the extent required by VAGLAHS Memoranda. Contract personnel’s specific data must be submitted by the Contractor to the COR upon request. The Government shall evaluate the physician’s professional, as differentiated from administrative, performance under this contract using quality assurance standards specified in VA Regulations, JCAHO Standards and VA Station Memorandum.

31. CONTINUING MEDICAL EDUCATION (CME) REQUIREMENTS:

The Psychiatrist registered by national associations shall continue to meet the minimum standards for CME and VAGLAHS Bylaws and Rules to remain current as prescribed by legal requirements. CME is the sole responsibility by the Contractor, and shall be obtained at no additional cost to the Government and shall be reported to the COR annually on the first normal duty day in January for the previous calendar year. Periodic CME may be conducted at the VA and may be available, at no cost, to any contract health care provider desiring to attend. Contractor health care provider should contact the COR for Government CME opportunities.

32. GOVERNMENT FURNISHED PROPERTY AND SERVICES:

The Government will be responsible for providing the appropriate facilities, property, equipment and supplies required for Contractor performance under the terms of this contract, as specified hereunder. Contractor shall use Government furnished items in conjunction with and exclusively for, performance under this contract. Use thereof for any other purpose will not be allowed.

33. ADMINISTRATIVE FUNCTIONS AND ATTENDANCE AT MEETINGS:

a. If and as requested by the Government, contract health care providers shall perform services to include, but not limited to, attendance and participation in meetings, professional staff conferences, other appropriate professional activities, assist with Quality Assurance activities and interface with the VA Chief of Staff or designee.

b. Contractor health care providers are required to attend employee orientation and training on the VA computer system prior to starting work (This includes credentialed alternates).

c. Health care providers of the contractor must complete the IN/OUT processing procedures with the VA prior to the Contractor receiving payment for service.

34. PATIENT SENSITIVITY:

a. Health care provider of the contractor shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

b. Complaints shall be investigated individually. Health care providers of the contractor receiving more than two (2) verified complaints (COR, or Patient Representative) related to sensitivity within any…