36C26222R0050 0002_1.pdf

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 8

0002 02/04/2022

MSO-2021-COM-0056

36C262

Department of Veterans Affairs NCO 22 - Network Contracting 3601 S. 6th Avenue Tucson AZ 85723

36C262

Department of Veterans Affairs NCO 22 - Network Contracting 3601 S. 6th Avenue Tucson AZ 85723

To all Offerors/Bidders

36C26222R0050

12/29/2022

X

X

Wednesday, February 09, 2022 @ 1500 EST

X 1

The purpose of this solicitation amendment is to respond to questions submitted by the contractors in reference to this solicitation.

Section B.3 Performance Work Statement (PWS) Subsection 4.6.4.2. will be revised.

No other changes have been made.

Trevor Hood Contracting Officer

Truth or Consequences RFP 36C26222R0050

Section B.3 Performance Work Statement (PWS) Subsection 4.6.4.2. will be revised as follows:

FROM:

4.6.4.2. ELECTROCARDIOGRAM SERVICES: MUSE-compatible EKGs shall be used which are interfaced with VistA Imaging. Note that for the purposes of this contract there is currently an acceptable EKG physically at the clinic. This EKG may be acquired by the contractor at cost to the contractor. Cost for this EKG is unknown by VA. A new awardee (Contractor) will need to acquire it from the incumbent. EKGs are done at the CBOC and documentation will be sent electronically from the GE 5500 EKG machine directly into VistA Imaging. When MUSE -compatible system is not available EKGs will be confirmed, interpreted, and documented by the Contractor’s licensed provider. The report will be scanned directly into VistA Imaging by the CBOC. The EKGs will be confirmed and/or read by Contractor’s providers.

TO:

4.6.4.2 ELECTROCARDIOGRAM SERVICES: MUSE-compatible EKGs shall be used which are interfaced with the VA EHR Imaging. This will be supplied by VA at cost to the contractor. EKGs are done by the Outpatient Site of Care and documentation will be sent electronically from the GE 5500 EKG machine directly into the VA EHR Imaging. When MUSE -compatible system is not available EKGs will be confirmed, interpreted and documented by the Contractor’s licensed provider. The report will be scanned directly into the VA EHR Imaging by the Outpatient Site of Care. The EKGs will be confirmed and/or read by Contractor’s providers.

Truth or Consequences RFP 36C26222R0050 Questions & Answers

Q1: Would the VA consider allowing a 150 or 180 build out time frame instead of the 90 days indicated in paragraph 6.1.2? The basis of this request is that longer times frames are needed during the COVID-19 pandemic due to supply chain disruptions that are beyond the Contractor’s control. The city of Truth or Consequences does lot review and provide building permits locally and this will also increase the time required for buildout, Additionally, we note that constructions costs are significantly higher for a 90-day build out as compared to a 150- or 180-day build out.

A: The New Mexico VA would be willing to extend the build out time frame up to a maximum of 180 days. The Contractor would need to provide a good faith effort to have the build out completed as soon as possible and not take the full 180 days unless justified with specific circumstances, which the Contractor would need to communicate to the VA as circumstances progress and change.

Q2: Is the Procedure room required in addition to the 2 exam rooms per PACT?

A: Yes.

Q3: Would the procedure room also count as the PACT design required Women’s health Exam room?

A: Yes, if the room meets the requirements for a Women’s Health exam room. These requirements are specified in VHA Handbook 1330.01(4), Health Care Services for Women Veterans, (page 32) Ambulatory Care Dignity, Respect and Security. (Attachment Included)

Q4: Will all hallways be required to be 6 feet wide?

A: PACT Space Module design guide, Corridors and Connections indicates: “Appropriately-sized (six foot minimum width) corridors accommodate wheelchair and/or equipment movement.” Hallway dimensions shall meet requirements as per “4.9.3 Codes.” of the solicitation. Specifically, NFPA 101 Life Safety Code.

Q5: Will all doors be required to be 42 inches wide?

A: 5.1.3 Sliding Door and Hardware of PACT Space Module Design indicates: “Door Size:

Provide a minimum of 42” clear opening.”

Door dimensions shall meet requirements outlined in NFPA 101 Life Safety Code, Architectural Barriers Act Accessibility Standards (ABAAS), and International Building Codes (IBC) as per “4.9.3 Codes.” of the solicitation.

Q6: The solicitation specifically states that “Contractor shall provide space that meets the standards outlined in the PACT Space module Design Guide. Please confirm that the contractor does need to comply with the on-stage/off-stage design and the PACT Zone requirements which are both part of the PACT Space module design.

A: Yes, the design of the clinic needs to provide on-stage/off-stage zones. There are a variety of layouts that can accomplish that goal.

Q7: Does the current clinic meet the on-stage / off-stage design requirement?

A: Yes. Environment of Care inspections have not cited the current clinic as being out of compliance in this regard.

Q8: The PACT Space Module Design Guide identifies the possible use of sliding doors but does not require them. Does the VA prefer the use of sliding doors in the Truth or Consequences CBOC? If so, please confirm if sliding doors are preferred on the patient side of each exam room or on both sides of each exam room.

A: The VA has no preference.

Q9: Does the VA have a minimum size requirement for the group room?

A: VA guide “PACT Space Module Design Guide” referenced in work statement was reviewed for space requirements. Section 4.3.5 Group Care Rooms indicates:

“Group Care Rooms of multiple size and configuration allow for the flexibility and support the integration of mental health into primary care.” Explicit dimensions for group care room in the PACT Space Module Design Guide were not located.

Design objectives and intent of “Group Care Rooms” as follows:

A sketch is provided in PACT Space Module Design Standards as shown:

Q10: Will the VA require any rooms for VA staff? If so, how many and room requirements?

A: Section 1.1 PACT Space Module Design Standards, Section 1.1 indicates, II. Design objectives focused on Team-Based Care indicate:

“B. Create Team-based office space…Provide for range of workspaces, which can support team-based work, huddles, and quiet/solo activities.”

The VHA Space Planning Criteria, Chapter 265, gives room and space details: SPACE PLANNING CRITERIA (PG-18-9) - Office of Construction & Facilities Management (va.gov) (Attachment Included) https://www.cfm.va.gov/til/space.asp https://www.cfm.va.gov/til/space.asp

Q11: From 4.9.21 will the VA require the CCTV system to be viewed from a VA location?

A: Yes, the New Mexico VA Health Care System’s main facility in Albuquerque is where the VA Police are headquartered.

Q12: Will the VA provide the current Davis Bacon wage determination rates that are to be followed?

A: The most recent Wage Determination was included with the solicitation attachments. File name - D.01 DOL WD 2015-5461 Rev. 17 Dated 10-20-2021 A new version has now been posted (Attachment Included) DOL WD 2015-5461 Rev. 18 Dated 12/27/2021. You may reference the database at SAM.gov for the most updated versions as these get updated occasionally.

Q13: Do we need one MH office for this requirement?

A: Section 2.4.5 details the PC-MHI staff to be provided by the Contractor. Whatever type of professional the Contractor chooses to employ for this purpose (0.67 FTE per PACT) will need an office space.

Q14: How many tele mental health rooms are required?

A: Telehealth (Connected Care) requires a total of 4 spaces:

1 exam room- to include exam table (provided by contractor) for a CAS Cart provided by VA to include peripherals (clear steth, total exam, headphones) - Previously known as a Global Media Cart 1 office space for VA provided Topcon TRC-NW8 camera- (contractor to provide imager desk- prefer L shape desk to support VA computer and Topcon) 2 offices spaces to support VA provided DX 80 desk top units (contractor to provide desk and wheel lock chairs for each) -previously known as the ex90. No required space- VA supplies Telederm camera with dermlite.

https://sam.gov/wage-determination/2015-5461/18

Q15: Could the VA please provide historical panel sizes for Primary Care and Mental Health over the last ten (10) years?

A: The same month was used across all years. Per section 2.3, Primary Care Teamlet Staffing, “current standards are 1200 active patients per full time physician and 900 active patient per full time midlevel provider.” The current Contractor chooses to use part-time providers therefore the panel sizes below are a combination of more than one part-time provider and represent PCMM/enrollment for January.

YEAR

PANEL SIZE

(JANUARY)

2022 661 2021 750 2020 838 2019 820 2018 832 2017 803 2016 750 2015 729 2014 662 2013 697

Q16: Section 4.6.4.2 How soon will the contractor know if the incumbent contractor is willing to sell/transfer the MAC 5500 EKG to the new contractor?

A: The language to Section B.3 Performance Work Statement (PWS) subsection 4.6.4.2. will be revised.

See attached document: D.01 DOL WD 2015-5461 Rev. 18 Dated 12-27-2021.

See attached document: D.33 Directive 1330.01(4) HC Services for Women Vets.

See attached document: D.34 Space Planning Criteria CBOCs.