36C26222R0092.docx

36C26222R0092 This is a Solicitation # 36C26222R0092 for the VA Greater Los Angeles Healthcare System that requires onsite Radiation Oncology – Therapeutic Radiologic Technologist (TRT) Services as described in the attached solicitation.

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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.

UEI:

EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C26222R0092 7-15-2022 C. Simona Hinsley (Contract Specialist) 562-766-2268 08-03-2022 10:00

PDT

36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 X X 621399 $8 Million N/A X 36C691 VA Greater Los Angeles Healthcare System 11301 Wilshire Blvd.

Los Angeles CA 90073 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 http://www.tungsten-network.com

1-877-353-9791 See CONTINUATION Page VA Greater Los Angeles requires onsite Radiation Oncology

- Therapeutic Radiologic Technologists (TRT) Services.

See subsequent pages for details and Schedule of Services and Price.

This Solicitation is Set-Aside 100% Service-Disabled Veteran-Owned Small Business (SDVOSB).

See CONTINUATION Page X X Sandra L. Fusco Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

b. GOVERNMENT: Sandra L. Fusco - Contracting Officer 36C262 Department of Veterans Affairs, Network Contracting Office 22 4811 Airport Plaza Drive, Suite 600, Long Beach CA 90815 Email: Sandra.Fusco@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

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. Invoicing shall be in accordance with the requirements of The Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current Invoicing information is located at http://www.fsc.va.gov/einvoice.asp.

Department of Veterans Affairs Financial Services Center Submit Invoices Electronically to:

www.tungsten-network.com/us/en

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

6. SECURE FAX: Please review VA Handbook 6500 that requires the following statement on all cover sheets be included:

This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

7. UNIQUE ENTITY ID NUMBER:

Contractors shall provide the Unique Entity ID Number assigned to their company/firm in the space provided below:

Unique Entity ID Number: _______________________________________

B.2 SCHEDULE OF SERVICES AND PRICE

The Contractor shall furnish all personnel to provide services necessary to perform the onsite Radiation Oncology – Therapeutic Radiologic Technologists (TRT) Support Services described in the Performance Work Statement at the Department of Veterans Affairs Greater Los Angeles Healthcare System (hereinafter referred to as VAGLAHS).

All VHA Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through the National Radiation Oncology Program (NROP). As such the Contractor shall adhere to all the policies and procedures; practice standards, guidelines, patient care operations; patient safety; quality assurance and quality management of radiotherapy planning, equipment, and delivery; and continuous quality improvement initiatives promulgated by the American College of Radiology, American Society for Radiation Oncology and American Association for Physicist in Medicine.

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 amount for this contract is $1,000.00. The maximum aggregate value of the orders that can be placed under this contract is $8,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount.

*The previous contract year pricing will apply to any extension pursuant to FAR 52.217-8.

The contract period of performance for this Indefinite Delivery Indefinite Quantity (IDIQ) contract is five (5) years from September 1, 2022 through August 31, 2027. The schedule of services and price below indicates pricing for each contract year.

Period of Performance: Year One (1): 09/01/2022 to 08/31/2023

(Registered with ARRT(T) Certification)

Period of Performance: Year Two (2): 09/01/2023 to 08/31/2024

(Registered with ARRT(T) Certification)

Period of Performance: Year Three (3): 09/01/2024 to 08/31/2025

(Registered with ARRT(T) Certification)

Period of Performance: Year Four (4): 09/01/2025 to 08/31/2026

(Registered with ARRT(T) Certification)

Period of Performance: Year Five (5): 09/01/2026 to 08/31/2027

(Registered with ARRT(T) Certification)

36C26222R0092

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B.3 PERFORMANCE WORK STATEMENT (PWS)

1. GENERAL

SERVICES REQUIRED: The VA Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through NROP. As such any Contractor providing on-site radiation oncology services must adhere to Guidelines & Technical Standards for Radiation Oncology promulgated by the American College of Radiology, American Society for Radiation Oncology and American Association for Physicist in Medicine: A contractor providing on-site radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the established clinical practice guidelines and standards.

1.1. PLACE OF PERFORMANCE: All services shall be provided at the Veteran Affairs Greater Los Angeles Healthcare System, 11301 Wilshire Boulevard, Los Angeles, California 90073, Radiation Oncology Service.

1.2. AUTHORITY: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority, VA Directive 1663, and FAR 13.5 in combination with FAR Part 15.

1.3. POLICY/HANDBOOKS:

1.3.1. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.3.2. VHA Notice 2018-34 “Rescission of VHA Directive 2006-041 Veterans Health Care Service Standards” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475

1.3.3. VHA Handbook 1100.17: National Practitioner Data Bank Reports - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.3.4. VHA Handbook 1100.18 Reporting and Responding to State Licensing Boards - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.3.5. VHA Handbook 1100.19 Credentialing and Privileging - https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806

1.3.6. VHA Directive 2012-030 Credentialing of Health Care Professionals – https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815

1.3.7. VHA Handbook 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.3.8. VHA Directive 1156 Accreditation of VHA Radiation Oncology Services/Sections: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450

1.3.9. VHA Directive 1414 Stereotactic Body Radiotherapy: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8197

1.3.10. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR Parts 19, 20, 30, 33, 35, and 71 http://www.nrc.gov/reading-rm.html

1.3.11. Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4. DEFINITIONS/ACRONYMS:

1.4.1. AAPM: American Association of Physics in Medicine

1.4.2. ACGME: Accreditation Council for Graduate Medical Education

1.4.3. ABR: American Board of Radiology

1.4.4. ACR: American College of Radiology (www.acr.org/)

1.4.5. ACO: Administrative Contracting Officer

1.4.6. ALARA: As Low as Reasonably Achievable (least & lowest radiation exposure possible)

1.4.7. AOA: American Osteopathic Association

1.4.8. ARRT(T): American Registry of Radiologic Technologists (T) in Radiation Therapy

1.4.9. ASTRO/APEx: American Society for Radiation Oncology/Accreditation Program for Excellence ® (https://www.astro.org/Daily-Practice/Accreditation)

1.4.10. BAA: Business Associate Agreement

1.4.11. CAMPEP: Commission on Accreditation of Medical Physics Educational Programs (http://www.campep.org/default.asp)

1.4.12. CDC: Centers for Disease Control and Prevention

1.4.13. CEU: Certified Education Unit

1.4.14. CMD: Certified Medical Dosimetrist

1.4.15. CME: Continuing Medical Education

1.4.16. CMS: Centers for Medicare and Medicaid Services

1.4.17. CO: Contracting Officer

1.4.18. COR: Contracting Officer’s Representative

1.4.19. COS: Chief of Staff

1.4.20. CPARS: Contractor Performance Assessment Reporting System

1.4.21. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.4.22. FSMB: Federation of State Medical Boards

1.4.23. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.4.24. HHS: Department of Health and Human Services

1.4.25. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.26. HIPAA: Health Insurance Portability and Accountability Act

1.4.27. IGRT: Image Guided Radiation

Therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

1.4.28. IMRT: Intensity Modulated Radiation Therapy is the process of delivering highly conformal radiotherapy to the tumor while sparing the surrounding normal tissues by varying radiation intensity across treatment portals.

1.4.29. IROC: Imaging and Radiation Oncology Core

1.4.30. ISO: Information Security Officer

1.4.31. MU: Monitor Unit is a measure of machine output of a linear accelerator in radiation therapy.

1.4.32. NHPP: National Health Physics Program- NHPP provides regulatory oversight for the Nuclear Regulatory Commission master materials license issued to VHA to include permitting for use of materials, on-site inspections, and investigations of allegations, medical events, and incidents. In addition, we provide oversight for machine sources of ionizing radiation used for radiation therapy. Finally, we provide assistance and technical information for uses of ionizing radiation for healthcare diagnosis and treatment and non-human biomedical research. (http://www.patientcare.va.gov/NHPP.asp)

1.4.33. NROP: National Radiation Oncology Program

1.4.34. NRSC: National Radiation Safety Committee

1.4.35. POP: Period of Performance

1.4.36. PPD: Purified Protein Derivative

1.4.37. PWS: Performance Work Statement

1.4.38. QASP: Quality Assurance Surveillance Plan

1.4.39. QMP: Quality Management Program

1.4.40. SPE: Senior Procurement Executive

1.4.41. SRS: Stereotactic Radio Surgery: a minimally invasive form of surgical intervention which makes use of a three-dimensional coordinated system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

1.4.42. SBRT: Stereotactic Body Radiotherapy

1.4.43. TJC: The Joint Commission

1.4.44. TLD: Thermoluminescent Dosimeter- a device that measures radiation dose

1.4.45. TMP: Therapeutic Medical Physicist

1.4.46. TRT: Therapeutic Radiologic Technologist (Interchangeable Names: Radiologic Therapy Technologist, Radiation Therapist)

1.4.47. VA: Department of Veterans Affairs

1.4.48. VAMC: Veterans Affairs Medical Center

1.4.49. VetPro: a federal web-based credentialing program for healthcare providers.

1.4.50. VHA: Veterans Health Administration

2. QUALIFICATIONS:

2.1. Board Certification & Registration: All Contract TRTs shall hold and maintain certification and registration in Radiation Therapy (T) by the American Registry of Radiologic Technologists (ARRT). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance. Contract TRTs shall have at least 2 years of current Radiation Therapy experience treating patients. Verification of Credentials are available at https://www.arrt.org.

2.2. Credentialing of Health Care Professionals other than physicians. In accordance with VHA Directive 2012-030, all health care professional who claim licensure, certification, or registration, as applicable to the position (this applies to all who are appointed or utilized on a full-time, part-time, intermittent, consultant , without compensation, on-station fee-basis, on-station contract, or on-station sharing agreement basis) and who are not currently credentialed in accordance with VHA Handbook 1100.19, must be credentialed in accordance with this directive. NOTE: The credentialing requirements are found in Attachment A of this Directive.

2.3. Qualifications of Therapeutic Radiologic Technologists: Contract TRTs shall be a graduate of an approved program in Therapeutic Radiologic Technology, evidence by a certificate or an Associate degree from an accredited institution by the Joint Review Committee on Education in Radiologic Technology (JRCERT) and certification by the ARRT in (T) radiation therapy. The qualifications of such personnel shall be subject to review by the VA Chief of Staff and approval by the VA Facility Director. Furthermore, the Contractor shall submit the resume to the COR for approval prior to onboarding. Competency requirements shall be defined by the VA Healthcare System. Additionally, Contract TRTs shall meet the following:

2.3.1 Two (2) years of experience - Knowledge of overall characteristics and clinical relevance of radiation oncology treatment machines and equipment. Shall know ARIA software, Cone Beam Computed Tomography (CBCT), Orthogonal X-Rays (KV/KV).

2.3.2. Two (2) years of experience - Delivery of prescribed therapeutic radiation for the purposes of cancer and abnormal cell growth treatments.

2.3.3. Two (2) years of experience – in 3-dimensional conformal radiation therapy (3D-CRT), Intensity Modulated Radiation Therapy (IMRT), Image Guided Radiation (IGRT), Stereotactic Body Radiotherapy (SBRT), Stereotactic Radio Surgery (SRS), Stereotactic Radiation Therapy (SRT), RapidArc.

2.4. Technical Proficiency: Contract TRTs 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. The Contractor shall provide documents upon request of the CO or COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contract TRTs shall have knowledge of professional care theories, principles, practices, and procedures to serve radiation oncology patient population. Contract TRTs shall demonstrate knowledge of growth and development, and pathophysiology of disease processes specific radiation oncology patient population. The Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history. Contract TRTs shall be responsible for abiding by VAGLAHS Staff By-Laws, rules, and regulations (referenced herein) that govern staff behavior.

2.5. Continuing CEU Requirements: Contract TRTs shall provide the COR copies of current CEUs for TRTs performing on this contract as required or requested by the COR. Contract TRTs registered or certified by ARRT shall continue to meet the minimum standards for CEU to remain current. CEU hours shall be reported to the credentialing office for tracking. These documents are required for initial and renewal privileging. Failure to provide shall result in loss of privileges.

2.6. Training (BLS, CPARS and VA MANDATORY): Contract TRTs shall meet all VA educational requirements and mandatory course requirements defined herein; all training shall be completed by the Contractor’s TRTs as required by the VA. Other training may become required. VA shall communicate any changes to the training requirement to the contractor.

CPARS

One Hour

2.7. Standard Personnel Testing/Infection Control: The Contractor shall provide proof of the following tests for Contract TRTs within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Contractor TRTs shall have a satisfactory health status, including a current physical and the below tests, per the CDC immunization recommendations for healthcare workers: https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html.

Tests shall be current within the past year.

2.7.1. Tuberculosis (TB) Testing: Contractor shall provide proof of a negative Blood Test (also called interferon-gamma release assays or IGRA) for all Contractor employees as a baseline. Two TB blood tests are approved by the FDA: the QuantiFERON – TB Gold In-Tube test (QFT-GIT) and the T-SPOT TB test (T-Spot). Subsequent testing is not required unless the Contractor employee has been exposed to someone with TB. CDC recommendations for TB testing for health care personnel: https://www.cdc.gov/tb/topic/infectioncontrol/healthcarepersonnel-faq.htm

2.7.2. TDaP (TETNUS/DIPTHERIA/PERTUSSIS): Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor employees. Boosters are required every 10 years.

2.7.3. Influenza: Contractors shall provide proof that all Contractor employees have received the annual Influenza vaccine unless it is contraindicated. If the Contractor employee has a medical contraindication to the vaccine, they are required to wear a mask during the Influenza season.

2.7.4. Hepatitis B: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor employees; provide their own Hepatitis B vaccination series (3 doses required) plus a serologic titer (1-2 months after final dose) to document immunity following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.7.5. Measles, Mumps, & Rubella: Contractors shall provide proof of immunity for all Contractor employees, i.e., at least 2 doses of vaccine or serologic evidence of immunity.

2.7.6. Varicella: Contractors shall provide proof of immunity for all Contractor employees, i.e., at least 2 doses of vaccine or serologic evidence of immunity.

2.7.7. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractors shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractors shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.7.8. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractors shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractors shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.7.9. COVID-19: Contractors shall comply with VHA Supplemental Contract Requirements for Combatting COVID-19 {This is applicable to all health care workers}. – See Section D attachment.

2.7.10. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: The Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s TRTs {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.8. Conflict of Interest: The Contractor and all Contract TRTs and other contract provider (s) shall be responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor shall also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.9. Citizenship related Requirements:

2.9.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals.

2.9.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract, or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.9.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.9.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.9.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.10. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.10.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract physician (s) is not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.10.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.11. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional direction of all clinical personnel covered by this contract will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract

2.12. Non-Personal Healthcare Services: The parties agree that the Contractor and all contract TRTs and other contract provider (s) shall not be considered VA employees for any purpose.

2.13. Inherent Government Functions: Contractor personnel shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.14. No Employee Status: The Contractor shall be responsible for protecting their staff. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.15. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s) and other contract provider (s). When a Contractor or contract physician(s) and/or other contract provider (s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract physician(s) or other contract provider (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.16. Key Personnel:

Contractor shall provide the number of qualified Contract TRTs as is necessary to perform the services required under this contract, at the staffing level determined to be professionally acceptable by the VA Chief of Staff and in accordance with ASTRO, APEx staffing guidelines.

2.17. Emergency Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.17.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO shall notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract shall be modified to reflect any approved changes of key personnel.

2.17.2. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.17.3. The Government reserves the right to refuse acceptance of any Contractor TRT at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction, or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contract TRTs, s/he may request, without cause, immediate replacement of said Contract TRTs.

2.17.4. The CO and COR shall deal with issues raised concerning Contract TRTs conduct. The final arbiter on questions of acceptability is the CO.

2.18. Contingency Plan: Continuity of care and uninterrupted operations of a Radiation Oncology Program are essential components of this contract and shall be primary factors in Contractor’s assignment of staff and frequency of substitutions. The Contractor shall have a contingency plan in place to be utilized if the Contract TRTs and other contract provider (s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. Task Order Procedures Task orders shall be issued against this IDIQ contract and shall be competed amongst all IDIQ contract holders by issuing requests for proposals (RFP) to the IDIQ contract holders. Evaluation criteria used to determine the task order awardee will be included in the task order RFP.

4. VA HOURS OF OPERATION/SCHEDULING:

4.1. VA Business Hours: Normal business hours for the VAGLAHS Radiation Oncology Department are 8:00am – 4:30pm Monday through Friday. However, there may be some circumstances when Contract TRTs shall be scheduled to work after those hours and/or on weekends and holidays.

4.2. Work Schedule: Monday through Friday 8:00am – 4:30pm excluding weekends and holidays

· New Year’s Day

· President’s Day

· Martin Luther King’s Birthday

· Memorial Day

· Juneteenth

· Independence Day

· Labor Day

· Columbus Day

· Veterans Day

· Thanksgiving

· Christmas

· Any day specifically declared to be a national holiday.

4.3. Cancellation/Rescheduling:

If a VAGLAHS treatment machine is not functional and requires service, the patient’s treatment may be re-scheduled, and the Contract TRTs work hours may be rescheduled accordingly. The Contract TRTs shall only be paid for the time they have worked according to the rescheduled work hours; however a minimum of 4 hours shall be paid to the Contractor as long as the provider reported for duty at the normally scheduled time. In case of prescheduled machine down time due to service or hardware/software upgrade, the work hours of the Contract TRTs shall be rescheduled without pay.

5. CONTRACTOR RESPONSIBILITIES:

5.1. Services required: The Contractor shall provide up to approximately five (5) Therapeutic Radiologic Technologists services. The VAGLAHS has one CT Simulator for patient setup simulation and three linear accelerators for patient treatments. The CT scanner requires one therapist to operate and each of the linear accelerators requires two therapists at all times.

5.2. Standards of Practice: The medical practice and patient care provided by Contractor TRTs shall be evidence based best practices that meet or exceed all standards of professional practice and performance measures applicable to VAGLAHS medical professionals, including, but not limited to, NHPP, AAPM and TJC standards and national recognized accrediting body current practice guidelines in radiation oncology.

Contractor TRTs care shall cover the range of services as would be provided in a state-of-the-art civilian medical treatment facility. The Contractor TRTs shall ensure that the Contractor’s radiation oncology standard of care is of a quality that meets or exceeds currently recognized VA and APEx national standards as established by:

5.3. Medical Records:

5.4. Direct Patient Care: 95% of the time the Contractor TRTs shall be involved in direct patient care.

5.5. Therapeutic Radiologic Technologist (TRT) or Radiation Therapy Technologists (RTT): Contractor’s Radiation Therapists

5.5.1. Furnish the service of up to 5 full-time equivalents (FTE’s) to perform the requirements of this contract which will include but not limited to the following services:

5.5.2. The Contractor TRTs shall adhere to Nuclear Regulatory Commission (NRC) regulations involved in handling and treating patients with ionizing radiation, and all radiation safety guidelines. Policies and procedures of the Radiation Oncology Service which are consistent with APEx guidelines. This shall include but not limited to all necessary data required to maintain the Radiation Oncology Quality Improvement Program. All ROS guidelines shall be made available by the Supervisory Therapist, Chief, Radiation Oncology Services or designee will make available.

5.5.3. Contractor TRTs shall receive and interpret prescriptions/instructions from the treating physician and carry out complex assignments while under general supervision of the Supervisory Radiation Therapist.

5.5.4. Contractor TRTs shall prepare imaging, simulation, treatment, and ancillary equipment for patient use. This involves recording a series of measurements, including checks of the radiation field, to ensure basic specifications are met daily.

5.5.5. Contractor TRTs shall maintain appropriate markings on patients’ skin to facilitate exact positioning for desired results and cushions/shields patients as appropriate. Procedures will be explained to patients securing the confidence & cooperation of patients, explain procedures while following ALARA principles.

5.5.6. Contractor TRTs shall operate imaging and/or sealed radiation equipment.

5.5.7. Contractor TRTs shall limit radiation field using lead cut outs or collimation.