36C26223R0131 Family Medicine and Internal Medicine Physician Services VASDHS.docx

36C26223R0131

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

36C26223R0131 08-31-2023 Tashodra Rogers, Contracting Officer 562-766-2246 09-28-2023

12:00PM

PDT

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

X

621111 $14 Million

N/A

36C262 Department of Veterans Affairs VA San Diego Healthcare System 3350 La Jolla Village Drive

San Diego CA 92161

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 http://www.tungsten-network.com/ 1-877-353-9791

See CONTINUATION Page

The Department of Veterans Affairs San Diego Healthcare System requires On-Site Board-Certified/Board Eligible Family Medicine Physician and Board Certified/Board Eligible Internal Medicine Physician Services.

Please see schedule of services on pages: 6-10

Please see the Performance Work Statement on pages: 11-45

See CONTINUATION Page

Tashodra Rogers 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:

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 on this acquisition. Current invoicing information is located at http://www.fsc.va.gov/einvoice.asp

· 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

5. POST AWARD ORIENTATION – The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70 https://www.va.gov/oal/library/vaam/vaamM842.asp#M84250270

6. SECURE FAX - Please review VA Handbook 6500 that requires the following statement on all fax 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. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 SCHEDULE OF SERVICES & PRICE

The Contractor shall furnish all personnel to provide services necessary to perform onsite Family Medicine and Internal Medicine Physician Services (collectively “Services”) to eligible beneficiaries of the Department of Veterans Affairs Medical Center, VA San Diego Healthcare System (hereinafter referred to as VASDHS), 3350 La Jolla Village Drive, San Diego, CA 92161.

The VASDHS Services are accredited by The Joint Commission (TJC) and follow the standards & guidelines set forth by The American College of Physicians (encompassing all of internal medicine) and the American Board of Family Medicine (http://www.theabfm.org). A contractor providing onsite Family Medicine and Internal Medicine physician services shall provide services that meet or exceed those guidelines.

Place of Performance: Services shall be provided on site, VA San Diego Healthcare System (hereinafter referred to as VASDHS), 3350 La Jolla Village Drive, San Diego, CA 92161. The Contractor shall provide Services, as needed, at the following VASDHS facility locations:

1. VASDHS 3350 La Jolla Village Drive San Diego, CA 92161

2. Kearny Mesa VA Clinic 8875 Aero Drive San Diego, CA 92123

3. Oceanside VA Clinic 1300 Rancho del Oro Drive Oceanside, CA 92056

4. Chula Vista VA Clinic 353 H Street Chula Vista, CA 91910

5. Sorrento Valley VA Clinic 10455 Sorrento Valley Road Suite 210 San Diego, CA 92121 Pricing Instructions:

The Contractor shall propose a minimum of Six (6) key personnel to be credentialed (3 Family Medicine Physicians and 3 Internal Medicine Physician) and be available for scheduling to meet the requirements of the contract. The Contractor shall provide as a minimum, enough appropriately qualified physicians to be credentialed and privileged that meet or exceed twice the number of Full Time Equivalent Employee (FTEE) required to fulfill contract obligations.

Period of Performance: ESTIMATED BASE YEAR: January 15, 2023_ to _January 14, 2024____

Annual Cost

Family Medicine and Internal Medicine Physician Services

KEY PERSONNEL

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR BASE

Hours

ESTIMATED OPTION YEAR ONE (1): January 15, 2024__ to _January 14, 2025_______

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 1

ESTIMATED OPTION YEAR TWO (2): January 15, 2025_ to _January 14, 2026_

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 2

ESTIMATED OPTION YEAR THREE (3): January 15, 2026_ to _January 14, 2027_

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 3

ESTIMATED OPTION YEAR FOUR (4): January 15, 2027_ to _January 14, 2028_

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 4

Base Year Price: ____________________

Option Year 1 Price: __________________

Option Year 2 Price: __________________

Option Year 3 Price: __________________

Option Year 4 Price: __________________

Total Price for Base plus Four Option Years: ______________________

B.3 PERFORMANCE WORK STATEMENT (PWS)

1. GENERAL:

1.1 Services Provided: The Contractor shall provide Board Certified/Board Eligible Family Medicine and Internal Medicine Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the VA San Diego Healthcare System. (VASDHS)

1.2 Place of Performance: Contractor shall furnish services at the VA San Diego Healthcare System 3350 La Jolla Village Dr., San Diego, CA 92161

1.2.1 VASDHS, 3350 La Jolla Village Dr., San Diego, CA 92161

1.2.2 Sorrento Valley CBOC, 10455 Sorrento Valley Rd, San Diego, CA 92121

1.2.3 Oceanside CBOC, 1300 Rancho del Oro Dr., Oceanside, CA 92056.

1.2.4 Kearny Mesa VA Clinic 8875 Aero Drive San Diego, CA 92123

1.2.5 Chula Vista VA Clinic 353 H Street Chula Vista, CA 91910

1.3 Authority: Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority and FAR Part 12 in combination with FAR Part 15.

1.4 Policy/Directives/Handbooks: the contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: https://www.va.gov/vapubs/ VHA Publications (va.gov)

1.4.1 VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2 VHA Directive 1003.04: VHA Patient Advocacy

1.4.3 VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider Group Practice

1.4.4 VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.5 VHA Directive 1100.18: Reporting And Responding To State Licensing Boards:

1.4.6 VHA Directive 1100.20 Credentialing of Health Care Providers

1.4.7 VHA Directive 1192.01: Seasonal Influenza Vaccination Program For VHA Health Care Personnel

1.4.8 VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements To Perform Invasive Procedures In Any Clinical Setting

1.4.9 VHA Directive 1605.01: Privacy and Release of Information

1.4.10 VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.11 VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.12 Privacy Act of 1974 (5 U.S.C. 552a) as amended

1.5 Definitions/Acronyms: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

2. QUALIFICATIONS:

when services are performed onsite on VA property. licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician (s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2 Board Certification/Board Eligible and Experience: All contractor’s physician (s) shall be Board Certified/Board Eligible in Family Medicine or Internal Medicine, have experience in providing scope of care as described and be currently certified in VHA-approved Basic Life Support (BLS) or equivalency 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.

2.1.3 Credentialing and Privileging: Credentialing of health care providers requiring maintenance of licensure, registration, or certification and monitoring of time-limited credentials shall be done in accordance with VHA Directive 1100.20. Licensed independent health care practitioners (LIPs), who are permitted to practice independently by law through their state licensure shall be privileged in accordance with VHA Directive 1100.21. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contractor’s physician (s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

Frequency

Annual Hours

2.1.7 Standard INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.7.1 TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.7.2 MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.3 VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.4 ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.5 INFLUENZA: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

2.1.7.6 COVID-19: Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). Contract physicians will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before their start date. The agency will provide additional information regarding what information or documentation will be needed.

2.1.7.7 OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) {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.

2.1.7.8 The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor 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 (https://www.cdc.gov/infectioncontrol/guidelines/healthcare-personnel/index.html) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8 National Provider Identifier (NPI): 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 have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.11.1 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;

2.1.11.2 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.

2.1.11.3 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.

2.1.11.4 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.

2.1.11.5 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.

2.1.12 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.

2.1.12.1 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 contractor’s physician (s) are 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.

2.1.12.2 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.

2.2 Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Facility Director as provided in VHA Directive 1100.20 and VHA Directive 100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes 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.

2.3 Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s physician(s) shall not be considered VA employees for any purpose.

2.4 Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5 Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6 Inherent Government Functions: Contractor and Contractor’s physician (s) 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.

2.7 No Employee status: The Contractor shall be responsible for protecting Contractor’s physician (s) furnishing services. 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:

2.7.4 Health examinations

2.7.4 Income tax withholding, and

2.7.5 Social security payments.

2.8 Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s physician(s). When a Contractor or contractor’s physician (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)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.8.1 RYAN HAIGHT ACT: In support of providing Veterans access to comprehensive Telehealth services, including the provision of controlled substances in compliance with the Ryan Haight Act, Contractor shall apply for DEA registration if this option is available under state law. If DEA registration is not available under state law or the contractor is unable to obtain DEA registration, Contractor shall ensure a DEA registered provider can be present in the room with the patient during discussions of controlled substances prescriptions, at telehealth visits in which controlled substances are prescribed, if the patient has not had at least, one prior in-person medical assessment with the prescribing provider.

2.9 Key Personnel:

2.9.4.2 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 and shall be credentialed and privileged per VHA Directive 1100.20 and VHA Directive 1100.21. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3 The Government reserves the right to refuse acceptance of any Contractor personnel 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 Contractor’s physician (s), s/he may request, without cause, immediate replacement of said Contractor’s physician (s). The CO and COR shall deal with issues raised concerning Contractor’s physician (s) conduct. The final arbiter on questions of acceptability is the CO.

2.9.4.4 Contingency Plan: Because continuity of care is an essential part of VAMC’s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor’s physician (s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1 VA Business Hours: Contractor’s Family Medicine or Internal Medicine Physician(s) shall be available and present at VASDHS or VASDHS Clinic during normal VASDHS hours of operation, which will be established, and may be revised, as deemed appropriate for Veteran-patient care by the Chief of Staff. Currently, normal clinic hours are 8:00 a.m. to 4:30 p.m. Clinic locations include the below sites:

1. VASDHS 3350 La Jolla Village Drive, San Diego, CA 92161

2. Kearny Mesa VA Clinic 8875 Aero Drive San Diego, CA 92123

3. Oceanside VA Clinic 1300 Rancho del Oro Drive Oceanside, CA 92056

4. Chula Vista VA Clinic 353 H Street Chula Vista, CA 91910

5. Sorrento Valley VA Clinic 10455 Sorrento Valley Road Suite 210 San Diego, CA 92121

3.1.1 Patients must be seen by a contractor’s physician (s) on-site at VASDHS in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2 Contractor’s Physician(s) shall be available to be scheduled to work during all hours of operation of the Primary Care Service or as required by the facility Chief of Staff or Chief of Primary Care Service. Primary Care Service operates Monday through Friday 8:00 a.m. to 4:30 p.m. excluding Federal Holidays.

4. CONTRACTOR RESPONSIBILITIES:

4.1 Clinical Personnel Required: The Contractor shall provide contractor’s physician (s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties. Contractor’s physician (s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.2 Standards of Care: The contractor’s physician (s)’ care shall cover the range of Primary Care Physician services as would be provided in a state-of-the-art health care treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

4.2.1 The American Board of Family Medicine American Board of Family Medicine | ABFM | American Board of Family Medicine (theabfm.org)

4.2.3 The American Board of Internal Medicine http://www.abim.org/

4.2.3 The professional standards of the The Joint Commission (TJC) http://www.jointcommission.org/

4.2.4 The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and;

4.2.5 The requirements contained in this PWS.

4.3 Medical Records:

4.4.4 Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Directive 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 and all guidelines provided by the VAMC.

4.4.5 Release of Information: The VA shall maintain control of releasing any copies of patient health information or health records and will follow policies and standards as defined, but not limited to Privacy Act requirements. Contractor will not release or disclose copies of records and will refer all such requests to the Release of Information Department at the VA facility were assigned.

4.4.6 Management for Medical Records: National Archives and Records Administration record disposition…