Response to Questions - Escondido CBOC Primary Care Services_10-10-24.xlsx
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- Attached to
- Q201--664 - 36C262-24-AP-4043 VASDHS New Escondido CBOC Procurement _ Base plus 9 Option Years
- Solicitation number
- 36C26224R0121
About this file
This document is the Response to Questions for Solicitation 36C26224R0121 - Escondido CBOC Primary Care Services. The key details are:
The solicitation is for a follow-on contract to provide primary care, mental health, and ancillary services at the Escondido Community-Based Outpatient Clinic (CBOC) located in Escondido, CA. The contract will be a fixed-price IDIQ with an initial 6-month construction/transition period and a base period plus 9 option years. The Escondido CBOC must meet specific space and staffing requirements, including a minimum of 12 primary care exam rooms, 2 telehealth rooms, 1 tele-eye room, 2 sound-proof group therapy rooms, and various support spaces. The contractor must provide all necessary facilities, maintenance, staffing, supplies, and equipment. The solicitation is set-aside for service-disabled veteran-owned small businesses (SDVOSBs). Proposals are due by October 28, 2024 at 10:00am PT and should be emailed to Tashodra.Rogers@va.gov. The government may conduct site visits prior to award but will not require offeror involvement.
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Sheet1
| Amendment 00001 - RESPONSE TO QUESTIONS: SOLICITATION 36C26224R0121 - ESCONDIDO CBOC PRIMARY CARE SERVICES | ||||||
| Question # | Document | Section | Page # | Questions Submitted | VA Response to Questions | |
| 1 | RFP | B.3 Performance Work Statement, paragraph 2.8 and E.2 Addendum to FAR 52.212-1 Instructions to Offerors | 23&153 | The RFP states, "A copy of licenses must be provided with offer and will be updated annually." Nowhere in the instructions to offer does it mention providing a staffing plan. Where would the Government like the Contractor to present their staffing plan and provide a copy of the licenses? | The Offeror's staffing plan is not required to be submitted with proposals. Para 2.8 is hereby amendmend to read, "A copy of the licenses shall be provided by the awarded contractor as part of the onboarding procedures and will be updated annually." | |
| 2 | RFP | B.3 Performance Work Statement, paragraph 5.7 | 55 | The RFP states, "TELE-HEALTH ROOM: Measuring 12 foot by 12 foot (minimum) with no exterior windows." It also states, "NOTE: Two (2) Telehealth rooms and one teleeye room is required for the Escondido CBOC." Is there a total of 2 telehealth rooms and one tele eye room that are all 12 foot by 12 foot in size? | Yes, contractor is required to provide 2 telehealth rooms and one tele eye room, all 12 foot by 12 foot. | |
| 3 | RFP | B.3 Performance Work Statement, paragraph 5.8 | 56 | The RFP states, "Telephone Access to Clinical Care: The contractor shall make provisions for toll free telephone care, twenty-four (24) hours a day, seven (7) days a week, including evenings, weekends, and holidays, for all Veterans." Is it acceptable to the VA if the Contractor uses the VA's after hours call center to provide after-hours telephone access? | Yes. | |
| 4 | RFP | B.3 Performance Work Statement, paragraph 11 | 67 | The RFP states, "PRIMARY CARE: Minimum of (3) three exam rooms and (1) one exam/ consultation room per PACT teamlet." and "WOMEN’S HEALTH: (1) one exam room to be utilized for woman veterans." Is the Women's Health exam room included in the 3 primary care exam rooms and 1 exam consultation room or is that an addition room?" | Yes. | |
| 5 | RFP | B.3 Performance Work Statement, paragraph 11 | 68 | The RFP states, "All Tele-health rooms and group spaces, regardless of number of assigned veterans shall have standard electrical, a phone and IT/LAN accesses on at least two (2) walls; adjacent or non-adjacent. NOTE: Two (2) Telehealth rooms and one teleeye room is required for the Escondido CBOC." Are any group rooms required and if so, are there any size requirements? | Please review B.3 Peformance Work Statement, paragraph 11 for space requirements. | |
| 6 | RFP | B.3 Performance Work Statement, paragraph 12 | 74 | The RFP states, "ENVIRONMENT OF CARE (EOC): Contractor shall meet VHA standards regarding EOC and shall provide EOC management plans addressing safety, security, hazardous materials, hazardous waste, emergency preparedness, life safety, medical equipment, infection control, and utility systems with the submission of their proposal and within 15 calendar days after contract award." Is it acceptable for the Contractor to provide the EOC within 15 calendar days after contract award? | The solicitation is hereby amended to read: "Contractor shall meet VHA standards regarding EOC and shall provide EOC management plans addressing safety, security, hazardous materials, hazardous waste, emergency preparedness, life safety, medical equipment, infection control, and utility systems within 15 calendar days after contract award." | |
| 7 | RFP | B.3 Performance Work Statement, paragraph 13 and E.2 Addendum to FAR 52.212-1 Instructions to Offerors | 75&153 | The RFP states, "The contingency plan for computer downtime must be reviewed and approved by the Contracting Officer prior to award of the contract." Nowhere in the instructions to offer does it mention providing a Contingency Plan for Computer Downtime. Is the bidder required to submit the contingency plan for computer downtime with the proposal? | The soliciation is hereby amended to read: "The contingency plan for computer downtime must be reviewed and approved by the Contracting Officer prior to performance." | |
| 8 | RFP | E.2 Addendum to FAR 52.212-1 Instructions to Offerors | 152 | The RFP states, "UEI Number. Provide the Unique Entity Identifier Number assigned to your firm in the space provided in section B.1 Contract Administration." There is no space provided in Section B.1. Where in Section B.1 Contract Administration should the UEI number be placed? | Offeror's shall include the UEI on the SF1449, Block 17 A. | |
| 9 | RFP | SF1449 and E.2 Addendum to FAR 52.212-1 Instructions to Offerors | 1&153 | The SF1449 has Alice McGruder as the Contracting Officer. In the Instructions to Offeror it states proposals shall be emailed to Tashodra.rogers@va.gov by 10:00am PDT. Will the Government please confirm the proposals should be emailed to Tashodra Rogers? | Proposals shall be emailed to Tashodra.Rogers@va.gov. | |
| 10 | RFP | E.2 Addendum to FAR 52.212-1 Instructions to Offerors | 153 | The RFP states in Volume 2 Factor 1 - Experience, to use the form provided in D.1 Reference Contract Worksheet. How many D.1 Reference Contract Worksheets would the Government like to see to show contractor's experience? | There is no stated limit to the number of Reference Contract Worksheets Offerors may provide. | |
| RFP | E.2 Addendum to FAR 52.212-1 Instructions to Offerors | 153 | Is there a page limit for the D.1 form? | No, the D.1 form can be expended. | ||
| 11 | RFP | 13. | Equipment, Office Supplies and Technical Support | 75 | The RFP states, "VA OIT will provide the primary data and voice circuit". Will the government confirm that VA OIT will be providing the phone circuit and physical phones? | The soliciation is amended to delete: "VA OIT will provide the primary data and voice circuitread." The Contractor is responsible for providing the circuit and physcial phones. |
| 12 | RFP | 11. Space requirements: | 67 | The RFP states, "All exam rooms shall have (2) two voice/data jacks". Under general SOP guidelines, we do not install phones in exam rooms. Will the government confirm if phones are required in exam/consult rooms? | Yes, all exam rooms shall have (2) two voice/data jacks. | |
| 13 | RFP | B.2 Schedule of Services and Price | 7 | SInce this procurement is set-aside for a SDVOSB, would the Government consider an initial fixed price contract, with a cost reimbursement line item, for a six-monthconstruction/ transition period? RFP would require the contractor to provide all necessary facilities, maintenance, staffing, supplies and equipment for the CBOC. RFP would list contract required services and supplies in the form of contract line items (CLINs). The first CLIN would correspond to facility development/construction, equipment, furnishings and other start-up during a six-month transition period (reimbursable). During the six-month startup period, monthly progress payments would be reimbursed.Upon completion of start-up and commencement of services contractor would be paid PMPM for enrolled veteran population (Fixed Price IDIQ). | Per FAR Clause 52.212-1, paragraph (e) Multiple Offers, included in the solicitation, Offerors may submit multiple offers presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with FAR subpart 4.10), or alternative commercial products or commercial services for satisfying the requirements of this solicitation. However, Offerors are reminded that they are required to submit proposals that conform to the solicitation terms and conditions, including the price schedule as presented in the solicitation section B.2. | |
| 14 | In reference to this statement: “Improve Critical Transitions Processes: Inpatient to Outpatient: develop systems to identify admitted primary care patients; provide follow up care either by face-to-face or virtual visit within 2 business days’ post discharge and document the follow up care in the VA EHR and communicate among the team.” Does a system currently exist for identifying admitted primary care patients? If so, what is the name of the system and who will be responsible for maintaining it- the Government or the contractor? If not, does the Government intend for the contractor to develop this system? | The VASDHS will provide the Daily Summary Report for ED visit and Discharge email daily. | ||||
| 15 | RFP | Are there any limitations to recruiting incumbent employees? | No. | |||
| 16 | RFP | 11. Space requirements: | 67/68 | Please confirm the size and number of small group rooms and large group rooms required in this facility. | Please review section B.3 Performance Work Statement, paragraph 11 Space requirements: "Group Therapy Rooms. Two sound-proof group therapy room. These rooms shall be at least 300 square feet each to accommodate 15 mental health patients. And shall be equipped with a telephone. and with white boards approximately 48 inches x 72 inches." | |
| 17 | RFP | 11. Space requirements: | 67 | Please confirm the number of procedure rooms and women’s health exam rooms required in this clinic. | Please review section B.3 Performance Work Statement, paragraph 11 Space requirements: PRIMARY CARE: Minimum of (3) three exam rooms and (1) one exam/consultation room per PACT teamlet. Exam rooms shall be a minimum of 125 square feet. This clinic will require four PACTs, therefore, 12 examination rooms and 4 consultation rooms are required in addition to two offices for PCMHI. Please review page 67 Women's Health: "The Women’s Health PACT is included in the overall required PACTs." | |
| 18 | RFP | 11. Space requirements: | 67 | Can a procedure room count toward the number of required women’s health exam rooms? | WOMEN’S HEALTH: (1) one exam room to be utilized for woman veterans. Room shall be a minimum of 125 square feet with an adjacent full restroom. The Women’s Health PACT is included in the overall required PACTs. | |
| 19 | RFP | 11. Space requirements: | 67 | Does the current CBOC meet the government’s space requirements, and if not, will the location be “grandfathered in” and available for rebid “as-is”? | No it does not meet the governments space requirements and it will not be "grandfathered in". | |
| 20 | RFP | 11. Space requirements: | 67 | Please confirm the new CBOC must be designed with the on/Stage-Off/Stage concept as laid out in the PACT Design Guide. | Yes, the CBOC must be designed with the on/Stage-Off/Stage concept and in compliance with the PACT Design Guide. | |
| 21 | RFP | 11. Space requirements: | 67 | Please provide the number of billable enrollees on the most current invoice. | 3315 | |
| 22 | RFP | 11. Space requirements: | Please list all VA staff that will be onsite at the clinic and the approximate number of days per week they will be there. | There will be 8 mental health FTEE at the Escondido CBOC, and 2.0 primary care mental health integration staff five (5) days a week. Please review page 21, section B.3. paragraph 2.6. | ||
| 23 | Will the new Contractor inherit the patients’ last vesting visit and be allowed to bill for one year from the date upon contract award? | Yes. | ||||
| 24 | Will the government be making site visits prior to the award? If so, how much advance notice will the contractor be given? | The government may make site visits prior to award. However, this will not require Offeror's involvement because the interior of the offered site will not be evaluated. | ||||
| 25 | How many Mission Act referrals, for Primary Care, were made in the past 12 months for enrolled veterans of the Escondido CBOC? | There was one Mission Act referrals for Escondido and this was due to drive time, not wait time. | ||||
| 26 | Will the government consider extending the start-up time due to supply chain issues availability of construction materials to 180 days instead 150? | Yes, the Solicitation is hereby amended to reflect 180 days from contract award to opening up the clinic and providing services to the Veterans. Section number? | ||||
| 27 | Please list the vaccines the contractor is responsible for purchasing and provide information on how many of each vaccine were used at the clinic in the past year. | Please see the chart on the amendment document, Number 2 - Q1, A2. | ||||
| 28 | Please confirm if the VA will supply the telephones and will the existing number be rolled over to the new contractor? | The VASDHS will not supply telephones. The contractor is required to supply telephones and telephone service. | ||||
| 29 | Will the government add price realism language to the current solicitation? To prevent contractors from deliberately underbidding this contract? | No. | ||||
| 30 | In addition to the two MH group therapy rooms, does the VA require additional group room(s)/Conference room(s) in the Escondido CBOC? | Please follow the Space Requirements in section B.3, paragraph 11, provided in the RFP. A conference room for primary care stuff is not required by the VA. | ||||
| 31 | Does the VA require the two general telehealth rooms to have exam tables? | Yes, please reference section B.3, paragraph 5.7, telehealth room to have exam table and paragraph 11, page 68. | ||||
| 32 | Does the VA require the MH clinic to be separated from the primary care area? | Yes. | ||||
| 33 | Does the VA require separate waiting areas within the lobby for MH? | No | ||||
| 39 | On page 69, the VA asks for “two Mental Health reception windows.” These reception windows are not normally separated to ensure Mental Health Veterans are not stigmatized and their patient privacy is respected. Please confirm the VA’s intention to have separate check in windows. If so, will the VA or the Contractor staff these windows. | The Contractor shall provide seperate check in windows for primary care and mental health. The VASDHS will provide VA staff to check in Mental Health patients. The check in windows do not require any signage that they are Mental Health check in windows. This will prevent "stigmatization". All patient privacy should be respected. | ||||
| 34 | Since VA is providing PharmDs for anticoagulation will VA provide the monthly, quarterly, and annual reports listed on pg. 42 of RFP? | Yes, the soliciation is amended to delete B.3, section 5.3 Pharmacy services on page 41/42: "The contractor shall meet all requirements for anticoagulation management outlined in VHA Directive 1108.16 Anticoagulation Therapy Management (or subsequent revisions thereto) as well as local policy related to the management of patients on anticoagulation. Local policy is included in Section D (attachments). The contractor shall provide quarterly, and annual anticoagulation quality assurance summaries as outlined by the local Pharmacy & Therapeutics Committee. For questions, please contact, POC, VA Anticoagulation Coordinator Elizabeth.gramer@va.gov." | ||||
| 35 | How many Telehealth visits did the Escondido CBOC perform in 2024 to date? | There was a total of 596 store and forward telehealth episodes and 5,087 synchronous episodes out of Escondido in fiscal year2024. | ||||
| 36 | What is the current number of patients on the billable roster? What is the current number of patients on the PCMM? | The number of billiable patients varies every month. There were 3,315 billable patients in the month of August 2024 and 3,370 assigned to the clinic. | ||||
| 37 | Given that Hologic is not supplying ThinPrep to contractors, will the VA provide ThinPrep to the contractor for Women’s Health? | The VASDHS will provide the ThinPrep. | ||||
| 38 | Page 42 says contractor will provide a pharmacist. Section 2.3 on page 20 states VA will provide pharmacist. Which is correct? | The VASDHS will provide the Clinical Pharmacist Practitioner services. The Contractor will provide a Clinical Pharmacist who is not a practitioner. | ||||
| 40 | On page 153 section f, the government notes email size cannot exceed 7MB. Can offerors break their proposals into multiple emails as long as the 7MB limit is not exceeded on any email? | Yes. | ||||
| 43 | We do not see that a floor plan is required to be submitted with the proposal. Please confirm that the government does not want this included in the proposal. | Please review page 67: "The Contractor shall have seven (7) calendar days from date of award to submit a floor plan and schematic of the facility layout demonstrating compliance with the PACT Space Module Design Guide and other requirements of the PWS. The contractor’s plan will be reviewed by VASDHS. No permits or any work in relation to the buildout of the facility shall commence until the Contractor has received approval of their floor plan and facility layout plan by the VA." | ||||
| 44 | If no floor plan is required for the proposal, what is the minimum square footage the government will accept for a proposed location? | Offerors shall reference the requirements of the PWS and use the PACT design guide to determine the required square footage of the clinic. | ||||
| 45 | We do not see a requirement for a staffing plan. Please confirm that the government does not want this included in the proposal | Correct. Contractor staffing plan will be discussed with the awardee post-award. | ||||
| 46 | Please confirm the government wants no resumes submitted with this proposal. | Correct. Awarded Contractor shall submit resumes post-award which will be reviewed and approved by VA prior to onboarding. | ||||
| 47 | Does the government want specific policies and procedures the offeror has uses in existing CBOC clinics. | No, not with the offerors proposal. Policies and procedures of the awarded Contractor maybe viewed post-award. | ||||
| Does the offeror need to send a past performance questionnaire to its references? If so, please direct us to the questionnaire. | No, please follow the instructions in section E.4 paragraph D. Past Performance Requirement. | |||||
| 48 | Is this a new contract or recompte? If so,what is the previous/current award contract#? | This is a follow-on contract. Current contract #36C26223D0031. | ||||
| 49 | Page 11 / Page 73 | By "Solely" does the health facility have to pause, cancel or postponed all other current civilian patient care? | Solely dedicated to Veterans. There should not be any civilian patients treated at this CBOC. | |||
| 50 | “Veterans Only” Clinic Requirements: Please confirm if a co-located facility is not acceptable for this requirement? | This clinic shall be Veterans only. A co-located facility is not acceptable. | ||||
| 51 | Page 152 | for Staffing and Qualifications, are licenses & crendiatials required with volume 1 or 2, considering 7MB size limit | Please reference E.4 Instructions to Offeror's for what is required to be submitted for proposals. | |||
| 52 | Page 153 | Can the Contract References on the worksheet for Factor 2 also represent past performance for Factor 4 | Yes, however, these are distinct factors and the information require in response to each factor shall be provided per section E.4 Instructions to Offeror's. | |||
| 53 | Is there an option for a due date extention? | Solicitation due date is amended to reflect October 28, 2024 at 10:00 am PT. | ||||
| 54 | We see a Escondido VA Clinic located at 815 E Pennsylvania Ave, Escondido, CA 92025. The site offers outpatient clinic primary care and specialty health services, including mental health care, telehealth services, and more. Is this specific site and staff being replaced? | This is a follow-on contract. Current contract #.... And it is located at 815 E Pennsylvania Ave, Escondido, CA 92025. | ||||
| 55 | Is the installation and maintenance of the phone systems and telephones for the CBOC a responsibility of the Contractor or the Government? | This is the Contractors responsibility. | ||||
| 57 | Are there any requirements for power distribution at each desk? | Each room should have a standard number of outlets. Each room will have a computer and other equipment that will need to be plugged in. The Contractor should have knowledge or power distribution required in each clinic space. | ||||
| 58 | Is the maintenance and provision of the Wi-Fi network at the CBOC a responsibility of the Contractor or the Government? | The VA is responsible for the Wi-FI network at the CBOC. | ||||
| 61 | Is a guest Wi-Fi network required for Veteran use at the CBOC? | No, it's not required. | ||||
| 62 | Are there specific power requirements for the VA equipment data closet? | The Solicitation is amended …. Note: section B.3 parargraph 13 is amended to reference this attachment. "The installation and maintenance of the network cabling infrastructure within the facility including all cabling located inside the walls and plenum space of the structure, cabling racks, network equipment racks, patch panels, wall ports, and a secure communications closet space to house the networking equipment. Cabling infrastructure and closet design shall adhere to American National Standards Institute (ANSI)/Independent Technical Authority (ITA)-568, International Organization for Standardization (ISO)/International Electrotechnical Commission (IEC) 11801, and VA EHRM standards, per attachment DX EHRM rack power specs." |
| 63 | Does the current Escondido CBOC meet all VA spacing requirements? | No, the current Escondido CBOC does not meet the PACT Desgin Guide for the requirements states in this PWS. |
| We respectfully note that the estimated quantity of patient appointments estimated in the schedule is between 3,288 and 3,434 depending on the year of performance. | ||
| We respectfully note that the estimated number of patients assigned to the site is 3,510 according to Section 2.1 of the PWS. |
64 RFP Section 2.1 16 Does this discrepancy mean that the Escondido CBOC is required to possess PACT staffing for 3,510 patients in the base year? The number of patients assigned to any CBOC fluctuates from month to month. The Contractor should be prepared to staff the clinic appropriately for the number of patients asigned per the PWS section 2.1, pages 16. The contractor shall provide a sufficient number of primary care providers so that each primary care provider has a caseload ratio to meet VA standards. Current standards are 1200 active patients per full time physician and 900 active patients per full time midlevel provider. Actual panel sizes can be determined by the VA in accordance with VHA Directive 1406 Patient Centered Management Module (PCMM) for Primary Care. The current billable patients for the last months is 3,315 but this number varies monthly.
65 Can the Primary Care Provider position described in Section 2.2 of the PWS be staffed by a Physician Assistant? No, Physician Assistants are not acceptable for this CBOC.
| 66 | In the event that the Primary Care Provider position described in Section 2.2 of the PWS can be staffed by a Physician Assistant, we assume that the patent to provider ratio would be identical to the 900 active patients per Nurse Practitioner ratio. Is this assumption correct? | Physician Assistants are not acceptable for this CBOC. |
| 68 | Does the Government have a preference that the Escondido CBOC be staffed by a full-time clinic manager? | This will be decided by the awarded Contractor. |
| 69 | What are the qualifications for the Podiatry Consult required by Section 2.4 of the PWS? | This is a consult placed by a provider in the EHR. The information needed is clearly stated on the consult. |
| We respectfully note that Section 2.5 of the PWS states the following: | ||
| “Ancillary Support Services Staffing: The following ancillary support staffing shall be provided by the contractor. The contractor shall establish and implement contingency plans for ensuring patients receive continuity of and access to these services during periods of inadequate resources, extended staff absences, staff turnover, understaffing, and nature-related events (e.g., extreme weather conditions, natural disasters). | ||
| X-Ray Diagnostic Radiologic Technologist: The Contractor is responsible for entering requests for Radiology procedures into VA EHR. All imaging orders shall be clinically appropriate. VASDHS will provide radiological examinations. The Contractor shall refer all imaging studies to the parent VAMC. The Contractor shall be financially liable for any cost associated with any radiological examinations or imaging studies where prior authorization or concurrence was not granted by the parent VAMC. X-rays and other radiologic procedures performed at VA can be viewed by the Contractor through VISTA Imaging and the PACS.” |
70 Is the Contractor required to staff an X-Ray Diagnostic Radiologic Technologist to enter requests for Radiology procedures into VA EHR? No, the providers will enter the request.
| We respectfully note that Section 3.1 of the PWS states the following: |
| “Business Hours: Services shall be available from the Contractor Monday through Friday 7:30 a.m. – 4:30 p.m. excluding federal holidays.” |
| We respectfully note that Section 3.2 of the PWS states the following: |
| Evening Hours: The Contractor may provide evening hours as an option to accommodate Veterans, however, they shall be provided at no additional cost to the VASDHS. |
71 Similarly to the option for evening hours, can the contractor elect to provide hours earlier in the morning to accommodate Veterans at no additional cost to the VASDHS? No.
| We respectfully note that Page 38 of the Solicitation states the following: |
| “Chaperones: The contractor is responsible for the availability of chaperones. A female chaperone shall be in the examination room during breast and pelvic exams, Pap smears, electrocardiograms, and any other procedure that exposes the breast, groin, or pubic area. The following staff shall function as female chaperones: MDs, RNs, HTs, LPNs and other clinical personnel such as radiology technologists.” |
72 Would a TCT be qualified to serve as Chaperone? If the TCT is clinical personel. Please refer to page 38 regarding acceptable Chaperone staff should be clinical personnel.
| We respectfully note that Page 38 of the Solicitation states the following: |
| “Chaperones: The contractor is responsible for the availability of chaperones. A female chaperone shall be in the examination room during breast and pelvic exams, Pap smears, electrocardiograms, and any other procedure that exposes the breast, groin, or pubic area. The following staff shall function as female chaperones: MDs, RNs, HTs, LPNs and other clinical personnel such as radiology technologists.” |
73 Would a PACT Administrative Associate be qualified to serve as Chaperone? No, the administrative associate is not clinical personnel.
| We respectfully note that page 44 of the Solicitation states the following: |
| “The Contractor shall follow establish VASDHS policies for CBOC providers to be available from 7:00 a.m. to 7:00 p.m. and during off-hours to respond to critical lab results, to include malignancy notification.” |
74 Is this availability for critical lab results required on weekends? Yes
| We respectfully note that page 44 of the Solicitation states the following: |
| “The Contractor shall follow establish VASDHS policies for CBOC providers to be available from 7:00 a.m. to 7:00 p.m. and during off-hours to respond to critical lab results, to include malignancy notification.” |
| Is this availability for critical lab results required on Federal Holidays? | Yes, not all providers need to be available. The Contractor will provide a name and telephone number for the facility staff on call schedule of the provider who is available to take calls when other staff cannot be contacted. |
| We respectfully note that Section 4.3 of the PWS reads as follows: | |
| “Contractor shall provide at no additional cost approximately 15/month nurse-only visits and 15/month provider visits to Veterans who are not assigned for care at the contractor’s outpatient site of care. This may occur when an unenrolled Veteran presents to contractor’s site of care seeking care and when an enrolled Veteran not assigned to the contractor’s site of care presents to the contractor’s site of care seeking limited, episodic care.” |
76 Do such non-assigned Veteran visits count toward the QASP requirement to complete new primary care appointments within 20 calendar days 94% of the time? Yes, all patients seen at the CBOC will be captured by the VA appointment system.
| We respectfully note that Section 4.3 of the PWS reads as follows: |
| “Telehealth support for patients not assigned at the outpatient site of care - At no additional cost the contractor shall provide approximately 15/month telehealth visits with the VASDHS for Veterans who are not assigned for care at the contractor’s outpatient site of care.” |
77 Do such telehealth visits count towards the QASP requirement to exceed a 53% ratio of non-traditional encounters? No, only patients assigned to the clinic will count toward PACT Compass measures like the non-traditional encounter.
| We respectfully note that page 89 of the Solicitation states the following: |
| “The contractor shall identify and provide contact information for a contact person(s), who shall serve as liaison between the contractor and the VASDHS. This individual will also ensure the functionality of the clinic per the contract PWS.” |
Is identification of this liaison required with the proposal or upon Contract award? Upon Conctract award.
| We respectfully note that Section 1.3 of the PWS reads as follows: |
| “Place of Performance: Contractor’s CBOC shall be located within the city limits of Escondido. |
| The City of Escondido is located approximately 23 miles from the VASDHS” |
78 Will sites on the boundaries, i.e. sites within five miles of the city limit but not technically within the city limit, be considered? No
| We respectfully note that Section 2.1 of the PWS reads as follows: |
| “The Clinical Pharmacist Practitioner (CPP) shall be provided the same support staffing when they are working in the capacity of an advanced practice provider. The contractor shall provide personnel in numbers and qualifications capable of fulfilling the standards outlined in the resultant contract.” |
79 Will the Contractor be required to staff Pharmacy Technicians to support the CPP at the clinic? No, the Clinical Pharmacist Practitioner will provide telehealth appointments.
80 If Pharmacy Technicians are required to support the CPP furnished under Section 2.1, how many Pharmacy Technicians will be required and is there an applicable staffing standard that the Contractor would be expected to comply with? None, the Clinical Pharmacist Practitioner will provide telehealth appointments.
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