36C26319R0114-000.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. DUNS: DUNS+4:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 86

618-19-3-4007-0050

36C26319R0114 05-30-2019

Steven Yale (651) 293-3043 06-18-2019

10 AM EST

36C263 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506 St. Paul MN 55101

X 100

X

561320

$27.5 Million

N/A

X

N/A

X

Department of Veterans Affairs One Veterans Drive, Building 70

Minneapolis MN 55417

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Attention: Steven Yale 316 Robert Street N. STE. 506 Minneapolis MN 55415

Y

Department of Veterans Affairs Financial Services Center PO Box 149971

Austin TX 78714-9971

2.0 Full-Time Equivalent (FTE) Diagnostic Radiological

Technologist - Cardiovascular (DRT-CV). All candidates must meet the requirement of (scrubbing in) for Cardiovascular procedures. If this experience is not met candidates will be removed from consideration.

Minneapolis, MN. VA Health Care System (MVAHCS)

618-3690160-4001-820100-2581 0100421G3

X X

X ONE

Andrew J. Schoenecker Contracting Officer

36C26319R0114

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.5 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (JUN 2016)

C.6 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.7 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO

BENEFICIARIES (JAN 2008)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

C.10 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)

C.11 VAAR 852.219-9 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (DEC 2009)

C.12 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

C.13 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009)

C.14 VAAR 852.219-72 EVALUATION FACTOR FOR PARTICIPATION IN THE VA

MENTOR-PROTÉGÉ PROGRAM (DEC 2009)

C.15 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.16 VAAR 852.219-76 SUBCONTRACTING PLANS MONITORING AND COMPLIANCE

(JUL 2018)

C.17 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.18 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(JAN 2008)

C.19 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.20 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) 45

C.21 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2019)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.245-2 GOVERNMENT PROPERTY INSTALLATION OPERATION SERVICES (APR

2012)

E.9 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

E.10 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016)(DEVIATION)

E.11 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.12 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED

BY REFERENCE (JAN 2008)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer

Contracting Officer is Andrew Schoenecker at andrew.schoenecker@va.gov

Department of Veterans Affairs NCO 23 – St. Paul 316 Robert Street N.

St. Paul MN 55101

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

[] 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

See Billing Instructions, PWS 6.2. Billing:

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.

mailto:andrew.schoenecker@va.gov

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

AMENDMENT NO DATE

6. TYPE OF CONTRACT: Resultant contracts shall be a Firm Fixed Price (FFP) contract effective for the period stated in the Schedule of Services.

7. POINT OF CONTACT: The Contractor shall provide a point of contact (POC) who shall be responsible for the performance of the work under this contract. The POC shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The POC may be a contract health care provider performing under this contract. An alternate may be designated, but the Contractor shall identify, in writing, those times when the alternate shall act as the POC. The Contractor shall identify the POC and alternate in writing to the Contracting Officer’s Representative (COR) and Contracting Officer (CO). The Contractor shall give written notification to the COR and CO of the time when the alternate will act as the POC. The POC shall be available by telephone Monday through Friday, 8:00 AM through 4:30 PM, excluding Federal holidays.

8. SECURE FAX: VA Handbook 6500 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, distribute on, 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.”

9. POST AWARD ORIENTATION: The Contracting Officer shall follow the guidance in FAR Subpart

42.5 and note Information Letter (IL) 003A3-12-04 that provides documentation requirements for orientation conducted for such awards. A hyperlink to the IL is provided for your information.

http://www.va.gov/oal/docs/library/ils/il12-04.pdf http://www.va.gov/oal/docs/library/ils/il12-04.pdf

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform on-site Diagnostic Radiology Technologist Cardiovascular Services to eligible beneficiaries of the Minneapolis Veterans Affairs Health Care Center, Minneapolis (hereinafter referred to as MVAHCS). The Contractor’s Diagnostic Radiological Technologist-Cardiovascular shall cover the range of complex physiological and radiological procedures as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by one of the following:

Registered Cardiovascular Invasive Specialist http://www.ccionline.org/CCI/Certifications/RCIS.aspx

American Registry of Radiologic Technologists https://www.arrt.org/

American Society of Radiologic Technologists https://www.asrt.org/

The Contracted Diagnostic Radiological Technologist – Cardiovascular is a member of the MVAHCS Cardiac Catherization Team and must have current and active experience scrubbing in for Electrophysiology Procedures and Interventional Cardiology Procedures in the Cardiac Catherization Suite. The MVAHCS would like completed CV’s with work history specifically detailing what active and current experience they have working in the Cardiac Catherization Suite with references to support such work experience.

Call Schedule (Nights/Weekends) - tracked and rotated among all DRT-CV’s staff including contractors (example: on-call one weeknight a week and one weekend a month).

Weeknight Call – Starts at 5:00pm and ends 7:30am the next morning.

Weekend Call – Starts Friday at 5:00pm and ends Monday at 730am.

If the contracted Diagnostic Radiological Technologist comes on-site (MVAHCS) to perform services while on call, that time will be paid the regular hourly rate. All other on call is not paid.

Contracted DRT’CV’s must respond to page and be onsite at the MVAHCS within 30 minutes of page. This is critical for patient care.

Place of Performance: Services shall be provided on site, Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN 55417.

Pricing Instructions: The offeror is instructed to edit the number of sub-clins to correspond with the number of key personnel submitted for the contract line item number (CLIN). Affiliate Offerors shall include the “title” of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber the subline item number (SLIN) if adding or removing Key Personnel.

The offeror is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments.

The Contractor shall propose a minimum of 2 FTEE Diagnostic Radiological Technologists – Cardiovascular key personnel to be credentialed and be available for scheduling to meet the requirements of the contract by September 1, 2019.

http://www.ccionline.org/CCI/Certifications/RCIS.aspx https://www.arrt.org/ https://www.asrt.org/

Period of Performance

Base Period: 09/01/2019 - 02/29/2020

Option Period: 03/01/2020 - 08/31/2020

Total for Base and Option Period: $______________.

CLIN SLIN Description Qty Unit Unit Price Total Price

2.0 FTEE Diagnostic Radiological

Technologist (Cardiovascular) hourly and on-site procedures while on call.

4160 Hour Do Not Price Do Not Price

0001a

Diagnostic Radiological

Technologist (Cardiovascular)

NAME:____________________

2080 Hour $__________ $___________

0001b Diagnostic Radiological

Technologist (Cardiovascular)

NAME:____________________

2080 Hour $__________ $___________

Total for Base Period $___________

CLIN SLIN Description Qty Unit Unit Price Total Price

2.0 FTEE Diagnostic Radiological

Technologist (Cardiovascular) hourly and on-site procedures while on call.

4160 Hour Do Not Price Do Not Price

1001a

Diagnostic Radiological

Technologist (Cardiovascular)

NAME:____________________

2080 Hour $__________ $___________

1001b Diagnostic Radiological

Technologist (Cardiovascular)

NAME:____________________

2080 Hour $__________ $___________

Total for Option Period $___________

B.3 PERFORMANCE WORK STATMENT

1. GENERAL

1.1. Services Provided: The Contractor shall provide 2.0 FTEE Diagnostic Radiological Technologist - Cardiovascular (DRT-CV). Contractor must be: Registered Cardiovascular Invasive Specialist (RCIS) and/or Registered Radiologic Technologist with American Registry of Radiologic Technologists (ARRT) and/or American Society of Radiologic Technologists (ASRT). The Contractor must have current and active experience in: Electrophysiology Procedures and Interventional Cardiology procedures in a Cardiac Catherization Suite. This position will require the DRT-CV to be scrubbed for procedures within the Cardiac Catherization Suite. Services onsite in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Minneapolis VA (MVAHCS).

1.1.1. Registered Cardiovascular Invasive Specialist

http://www.ccionline.org/CCI/Certifications/RCIS.aspx

1.1.2. American Registry of Radiologic Technologists https://www.arrt.org/

1.1.3. American Society of Radiologic Technologists https://www.asrt.org/

1.2. Place of Performance: Contractor shall furnish services at the Minneapolis VA Health Care

System (MVAHCS).

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority.

1.4. Policy/Handbooks the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1. VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

1.4.2. VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.4.3. VHA Handbook 1100.17: National Practitioner Data Bank Reports http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.4. VHA Handbook 1100.18 Reporting and Responding to State Licensing Boards http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.5. VHA Handbook 1100.19 Credentialing and Privileging

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.6. VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

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

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.8. VHA Handbook 5005-54 – Office of Human Resources Management, Staffing Directive http://vaww.va.gov/ohrm/ http://www.ccionline.org/CCI/Certifications/RCIS.aspx https://www.arrt.org/ https://www.asrt.org/ http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347 https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

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.

1.5.1. AART: American Registry of Radiological Technologists

1.5.2. ASRT: American Society of Radiological Technologists

1.5.3. AHA: American Heart Association

1.5.4. CCI: Cardiovascular Credentialing International

1.5.5. CDC: Centers for Disease Control and Prevention

1.5.6. CEU: Certified Education Unit

1.5.7. CME: Continuing Medical Education

1.5.8. Contracting Officer (CO): the person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.9. Contracting Officer’s Representative (COR): a person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.10. COS: Chief of Staff

1.5.11. CPARS: Contractor Performance Assessment Reporting System

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

1.5.13. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.5.14. DEA: Drug Enforcement Agency

1.5.15. DRT-CV: Diagnostic Radiological Technologist – Cardiovascular

1.5.16. EP: Electrophysiological Procedures

1.5.17. FSMB: Federation of State Medical Boards

1.5.18. HHS: Department of Health and Human Services

1.5.19. HIPAA: Health Insurance Portability and Accountability Act

1.5.20. ISO: Information Security Officer

1.5.21. MIT: Medical Instrument Technologist

1.5.22. POP: Period of Performance

1.5.23. PPD: Purified Protein Derivative

1.5.24. PWS: Performance Work Statement

1.5.25. Privileging (Clinical Privileging): privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure.

Clinical privileges must be facility-specific and provider-specific.

1.5.26. RCIS: Registered Cardiovascular Invasive Specialist

1.5.27. QA/QI: Quality Assurance/Quality Improvement

1.5.28. QM/PI: Quality Management/Performance Improvement

1.5.29. QASP: Quality Assurance Surveillance Plan

1.5.30. 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).

1.5.31. Veterans Health Administration (VHA): the central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

1.5.32. Veterans Integrated Services Network (VISN): the regional oversight for the VA medical centers.

1.5.33. VISTA (Veterans Integrated Systems Technology Architecture): a PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and the hospital information system.

1.5.34. VETPro: a federal web-based credentialing program for healthcare providers.

1.5.35. Veterans Affairs Medical Center (VAMC): unless identified with the name of a different

VA Medical Center, for purposes of this contract, this term shall mean the Minneapolis VA Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. Certifications - the DRT-CV assigned by the contractor to perform the services covered by this contract must be: Registered Cardiovascular Invasive Specialist (RCIS) and/or Registered Radiologic Technologist with American Registry of Radiologic Technologists

(ARRT) and/or American Society of Radiologic Technologists (ASRT).) in any State, Territory, or Commonwealth of the United States or the District of Columbia.

All certifications held by the personnel working on this contract shall be full and unrestricted. DRT-CV’s will not be considered for this contracted service if their certification has ever been restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered, pending action or denied upon application.

Credentialing and Privileging –Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed DRT-CV possess the requisite credentials enabling the granting of privileges. No services shall be provided by any contracted DRT-CV prior to obtaining approval by the Minneapolis VA Health Care System Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.1.1. If a contracted DRT-CV has credentials/privileges suspended or revoked during contracted performance, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.2. Technical Proficiency – The contracted DRT-CV’s 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. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contracted DRT-CV’s and they shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.3. Continuing Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CME’s as required or requested by the VAMC. The contracted DRT-CV’s certification by Registered Cardiovascular Invasive Specialist (RCIS) and/or Registered Radiologic Technologist with American Registry of Radiologic Technologists (ARRT) and/or American Society of Radiologic Technologists (ASRT). to meet the minimum standards for CME to remain current. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contracted DRT-CV.

2.1.4. Training (CPR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contracted DRT-CV’s as required by the VA prior to VA Orientation date.

List all training required, frequency and associated time

Training Frequency (once a year, etc.)

Hours

CPR/ Basic Life Support by American Heart Association ACLS preferred, but not required.

Every 2 years 4 hours

CPRS One Time 4 hours Security Rules of Behavior Once a year 1 hour HIPPA/Privacy Once a year 1 hour

2.1.5. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for DRT-CV within five (5) calendar days after contract award and prior to the first duty shift to the COR and CO. Tests shall be current within the past year.

2.1.5.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all Contracted DRT-CV. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

2.1.5.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract DRT-CV for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.1.5.3. INFLUENZA VACCINE: Contractor shall provide proof of influenza vaccine for current year’s flu season to the COR, per DHA-IPM-17-005 effective August 3, 2017.

2.1.5.4. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all Contracted DRT-CV’s provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VAMC 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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.6. Conflict of Interest: the Contractor and all Contracted DRT-CV’s are 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 must 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.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.1.7. Citizenship related Requirements:

2.1.7.1. The Contractor certifies that the Contracted DRT-CV’s shall comply with 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;

2.1.7.2. 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 of their status, because 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.

2.1.7.3. 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 Contracted 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.

2.1.7.4. 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.

2.1.7.5. 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.

2.1.8. 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.

2.1.8.1. 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 Contracted DRT-CV’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.

http://oig.hhs.gov/exclusions/index.asp

2.1.8.2. 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 Contracted 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 performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or 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 Contracted DRT-CV’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: Contracted DRT-CV’s are prohibited from referring VA patients to outside Contracted or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contracted DRT-CV’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 Contracted DRT-CV’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:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding

2.7.5. Social security payments

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contracted DRT-CV’s.

When a Contractor or Contracted DRT-CV’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 (or Contracted DRT-CV’s action or non-action) shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTEE) for the services required is 2080 hours for 6 months defined as 2.0 FTEE (a minimum of 2 providers need to be credentialed to cover the service need). One FTEE is defined by the VA as a minimum of 80 hours every two weeks and does not include holidays.

2.9.2. The minimum number of contracted DRT-CV’s with RCIS, ARRT and/or ASRT is 2 and they are required to be on site daily as defined in the paragraph Hours of Operation section.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contracted personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled contracted DRT-CV is unable to complete an assigned shift, the contractor shall notify the Contracting Office Representative (COR) and Cardiology Section at the Minneapolis VA Health Care System immediately of the schedule change.

2.9.4. Personnel 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 day(s) 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.

2.9.4.1. 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 will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.4.2. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days 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.

2.9.4.3. 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 Chief of Staff or designee show documented clinical problems or continual unprofessional behavior/actions with any Contracted DRT-CV’s, s/he may request, without cause, immediate replacement of said Contracted DRT-CV’s. The CO and COR shall deal with issues raised concerning Contracted DRT-CV’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 Contracted DRT-CV leaves the Contracted employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. HOURS OF OPERATION:

3.1. VA Business Hours: 24 hours a day, 7 days a week

3.2. Work Schedule:

Clinic Schedule – Schedule published by Cardiology Nurse Manager or Assistant Nurse Manager.

Call Schedule (Nights/Weekends) – Tracked and rotated among all DRT-CV’s staff including contractors. (Example: On- Call one weeknight a week and one weekend a month).

Weeknight Call – Starts at 5:00pm and ends 7:30am the next morning.

Weekend Call – Starts Friday at 5:00pm and ends Monday at 730am.

If the contractor comes on-site (MVAHCS) to perform services while on call, that time will be paid the regular hourly rate.

Contracted DRT’CV’s must respond to page and be onsite at the MVAHCS within 30 minutes of page. This is critical for patient care.

Holiday Coverage – Tracked and rotated among all DRT-CV’s staff including contractors.

Shifts – Typical shift examples: 7:30am-4:00pm or 8:30am-5:00pm. Half hour lunches are unpaid. Staffing practices are subject to change due to staff availability and changes in patient volume.

3.2.1.1. If Contracted DRT-CV is in the middle of a procedure and their shift ends, it is expected the Contracted DRT-CV will complete the procedure and be paid their regularly hourly rate.

3.2.1.2. Patients must be seen by Contracted DRT-CV’s on-site at Minneapolis VA 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.

3.2.1.3. Must respond to page and be onsite at the MVAHCS within 30 minutes of page. This is critical for patient care.

3.2.2. Contracted DRT-CV’s shall be available and present in clinic during normal Minneapolis VA clinic hours. Minneapolis Health Care schedule which will be established, and may be revised, as deemed appropriate for patient care by the COS.

3.2.3. Off-hours Coverage: Contracted DRT-CV’s are required to be available on-call during all hours in accordance with the shift schedule when the Minneapolis VA clinic is closed, including evenings, weekends and holidays.

3.2.3.1. Must respond to page and be onsite at the MVAHCS within 30 minutes of page. This is critical for patient care.

3.3. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

The VA does not pay Contractors for Federal Holidays. If contractor works on a Federal Holiday, they will be paid the regular contracted rate.

• New Year’s Day

• Martin Luther King Jr’s Birthday

• President’s Day

• Memorial Day

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared by the President of the United States to be a national holiday.

3.3.1. Unless a state of emergency has been declared or clinics are otherwise cancelled by the VAMC, the Contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES:

4.1. Clinical Personnel Required: the Contractor shall provide Contracted DRT-CV’s who are competent and qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contracted DRT-CV’s shall be responsible for signing in and out when in attendance. All timecards must be signed by Contracted DRT-CV and Cardiology Nurse Manager and/or Cardiology Assistant Nurse Manager. Time sheets will be used by the COR to confirm hours/days and services provided against the Contracted invoices.

4.1.2. Work will be monitored daily to ensure the minimum expectation is met.

4.2. Standards of Care: The Contracted DRT-CV’s care shall cover the range of highly specialized invasive radiological, cardiovascular, structural heart, intra coronary ultrasound and complex electrophysiology procedures as would be provided in a state-of-the-art civilian medical 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. Registered Cardiovascular Invasive Specialist (RCIS)

http://www.ccionline.org/CCI/Certifications/RCIS.aspx

4.2.2. American Registry of Radiological Technologists (ARRT) https://www.arrt.org/

4.2.3. American Society of Radiological Technologists (ARST) https://www.asrt.org/

4.2.4. Cardiovascular Credentialing International http://www.cci-online.org

4.2.5. VA Standards: VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

4.2.6. The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_requirements.aspx

4.2.7. The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 http://www.ccionline.org/CCI/Certifications/RCIS.aspx https://www.arrt.org/ https://www.asrt.org/ http://www.cci-online.org/ https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.hpoe.org/resources?show=100&type=8

4.2.8. VHA Handbook 5005-54 – Office of Human Resources Management, Staffing Directive

4.2.9. The requirements contained in this PWS.

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contracted DRT-CV’s providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C.

552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.3.3. Disclosure: Contracted DRT-CV’s may have access to patient medical records: however, Contractor shall obtain permission from the VA before disclosing any patient information.

Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.3.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAHCS.

4.3.5. Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual’s Records, to process “Release of Information Requests.” In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility.

http://vaww.va.gov/ohrm/ http://www.rms.oit.va.gov/SOR_Records/24VA19.asp http://www.rms.oit.va.gov/SOR_Records/24VA19.asp http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www4.va.gov/vaforms/va/pdf/VA3288.pdf http://www4.va.gov/vaforms/va/pdf/VA3288.pdf

The VA’s Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient’s consent form. Completed Release of Information requests will be forwarded to the VA Privacy Officer at the following address: Jon Power, MVAHCS One Veterans Drive, Minneapolis, MN 55417 612-725-2000 ext. 3373, jon.power@va.gov

4.4. Direct Patient Care: Estimated 95% of the time involved in direct patient care.

4.4.1. Scope of Care: the Diagnostic Radiological Technologist - Cardiovascular (DRT-CV) is a member of the Cardiac Catheterization Team with current and active experience scrubbing in for Electrophysiology Procedures and Interventional Cardiology procedures in the Cardiac Catherization Suite. He/she must be able to independently carry out a variety of complex physiological and radiological procedures. He/she performs highly specialized invasive radiological cardiovascular, structural heart, intra coronary ultrasound and complex electrophysiology procedures without the direct supervision of a Cardiologist. Required to have full knowledge of radiation techniques and protection standards.

4.4.1.1. Complete variety of complex physiological and radiological procedures ordered by and/or in collaboration with the Physicians or Cardiology Fellow without direct supervision.

4.4.1.1.1 Requires comprehensive knowledge of cardiac anatomy, disease states and the ability to skillfully use all modalities.

4.4.1.1.2 Special procedure radiographic exams for patients include, but are not limited to: cardiac catherization’s, percutaneous coronary interventions, coronary stent placement, coronary atherectomy, coronary flow evaluation, fluoroscopic imaging, intravascular coronary ultrasound, electrophysiology testing, radio frequency ablation, endomyocardial biopsy, temporary and permanent pacemaker implantation, automated cardiovertero-defibrillator implantation, Swan Ganz catheter placement, peri-cardiocentesis, tilt table testing, iliac, visceral and peripheral angiography and venograms interventional radiography.

4.4.1.2. Knowledge of radiation techniques and protection standards for the proper use, quality control and preventative maintenance of single and biplane x-ray systems, contrast injectors, image management systems, recording, duplicating analysis, playback equipment for angiography and angioplasty procedures.

4.4.1.2.1. Advises team members and visiting professional on radiation protection measures.

4.4.1.2.2. Practices radiation safety in order to reduce exposure to: patients, staff and self.

4.4.1.3. Must be alert and recognize changes in…