36C26324Q0751 0003 SF30.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 1

0003 11-14-2024

MSO-2024-COM-0022

36C263

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

John Becker john.becker3@va.gov

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

To all Offerors/Bidders

36C26324Q0751

10-22-2024

X

X X

X one (1)

The purpose of this Amendment is to respond to solicitation questions, revise the Price/Cost Schedule, revise the

Period of Performance, and extend the response due date/time to December 18, 2024, 11:00 AM Central Time. Offerors shall use the revised Price/Cost Schedule and acknowledge receipt of the Solicitation Amendment.

John Becker

Contracting Officer

VA-VHA-RPOC-2024-0074

RESPONSE TO SOLICITATION QUESTIONS

1. The solicitation is asking for a MOD physician or physician assistant or nurse practitioner.

Can you please clarify whether we can submit 3 physicians or 3 nurse practitioners or 3 physician assistants, or a combination of physicians and advanced practice providers i.e 2 MDs and 1 NP or 2 NPs and 1 PA etc? Are names of contract employees (providers) required with the solicitation or can providers be identified after contract award?

GOVERNMENT RESPONSE: The Price/Cost Schedule has been revised to reflect pricing for all three (3) types of contract employees. Offerors may submit any combination of MDs, NPs, or PAs, no need to identify the names prior to contract award. The government understands that the delay between the solicitation, contract award, and the time services begin may impact the availability of contract employees being available to provide services.

Offerors should identify the unit price for a physician, a physician assistant, and a nurse practitioner. Names of providers will be provided after contract award.

2. The price and cost schedule, on page 6 of the solicitation, requests the level of experience.

Please clarify whether VA is asking for numbers of years of experience or what exactly we need to put here. Is there a minimum number of years of experience required for contract employees/providers?

GOVERNMENT RESPONSE: The level of experience has been removed from the Price/Cost Schedule. The VA would prefer VA experience, but at a minimum they need to have experience in their requested privileges. The minimum number of years of experience that is required for contract employees/providers is: 3-5 years. The government understands that the delay between the solicitation, contract award, and the time services begin may impact the availability of contract employees being available to provide services. Offerors should identify the unit price for a physician, a physician assistant, and a nurse practitioner.

Names of providers will be provided after contract award.

3. Are there any physicians or other providers working overnight and weekends who cover the inpatient services? I am specifically asking if there is a tele-nocturnist physician who takes care of all acute care admissions and is cross covering patients in the hospital.

GOVERNMENT RESPONSE: No, the MOD is the only provider on station, they cover inpatient acute, outpatient RRTP and community living center patients. Nurses on those respective units are on station during off tours.

4. How does the comparative evaluation work between physicians and nurse practitioners or PAs presented in this proposal? For example, if Company A provides 3 physicians at a rate of $300.00 per hour, whereas Company B provides nurse practitioners for $150.00 per hour, assuming both physicians and nurse practitioners have 5 to 10 years of experience, how do you comparatively assess between these two companies' proposals specific to the providers? In other words, would you rate a physician proposal better than a nurse practitioner proposal irrespective of the price? It is difficult to assess objectively a comparison between MDs/DOs to NPs/PAs?

GOVERNMENT RESPONSE: The technical review team will assess the factors identified in the solicitation document. The Price/Cost Schedule has been revised to reflect pricing for all three (3) types of contract employees. The government understands that the delay between the solicitation, contract award, and the time services begin may impact the availability of contract employees being available to provide services. Offerors should identify the unit price for a physician, a physician assistant, and a nurse practitioner. Names of providers will be provided after contract award.

5. Is there a current incumbent contractor? If so, can you please provide the contract number?

GOVERNMENT RESPONSE: There is no incumbent contractor.

6. Is the MOD covering the CLC required to attend every unwitnessed fall to see the patient at night and document in the CPRS?

GOVERNMENT RESPONSE: Yes, contractors are to lay eyes on patients, especially when they have a fall to address acuity of harm and disposition. And yes, documentation in CPRS is required.

7. Is there an on-call psychiatrist or a tele-psychiatrist available at nighttime or weekends?

Who takes the primary call on all acute psych inpatients? In other words, is the MOD on duty responsible only to oversee the medical conditions and not psychological conditions for Acute Psych unit?

GOVERNMENT RESPONSE: Yes, there is an on-call MH-OD (Psychiatrist). The MOD is the primarily provider who is on station to serve all patients as listed above. The on-call providers are available for consultation.

8. How often does the MOD have to assist UC provider with the high census on an average every month?

GOVERNMENT RESPONSE: MODs assist UC as they are available and depends on the workload in UC.

9. Is there an on-call psychiatrist or social worker who will be covering the residential treatment program (RRTP) at nighttime and weekends for primary calls?

GOVERNMENT RESPONSE: Yes, there is on-call serves as listed above, but again the MOD is the primary provider to care for those patients listed above.

10. Is the MOD required to round on any scheduled patients during weekends in the acute psych unit or residential treatment program (RRTP) OR do they only take the call?

GOVERNMENT RESPONSE: The MOD should do both, be present and available to staff and takes call when nurses need them.

11. Are the NPs and PAs allowed to work by themselves or is there a requirement to have a physician on shift also?

GOVERNMENT RESPONSE: NP/PAs are allowed to work by themselves.

12. Would the VA accept a proposal that includes two pricing sheets - one for 3 Physicians and another for 3 NPs/PAs? The VA could then award one of the two pricing sheets.

GOVERNMENT RESPONSE: The Price/Cost Schedule has been revised to reflect pricing for all three (3) types of contract employees. The government understands that the delay between the solicitation, contract award, and the time services begin may impact the availability of contract employees being available to provide services. Offerors should identify the unit price for a physician, a physician assistant, and a nurse practitioner. Names of providers will be provided after contract award.

13. Would the government consider evaluating this price sheet based upon specific bill rates for the three acceptable position designations (NP, PA, MD) as opposed to a blended total bill rate depending upon the title/level of experience of the minimum of three key personnel submitted with our proposal? For example, if we submit and price a nurse practitioner or PA with our proposal but the government prefers a different candidate who is an MD, how are expected to bill for that title/level of experience properly?

GOVERNMENT RESPONSE: The Price/Cost Schedule has been revised to reflect pricing for all three (3) types of contract employees. The government understands that the delay between the solicitation, contract award, and the time services begin may impact the availability of contract employees being available to provide services. Offerors should identify the unit price for a physician, a physician assistant, and a nurse practitioner. Names of providers will be provided after contract award.

14. Is there a government preference between the three acceptable named titles/levels of experience (NP. PA. MD)?

GOVERNMENT RESPONSE: The Price/Cost Schedule has been revised to reflect pricing for all three (3) types of contract employees. The minimum level of experience for each provider is: minimum of 3-5 years, VA experience is preferred.

PRICE/COST SCHEDULE

The Contractor shall furnish all key personnel to provide services necessary to perform On-site Medical Officer of the Day Physician Services (Physician, Physician Assistant, or Nurse Practitioner) to eligible beneficiaries of the Department of Veterans Affairs, St Cloud MN VA Hospital.

The 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 Society of Hospital Medicine: https://www.hospitalmedicine.org. A contractor providing onsite Hospital Medicine physician services shall provide services that meet or exceed those guidelines.

Place of Performance: Services shall be provided on site, St Cloud MN VA Hospital, 4801 Veterans Drive, St Cloud, MN 56303.

Pricing Instructions:

The offeror is instructed to provide a price for each type of contract employee (Physician, Physician Assistant, and Nurse Practitioner). The Contractor shall propose a minimum of three

(3) key personnel hospital medicine providers to be credentialed and be available for scheduling to meet the requirements of the contract.

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 BASE PERIOD 7,660.00 HR

Medical Officer of the Day Services (Physician, Physician Assistant, or Nurse Practitioner) to support the St Cloud VA Hospital at 4801 Veterans Drive, St Cloud, MN 56303-2015.

Three (3) Full Time Equivalent (FTE) Employees Contract Period: Base POP Begin: 02-17-2025 POP End: 02-16-2026 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

0001AA PHYSICIAN

HR __________________

Physician Cost Per Hour Contract Period: Base POP Begin: 02-17-2025 POP End: 02-16-2026 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

0001AB PHYSICIAN ASSISTANT

Physician Assistant Cost Per Hour Contract Period: Base POP Begin: 02-17-2025 POP End: 02-16-2026 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

0001AC NURSE PRACTITIONER

Nurse Practitioner Cost Per Hour https://www.hospitalmedicine.org/

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Contract Period: Base POP Begin: 02-17-2025 POP End: 02-16-2026 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)

1001 OPTION PERIOD 1 7,660.00 HR

Practitioner) to support the St Cloud VA Hospital at 4801 Veterans Drive, St Cloud, MN 56303-2015.

Three (3) Full Time Equivalent (FTE) Employees Contract Period: Option 1 POP Begin: 02-17-2026 POP End: 02-16-2027 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

1001AA PHYSICIAN

Contract Period: Option 1 POP Begin: 02-17-2026 POP End: 02-16-2027 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

1001AB PHYSICIAN ASSISTANT

POP Begin: 02-17-2026 POP End: 02-16-2027 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

1001AC NURSE PRACTITIONER

POP Begin: 02-17-2026 POP End: 02-16-2027 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

2001 OPTION PERIOD 2 7,660.00 HR

Practitioner) to support the St Cloud VA Hospital at 4801 Veterans Drive, St Cloud, MN 56303-2015.

Three (3) Full Time Equivalent (FTE) Employees Contract Period: Option 2 POP Begin: 02-17-2027 POP End: 02-16-2028 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

NUMBER

DESCRIPTION OF

2001AA PHYSICIAN

Contract Period: Option 2 POP Begin: 02-17-2027 POP End: 02-16-2028 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

2001AB PHYSICIAN ASSISTANT

POP Begin: 02-17-2027 POP End: 02-16-2028 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

2001AC NURSE PRACTITIONER

POP Begin: 02-17-2027 POP End: 02-16-2028 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

3001 OPTION PERIOD 3 7,660.00 HR

Practitioner) to support the St Cloud VA Hospital at 4801 Veterans Drive, St Cloud, MN 56303-2015.

Three (3) Full Time Equivalent (FTE) Employees Contract Period: Option 3 POP Begin: 02-17-2028 POP End: 02-16-2029 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

3001AA PHYSICIAN

Contract Period: Option 3 POP Begin: 02-17-2028 POP End: 02-16-2029 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

3001AB PHYSICIAN ASSISTANT

POP Begin: 02-17-2028 POP End: 02-16-2029 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

NUMBER

DESCRIPTION OF

3001AC NURSE PRACTITIONER

POP Begin: 02-17-2028 POP End: 02-16-2029 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

4001 OPTION PERIOD 4 7,660.00 HR

Practitioner) to support the St Cloud VA Hospital at 4801 Veterans Drive, St Cloud, MN 56303-2015.

Three (3) Full Time Equivalent (FTE) Employees Contract Period: Option 4 POP Begin: 02-17-2029 POP End: 02-16-2030 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

4001AA PHYSICIAN

Contract Period: Option 4 POP Begin: 02-17-2029 POP End: 02-16-2030 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

4001AB PHYSICIAN ASSISTANT

POP Begin: 02-17-2029 POP End: 02-16-2030 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental

4001AC NURSE PRACTITIONER

POP Begin: 02-17-2029 POP End: 02-16-2030 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental