36C26324R0014 A0001.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

1/17/2024

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 3

A0001 unchanged

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St, Suite 300 Coralville IA 52241

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St, Suite 300 Coralville IA 52241

To all Offerors/Bidders 36C26324R0014

X x x unchanged x 1

The purpose of this amendment is to:

1. Respond to vendor questions. See Q&A on pages 2-3.

2. All other terms and conditions remain unchanged.

Joshua Imdacha Contracting Officer

CONTINUATION PAGE

Q&A # Vendor Question VA Answer

1. What is the annual volume? 28-29k patients per year and growing

2. What are the number of beds in the ED? 27

3. What are the shift times? Depending on the day these are examples of the typical shifts: 6a-4p, 730a-530p 8a-6p, 1030a-830p, 1p-11p, 3p-1a, 3p-11p, 4p-11, 5p-11p, 8p-6a, 8a-8p, 9a-4p

4. What nursing and support staff coverage is available?

RN and health tech support on the ED floor

5. Who creates the schedule? Department Chief/Assistant Chief

6. Trauma Level/Designation? Level 4

7. Single or Double Coverage? Up to 4 physicians and 2 PAs on during the weekdays, up to 4 physicians, 3 physicians/1PA on weekends and holidays.

Drop to single coverage overnight

8. Coverage needed/ shifts per month? Needs vary but can range from 160-320 hours per month

9. What is the APP schedule? Physician assistant M-Saturday 730a-730p and M-F 9a-4p: they are seeing low acuity ESI 4/5 patients

10. Do the contractors supervise the APPs? Yes, they may be asked to staff physician assistant patients

11. Patients per hour? 1.5-2.0 on average

12. % Admits? 17%

13. Hospitalists admit? Medicine teaching service, Medicine Hospitalist service, General Surgery, Vascular Surgery, Urology, Colorectal Surgery, Cardiology service, ICU service, Psychiatry service, Orthopedics have admitting services

14. # Inpatient beds? 170

15. Will the Emergency Department be Yes – internal to the ED until the code team responsible for codes? arrives and then we work with them

16. Will the contracting team accept board certified Family & internal Medicine docs with ER experience?

No, EM trained and boarded only

17. Are life certifications required for ABEM providers?

American Heart Association BLS and ACLS is required for the Minneapolis VA

18. Can the contracting team speak to average credentialing timeframes?

Credentialing has a expectation that it is completed within 3 months of initiation

19. Is board certified in Primary Care with ER experience acceptable?

No, EM trained and boarded only

20. It appears you expect the Unit Price and Amount to be entered in both main Item Number (e.g. 0001) as well as the sub- Item numbers (e.g. 0001aa, 0001ab, 0001ac). If we do that it would double the pricing for that year. Which way would you prefer the pricing chart to be filled out? Just the main Item numbers or just the Sub-Item numbers?

The main line-item’s unit price governs the sub-line items price. The sub-line items are the recommended distribution of hours per key personnel. Only price the main line-item.

If the vendor has another solution, they are welcome to redistribute the hours per amount of key personnel the propose. The schedule will be updated at award to reflect any changes.

21. How many ER Physicians work during a shift?

Up to 4 physicians and 2 PAs on during the weekdays, up to 4 physicians, 3 physicians/1PA on weekends and holidays.

Drop to single coverage overnight

22. Is there mid-level support during the shifts?

Up to 4 physicians and 2 PAs on during the weekdays, up to 4 physicians, 3 physicians/1PA on weekends and holidays.

Drop to single physician coverage overnight

23. What other specialty support staff is available? (Surgery, Anesthesiology, Psychiatry, etc?)

Medicine, Cardiology, Critical care, General Surgery, Plastics, Colorectal Surgery, Vascular, Urology, Neurology, Neurosurgery, Orthopedics, Psychiatry, most specialties available as we are an adjunct training facility for the University of MN(10 minutes away) and serve as a tertiary care referral center for the VA Midwest region VISN 23. Services not available: Trauma, Pediatrics, Burn, OBGYN