QA 9122022.pdf

Solicitation 75H70922Q-012 [Medical Locum Providers at BFSU]

Questions & Answers

1. What are the average number of OB deliveries annually? ~100

2. Please describe the OB on-call schedule and the expected response time. Call is split between five (5) total OB FTEs, four (4) civilians and one (1) contractor. Response time required is within 30 minutes. Most people stay on campus if they take call and thus it is a short walk.

3. What is the average daily inpatient census? One (1) or less for OB, 4-8 Med/Surg.

4. What is percentage of pediatric inpatients? Less than 10%

Outpatient census? Hundreds per day.

5. What is the average number of daily ER visits and what is the acuity level? 60-70 ranging from full trauma to medication refill requests.

6. Please provide historical call back information for the Hospitalist and ER Providers.

There is no routine Call Back for ER providers as this is shift work. Hospitalists might receive phone calls in the night but if nursing has immediate needs they usually call the

ER physician working. ER call back is rare, mainly would be required in extenuating circumstances, such as in response to a catastrophic emergency, and would be authorized on a separate task order.

7. Is call back travel time considered work and billable time? No

8. Is government housing available for contract staff? If yes, what is the monthly rental fee?

Government Housing is available for those who take Call, such as OB/GYN. ER is shift work as is the Hospitalist, housing would be contingent on availability. If someone codes during the night the ER is first to respond. The Hospitalist may be called for health history and may be asked to come in in these cases. This is rare. Monthly fee is varies.

Housing POC, can answer this in more detail after award.

9. What specific Certifications are required for OBGYN Physician, ER Physician and ER

NP, Hospitalist, CNMW, Pediatric NP, and how many outpatient mid-level positions are required? Are these all full time positions? Full time, Monday thru Friday 8am – 5pm If so what are the shifts. If not, what are the shifts? ER shifts are generally 12 hours, Hospitalist seven 10 hour days in a row, then off six days. Clinic shifts 8-5, Monday through Friday.

A. ER Providers (MD/DO) are required to have ACLS, ATLS and PALS certifications;

B. NP-ER require ACLS, ATLS (attendance) and PALS certifications;

C. PA-C ER require ACLS, ATLS (attendance if they are to assist with Trauma’s) and PALS certifications;

D. OB/GYN require ACLS, PALS or NPR certifications;

E. Pediatrician requires PALS and NRP certifications;

F. Clinic Providers require PALS and BLS certifications;

G. Nurse Practitioners require BLS certifications;

H. Physician Assistants require BLS certifications;

I. Psychiatrists/Psychologists require BLS certifications.

J. All other providers who work in the clinic, Ward, or outpatient settings do not need to have ATLS certification as they will never manage a Trauma in the ER

10. Is this a new contract? Yes

11. If not a new contract, who are incumbent vendor(s)? Will incumbent providers on current contract receive first right of refusal to new awardee(s)? The right of first refusal practice no longer applies to service contract employees. Executive Order 13495

“Nondisplacement of Qualified Workers under Service Contracts” was issued by

President Obama on January 30, 2009 in the interests of economy and efficiency;

however, it no longer pertains. On October 31, 2019, President Trump signed Executive

Order (EO) 13897 – “Improving Federal Contractor Operations by Revoking Executive

Order 13495.”

12. On page 8 of the PWS, item 7.3.13 indicates Clinical Procedures. Which specialties will perform which types of procedures? Procedures are dependent on Provider training and competency and are requested by the provider themselves thru credentialing when they fill out their Credential requests.

13. On page 9, Section 9.4 (in compliance with Solicitation page 14, item 352.226-6, Subcontracting Limitations) indicates credentialing and clearance requirements. If we use a Teaming partner or Subcontractor for credentialing no more than 49% of the

Locums providers, will you accept the malpractice binder (COI – Certification of

Insurance) from our Teaming Partner company for their providers or Subcontractor’s providers? The Government will accept this as long as the practitioner is covered. Prime is required to comply with 52.219-14.

Or, is the awardee “Prime” expected to provide the malpractice binder (COI –

Certification of Insurance) for all Locums personnel regardless if there is a Teaming

Partner or Subcontractor? Please clarify. The Provider shall submit a Credentialing request and the IHS Facility is required to complete the credentialing.

14. On page 9, Deliverables, Section 10.1 is there a template for this report documentation or would awardee(s) be responsible for creating their own? The contractor may develop their own template to include the required data. An excel spreadsheet format is recommended.

15. Page 9, Section 11.0 Contractor Physician Qualification Requirements in subsection 11.1 indicates minimum of 12 months experience in the respective specialty. For Nurse

Midwife, please clarify if the Nurse Midwife must be Certified or will you consider uncertified Nurse Midwife with a minimum of 12 months experience? Also, it appears contractor Physicians do not need to be Board Certified as long as they have at least 12 months of minimum experience? Please clarify. Physicians need not necessarily be

Board Certified if they have the requisite 12 months experience. The greater the specialty, the less this will hold true.

16. What is average time for the credentialing process for each specialty? Can be up to 6 months, depends on how fast Institutions reply for Primary Source Verification;

colleagues response time for References and lastly how long the Background process can take. E-quip is mandatory and may take a minimum of thirty days to up to two (2) months or more to complete. Personnel must be cleared before reporting to work. A full investigation is required for personnel working 120 days or more in a covered position. A provisional investigation (fingerprint check only) is required for personnel working less than 120 days in a covered position.

17. Page 10, Section 14.0 indicates Government quarters are available. Which specialties receive priority for available Government quarters and what is the limit on how many contract providers can utilize those quarters? We are limited by the number of units we have unoccupied. Those who take call, like OB/GYN, take precedence over shift workers, i.e. clinician Monday thru Friday 8-5. The OB/GYN would take precedence.

18. How many staff support personnel are available per shift for each Physician type needed?

i.e. RN, NP or PA for each or per department? Please clarify. In an outpatient setting there is usually one RN for two (2) to three (3) physicians, one CNA for two (2)

Providers.

19. What are historical daily patient census for inpatient and outpatient per specialty requested? OB average daily census is less than one, Hospitalized patients it’s ~ 6.

20. Does the Nurse Midwife work the equivalent of 1 FTE or only PRN? How many deliveries per month can be expected? Nurse Midwife would work 40 hours per week and be on call some nights and weekends depending on staffing. 100/12=8.3. We expect this to increase as historically we averaged ~200/year.

21. Is the ER department staffed 24/7? Yes.

If so, why would there be a CLIN for call back? In case of major catastrophe such as a

Train Derailment or passenger bus MVA. We would need all hands on deck in such an instance. These are incredibly rare, but the language of the contract would cover those rare instances.

22. If ER department not staffed 24/7, will you consider adding a CLIN for being On-Call in addition to the call-back? No. ER physicians are not on call.

23. The Price Schedule Rates sheet shows Pediatric Nurse Practitioner. Is there a Staff

Pediatrician (Physician) that will be supervising the Pediatric Nurse Practitioner or will the Pediatric Nurse Practitioner be supervised by another Staff member and if so, what type of Staff member will be supervising the Pediatric Nurse Practitioner? Currently we do not have a FTE Pediatrician so they are supervised by an FTE Family Practitioner.

24. How many staff Pediatricians will the Pediatric Nurse Practitioner be working with?

None currently though we are hoping to hire (2) full time Pediatricians.

25. Will Pediatric Nurse Practitioner perform any procedures? Only those they’ve requested during the Credentialing process. If so, what kinds of procedures? Only those they have indicated on their credentialing application they are competent to perform and that are accepted by the Medical Staff.

26. Will task orders include all requirements/procedures being requested by specialty with length of assignment dates? The contract task orders will define the period of performance. The contractor shall provide the required qualified personnel. While the contract or may engage in assignment dates with their employees, the Government does not accept assignment dates and expects the full period of performance to be covered in accordance with the task orders. Task Order procedures are provided with solicitation amendment 02.

27. Pricing Sheet for CLIN 5 – Hospitalist does not include on-call or call back. Will

Hospitalist not be taking call? No.

If there is call for Hospitalist, what is the call rotation schedule? Hospitalists do not take call. Hospitalists are scheduled (8) days on (7) days off, 10 hour shifts.

What is daily/nightly patient census for Hospitalist? Varies from two (2) to eight (8).

28. How many Staff and/or contract FP/Hospitalist/EM/NP/OBGYN/Nurse Midwife do you have now? Five (5) FP, one (1) Hospitalist, two (2) OB/GYN, two (2) CNMW’s, six (6)

ER, three (3) NP.

29. What is the minimum number of expected awardee(s) for this opportunity and what are the maximum number of awardee(s)? There is no minimum or maximum to the number of possible awardees.