Sol_75H71025Q00167_Amd_0002.pdf

(x)

75H71025Q00167 x x

1 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 ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY 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.

x

Shiprock NM 87420 US Hwy 491 North Northern Navajo Medical CTR

06/16/20250002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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: (a) By completing

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

06/16/2025

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of Amendment 0002 is as follows:

1. Provide questions and answers.

2. Extend the closing date to 06/26/25 10:00 am MDT

Period of Performance: 07/01/2025 to 12/31/2025

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

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

MISTY J. BILLY

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

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

Questions for Solicitation 75H71025Q00167

1. What will the duties be while there 1 week quarterly?

Direct patient care, writing and review of policies and procedures, observation of skills, Departmental Education for the difficult Airway (ED and Anesthesia), TJC Patient care standards for Obstetrics, and drills for Malignant Hyperthermia

2. I’m reviewing Solicitation 75H71025Q00167 for Anesthesia Oversight Services. The

RFQ states that the contractor must be on-site at least one week per quarter and provide telehealth services Monday through Friday from 8:00 AM to 4:30 PM. Could you please confirm whether this is primarily a telehealth position, an on-site role, or a hybrid of both?

This is a hybrid of both. Onsite direct patient care and direct staff education , Telehealth, review of OPPE an FPPE, policies and procedures, case consultation

As is indicated in the SOW, all services must be provided by an entity that is accredited by a body with CMS deemed status with its own internal Anesthesia Quality assurance program that includes FPPE and OPPE of staff providing services under the contract.

3. Addendum to 52.212-1 Are the instructions here for submitting Volume I-IV what is due by the Monday June 23 deadline?

Yes; however, we will be extending the closing date to June 26, 2025 10:00 am MDT.

4. FAR 352.231-70 Is the DHHS Salary cap applicable for clinical salaries? Our physicians pay is much higher than the annual DHHS cap and this may be prohibitive.

FAR 352.231-70 applies to this solicitation.

5. FAR 22.1003-4 Can you confirm that the effort cap for each person paid on this agreement is <20% on an annualized basis?

FAR 22.1003-4 does not apply to this solicitation.

6. 5.1.3.B Direct patient care for one week at least every quarter. This was not in the original solicitation. What does this mean? We provide all anesthesia services for the hospital that week? Or supervise their CRNA's? What about the ER intubations and procedural sedation? Later (5.2.2) it mentions work-hours. Are we providing 24/7 coverage that week?

Being onsite one week per quarter was always in the statement of work. For one week per quarter, vendor staff are onsite, providing some clinical care, taking call and providing some staff education which may include drills and onsite quality assurance reviews. 24/7 coverage only occurs when staff take call. The purpose of this contract is to ensure that we are in compliance with the applicable CMS CoP and that hospital staff

7. 5.1.3.C-G How often do you expect each of these to occur?

Direct patient care and Drills are performed one week per quarter while onsite. Other contract terms (policy and procedure development and review, procedural sedation review, chart review, etc can be done though scheduled teleconference while not onsite)

8. 5.2.3 When are we responsible for all of this? Just the quarterly week we are there, other times we are on-site, or all the time? We can audit procedural records but we cannot agree to review all patient records.

The NNMC surgical service is a very low volume service and intubations in the ED are also low volume. The purpose is to ensure the quality of anesthesia services, so chart reviews would be in accordance with those reasonable to assure care quality.

9. 5.6.1 Similarly, are we only responsible for medical records when we actively participate in a patient's care, or all patient records?

This pertains to documentation in the medical record as a result of providing direct patient care. It does not pertain to chart reviews.

10. 6.1 Is the minimum of 5 years experience negotiable?

The purpose of this section is the following: it is intended to prevent a vendor from assigning residents to fulfil this contract. This contract requires credentialing and privileging in the specialty. To be privileged required board certification or board eligibility. Residency + 1 year (board eligibility minimum) gets us to 5 years minimum.

11. 6.3 I believe the vast majority of faculty in our department do not have ATLS certification. Most do not have PALS. Is this negotiable?

Yes