Attachment A Performance Work Statement.pdf

PERFORMANCE WORK STATEMENT

VISN 04-Virtual Pharmacy Services

1. INTRODUCTION

1.1 The Veterans Integrated Service Network 04 (VISN) is in need of Virtual Pharmacy services to complete pending medication/supply orders (henceforth referred to as “medication orders”).

The facilities are Lebanon, PA VA Medical Center (VAMC); Altoona, PA VAMC, Butler, PA VAMC; Coatesville, PA VAMC; Erie, PA VAMC; Wilkes-Barre, PA VAMC; and, Wilmington, DE VAMC. This will consist of professional pharmacist review and problem solving that is needed to ensure medication orders are safe and accurate. The Virtual Pharmacy Services Contractor and Point of Contacts (POCs) from each of the represented VISN 4 stations will work together to increase the efficiency of the virtual pharmacy program, and both parties will collaborate to enhance services and increase efficiency as it relates to the delivery of medication orders.

2. SCOPE OF WORK

2.1 The Virtual Pharmacy Services Contractor shall provide drug knowledge resources and pharmacist medication order review and entry services as stated for each medical center. The Contract pharmacist(s) shall review authorized physician medication orders that are faxed, scanned, transmitted to or accessed by the contractor during the required time periods identified. The contractor’s pharmacists will review authorized provider medication orders that are transmitted to or accessed by the pharmacist during the required time periods identified in the Schedule of Services.

2.2 The Contract pharmacist(s) shall evaluate each prescription for drug-drug interactions, therapeutic duplications, contraindications, recorded drug allergies, appropriate doses, appropriate route of administration, appropriate administration time(s), accurate directions, and as applicable, appropriate order start time to ensure the final order will be active at the appropriate time and understandable to the medical practitioner administering, or patient taking, the medication. Contract pharmacists shall clarify with the appropriate party prior to processing any pending medication not meeting standards for completeness, restrictions, lacking clinical information and those requiring consults shall be clarified with the prescriber prior to processing.

2.3 Using the VA National Formulary (VANF), which is updated monthly and accessible at http://www.pbm.va.gov/PBM/NationalFormulary.asp , contract pharmacist(s) shall review pending orders and make efforts to utilize formulary agents. If efforts are unsuccessful, and the order is due prior to the resumption of regular pharmacy services, the order shall be processed, and follow-up actions will be taken by the facility. If efforts are unsuccessful, but the order is due after the resumption of regular pharmacy services, the order shall remain pending, and the appropriate VA site will provide this information and steps taken during the shift sign-off process.

2.4 Each of the contract pharmacist(s) shall provide daily shift “sign off” (by appropriate secure method agreed to with each site) to include a summary of outstanding issues for follow-up by appropriate VA pharmacy staff.

http://www.pbm.va.gov/PBM/NationalFormulary.asp

3. PERIOD OF PERFORMANCE

3.1 The performance period for this contract is from April 1, 2026, to March 31, 2031. Quantities for each line item are itemized by year, allowing the contractor to submit adjusted annual pricing for each year of the contract, if they choose to do so. During the entire performance period, each medical center will be issuing orders against this contract.

4. CONTRACTOR PERFORMANCE

4.1 The contract pharmacist(s) shall check for medication orders in the Inpatient and/or Outpatient

VISTA Pharmacy package (e.g., Inpatient Order Entry or Patient Prescription Processing, respectively) pending orders (Non-Verified/Pending Orders or Complete orders from Order Entry and Results Reporting (OERR), respectively) and triage all pending orders and prioritize stat, emergent, and ER orders. These orders must be completed within 15 minutes of order entry (95% times). All other orders must be completed within 30 minutes of order entry (95% times). After reviewing, contractor pharmacists shall process and finish/verify orders via their remote access.

4.2 The contract pharmacist(s) shall work with each VAMC to develop a contingency plan to accommodate the verification process in the event of computer/VISTA shutdown (i.e., faxing).

4.3 The calls from the participating VISN 4 medical centers will be for emergency orders and consultations. The contract pharmacist(s) shall process the emergency orders within 15 minutes of contact.

4.4 The contract pharmacist(s) shall review authorized physician medication orders at specified time periods mentioned in this PWS. After reviewing and determining that order meets appropriate criteria outlined in 2.2, the contractor pharmacist(s) shall process and verify orders remotely.

4.5 The contract pharmacist(s) shall comply with all applicable policies, rules and regulations of each VAMC of which they have been duly notified and shall not knowingly engage in any activity detrimental to the interest of each VAMC.

4.6 The contract pharmacist(s) shall comply with all applicable standards of the Joint Commission

(TJC), including maintenance of competency training for all staff providing services to each

VAMC.

4.7 The contract pharmacist(s) shall complete and input all transcription notes directly into VISTA.

4.8 Complete and input all transcription notes directly into the Electronic Health Record (EHR)/

Computerized Patient Record System (CPRS)/Cerner.

4.9 The contract pharmacist(s) will comply with all applicable policies, rules, and regulations of each facility of which they have been duly notified and shall not knowingly engage in any activity detrimental to the interest of the VA.

4.10 Provide contract supervisor or designee contact for each site to discuss errors, near misses, and any customer service complaints related to virtual pharmacist services. The contract pharmacist(s) shall be available to respond to concerns within 24 hours of contact by VA.

4.11 Provide backup secure contact (i.e., phone/fax) in the event of primary communication method failure or VA Network, Internet, or Contractor network downtime.

5. CONTRACTOR AND PERSONEL

5.1 The contract pharmacist(s) must be a United States-based company capable of providing pharmacy services through a secure web-based system provided by the contractor. They will connect to the VA Veterans Health Information System and Technology Architecture (VISTA) using a Virtual Private Network (VPN) and will be required to use a Personal Identity Verification (PIV) card to log into VA Citrix Access Gateway (CAG). Contractor’s pharmacists will have access to the necessary network and Electronic Health Records (EHR) at each site.

The contractor will have access to the VISTA Pharmacy package and the Computerized Patient Record System (CPRS)/Cerner at each medical center. Additionally, the contractor must provide a sufficient number of licensed pharmacists to ensure that all orders are processed to completion.

5.2 This contract is a “non-personal services contract” as defined in FAR 37.101. It does not create employment rights with the U.S. Government whether actual, inherent, or implied. It is, therefore, understood and agreed that the contractor and/or the contractor’s employees or subcontractor:

a. Shall perform the services specified herein as independent contractors, not as employees of the government.

b. Shall manage and administer the work required and bear sole responsibility for complying with any and all technical, schedule, or financial requirements or constraints attendant to the performance of this contract.

c. Shall be free from supervision or control by any government employee with respect to the manner or method of performance of the services specified.

d. Shall, pursuant to the Government’s right and obligation to inspect, accept, or reject the work, comply with such general direction of the Contracting Officer, or the duly authorized representative of the Contracting Officer (COR) as is necessary to ensure accomplishment of the contract objectives.

5.3 By agreeing to perform the services described in these specifications, the contract pharmacist(s) acknowledges that he/she is not, and shall not become, an employee of the U.S. Government.

The Contractor further agrees that he/she shall not bring any cause of action in any forum claiming that he/she has become an employee of the U.S. Government.

5.7 The Contractor shall provide and document a general orientation for all contractor pharmacists who provide work on this contract before commencement of work. Documentation of the orientation shall be provided to each respective VA Chief of Pharmacy upon request. This orientation shall include, but is not limited to, the following topics:

a. Fire and safety policy and procedure

b. Infection control policy and procedure

c. Emergency Preparedness/Disaster policy and procedure

5.8 The VA will monitor the contract pharmacist(s) work to ensure contract compliance.

5.9 Notwithstanding other contract requirements, upon request of the Contracting Officer, the Contractor shall remove from the work site any contract pharmacist(s) who does not comply with orientation requirements or meet competency requirements for the work being performed.

5.10 Where the contract does not require TJC accreditation or other regulatory body requirements, the contract pharmacist(s) must perform the required work IAW the TJC standards. A copy of these standards may be obtained from TJC, One Renaissance Blvd., Oakbrook Terrace, IL 60181.

6. SERVICES PROVIDED BY GOVERNMENT

6.1 Each VAMC will provide the following:

a. VPN Access

b. Computer Access to VISTA Pharmacy package

c. List of nursing unit telephone numbers

d. Pager directory

e. List of important medical center points-of-contact; Administrative Officer of the Day

(AODs); late shift on-call Pharmacist, and Medical Administrative Assistants (MAAs);

phone numbers and pager numbers.

7. OPERATIONAL DAYS AND TIMES

7.1 Administrative Work Hours per station are stated in Section 15. Federal Holiday coverage is stated in Section 8 and details in Section 15.

8. CONTRACTOR COVERAGE EXPECTATIONS

8.1 Coverage for Federal Holidays relates to the observed date of the holiday per OPM’s Federal Holiday listing at http://www.opm.gov/policy-data-oversight/snow-dismissal-procedures/federalholidays/.

HOLIDAYS

New Year’s Day January 1 Martin Luther King Jr. Day Third Monday in January Presidents Day Third Monday in February Memorial Day Last Monday in May Juneteenth June 19th Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11 Thanksgiving Day Fourth Thursday in November Christmas Day December 25

*This list may also include any other day designated a holiday by federal law, Executive Order, or Presidential proclamation.

8.2 It is the expectation of VA Medical Centers in this contract that coverage periods that include the beginning of a Federal Holiday (i.e., passing 12AM on the Federal Holiday) follow through the usual coverage period through to its end (e.g. if coverage began at 10:30p.m. on http://www.opm.gov/policy-data-oversight/snow-dismissal-procedures/federalholidays/ the evening prior to the Federal Holiday, coverage would continue through until 8:00a.m. of the Federal Holiday). The required coverage periods for “Federal Holiday” for each respective VA Medical Center are in regard to the start of a new coverage period beginning on the Federal Holiday.

8.3 In contracting with the Federal Government, the contractor agrees to honor Presidential

Executive Orders closing agencies (see “Presidential Closing of Agencies” at https://www.opm.gov/policy-data-oversight/pay-leave/pay-administration/fact-sheets/holidays-work-schedules-and-pay/) within the confines of the contract and that the contractor will not charge any additional fees to provide coverage for these periods as the Department of Veterans Affairs honors such Executive Orders as additional Federal Holidays and, as such, the expectation is that the contractor will honor these days as Federal Holiday coverage as well.

8.4 However, it is the responsibility of each individual VA Medical Center to notify the contractor of these Executive Order holidays in order to secure coverage and to specify if lesser coverage hours than the full Federal Holiday hours are preferable to the respective VA Medical Center.

9. UNEXPECTED SERVICES NEEDS AND HOUR RATE

9.1 The contractor should provide a reasonable hourly rate to VA Medical Centers for any unexpected service needs. The hourly rates for servicing inpatient orders must be distinct from those for outpatient orders. Additionally, the hourly rate can be established for the base year, with adjustments made in subsequent years to account for anticipated changes in the contractor's costs. The contractor has the option to offer rates as a flat figure applicable to all VA Medical Centers included in this contract, or to tailor rates for each VAMC based on its complexity and typical service requirements. In such cases, the pharmacy manager will inform the Contractor at least two hours prior to the required service.

10. DELIVERABLES

10.1 The contract pharmacist(s) shall be responsible for complying with all reporting requirements established by the contract. The contract pharmacist(s) shall be responsible for assuring the accuracy and completeness of all reports and other documents as well as the timely submission of each. The contract pharmacist(s) shall comply with contract requirements regarding the appropriate reporting formats, instructions, submission timetables, and technical assistance as required.

A. Daily Shift “Sign Off” Report: Sent via fax, voicemail, or web based as agreed to by the POC at each VAMC, to include a summary of outstanding issues for follow-up by each VAMC’s Pharmacy staff.

B. Activities Report: Report on activities under the contract (i.e., number of orders, number of questions answered, etc.) furnished to each VAMC. This report will be sent to the POC upon request.

C. Quality Improvement Indicator Report: Reports on quality improvement indicators for each VAMC upon request, to include:

https://www.opm.gov/policy-data-oversight/pay-leave/pay-administration/fact-sheets/holidays-work-schedules-and-pay/ https://www.opm.gov/policy-data-oversight/pay-leave/pay-administration/fact-sheets/holidays-work-schedules-and-pay/

a. Potential prescribing errors and other medication errors

b. Suspected adverse drug reactions or events

c. Information on new drugs and subsequent educational needs for VAMC staff

d. Reports will be quarterly and sent to the POC at each VA Medical Center

D. TMS Certifications: Annual certificates from the vendor for its contract pharmacist(s), showing compliance with section 11.4 listed below.

E. General Orientation Report for Contracted Staff: Upon request, the Contractor is to provide and document a general orientation for all contract pharmacist(s) who provide work on this contract before commencement of work as stated above in section.

F. Telehealth Agreement: As stated below in section 11.9, to be completed annually and turned into facility POC

G. Provider Exit Review: As stated below in section 11.8, to be completed seven days after the contract pharmacist(s) staff leaves

H. Staff Roster: The report shall be prepared as a Microsoft Excel spreadsheet and sent encrypted to the designated POC at each facility within the first week of each new quarter. The report must include the following information:

a. Full Legal Name

b. Date of birth

c. Social Security Number

d. Vista Access Renewal Date

e. Active Directory Renewal Date

f. Facility who originally sponsored the employee

g. Date of TMS Training Completed

h. Date of VetPro/Credentialing completed

REQUIREMENT SUBMIT AS NOTED SUBMIT TO

Daily Shift “sign off” Summary Daily Respective VAMC Pharmacy Staff Activities Report Upon Request Respective VAMC POC Quality Improvement Indicator Report

Upon Request Respective VAMC POC

Staff Roster First week of each Quarter (Quarters will be established at kick off meeting)

Respective VAMC POCs, Project Manager

TMS Certificate of Training for course numbers 10176 and 10203

Annually, before expiration date

Respective VAMC POCs

General Orientation Report for contracted staff

Upon Request Each Respective VA Chief of Pharmacy

Telehealth Service Agreement

(TSA)/

Annually POC, Credentialing and Connected Care Office

Memorandum of Understanding Immediately following the contract award

POC, Credentialing and Connected Care Office

Provider Exit Review 7 days after contracted staff leaves

POC, Credentialing Office

11. SPECIAL REQUIREMENTS

11.1 The Joint Commission (TJC): The Contractor will be responsible for ensuring that contract pharmacist(s) providing work on this contract are fully trained and completely competent to perform the required work. Although this contract does not require TJC accreditation or other regulatory requirements regarding worker competency, the contract pharmacist(s) must perform the required work in accordance with the TJC standards. The contractor is required to provide a current performance evaluation (proficiency or competency) of each pharmacist providing services under the contract. The contractor will provide current copies of the performance evaluations at the time of contract award and annually on the anniversary date of contract award to the VA Contracting Officer, or upon request.

11.2 Health and Human Services (HHS)/Office of Inspector General (OIG): To ensure that the individuals providing services under the contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the Contractor is required to check the HHS - OIG, List of excluded individuals/entities on the OIG Website www.hhs.gov/oig for each person providing services under this contract. Further, the Contractor is required to certify in its proposal that all persons listed in the Contractor’s proposal have been compared against the OIG list and are not listed.

11.3 During the performance of this contract, the Contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities.

11.4 Privacy Policy and Security Training: All contract pharmacist(s) must complete

“VA Privacy and Information Security Awareness and Rules of Behavior” and “Privacy and HIPAA Focused Training” in Talent Management System (TMS) (https://www.tms.va.gov) in addition to signing the National Rules of Behavior. Training will need to be done prior to the performance of the contract and annually thereafter.

Contract pharmacist(s) must use the Self Enrollment method to complete course numbers 10176 and 10203 before they will be allowed to work and have access to any PHI/PII. If background investigations are required, the paperwork needed for that will also be completed at that time. If training requirements change, the contractor staff will have 14 days to become compliant.

11.4.1 Proof of training (e.g., training completion certificate) must be provided to the facility POC and the Information Security Officer (ISSO) at each facility (to be named upon award) for each Contractor employee providing the services under this Contract. The POC must validate all contractors, ensuring their proof of training completion is verified and tracked.

11.5 PROTECTED HEALTH INFORMATION (PHI) Personal Identifiable Information (PII): Contractor must adhere to the provisions of Public Law 104-191, Health Insurance http://www.hhs.gov/oig https://www.tms.va.gov/

Portability and Accountability Act (HIPPA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information.

11.6 END OF CONTRACT RESPONSIBILITY: The Contractor agrees to provide self-certification that the data destruction requirements have been met and sent to the VA Contracting Officer within 30 days of termination of the contract.

11.7 VETPRO AND CREDENTIALING: The U.S. Department of Veterans Affairs requires contractors to perform services under this contract, similar to those of the VA's own healthcare personnel, following a process known as VetPro, in accordance with VHA Directive 1100-20 and outlined in SOP C-38 Occupations Categories. These are occupations in which the related qualification standards require maintenance of licensure, registration, and/or certification. The credentialing process must be completed before the practitioner can be on-boarded and begin providing care to Veterans. The full credentialing process encompasses completion of primary source verifications, service chief or designee review, committee review (or second level review), and appointment decision.

11.7.1 The Contractor is responsible for providing a roster of contract pharmacist(s) to the

POC at each respective facility for the purposes of credentialing before commencing their job duties. The contractor shall submit a credentialing package for all new and replacement pharmacy personnel performing services under this contract. This requirement also applies for re-credentialing the same pharmacists, which may need to occur during the contract term. Each VA site that receives services from the contractor must authenticate and review each pharmacist’s qualifications to support a decision on his or her admission to practice within the VA system and at the applicable site.

11.7.2 This roster will be sent to the respective facility POCs during the first week of each quarter, featuring updated staff information established during the kickoff meeting after the contract award.

11.7.3 In addition to contract requirements, the Contracting Officer, in consultation with the Chief of the relevant pharmacy department, may suspend or terminate a pharmacist’s credentials and the IT access of any pharmacist who does not comply with orientation requirements or meet competency requirements for the work being performed. Upon suspension or termination of IT access, the pharmacist is not eligible to perform or work under this contract and the contractor shall not invoice for the pharmacist’s services or work.

11.8 PROVIDER EXIT REVIEW: The Contractor shall deliver a Provider Exit Review to the facility's point of contact within seven days following the departure of the contracted employee from their position. This will serve as documentation of the initial review in accordance with this directive, Reporting to State Licensing Boards. This is to be completed for any licensed provider who has been credentialed and appointed including but not limited to full-time, part-time, intermittent, volunteer, and contract staff. This requirement applies to ALL licensed providers, e.g., physicians, registered nurses, social workers, psychologists, dentists, etc. This report shall be turned in to the respective facility POC and Credentialing Office.

11.9 TELEHEALTH SERVICE AGREEMENT (TSA)/MEMORANDOM OF

UNDERSTANDING (MOU):

11.9.1 The Interfacility Telehealth Service Agreement (TSA) defines the clinical, technical, and business requirements for a clinical telehealth service when the distant and originating sites are not hosted under the same station identifier code (e.g., Medical Center A, Station 111 to Medical Center B, Station 222) per VHA Directive 1914 on a yearly basis. It contains the information needed to operate telehealth services effectively and safely between sites. The contents of this service agreement only apply to virtual care services and do not apply to in-person care.

11.9.2 A Memorandum of Understanding (MOU) is a written agreement that outlines and defines roles, responsibilities, and processes between VA offices, programs, facilities, or external partners to support a common mission or activity.

11.9.3 The contractor must collaborate with the facility POC, who will coordinate with the Credentialing and Connected Care Departments to determine if a TSA Agreement or an MOU is necessary and complete any required paperwork.

12. QUALIFICATIONS: The contractor shall be responsible for ensuring that contract pharmacist(s) working on this contract are fully trained and completely competent to perform the required work.

Prospective providers shall:

1) Have an active unrestricted license recognized by the Board of Pharmacy in a U.S.

state, territory, or U.S. Commonwealth;

2) Speak English proficiently;

3) Provide evidence of demonstrated current clinical competence to perform the job;

4) Be a U.S. citizen.

5) Have a professional degree and education applicable to medical staff members;

6) Provide evidence of current professional liability insurance;

7) Provide evidence of current privileges (if applicable);

8) Provide name(s) of most current employer(s) and two peer reference contacts as identified in the Medical Center Bylaws;

9) Provide evidence of board certification (if applicable). Board certification is preferred, but not required; and

10) Successfully complete the credentialing and privileging or credentialing process

(as required) at each of the VAMC’s through VHA’s electronic credentialing system, “VETPRO” in accordance with the provisions of VHA Directive 1100.20, Credentialing and Privileging. (If contractor is already credentialed by another VA facility, they may be able to use privileging by proxy with Telehealth Service Agreement outlined in VHA directive 1914 and 1915)

13. BACKGROUNG INVESTIGATION: All contract pharmacist(s) are required to undergo a Low

Risk, Tier-1 background investigation for this contract. Facility POCs are responsible for requesting background investigations for all contract pharmacist(s). The contractor will bear the cost of these background investigations. Information regarding the cost of background investigations can be found at www.opm.gov\extra\investigate- Select Federal Investigations Notices (FIN 01-0). The contractor must pre-screen all personnel who require access to the computer systems to ensure they are U.S.

citizens and can read, speak, and understand the English language.

http://www.opm.gov/extra/investigate

13.1 No contract pharmacist(s) will be permitted to provide services under this contract without presenting the appropriate documentation to verify their qualifications. All contract pharmacist(s) will work directly with their respective facility POCs to complete this process.

14. RECORDS MANAGEMENT

a. Citations to pertinent laws, codes and regulations such as 44 U.S.C. chapters 21, 29, 31 and 33;

Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

b. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

c. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government Records.

d. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

e. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

f. The Government Agency owns the rights to all data/records produced as part of this contract.

g. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractors must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

h. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974.

These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of competition [draft, final, etc.].

i. No disposition of documents will be allowed without the prior written consent of the Agency

Records Manager. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the Agency records schedules.

j. Contractor is required to obtain the Contracting Officer’s approval prior to engaging in any contractual relationship (subcontractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract.

The contractor (and any subcontractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

15. SCHEDULE OF SERVICES

Contractor shall remotely provide after-hours Pharmacy coverage to the following VAMC’s:

ALTOONA VAMC

2907 Pleasant Valley Blvd Altoona, PA 16602

Altoona will require an estimated order of 275 per calendar month and a unit fee for orders exceeding 275 orders per month.

Federal holidays will start at 7PM on the holiday and end at 6AM the following business day. The end time will be at 7AM If the day after the holiday is a Saturday or Sunday.

BUTLER VAMC

353 North Duffy Road Butler, PA 16001.

Butler will require a base fee for orders up to 300 per calendar month and a unit fee for orders exceeding 300 orders per calendar month.

Butler (Inpatient) Butler (Outpatient) Service Start: Service End: Service

Start:

Service End:

Monday 5:00 P.M Tuesday 8:00 A.M. N/A N/A Tuesday 5:00 P.M Wednesday 8:00 A.M. N/A N/A Wednesday 5:00 P.M Thursday 8:00 A.M. N/A N/A Thursday 5:00 P.M. Friday 8:00 A.M. N/A N/A Friday 5:00 P.M. Monday 8:00 A.M. N/A N/A

Federal Holidays Start at 12:00 a.m. midnight on the holiday and end at 8 a.m. the next business day (i.e., if a weekend, continue through normal weekend coverage schedule).

COATESVILLE VAMC

1400 Blackhorse Hill Road Coatesville, PA, 19320.

Altoona (Inpatient) Altoona (outpatient)

Service Start:

Service End:

(next day)

Service Start:

Service End:

Saturday 7:00 PM Sunday 7:00 AM N/A N/A Sunday 7:00 PM Monday 6:00 AM N/A N/A Monday 10:00 PM Tuesday 6:00 AM N/A N/A Tuesday 10:00 PM Wednesday 6:00

AM

N/A N/A

Wednesday 10:00

PM

Thursday 6:00 AM N/A N/A

Thursday 10:00 PM Friday 6:00 AM N/A N/A Friday 10:00 PM Saturday 7:00 AM N/A N/A Saturday 12:00 AM Saturday 7:00 AM N/A N/A

Coatesville will require a base fee for orders up to 500 per calendar month and a unit fee for orders exceeding 500 orders per month.

Coatesville (Inpatient) Coatesville (Outpatient)

Start:

Service End:

Monday 8:00 P.M Tuesday 8:00 A.M. N/A N/A Tuesday 8:00 P.M Wednesday 8:00 A.M. N/A N/A Wednesday 8:00 P.M Thursday 8:00 A.M. N/A N/A Thursday 8:00 P.M. Friday 8:00 A.M. N/A N/A Friday 8:00 P.M. Saturday 8:00 A.M. N/A N/A Saturday 4:00 P.M. Monday 8:00 A.M. N/A N/A

Coverage for federal holidays will begin at 8:00 P.M. the evening prior to the holiday and continue until 8:00 A.M. on the day of the holiday. Additionally, coverage will resume at 12:00 P.M. on the holiday and extend until 8:00 A.M. the following day.

ERIE VAMC

135 East 38th Street Erie, PA16504

Erie will require a base fee for orders up to 400 per calendar month and a per unit fee for orders exceeding 400 per calendar month.

Erie (Inpatient) Erie (Outpatient)

Start:

Service End:

Monday 6:00 P.M Tuesday 7:00 A.M. N/A N/A Tuesday 6:00 P.M Wednesday 7:00 A.M. N/A N/A Wednesday 6:00 P.M Thursday 7:00 A.M. N/A N/A Thursday 6:00 P.M. Friday 7:00 A.M N/A N/A Friday 6:00 P.M. Saturday 8:00 A.M. N/A N/A Saturday 4:00 P.M. Sunday 8:00 A.M. N/A N/A Sunday 4:00 P.M Monday 7:00 A.M. N/A N/A

Christmas and Thanksgiving- Start at 4:00 P.M. on the holiday and end at 7:00 A.M. on the next weekday or 8:00 A.M. on the next weekend day.

Federal Holidays Start at 4:00 p.m. on the holiday and end at 7:00 a.m. on next weekday or 8:00 a.m. on next weekend day.

Lebanon VAMC 1700 South Lincoln Avenue Lebanon, PA, 17042

Lebanon will require a base fee for orders up to 1,500 per calendar month and a per unit fee for orders exceeding 1,500 per calendar month.

Lebanon (Inpatient) Lebanon (Outpatient)

Start:

Service End:

Sunday 11:00 P.M. Monday 7:00 A.M. N/A N/A Monday 11:00 P.M Tuesday 7:00 A.M. N/A N/A Tuesday 11:00 P.M Wednesday 7:00 A.M. N/A N/A Wednesday 11:00 P.M Thursday 7:00 A.M. N/A N/A Thursday 11:00 P.M. Friday 7:00 A.M. N/A N/A Friday 11:00 P.M. Saturday 7:00 A.M. N/A N/A Saturday 11:00 P.M. Sunday 7:00 A.M. N/A N/A

Federal Holidays Start at 11:00 p.m. on the holiday and end at 7:00 a.m. the next day

WILKES-BARRE VAMC

1111 East End Blvd.

Wilkes-Barre, PA18711

Wilkes-Barre will require a base fee for inpatient orders up to 1,500 per calendar month and a per unit fee for inpatient orders exceeding 1,500 per calendar month.

Wilkes-Barre will require a base fee for outpatient orders up to 19,000 per calendar month and a per unit fee for outpatient order exceeding 19,000 per calendar month

Federal Holidays Follow daily schedule.

WILMINGTON VAMC

1601 Kirkwood Highway Wilmington, DE 19805

Wilmington will require a base fee for inpatient orders up to 1,500 per calendar month and a per unit fee for inpatient orders exceeding 1,500 per calendar month.

Wilmington will require a base fee for outpatient mail order verification for up to 19,000 orders per calendar month and a per unit fee for outpatient mail order verification exceeding 19,000 orders per calendar month.

Wilmington (Inpatient) Wilmington (Outpatient)

Service Start: Service End: Service Start: Service End:

Sunday 11:00 P.M. Monday 7:00 A.M. Monday 5:00 P.M. Tuesday 7:00 A.M.

Monday 11:00 P.M Tuesday 7:00 A.M. Tuesday 5:00 P.M. Wednesday 7:00 A.M.

Tuesday 11:00 P.M Wednesday 7:00 A.M. Wednesday 5:00 P.M. Thursday 7:00 A.M.

Wednesday 11:00 P.M Thursday 7:00 A.M. Thursday 5:00 P.M. Friday 7:00 A.M.

Wilkes-Barre (Inpatient) Wilkes-Barre (Outpatient) Service Start: Service

End:

Service Start: Service End:

Monday 10:00 P.M Tuesday 6:00 A.M. Monday 12:00 P.M. Tuesday 7:00 A.M.

Tuesday 10:00 P.M Wednesday 6:00

A.M.

Tuesday 12:00 P.M. Wednesday 7:00 A.M.

Wednesday 10:00 P.M Thursday 6:00 A.M. Wednesday 12:00 P.M. Thursday 7:00 A.M.

Thursday 10:00 P.M. Friday 6:00 A.M. Thursday 12:00 P.M. Friday 7:00 A.M.

Friday 10:00 P.M. Saturday 6:00 A.M. Friday 12:00 P.M. Saturday 7:00 A.M.

Saturday 10:00 P.M. Sunday 6:00 A.M. Saturday 12:00 P.M. Sunday 7:00 A.M.

Sunday 10:00 P.M. Monday 6:00 A.M. Sunday 12:00 P.M. Monday 7:00 A.M.

Thursday 11:00 P.M. Friday 7:00 A.M Saturday-Anytime Saturday-Anytime Friday 11:00 P.M. Saturday 7:00 A.M. Sunday-Anytime Sunday-Anytime Saturday 11:00 P.M. Sunday 7:00 A.M.

Federal Holidays Start at 5:00 p.m. on the holiday and end at 7 a.m. the next day.

16. IDENTIFICATION OF PARTICIPANTS

FACILITY: POINT OF CONTACT:

Altoona VMC 2907 Pleasant Valley Blvd Altoona, PA 16602

Name: Mason Koehle Email: mason.koehle@va.gov Phone: 814-943-8164 x 14859

Butler VAMC 353 North Duffy Road Butler, PA 16001

Name: Nicole Fleeger Email: Nicole.Fleeger@va.gov Phone: (878) 271-6535

Coatesville VAMC 1400 Blackhorse Hill Road Coatesville, PA 19320

Name: Davy Peou Email: Davy.Peou@va.gov Phone: (610) 384-7711

Erie VAMC 135 East 38th Street Erie, PA 16504

Name: Melissa Woodard Email: melissa.woodard@va.gov Phone: (814) 860-2284

Lebanon VAMC 1700 South Lincoln Avenue Lebanon, PA 17042

Name: Paul Carnes Email: Paul.Carnes@va.gov Phone: (717) 272-6621, x5729

Wilkes-Barre VAMC 1111 East End Boulevard Wilkes-Barre, PA 18711

Name: Donna Tigue Email: Donna.Tigue@va.gov Phone: (570) 824-3521, x7114

Wilmington VAMC 1601 Kirkwood Highway Wilmington, DE 19805

Name: Ujjwala Shenoy Email: Ujjwala.Shenoy@va.gov Phone: (302) 994-2511, x5577

17. QUALITY ASSURANCE SURVEILLANCE

17.1 Contract pharmacist(s) processing medication orders must have the education, training and experience appropriate to performing the scope of services needed. It is the responsibility of the Contractor to have an on-going quality assurance (QA) program consistent with the standards that will support the expectations stated in the PWS, and to resolve identified problems.

17.2 The written plan shall delineate the objectives of the quality assurance activities, scope of the activities, activities for monitoring and evaluation, methods of implementation of the monitoring and evaluation activities, methods for reporting results, mechanisms for taking follow-up action and responsibilities of staff for each activity of the quality assurance program.

Results of the Contractor’s QA program will be forwarded to the POC on a quarterly basis or upon request within 48 hours. The plan shall be provided with the Contractor’s proposal and a VA Pharmacist approved copy shall be included as a part of any subsequent award. The Contractor shall evaluate the quality of medication orders and document the findings, conclusions, recommendations and actions taken. The report shall include information on special incidents, customer satisfaction, and performance improvement. Copies of aggregated data shall be forwarded to the POC quarterly or upon request within 48 hours.

mailto:mason.koehle@va.gov mailto:Nicole.Fleeger@va.gov mailto:Davy.Peou@va.gov mailto:melissa.woodard@va.gov mailto:Paul.Carnes@va.gov mailto:Donna.Tigue@va.gov mailto:Ujjwala.Shenoy@va.gov

17.3 PERFORMANCE REQUIREMENT SUMMARY: The following Performance Requirement Summary (PRS) lists the Contract’s special requirements listed, their associated performance standards, the Acceptable Quality Levels (AQL), and the methods of surveillance.

17.4 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP): The QASP will be used to document the Contractor’s performance. The QASP includes various methods of assessing performance to ensure Contract requirements are being met.

17.4.1 EVALUATION OF PRS AND QASP: The PRS and QASP will be incorporated into any subsequent Contract. The Contractor will be given the opportunity to correct or address any adverse findings resulting from observations throughout the Period of Performance.

Furthermore, failure to correct any major nonconformance could result in termination of the Contract for cause and/or adversely impact the Contractor’s ability to be selected for future Contracts as documented in the Contractor Performance Assessment Report System (CPARS).