Dingell Final Solicitation Publish 36C25021Q1070 10-6-2021.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. DUNS: DUNS+4:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 95

36C25021Q1070 10-6-2021 thomas.demko@va.gov 513-559-3713 11-8-2021

01 EDT

36C250

Department of Veterans Affairs

Network Contracting Office (NCO) 10

260 E. University Avenue

Cincinnati OH 45219

X 100

X

621999

$16.5 Million

N/A

John D. Dingell VAMC

4646 John R Street

Detroit MI 48201

Network Contracting Office (NCO) 10

260 E. University Avenue

Cincinnati OH 45219

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

877-353-9791 512-460-5429

Contractor to provide 3.0 FTE Medical Technologists to provide medical technologists services on-site at the

John D. Dingell VAMC located at 4646 John R Street

Detroit MI 48201.

Reference Schedule of Services and Prices on page 6 and Performance Work Statement on page 9.

This acquisition will adhere to the format as defined in VAAR 873, Part 12 and will be completed using Simplified Acquisition Procedures in FAR 13.

52.212-1 and Addendum as listed in the RFQ titled Instructions to Offerrors—Commercial items To Offerors—Commercial Items on page 68-73.

Brandi L. Holland

36C25021Q1070

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES AND PRICES

B.3 PERFORMANCE WORK STATEMENT

B.4 IT SECURITY......………………………………………………………………………….33

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.2 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL .................................................................Error! Bookmark not defined.4

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.8 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.9 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.10 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020)

(DEVIATION)

C.12 52.223-99 Covid Requirements…………………………………………………..… 66

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, AND ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUL 2021) 68

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR NAME/ADDRESS/CITY/STATE-ZIP (Please print or type):

Point of Contact/Title: ________________________________________

Telephone: _______________________________

Facsimile #: _______________________________

E-mail: __________________________________

DUNS NO: ________________________________

b. GOVERNMENT: Contracting Officer 36C250 Brandi L. Holland; Brandi.Holland2@va.gov

Network Contracting Office (NCO) 10 2780 Airport Dr.

Suite 340 Columbus OH 43219-1834

Contract Specialist: Thomas Demko; Thomas.Demko@va.gov Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly [] mailto:Brandi.Holland2@va.gov mailto:Thomas.Demko@va.gov

b. Semi-Annually []

c. Other [X] Monthly

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

5. CHANGES/MODIFICATIONS TO THE CONTRACT: The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this resultant contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, delivery or quality of performance of this resultant contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC and no adjustment will be made to the contract price to cover any increase in cost incurred as a result thereof.

The Contracting Officer’s Representative (COR) will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

6. SUBMISSION OF QUOTATION: Documents that are to be provided to the Contracting

Officer shall be submitted to the Network Contracting Office, using the appropriate address identified in 52.212-1, Instructions to Quoters. Submit all quotation to both addresses referenced in 1b.

7. POST AWARD CONFERENCES: The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by PPM 2019-01, post award orientations dated 1/9/2019 that provides documentation requirements for orientation conducted for post award conferences.

8. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

9. The Contracting Officer’s Representative (COR) will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

10. VHA Directive 1193 Coronavirus Disease 2019 Vaccination Program for VHA Health Care

Personnel, Effective August 13, 2021

1. The following information is to inform your company of the new VHA Directive 1193 Coronavirus Disease 2019 Vaccination Program for VHA Health Care Personnel and the requirement for your healthcare personnel employees to comply with the requirements in the Directive. In accordance with VHA Directive 1193, it is VHA’s policy that VA medical facilities will implement a mandatory COVID-19 vaccination program by requiring all VHA Health Care Personnel (HCP) to receive a COVID-19 vaccination or obtain an exemption for medical or religious reasons. Please note that contractor personnel are included in VHA’s definition of a HCP (see definition below).

Definition of HCP: Healthcare personnel (HCP) refers to all paid and unpaid persons who work in or travel to VHA locations who have the potential for direct or indirect exposure to patients or infectious materials, including body substances (e.g., blood, tissue, and specific body fluids); contaminated medical supplies, devices, and equipment; contaminated environmental surfaces; or contaminated air. These HCP may include, but are not limited to, emergency medical service personnel, nurses, nursing assistants, physicians, technicians, therapists, phlebotomists, pharmacists, health professions trainees (HPTs), contractor personnel, and persons (e.g., clerical, dietary, environmental services, laundry, security, maintenance, engineering and facilities management, administrative, billing, and volunteer personnel) not directly involved in patient care but potentially exposed to infectious agents that can be transmitted from HCP and patients. HCP include all VA licensed and unlicensed, clinical and administrative, paid and without compensation, full- and part-time, intermittent, fee basis employees who are expected to perform any or all of their work at these locations. HCP also includes VHA personnel and contractor personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.

2. HCP Contractor personnel employed by your company and working at VA medical facilities, are required to comply with VHA Directive 1193 and requirements outlined in the directive. Please see the specific requirements:

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172301759%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=QGGgLwA33MB%2F6SPq%2FdchatlUo%2FoxmqJBqb1qnpIgkzg%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172301759%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=QGGgLwA33MB%2F6SPq%2FdchatlUo%2FoxmqJBqb1qnpIgkzg%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172311711%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=ZaHmfDhxq0XE97eod3KUEzxyXQhSRKMrFNDTRNje4QQ%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172311711%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=ZaHmfDhxq0XE97eod3KUEzxyXQhSRKMrFNDTRNje4QQ%3D&reserved=0

VHA Health Care Personnel. VHA HCP are required to comply with VHA

Directive 1193 by:

(1) Receiving a complete COVID-19 immunization series or obtaining an exemption for medical or religious reasons.

(2) Submitting the Health Care Personnel COVID-19 Vaccination Form, VA

Form 10-263 (See Appendix B of the Directive) to Employee Occupational

Health (EOH).

(a) If a VHA HCP is vaccinated at a VHA location, by VHA EOH, they are not required to complete and submit VA Form 10-263 to EOH.

(b) If a VHA HCP is vaccinated outside of EOH and has submitted acceptable and complete documentation of vaccination, as prescribed in Appendix A, to EOH, they are not required to complete and submit

VA Form 10-263 to EOH.

(c) If a VHA HCP is vaccinated outside of EOH but has not submitted acceptable and complete documentation of vaccination, as prescribed in Appendix A, to EOH, they must complete and submit VA Form 10-

263 to EOH with all required documentation and within the timelines as prescribed in this directive.

(d) If a VHA HCP is exempt from COVID-19 vaccination for medical or religious reasons, they must complete the COVID-19 Vaccination VA

Form 10-263 (Appendix B), declaring the exemption and acknowledging the requirement to wear a face mask when under conditions in the work environment described (See Appendix A, paragraph 5.a and Appendix B).

3. Please acknowledge receipt of this subject Directive and requirements with an affirmative that you’ve received a copy of the directive and understand the requirements within.

B. 2 SCHEDULE OF SERVICES AND PRICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite

Medical Technologist Services to eligible beneficiaries of the Department of Veterans Affairs

Medical Center, Saginaw (hereinafter referred to as VAMC). The Contractor’s employee’s duties shall cover the range of Medical Technologist services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by The College of American

Pathologists (CAP): http://www.cap.org. Contractor’s employee’s shall not be considered

Government employees for any purpose under this solicitation or resultant contract. This https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172321666%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=AZHnfs4jdNKCs3zk70C9br6BByZd4kKY79iCEj6%2FTmk%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172321666%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=AZHnfs4jdNKCs3zk70C9br6BByZd4kKY79iCEj6%2FTmk%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvaforms%2Fmedical%2Fpdf%2FVA%2520Form%252010-263%2520COVID-19%2520Vaccination.pdf&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172321666%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=psWuek%2BA0w6iFXSfVSIWENxpkuwHvyBYQH59%2BAoJyM0%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvaforms%2Fmedical%2Fpdf%2FVA%2520Form%252010-263%2520COVID-19%2520Vaccination.pdf&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172321666%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=psWuek%2BA0w6iFXSfVSIWENxpkuwHvyBYQH59%2BAoJyM0%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9388&data=04%7C01%7C%7C2884f251b18b4096875d08d9666d5423%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637653442172321666%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=AZHnfs4jdNKCs3zk70C9br6BByZd4kKY79iCEj6%2FTmk%3D&reserved=0 http://www.cap.org/

Indefinite Delivery, Indefinite Quantity (IDIQ) contract shall be for three (3), one-year ordering periods.

Place of Performance: Services shall be provided on site, Dingell VAMC, 4646 John R Street, Detroit, Michigan 48201.

Pricing Instructions: The quoter is instructed to fill in column Unit Price and Estimated Total columns for the base year including all option years and estimated grand total.

The period of performance for the base ordering period and subsequent years is based on a twelve (12) month period, effective date and end date may change depending on when award will be made but will be based on a twelve (12) month period.

The contractor shall propose a minimum of three (3) key personnel to be credentialed and be available for scheduling to meet the requirements of 3 FTE for 6240 hours annually. The contractor shall only present pricing for providers being presented for evaluation.

One FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

Quoter shall not exceed 6,240 hours. All unit costs are fixed price.

ORDERING PERIOD 1 - DATE OF AWARD FOR ONE (1) YEAR

CLIN No. SUB-

CLIN

DESCRIPTION Est. Qty. Unit Unit Cost Est. Total Annual Cost

Key Personnel

None

Medical Technologist hours

$ / hr.

Estimated Total Amount Ordering Period 1 _________________________________________

ORDERING PERIOD 2 - January 2, 2022 (or date of award) – January 2, 2023 (or 364 days)

CLIN No. SUB-

CLIN

DESCRIPTION Est. Qty. Unit Unit Cost Est. Total Annual Cost

Estimated Total Amount Ordering Period 2 _________________________________________

ORDERING PERIOD 3 - January 2, 2022 (or date of award) – January 2, 2023 (or 364 days)

CLIN No. SUB-

CLIN

DESCRIPTION Est. Qty. Unit Unit Cost Est. Total Annual Cost

Estimated Total Amount Ordering Period 3 _________________________________________

Aggregate Total to include Ordering Periods 1 through 3: $_____________________

The Government’s guaranteed minimum during the life of the contract is $15,185.00. The

Government’s contract ceiling (contract maximum) amount during the life of the contract is

18,720 hours.

B.3. Performance Work Statement

1. GENERAL:

1.1. Services Provided: The contractor shall provide 3.0 FTE Medical Technologists on site in accordance with the terms and conditions contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the John D. Dingell VAMC in Detroit, Michigan.

1.2. Place of Performance: Contractor shall furnish services at the John D. Dingell VAMC located at 4646 John R Street Detroit, MI 48201

1.3. Authority Title 38 U.S.C. 8153, Health Care Resources (HCR) sharing Authority.

1.4. Policy/Handbooks - The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.2. VHA Handbook 1100.17: National Practitioner Data Bank Reports – https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.3. VHA Handbook 1100.19 Credentialing and Privileging -

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.4. VHA Handbook 1907.01 Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.5. Privacy Act of 1974 (5 U.S.C. 552a) as amended

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.6. Joint Commission - http://www.jointcommission.org/standards/

1.4.7. HHS OIG Website – http://oig.hhs.gov/exclusions/index.asp

1.4.8. American Journal for Infection Control - AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

1.4.9. VHA Handbook 1106.01: Pathology and Laboratory Medicine Service (P&LMS) Procedures: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8092

1.5. Definitions/Acronyms: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. CDC: Centers for Disease Control and Prevention

1.5.2. CDR: Contract Discrepancy Report

1.5.3. CEU: Certified Education Unit

1.5.4. CLS: Clinical Laboratory Scientist

1.5.5. CME: Continuing Medical Education

1.5.6. CMP: Civil Monetary Penalty

1.5.7. CMS: Centers for Medicare and Medicaid Services

1.5.8. CO: Contracting Officer – The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.9. COR: Contracting Officer’s Representative – A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.10. COS: Chief of Staff

1.5.11. CPARS: Contractor Performance Assessment Reporting System

1.5.12. ED: Emergency Department

1.5.13. EHR: Electronic Health Record – electronic health record system used by the VA

1.5.14. FTEE: Full Time Equivalency Employee is defined by VA as a minimum of 80 hours every two weeks and does not include holidays https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.jointcommission.org/standards/ http://oig.hhs.gov/exclusions/index.asp http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8092

1.5.15. HHS: Department of Health and Human Services

1.5.16. HIPAA: Health Insurance Portability and Accountability Act

1.5.17. HR: Human Resources

1.5.18. ISO: Information Security Officer

1.5.19. MLS: Medical Laboratory Scientist

1.5.20. MT: Medical Technologist

1.5.21. Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors.

1.5.22. NPPES: National Plan and Provider Enumeration System

1.5.23. OSHA: Occupational Safety and Health Administration

1.5.24. OIT: Office of Information and Technology

1.5.25. OPM: Office of Personnel Management

1.5.26. OR: Operating Room

1.5.27. PIV: Personal Identity Verification

1.5.28. POP: Period of Performance

1.5.29. PPD: Purified Protein Derivative

1.5.30. PWS: Performance Work Statement

1.5.31. QASP: Quality Assurance Surveillance Plan

1.5.32. RFQ: Request for Quote

1.5.33. VAMC: Veterans Affairs Medical Center

1.5.34. Veterans Health Administration (VHA): The central office for administration of the VA medical centers throughout the United States. The VHA is located in Washington, D.C.

1.5.35. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.5.36. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.5.37. VetPro: a federal web-based credentialing program for healthcare providers.

1.5.38. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA Medical Center, for the purpose of this contract, this term shall mean the Cleveland VA Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility – The contractor shall provide 3.0 Full Time Equivalency Employees (FTEEs) Medical Technologists located at the Detroit VAMC. They will be certified by the American Society of Clinical Pathologists (ASCP) or American Medical Technologists (AMT) or an equivalent MT, MLS, CLS certification with appropriate training and a minimum of one year of experience.

2.1.1. Board Certification – The contractor’s employees and any subcontractors are not required to be Board Certified. They are required to have a Bachelor’s Degree from an accredited college or university in medical laboratory science, medical technology, clinical laboratory or related science. They must also have a completion of medical technology clinical practice program and have all licenses, permits, and certifications as required by law and this contract. All Medical Technologists must have a minimum of one year of experience as a Generalist. A generalist is defined as a Medical Technologist that can perform testing in all areas of the Clinical Laboratory, to include Chemistry, Blood Bank, Hematology, Immunology, and Urinalysis.

2.1.2. Credentialing and Privileging - Contract Medical Technologist(s) fulfilling the conditions of the contract shall be subject to all bylaws, rules and regulations of the VAMC. Each

Medical Technologist(s) shall be credentialed and privileged (if required) prior to providing services and must be found acceptable by the Medical Executive committee and Governing Body. Credentialing and privileging is to be completed in accordance with VHA Handbook 1100.19 referenced above. The ability for an individual Medical

Technologist to continue to render services under the contract shall be dependent upon demonstration of clinical competence. Clinical competency shall be assessed on an ongoing basis, is true for all medical Technologist, and to the reported as provider specific practice information at the time or an accreditation body with equal or better standards Joint Commission.

2.1.3. If a contract personnel (s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency - Contract personnel (s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract personnel(s) and contract personnel (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract personnel (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging.

Failure to provide shall result in loss of privileges for contract personnel (s).

2.1.6. Training: Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contractor’s Medical Technologist(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training Frequency (once a year, etc.)

Annual Hours

Privacy and HIPAA Training

Annually 1

Infection Control Annually 1

Compliance and Business Integrity

Annually 1

Ethics Annually 1

VA Privacy and Information Security and Rules of Behavior

Annually 1

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for personnel within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.8. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative

Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician (s) (this is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

2.1.9. MEASLES, MUMPS, & RUBELLA TESTING: Contractor shall provide proof of immunity Contractor physicians (this is applicable to all health care workers).

2.1.10. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians (this is applicable to all health care workers).

2.1.11. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor Physicians (this is applicable to all health care workers.

2.1.12. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season (this is applicable to all health care workers).

2.1.13. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician (s) (this is applicable to all health care workers); provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.14. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.15. Conflict of Interest: The Contractor and all contract personnel (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quotation and during the entirety of contract performance. At the time of quotation, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.16. Citizenship related Requirements:

2.1.17. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended;

its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.18. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.19. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.20. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.21. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.22. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.23. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site referenced above to ensure that the proposed contract physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.24. By submitting their quotation, the Contractor certifies that the HHS OIG List of

Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.1.25. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Laboratory Chief or his/her clinical designee and approval by the Laboratory Chief as provided in VHA Handbook 1106. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC Laboratory Chief or his designee.

A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.1.26. Non-Personal Healthcare Services: The parties Agree that the Contractor and all contract personnel(s) shall not be considered VA employees for any purpose.

2.1.27. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.1.28. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.1.29. Inherent Government Functions: Contractor and Contract personnel(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.1.30. No Employee Status: The Contractor shall be responsible for protecting Contract personnel (s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

Workers’ compensation;

Professional liability insurance;

Health examinations to include:

Annual TB Skin Test and recent chest X-ray if there is a history of positive TB skin test; Evidence of Hepatitis B immunity (hepatitis immune titer, if the individual has had the series of shots; if no immunity, evidence that the individual has started the Hepatitis B vaccination series; Evidence of a Hepatitis C tier;

Varicella titer if contracted employees has not had chicken pox;

Income tax withholding, and Social security payments.

2.1.31. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract personnel (s). When a Contractor or contract personnel(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract provider (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.2. Key Personnel:

2.2.1. The VA Full Time Equivalency (FTE) for the Medical Technologist services required is for (3) FTEE (6240).

2.2.2. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled provider is unable to complete an assigned shift, the contractor shall provide replacement provider coverage within 2 hours and notify the Contracting Office Representative (COR) at the VAMC Detroit immediately of the schedule change.

2.2.3. Contractor shall provide the names of the contracted employee(s) assigned to the performance. Additional lines are added to the key personnel table below to allow the contractor to submit multiple MT’s, if needed to meet the CLIN requirements;

however, it is not a requirement to fill every line. Attach a separate page if additional lines are needed:

Key Personnel/Substitute Name (s)

Official Title Certification Number

1. Medical

2. Medical

3. Medical

4. Medical

5. Medical

6. Medical

Substitutes

2.2.4. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.2.5. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.2.6. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract personnel (s), s/he may request, without cause, immediate replacement of said contract personnel (s).

2.2.7. The CO and COR shall deal with issues raised concerning Contract personnel (s) conduct. The final arbiter on questions of acceptability is the CO.

2.2.8. Contingency Plan: Because continuity of care is an essential part of VAMC’s medical services, The Contractor shall have a contingency plan in place to be utilized if the contract personnel (s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

Note: Evidence of completion of required certification, credentials, required training, current competencies and background investigations must be validated for all contractor personnel referred to perform services under this contract prior to providing direct patient care. Contractor shall not have any personnel report to duty until written notification is received from the Contracting Officer advising that the candidate (s) presented has met all requirements for contract performance.

3. HOURS OF OPERATION:

3.1 VA Business Hours: VA business hours/hours of operation are Monday – Friday 8:00a –

4:30p.

3.1.1. Work Schedule: Regular work hours are 0800am – 4:30p Monday, Tuesday, Wednesday, Thursday and Friday.

3.1.2. The Medical Technologist service is required for 6240 hours per year on a Monday, Tuesday, Wednesday, Thursday and Friday, eight hours shift basis to support testing in the Laboratory

The requirement is for the contractor to provide three (3) Medical Technologists, each one FTEE.

3.2 Federal Holidays:

• New Year’s Day; Martin Luther King’s Birthday;

• President’s Day; Memorial Day; Juneteenth;

• Independence Day; Labor Day; Columbus Day

• Veterans Day; Thanksgiving Day; Christmas Day

• Any day specifically declared by the President of the United States to be a national holiday.

If any Federal Holidays fall on a non-work day (i.e. Saturday or Sunday), the Friday before or Monday after will be considered a non-work day.

4. CONTRACTOR RESPONSIBILITIES:

4.1. Clinical Personnel Required: The Contractor shall provide contract personnel (s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contract personnel (s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.2. Standards of Care: The contract personnel (s)’ care shall cover the range of

Medical Technologist services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

4.2.1 VA Standards: VHA Directive 2006-041 “Veterans’

Health Care Service Standards” (expired but still in effect pending revision) https://www.bing.com/search?q=VHA+Directive+2006-041&src=IE- SearchBox&FORM=IESR4A

4.2.2 The professional standards of The Joint

Commission (TJC) http://www.jointcommission.org/standards_information/standards.aspx

4.2.3 The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and;

4.2.4 The requirements contained in this PWS.

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contract personnel (s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164

(HIPAA).

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to:

a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.3.3. Disclosure: Contract personnel (s) may have access to patient medical records:

however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.3.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health https://www.bing.com/search?q=VHA+Directive+2006-041&src=IE-SearchBox&FORM=IESR4A https://www.bing.com/search?q=VHA+Directive+2006-041&src=IE-SearchBox&FORM=IESR4A http://www.jointcommission.org/standards_information/standards.aspx http://www.hpoe.org/resources?show=100&type=8 http://www.rms.oit.va.gov/SOR_Records/24VA19.asp http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1469 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423 http://www1.va.gov/vhapublications/viewpublication.asp?pub_id=1423

Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 and all guidelines provided by the VAMC.

4.3.5. Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual’s Records, to process “Release of Information Requests.” In addition, the Contractor shall…