GYN Specs (Lakin 2024) .pdf

REQUEST FOR QUOTATION

ARFQ LSH25*01

GYNECOLOGY SERVICES

Revised 12/12/2017

SPECIFICATIONS

1. PURPOSE AND SCOPE: The West Virginia Office of Shared Administration, Department of Health Facilities, Lakin Hospital is currently soliciting bids to provide Gynecology (GYN)

Services for the residents of Lakin Hospital a long-term care facility located at 11522 Ohio

River Rd. West Columbia, WV 25287.

NOTE: This request is covered in part or in whole by federal funds. All bidders will be required to acknowledge and adhere to attached Provisions Required for Federally

Funded Procurements”.

NOTE: NOTE: The WVDHHR has developed an EEOP Utilization Report and it is available at:

HTTP://WWW.WVDHHR.ORG/PDFS/H1.5%20UTILIZATION%20REPORT%20AND%20EE

O%20POLICY.PDF

2. DEFINITIONS: The terms listed below shall have the meanings assigned to them below.

Additional definitions can be found in section 2 of the General Terms and Conditions.

2.1 “Contract Services” means Gynecology Services to the residents of Lakin Hospital as more fully described in these specifications.

2.2 “Pricing Page” means the pages, contained wvOASIS or attached hereto as Exhibit

A, upon which Vendor should list its proposed price for the Contract Services.

2.3 “Solicitation” means the official notice of an opportunity to supply the State with goods or services.

3. QUALIFICATIONS: Vendor, or Vendor’s staff if requirements are inherently limited to individuals rather than corporate entities, shall have the following minimum qualifications:

3.1. GYN Physician/Nurse Practitioner shall be licensed by the State of West

Virginia and provide proof of license prior to award.

http://www.wvdhhr.org/pdfs/H1.5%20Utilization%20Report%20and%20EEO%20policy.pdf http://www.wvdhhr.org/pdfs/H1.5%20Utilization%20Report%20and%20EEO%20policy.pdf

4. MANDATORY REQUIREMENTS:

4.1 Mandatory Contract Services Requirements and Deliverables: Contract Services must meet or exceed the mandatory requirements listed below.

4.1.1 Vendor will provide in-house gynecological services for the residents of

Lakin Hospital. Vendor must include the following services:

4.1.1.1 Vendor shall provide care a maximum of one (1) day per month, which shall be determined upon mutual agreement. Hours of service will not exceed 96 hours in a twelve-month period.

4.1.1.2 Vendor shall assist in identifying the gynecological needs of facility residents, evaluate and treat, to the extent clinically appropriate, residents’ gynecological conditions. All the above services shall be provided only on appropriate referral from residents’ attending physician and upon the consent of the resident or the resident’s representative.

4.1.1.3 Vendor must document each resident visit and maintain medical and statistical records in accordance with Lakin Hospital policies and procedures.

4.1.1.4 Vendor will work during normal business hours which is Monday –

Friday from 8:00 a.m. to 4:00 p.m. excluding major holidays (New

Year’s Day, Memorial Day, July 4th, Labor Day, Thanksgiving

Day, the Friday after Thanksgiving and Christmas Day).

5. CONTRACT AWARD:

5.1 Contract Award: The Contract is intended to provide Agency with a purchase price for the Contract Services. The Contract shall be awarded to the Vendor that provides the Contract Services meeting the required specifications for the lowest grand total amount as shown on the Pricing Pages.

5.2 Pricing Page: Vendor should complete the Pricing Page by completing all pricing and contact information on Exhibit A included in this RFQ.Vendor should complete the Pricing Page in full as failure to complete the Pricing

Page in its entirety may result in Vendor’s bid being disqualified.

Vendor should type or electronically enter the information into the Pricing

Pages through wvOASIS, if available, or as an electronic document.

6. PERFORMANCE: Vendor and Agency shall agree upon a schedule for performance of

Contract Services and Contract Services Deliverables, unless such a schedule is already included herein by Agency. In the event that this Contract is designated as an open-end contract, Vendor shall perform in accordance with the release orders that may be issued against this Contract.

7. PAYMENT: Agency shall pay an hourly rate, as shown on the Pricing Pages, for all contract services preformed and accepted under this contract. Vendor shall accept payment in accordance with the payment procedures of the State of West Virginia.

8. TRAVEL: Vendor shall be responsible for all mileage and travel costs, including travel time, associated with performance of this Contract. Any anticipated mileage or travel costs may be included in the flat fee or hourly rate listed on Vendor’s bid, but such costs will not be paid by the Agency separately.

9. FACILITIES ACCESS: Performance of Contract Services may require access cards and/or keys to gain entrance to Agency’s facilities. In the event that access cards and/or keys are required:

9.1. Vendor must identify principal service personnel which will be issued access cards and/or keys to perform service.

9.2. Vendor will be responsible for controlling cards and keys and will pay replacement fee, if the cards or keys become lost or stolen.

9.3. Vendor shall notify Agency immediately of any lost, stolen, or missing card or key.

9.4. Anyone performing under this Contract will be subject to Agency’s security protocol and procedures.

9.5. Vendor shall inform all staff of Agency’s security protocol and procedures.

10. VENDOR DEFAULT:

10.1. The following shall be considered a vendor default under this Contract.

10.1.1. Failure to perform Contract Services in accordance with the requirements contained herein.

10.1.2. Failure to comply with other specifications and requirements contained herein.

10.1.3. Failure to comply with any laws, rules, and ordinances applicable to the

Contract Services provided under this Contract.

10.1.4. Failure to remedy deficient performance upon request.

10.2. The following remedies shall be available to Agency upon default.

10.2.1. Immediate cancellation of the Contract.

10.2.2. Immediate cancellation of one or more release orders issued under this

Contract.

10.2.3. Any other remedies available in law or equity.

11. MISCELLANEOUS:

11.1. Contract Manager: During its performance of this Contract, Vendor must designate and maintain a primary contract manager responsible for overseeing Vendor’s responsibilities under this Contract. The Contract manager must be available during normal business hours to address any customer service or other issues related to this

Contract. Vendor should list its Contract manager and his or her contact information below.

Contract Manager: ______________________

Telephone Number: ________________________

Fax Number: ______________________________

Email Address: ____________________________