HT0011-20-R-0043 HFAS RFP Attachment 3a - Price Sheet.xlsx

XLSX spreadsheet 61 KB Posted Sep 18, 2020

Attached to: Defense Health Agency Healthcare Facility Accreditation Services (HFAS)
Solicitation number: HT0011-20-R-0043
Issued by: Defense Health Agency

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Other files

File	Type	Posted
HT0011-20-R-0043 HFAS PWS Attachment 2h - DHA PM 6025.13 CQM in the MHS, Vol 7, CQI.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2d - DHA PM 6025.13 CQM in the MHS, Vol 3, Healthcare Risk Management.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 5 - CONUS Travel Site Table for MTF Accreditation.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2g - DHA PM 6025.13 CQM in the MHS, Vol 6, Clinical Measurement.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2a - Implementation Guidance Memo for DHA PM CQM in the MHS - Vols 1-7.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 6 - PII-PHI - Fed Info Rqmts.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2e - DHA PM 6025.13 CQM in the MHS, Vol 4, Credentialing and Privileging.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 2 - Past Performance Questionnaire (PPQ).pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 4 - List of OCI Contracts - Task Orders.xlsx	XLSX spreadsheet	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 3b - MTF Accreditation Table with Services and Facilities.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 1 - DoD Instruction 6025.13 MQA And CQM in the MHS.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 7 - Status of Force Agreements (SOFAs).pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 6 - OCONUS Travel Site Table for MTF Accreditation.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 4 - DHA Transition Implementation Plan 3 v6 Market Diagrams.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 5 - KTR Non-Disclosure Agreement (NDA).pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 8 - Quality Assurance Surveillance Plan (QASP).pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 1 - Performance Work Statement (PWS).pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2b - DHA PM 6025.13 CQM in the MHS Vol 1, General CQM.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2c - DHA PM 6025.13 CQM in the MHS Vol 2, Patient Safety.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 2f - DHA PM 6025.13 CQM in the MHS, Vol 5, Accreditation and Compliance.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS PWS Attachment 3 - DoD MTF Accreditation Status Table.xlsx	XLSX spreadsheet	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Attachment 3c - MTF Summary Information Table.pdf	PDF	Sep 18, 2020
HT0011-20-R-0043 HFAS RFP Final.pdf	PDF	Sep 18, 2020

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TAB 1 - CLIN Structure

Year	CLIN NO	CLIN DESCRIPTION	Quantity	Unit of Issue	Unit Price	CLIN TOTAL	EXTENDED CLIN DESCRIPTION
		BASE YEAR
2020
		MTF ANNUAL ACCREDITATION FEES					Price includes Annual membership fees. Annual memebership Fee for XXXX facilities; XXXX Number of Facilities per year
	0001	Large Hospital Accreditation CONUS Annual Fee		Each
	0002	Large Hospital OCONUS Annual Fee		Each
	0003	Medium Hospital Accreditation CONUS Annual Fee		Each
	0004	Medium Hospital Accreditation OCONUS Annual Fee		Each
	0005	Small Hospital Accreditation CONUS Annual Fee		Each
	0006	Small Hospital Accreditation OCONUS Annual Fee		Each
	0007	Large Clinic Accreditation CONUS Annual Fee		Each
	0008	Large Clinic Accreditation OCONUS Annual Fee		Each
	0009	MediumClinic Accreditation CONUS Annual Fee		Each
	0010	Medium Clinic Accreditation OCONUS Annual Fee		Each
	0011	Small Clinic Accreditation CONUS Annual Fee		Each
	0012	Small Clinic Accreditation CONUS Annual Fee		Each
		MTF SURVEY FEES					Price include surveys (announced & unannounced), and travel per Performance Work Statement.
	0013	Large Hospital Accreditation CONUS Accreditation Fee		Each
	0014	Large Hospital OCONUS Accreditation Fee		Each
	0015	Medium Hospital Accreditation CONUS Accreditation Fee		Each
	0016	Medium Hospital Accreditation OCONUS Accreditation Fee		Each
	0017	Small Hospital Accreditation CONUS Accreditation Fee		Each
	0018	Small Hospital Accreditation OCONUS Accreditation Fee		Each
	0019	Large Clinic Accreditation CONUS Accreditation Fee		Each
	0020	Large Clinic Accreditation OCONUS Accreditation Fee		Each
	0021	MediumClinic Accreditation CONUS Accreditation Fee		Each
	0022	Medium Clinic Accreditation OCONUS Accreditation Fee		Each
	0023	Small Clinic Accreditation CONUS Accreditation Fee		Each
	0024	Small Clinic Accreditation CONUS Accreditation Fee		Each
	0025	Patient Centered Medical Home (PCMH) Certification	129.00	Each			PCMH Certification occurs during the triennial survey process and is required for (48 inpatient facilities and 81 ambulatory facilities)
	0026	2-Day Traininig Session	2.00	Days			Customized 2-Day Training Onsite; Based on 50 Attendees and 2 Instructors
	0027	Executive Accreditation Update Webinar Series	1.00	Each			Briefings will accommodate up to 200 people and will be accessible to all Military Treatment Facilities supported by the contract. Individual sign-on will be provided
	0028	Hospital Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	0029	Ambulatory Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	0030	Behavioral Health Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	0031	Compreshensive Accreditation Mannual	395.00	Each			Books: Comprehensive Manaul
	0032	Manuals: Hospital Accreditation Standards (150 Manuals)	150.00	Each			Books: Hospital Accreditation Standards
	0033	Manuals: Standards for Ambulatory Care (88 Manuals)	88.00	Each			Books: Ambulatory Accreditation Standards
	0034	Manuals: Standards for Behavioral Health Care (150 Manuals)	150.00	Each			Booka: Behavioral Health Standards
	0035	Custom Webinars (90 Minute )x 4 (1 each Quarter)	4.00	Each			Webinars inlcude customized topics; will be no less than 1.5 hours in duration (Presentation) and include a minimum of 30 minutes for questions and answers (Q/A) session.
	0036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)	4.00	Each			Live unlimited attendance and on-demand access thereafter; 4 -Part webinar series.
	0037	Accrediation Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	0038	Assist Visit Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	0039	Custom Training (340)	1.00	Each			Max attendees 340
	0040	Subscription: Accreditation and Certification Compliance Strategies Publication	1.00	Each
	0041	Subscription: Environment of Care Newsletter	1.00	Each
	0042	Measures Data Submission Fees	1.00	Each
	0043	Transition-In Cost	1.00	Each			1 October -31 December 2020 (Separate Task Order)
	0044	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional	24.00	Days			Additional survey day per surveyor for CONUS MTFs (For Cause or Follow-up from triennial survey) 1-24 days per year
	0045	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional	6.00	Days			Additional survey day per surveyor for OCONUS MTFs (For Cause or Follow-up from triennial survey) 1-6 days per year
		TOTAL BASE YEAR - 23 OCT 2020 TO 22 OCT 2021	963.00			$ - 0
Year	CLIN NO	CLIN DESCRIPTION	Quantity	Unit of Issue	Unit Price	CLIN TOTAL	EXTENDED CLIN DESCRIPTION
		OPTION YEAR ONE (1)
2021
		MTF ANNUAL ACCREDITATION FEES					Price includes Annual membership fees. Annual memebership Fee for XXXX facilities; XXXX Number of Facilities per year
	1001	Large Hospital Accreditation CONUS Annual Fee		Each
	1002	Large Hospital OCONUS Annual Fee		Each
	1003	Medium Hospital Accreditation CONUS Annual Fee		Each
	1004	Medium Hospital Accreditation OCONUS Annual Fee		Each
	1005	Small Hospital Accreditation CONUS Annual Fee		Each
	1006	Small Hospital Accreditation OCONUS Annual Fee		Each
	1007	Large Clinic Accreditation CONUS Annual Fee		Each
	1008	Large Clinic Accreditation OCONUS Annual Fee		Each
	1009	MediumClinic Accreditation CONUS Annual Fee		Each
	1010	Medium Clinic Accreditation OCONUS Annual Fee		Each
	1011	Small Clinic Accreditation CONUS Annual Fee		Each
	1012	Small Clinic Accreditation CONUS Annual Fee		Each
		MTF Survey Fees					Price include surveys (announced & unannounced), and travel per Performance Work Statement.
	1013	Large Hospital Accreditation CONUS Accreditation Fee		Each
	1014	Large Hospital OCONUS Accreditation Fee		Each
	1015	Medium Hospital Accreditation CONUS Accreditation Fee		Each
	1016	Medium Hospital Accreditation OCONUS Accreditation Fee		Each
	1017	Small Hospital Accreditation CONUS Accreditation Fee		Each
	1018	Small Hospital Accreditation OCONUS Accreditation Fee		Each
	1019	Large Clinic Accreditation CONUS Accreditation Fee		Each
	1020	Large Clinic Accreditation OCONUS Accreditation Fee		Each
	1021	MediumClinic Accreditation CONUS Accreditation Fee		Each
	1022	Medium Clinic Accreditation OCONUS Accreditation Fee		Each
	1023	Small Clinic Accreditation CONUS Accreditation Fee		Each
	1024	Small Clinic Accreditation CONUS Accreditation Fee		Each
	1025	Patient Centered Medical Home (PCMH) Certification	129.00	Each			PCMH Certification occurs during the triennial survey process and is required for (48 inpatient facilities and 81 ambulatory facilities)
	1026	2-Day Traininig Session	2.00	Days			Customized 2-Day Training Onsite; Based on 50 Attendees and 2 Instructors
	1027	Executive Accreditation Update Webinar Series	1.00	Each			Briefings will accommodate up to 200 people and will be accessible to all Military Treatment Facilities supported by the contract. Individual sign-on will be provided
	1028	Hospital Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	1029	Ambulatory Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	1030	Behavioral Health Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	1031	Compreshensive Accreditation Mannual	395.00	Each			Books: Comprehensive Manaul
	1032	Manuals: Hospital Accreditation Standards (150 Manuals)	150.00	Each			Books: Hospital Accreditation Standards
	1033	Manuals: Standards for Ambulatory Care (88 Manuals)	88.00	Each			Books: Ambulatory Accreditation Standards
	1034	Manuals: Standards for Behavioral Health Care (150 Manuals)	150.00	Each			Booka: Behavioral Health Standards
	1035	Custom Webinars (90 Minute )x 4 (1 each Quarter)	4.00	Each			Webinars inlcude customized topics; will be no less than 1.5 hours in duration (Presentation) and include a minimum of 30 minutes for questions and answers (Q/A) session.
	1036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)	4.00	Each			Live unlimited attendance and on-demand access thereafter; 4 -Part webinar series.
	1037	Accrediation Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	1038	Assist Visit Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	1039	Custom Training (340)	1.00	Each			Max attendees 340
	1040	Subscription: Accreditation and Certification Compliance Strategies Publication	1.00	Each
	1041	Subscription: Environment of Care Newsletter	1.00	Each
	1042	Measures Data Submission Fees	1.00	Each
	1043	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional	24.00	Days			Additional survey day per surveyor for CONUS MTFs (For Cause or Follow-up from triennial survey) 1-24 days per year
	1044	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional	6.00	Days			Additional survey day per surveyor for OCONUS MTFs (For Cause or Follow-up from triennial survey) 1-6 days per year
		Total OPTION YEAR 1 - 23 OCT 2021 TO 22 OCT 2022	962.00			$ - 0
Year	CLIN NO	CLIN DESCRIPTION	Quantity	Unit of Issue	Unit Price	CLIN TOTAL	EXTENDED CLIN DESCRIPTION
		OPTION YEAR TWO (2)
2022
		MTF ANNUAL ACCREDITATION FEES					Price includes Annual membership fees. Annual memebership Fee for XXXX facilities; XXXX Number of Facilities per year
	2001	Large Hospital Accreditation CONUS Annual Fee		Each
	2002	Large Hospital OCONUS Annual Fee		Each
	2003	Medium Hospital Accreditation CONUS Annual Fee		Each
	2004	Medium Hospital Accreditation OCONUS Annual Fee		Each
	2005	Small Hospital Accreditation CONUS Annual Fee		Each
	2006	Small Hospital Accreditation OCONUS Annual Fee		Each
	2007	Large Clinic Accreditation CONUS Annual Fee		Each
	2008	Large Clinic Accreditation OCONUS Annual Fee		Each
	2009	MediumClinic Accreditation CONUS Annual Fee		Each
	2010	Medium Clinic Accreditation OCONUS Annual Fee		Each
	2011	Small Clinic Accreditation CONUS Annual Fee		Each
	2012	Small Clinic Accreditation CONUS Annual Fee		Each
		MTF SURVEY FEES					Price include surveys (announced & unannounced), and travel per Performance Work Statement.
	2013	Large Hospital Accreditation CONUS Accreditation Fee		Each
	2014	Large Hospital OCONUS Accreditation Fee		Each
	2015	Medium Hospital Accreditation CONUS Accreditation Fee		Each
	2016	Medium Hospital Accreditation OCONUS Accreditation Fee		Each
	2017	Small Hospital Accreditation CONUS Accreditation Fee		Each
	2018	Small Hospital Accreditation OCONUS Accreditation Fee		Each
	2019	Large Clinic Accreditation CONUS Accreditation Fee		Each
	2020	Large Clinic Accreditation OCONUS Accreditation Fee		Each
	2021	MediumClinic Accreditation CONUS Accreditation Fee		Each
	2022	Medium Clinic Accreditation OCONUS Accreditation Fee		Each
	2023	Small Clinic Accreditation CONUS Accreditation Fee		Each
	2024	Small Clinic Accreditation CONUS Accreditation Fee		Each
	2025	Patient Centered Medical Home (PCMH) Certification	129.00	Each			PCMH Certification occurs during the triennial survey process and is required for (48 inpatient facilities and 81 ambulatory facilities)
	2026	2-Day Traininig Session	2.00	Days			Customized 2-Day Training Onsite; Based on 50 Attendees and 2 Instructors
	2027	Executive Accreditation Update Webinar Series	1.00	Each			Briefings will accommodate up to 200 people and will be accessible to all Military Treatment Facilities supported by the contract. Individual sign-on will be provided
	2028	Hospital Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	2029	Ambulatory Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	2030	Behavioral Health Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	2031	Compreshensive Accreditation Mannual	395.00	Each			Books: Comprehensive Manaul
	2032	Manuals: Hospital Accreditation Standards (150 Manuals)	150.00	Each			Books: Hospital Accreditation Standards
	2033	Manuals: Standards for Ambulatory Care (88 Manuals)	88.00	Each			Books: Ambulatory Accreditation Standards
	2034	Manuals: Standards for Behavioral Health Care (150 Manuals)	150.00	Each			Booka: Behavioral Health Standards
	2035	Custom Webinars (90 Minute )x 4 (1 each Quarter)	4.00	Each			Webinars inlcude customized topics; will be no less than 1.5 hours in duration (Presentation) and include a minimum of 30 minutes for questions and answers (Q/A) session.
	2036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)	4.00	Each			Live unlimited attendance and on-demand access thereafter; 4 -Part webinar series.
	2037	Accrediation Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	2038	Assist Visit Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	2039	Custom Training (340)	1.00	Each			Max attendees 340
	2040	Subscription: Accreditation and Certification Compliance Strategies Publication	1.00	Each
	2041	Subscription: Environment of Care Newsletter	1.00	Each
	2042	Measures Data Submission Fees	1.00	Each
	2043	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional	24.00	Days			Additional survey day per surveyor for CONUS MTFs (For Cause or Follow-up from triennial survey) 1-24 days per year
	2044	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional	6.00	Days			Additional survey day per surveyor for OCONUS MTFs (For Cause or Follow-up from triennial survey) 1-6 days per year
		Total OPTION YEAR TWO (2) - 23 OCT 2022 TO 22 OCT 2023	962.00	Each		$ - 0
Year	CLIN NO	CLIN DESCRIPTION	Quantity	Unit of Issue	Unit Price	CLIN TOTAL	EXTENDED CLIN DESCRIPTION
		OPTION YEAR THREE (3)
2023
		MTF ANNUAL ACCREDITATION FEES					Price includes Annual membership fees. Annual memebership Fee for XXXX facilities; XXXX Number of Facilities per year
	3001	Large Hospital Accreditation CONUS Annual Fee		Each
	3002	Large Hospital OCONUS Annual Fee		Each
	3003	Medium Hospital Accreditation CONUS Annual Fee		Each
	3004	Medium Hospital Accreditation OCONUS Annual Fee		Each
	3005	Small Hospital Accreditation CONUS Annual Fee		Each
	3006	Small Hospital Accreditation OCONUS Annual Fee		Each
	3007	Large Clinic Accreditation CONUS Annual Fee		Each
	3008	Large Clinic Accreditation OCONUS Annual Fee		Each
	3009	MediumClinic Accreditation CONUS Annual Fee		Each
	3010	Medium Clinic Accreditation OCONUS Annual Fee		Each
	3011	Small Clinic Accreditation CONUS Annual Fee		Each
	3012	Small Clinic Accreditation CONUS Annual Fee		Each
		MTF SURVEY FEES					Price include surveys (announced & unannounced), and travel per Performance Work Statement.
	3013	Large Hospital Accreditation CONUS Accreditation Fee		Each
	3014	Large Hospital OCONUS Accreditation Fee		Each
	3015	Medium Hospital Accreditation CONUS Accreditation Fee		Each
	3016	Medium Hospital Accreditation OCONUS Accreditation Fee		Each
	3017	Small Hospital Accreditation CONUS Accreditation Fee		Each
	3018	Small Hospital Accreditation OCONUS Accreditation Fee		Each
	3019	Large Clinic Accreditation CONUS Accreditation Fee		Each
	3020	Large Clinic Accreditation OCONUS Accreditation Fee		Each
	3021	MediumClinic Accreditation CONUS Accreditation Fee		Each
	3022	Medium Clinic Accreditation OCONUS Accreditation Fee		Each
	3023	Small Clinic Accreditation CONUS Accreditation Fee		Each
	3024	Small Clinic Accreditation CONUS Accreditation Fee		Each
	3025	Patient Centered Medical Home (PCMH) Certification	129.00	Each			PCMH Certification occurs during the triennial survey process and is required for (48 inpatient facilities and 81 ambulatory facilities)
	3026	2-Day Traininig Session	2.00	Days			Customized 2-Day Training Onsite; Based on 50 Attendees and 2 Instructors
	3027	Executive Accreditation Update Webinar Series	1.00	Each			Briefings will accommodate up to 200 people and will be accessible to all Military Treatment Facilities supported by the contract. Individual sign-on will be provided
	3028	Hospital Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	3029	Ambulatory Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	3030	Behavioral Health Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	3031	Compreshensive Accreditation Mannual	395.00	Each			Books: Comprehensive Manaul
	3032	Manuals: Hospital Accreditation Standards (150 Manuals)	150.00	Each			Books: Hospital Accreditation Standards
	3033	Manuals: Standards for Ambulatory Care (88 Manuals)	88.00	Each			Books: Ambulatory Accreditation Standards
	3034	Manuals: Standards for Behavioral Health Care (150 Manuals)	150.00	Each			Booka: Behavioral Health Standards
	3035	Custom Webinars (90 Minute )x 4 (1 each Quarter)	4.00	Each			Webinars inlcude customized topics; will be no less than 1.5 hours in duration (Presentation) and include a minimum of 30 minutes for questions and answers (Q/A) session.
	3036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)	4.00	Each			Live unlimited attendance and on-demand access thereafter; 4 -Part webinar series.
	3037	Accrediation Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	3038	Assist Visit Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	3039	Custom Training (340)	1.00	Each			Max attendees 340
	3040	Subscription: Accreditation and Certification Compliance Strategies Publication	1.00	Each
	3041	Subscription: Environment of Care Newsletter	1.00	Each
	3042	Measures Data Submission Fees	1.00	Each
	3043	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional	24.00	Days			Additional survey day per surveyor for CONUS MTFs (For Cause or Follow-up from triennial survey) 1-24 days per year
	3044	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional	6.00	Days			Additional survey day per surveyor for OCONUS MTFs (For Cause or Follow-up from triennial survey) 1-6 days per year
		Total OPTION YEAR THREE (3) - 23 OCT 2023 TO 22 OCT 2024	962.00			$ - 0
Year	CLIN NO	CLIN DESCRIPTION	Quantity	Unit of Issue	Unit Price	CLIN TOTAL	EXTENDED CLIN DESCRIPTION
		OPTION YEAR FOUR (4)
2024
		MTF ANNUAL ACCREDITATION FEES					Price includes Annual membership fees. Annual memebership Fee for XXXX facilities; XXXX Number of Facilities per year
	4001	Large Hospital Accreditation CONUS Annual Fee		Each
	4002	Large Hospital OCONUS Annual Fee		Each
	4003	Medium Hospital Accreditation CONUS Annual Fee		Each
	4004	Medium Hospital Accreditation OCONUS Annual Fee		Each
	4005	Small Hospital Accreditation CONUS Annual Fee		Each
	4006	Small Hospital Accreditation OCONUS Annual Fee		Each
	4007	Large Clinic Accreditation CONUS Annual Fee		Each
	4008	Large Clinic Accreditation OCONUS Annual Fee		Each
	4009	MediumClinic Accreditation CONUS Annual Fee		Each
	4010	Medium Clinic Accreditation OCONUS Annual Fee		Each
	4011	Small Clinic Accreditation CONUS Annual Fee		Each
	4012	Small Clinic Accreditation CONUS Annual Fee		Each
		MTF SURVEY FEES					Price include surveys (announced & unannounced), and travel per Performance Work Statement.
	4013	Large Hospital Accreditation CONUS Accreditation Fee		Each
	4014	Large Hospital OCONUS Accreditation Fee		Each
	4015	Medium Hospital Accreditation CONUS Accreditation Fee		Each
	4016	Medium Hospital Accreditation OCONUS Accreditation Fee		Each
	4017	Small Hospital Accreditation CONUS Accreditation Fee		Each
	4018	Small Hospital Accreditation OCONUS Accreditation Fee		Each
	4019	Large Clinic Accreditation CONUS Accreditation Fee		Each
	4020	Large Clinic Accreditation OCONUS Accreditation Fee		Each
	4021	MediumClinic Accreditation CONUS Accreditation Fee		Each
	4022	Medium Clinic Accreditation OCONUS Accreditation Fee		Each
	4023	Small Clinic Accreditation CONUS Accreditation Fee		Each
	4024	Small Clinic Accreditation CONUS Accreditation Fee		Each
	4025	Patient Centered Medical Home (PCMH) Certification	129.00	Each			PCMH Certification occurs during the triennial survey process and is required for (48 inpatient facilities and 81 ambulatory facilities)
	4026	2-Day Traininig Session	2.00	Days			Customized 2-Day Training Onsite; Based on 50 Attendees and 2 Instructors
	4027	Executive Accreditation Update Webinar Series	1.00	Each			Briefings will accommodate up to 200 people and will be accessible to all Military Treatment Facilities supported by the contract. Individual sign-on will be provided
	4028	Hospital Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	4029	Ambulatory Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	4030	Behavioral Health Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	4031	Compreshensive Accreditation Mannual	395.00	Each			Books: Comprehensive Manaul
	4032	Manuals: Hospital Accreditation Standards (150 Manuals)	150.00	Each			Books: Hospital Accreditation Standards
	4033	Manuals: Standards for Ambulatory Care (88 Manuals)	88.00	Each			Books: Ambulatory Accreditation Standards
	4034	Manuals: Standards for Behavioral Health Care (150 Manuals)	150.00	Each			Booka: Behavioral Health Standards
	4035	Custom Webinars (90 Minute )x 4 (1 each Quarter)	4.00	Each			Webinars inlcude customized topics; will be no less than 1.5 hours in duration (Presentation) and include a minimum of 30 minutes for questions and answers (Q/A) session.
	4036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)	4.00	Each			Live unlimited attendance and on-demand access thereafter; 4 -Part webinar series.
	4037	Accrediation Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	4038	Assist Visit Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	4039	Custom Training (340)	1.00	Each			Max attendees 340
	4040	Subscription: Accreditation and Certification Compliance Strategies Publication	1.00	Each
	4041	Subscription: Environment of Care Newsletter	1.00	Each
	4042	Measures Data Submission Fees	1.00	Each
	4043	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional	24.00	Days			Additional survey day per surveyor for CONUS MTFs (For Cause or Follow-up from triennial survey) 1-24 days per year
	4044	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional	6.00	Days			Additional survey day per surveyor for OCONUS MTFs (For Cause or Follow-up from triennial survey) 1-6 days per year
		Total OPTION YEAR FOUR (4) - 23 OCT 2024 TO 22 OCT 2025	962.00			$ - 0
Year	CLIN NO	CLIN DESCRIPTION	Quantity	Unit of Issue	Unit Price	CLIN TOTAL	EXTENDED CLIN DESCRIPTION
		EXTENSION OF SERVICES OPTION
2025
		MTF ANNUAL ACCREDITATION FEES					Price includes Annual membership fees. Annual memebership Fee for XXXX facilities; XXXX Number of Facilities per year
	E001	Large Hospital Accreditation CONUS Annual Fee		Each
	E002	Large Hospital OCONUS Annual Fee		Each
	E003	Medium Hospital Accreditation CONUS Annual Fee		Each
	E004	Medium Hospital Accreditation OCONUS Annual Fee		Each
	E005	Small Hospital Accreditation CONUS Annual Fee		Each
	E006	Small Hospital Accreditation OCONUS Annual Fee		Each
	E007	Large Clinic Accreditation CONUS Annual Fee		Each
	E008	Large Clinic Accreditation OCONUS Annual Fee		Each
	E009	MediumClinic Accreditation CONUS Annual Fee		Each
	E010	Medium Clinic Accreditation OCONUS Annual Fee		Each
	E011	Small Clinic Accreditation CONUS Annual Fee		Each
	E012	Small Clinic Accreditation CONUS Annual Fee		Each
		MTF SURVEY FEES					Price include surveys (announced & unannounced), and travel per Performance Work Statement.
	E013	Large Hospital Accreditation CONUS Accreditation Fee		Each
	E014	Large Hospital OCONUS Accreditation Fee		Each
	E015	Medium Hospital Accreditation CONUS Accreditation Fee		Each
	E016	Medium Hospital Accreditation OCONUS Accreditation Fee		Each
	E017	Small Hospital Accreditation CONUS Accreditation Fee		Each
	E018	Small Hospital Accreditation OCONUS Accreditation Fee		Each
	E019	Large Clinic Accreditation CONUS Accreditation Fee		Each
	E020	Large Clinic Accreditation OCONUS Accreditation Fee		Each
	E021	MediumClinic Accreditation CONUS Accreditation Fee		Each
	E022	Medium Clinic Accreditation OCONUS Accreditation Fee		Each
	E023	Small Clinic Accreditation CONUS Accreditation Fee		Each
	E024	Small Clinic Accreditation CONUS Accreditation Fee		Each
	E025	Patient Centered Medical Home (PCMH) Certification	129.00	Each			PCMH Certification occurs during the triennial survey process and is required for (48 inpatient facilities and 81 ambulatory facilities)
	E026	2-Day Traininig Session	2.00	Days			Customized 2-Day Training Onsite; Based on 50 Attendees and 2 Instructors
	E027	Executive Accreditation Update Webinar Series	1.00	Each			Briefings will accommodate up to 200 people and will be accessible to all Military Treatment Facilities supported by the contract. Individual sign-on will be provided
	E028	Hospital Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	E029	Ambulatory Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	E030	Behavioral Health Standards Update Webinar Series	1.00	Each			Live unlimited attendance and on-demand access thereafter; XX-Part webinar series.
	E031	Compreshensive Accreditation Mannual	395.00	Each			Books: Comprehensive Manaul
	E032	Manuals: Hospital Accreditation Standards (150 Manuals)	150.00	Each			Books: Hospital Accreditation Standards
	E033	Manuals: Standards for Ambulatory Care (88 Manuals)	88.00	Each			Books: Ambulatory Accreditation Standards
	E034	Manuals: Standards for Behavioral Health Care (150 Manuals)	150.00	Each			Booka: Behavioral Health Standards
	E035	Custom Webinars (90 Minute )x 4 (1 each Quarter)	4.00	Each			Webinars inlcude customized topics; will be no less than 1.5 hours in duration (Presentation) and include a minimum of 30 minutes for questions and answers (Q/A) session.
	E036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)	4.00	Each			Live unlimited attendance and on-demand access thereafter; 4 -Part webinar series.
	E037	Accrediation Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	E038	Assist Visit Software	1.00	Each			The contractor shall provide access to the Accreditation Software (Ambulatory, Hospital, and Behavioral Health Programs) and appropriate training, account management and technical support to XX DHA Medical Treatment Facilites, XX Regional Health, DHA Accreditation and Compliance Program to effectively utilize the web-based tool
	E039	Custom Training (340)	1.00	Each			Max attendees 340
	E040	Subscription: Accreditation and Certification Compliance Strategies Publication	1.00	Each
	E041	Subscription: Environment of Care Newsletter	1.00	Each
	E042	Measures Data Submission Fees	1.00	Each
	E043	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional	24.00	Days			Additional survey day per surveyor for CONUS MTFs (For Cause or Follow-up from triennial survey) 1-24 days per year
	E044	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional	6.00	Days			Additional survey day per surveyor for OCONUS MTFs (For Cause or Follow-up from triennial survey) 1-6 days per year
		EXTENSSION OF SERVICES OPTION TOTAL	962.00			$ - 0
		GRAND TOTAL EXCLUSIVE OF EXT OF SVCS OPT
		GRAND TOTAL TO INCLUDE EXT OF SVCS OPT				$ - 0

NOTE(s):	1	Offerors shall complete all cells.
	2	Offeror's shall not deviate from cells where quantities have been provided.
	3	Offeror's shall propose quantities in cells where quantities have not been identified.
	4	Offeror's shall propose all unit and total prices for each CLIN, for base and all option years, and grand totals as identified above.

&"-,Bold"&12RFP HT0011-20-R-0043 ATTACHMENT 3a - PRICE SHEET

TAB 2 - CLIN BREAKDOWN

CLIN NO	CLIN DESCRIPTION	MAX QUANTITY	UNIT OF ISSUE	CLIN UNIT PRICE	CLIN TOTAL PRICE	LOCATION(S)	RATIONALE
	BASE YEAR	See Note 2				See Note 3	See Note 4
	MTF ANNUAL ACCREDITATION FEES
0001	Large Hospital Accreditation CONUS Annual Fee		EACH
						List all MTFs associated with this grouping. Same for all Options.

0002	Large Hospital OCONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0003	Medium Hospital Accreditation CONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0004	Medium Hospital Accreditation OCONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0005	Small Hospital Accreditation CONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0006	Small Hospital Accreditation OCONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0007	Large Clinic Accreditation CONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0008	Large Clinic Accreditation OCONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0009	MediumClinic Accreditation CONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0010	Medium Clinic Accreditation OCONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0011	Small Clinic Accreditation CONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0012	Small Clinic Accreditation CONUS Annual Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

	BASE YEAR MTF ANNUAL ACCREDITATION FEE TOTAL		$ - 0
	MTF ANNUAL SURVEY FEES	EACH
0013	Large Hospital Accreditation CONUS Accreditation Fee	EACH
				List all MTFs associated with this grouping. Same for all Options.

0014	Large Hospital OCONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0015	Medium Hospital Accreditation CONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0016	Medium Hospital Accreditation OCONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0017	Small Hospital Accreditation CONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0018	Small Hospital Accreditation OCONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0019	Large Clinic Accreditation CONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0020	Large Clinic Accreditation OCONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0021	MediumClinic Accreditation CONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0022 Medium Clinic Accreditation OCONUS Accreditation Fee EACH

List all MTFs associated with this grouping. Same for all Options.

0023	Small Clinic Accreditation CONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

0024	Small Clinic Accreditation CONUS Accreditation Fee	EACH
			List all MTFs associated with this grouping. Same for all Options.

	BASE YEAR MTF ANNUAL SURVEY FEE TOTALS		$ - 0
	BASE YEAR TOTAL FOR ANNUAL MTF ACCREDITATION AND SURVEY FEES		$ - 0
	OPTION YEAR ONE
	MTF ANNUAL ACCREDITATION FEES
1001	Large Hospital Accreditation CONUS Annual Fee	EACH
1002	Large Hospital OCONUS Annual Fee	EACH
1003	Medium Hospital Accreditation CONUS Annual Fee	EACH
1004	Medium Hospital Accreditation OCONUS Annual Fee	EACH
1005	Small Hospital Accreditation CONUS Annual Fee	EACH
1006	Small Hospital Accreditation OCONUS Annual Fee	EACH
1007	Large Clinic Accreditation CONUS Annual Fee	EACH
1008	Large Clinic Accreditation OCONUS Annual Fee	EACH
1009	MediumClinic Accreditation CONUS Annual Fee	EACH
1010	Medium Clinic Accreditation OCONUS Annual Fee	EACH
1011	Small Clinic Accreditation CONUS Annual Fee	EACH
1012	Small Clinic Accreditation CONUS Annual Fee	EACH
	OPT YR 1 YR MTF ANNUAL ACCREDITATION FEE TOTAL		$ - 0
	MTF ANNUAL SURVEY FEES	EACH
1013	Large Hospital Accreditation CONUS Accreditation Fee	EACH
1014	Large Hospital OCONUS Accreditation Fee	EACH
1015	Medium Hospital Accreditation CONUS Accreditation Fee	EACH
1016	Medium Hospital Accreditation OCONUS Accreditation Fee	EACH
1017	Small Hospital Accreditation CONUS Accreditation Fee	EACH
1018	Small Hospital Accreditation OCONUS Accreditation Fee	EACH
1019	Large Clinic Accreditation CONUS Accreditation Fee	EACH
1020	Large Clinic Accreditation OCONUS Accreditation Fee	EACH
1021	MediumClinic Accreditation CONUS Accreditation Fee	EACH
1022	Medium Clinic Accreditation OCONUS Accreditation Fee	EACH
1023	Small Clinic Accreditation CONUS Accreditation Fee	EACH
1024	Small Clinic Accreditation CONUS Accreditation Fee	EACH
	OPT YR 1 MTF ANNUAL SURVEY FEE TOTALS		$ - 0
	OPT YR 1 TOTAL FOR ANNUAL MTF ACCREDITATION AND SURVEY FEES		$ - 0
	OPTION YEAR TWO
	MTF ANNUAL ACCREDITATION FEES
2001	Large Hospital Accreditation CONUS Annual Fee	EACH
2002	Large Hospital OCONUS Annual Fee	EACH
2003	Medium Hospital Accreditation CONUS Annual Fee	EACH
2004	Medium Hospital Accreditation OCONUS Annual Fee	EACH
2005	Small Hospital Accreditation CONUS Annual Fee	EACH
2006	Small Hospital Accreditation OCONUS Annual Fee	EACH
2007	Large Clinic Accreditation CONUS Annual Fee	EACH
2008	Large Clinic Accreditation OCONUS Annual Fee	EACH
2009	MediumClinic Accreditation CONUS Annual Fee	EACH
2010	Medium Clinic Accreditation OCONUS Annual Fee	EACH
2011	Small Clinic Accreditation CONUS Annual Fee	EACH
2012	Small Clinic Accreditation CONUS Annual Fee	EACH
	OPT YR 2 MTF ANNUAL ACCREDITATION FEE TOTAL		$ - 0
	MTF SURVEY FEES	EACH
2013	Large Hospital Accreditation CONUS Accreditation Fee	EACH
2014	Large Hospital OCONUS Accreditation Fee	EACH
2015	Medium Hospital Accreditation CONUS Accreditation Fee	EACH
2016	Medium Hospital Accreditation OCONUS Accreditation Fee	EACH
2017	Small Hospital Accreditation CONUS Accreditation Fee	EACH
2018	Small Hospital Accreditation OCONUS Accreditation Fee	EACH
2019	Large Clinic Accreditation CONUS Accreditation Fee	EACH
2020	Large Clinic Accreditation OCONUS Accreditation Fee	EACH
2021	MediumClinic Accreditation CONUS Accreditation Fee	EACH
2022	Medium Clinic Accreditation OCONUS Accreditation Fee	EACH
2023	Small Clinic Accreditation CONUS Accreditation Fee	EACH
2024	Small Clinic Accreditation CONUS Accreditation Fee	EACH
	OPT YR 2 MTF ANNUAL SURVEY FEE TOTALS		$ - 0
	OPT YR 2 TOTAL FOR ANNUAL MTF ACCREDITATION AND SURVEY FEES		$ - 0
	OPTION YEAR THREE
	MTF ANNUAL ACCREDITATION FEES
3001	Large Hospital Accreditation CONUS Annual Fee	EACH
3002	Large Hospital OCONUS Annual Fee	EACH
3003	Medium Hospital Accreditation CONUS Annual Fee	EACH
3004	Medium Hospital Accreditation OCONUS Annual Fee	EACH
3005	Small Hospital Accreditation CONUS Annual Fee	EACH
3006	Small Hospital Accreditation OCONUS Annual Fee	EACH
3007	Large Clinic Accreditation CONUS Annual Fee	EACH
3008	Large Clinic Accreditation OCONUS Annual Fee	EACH
3009	MediumClinic Accreditation CONUS Annual Fee	EACH
3010	Medium Clinic Accreditation OCONUS Annual Fee	EACH
3011	Small Clinic Accreditation CONUS Annual Fee	EACH
3012	Small Clinic Accreditation CONUS Annual Fee	EACH
	OPT YR 3 MTF ANNUAL ACCREDITATION FEE TOTAL		$ - 0
	MTF SURVEY FEES	EACH
3013	Large Hospital Accreditation CONUS Accreditation Fee	EACH
3014	Large Hospital OCONUS Accreditation Fee	EACH
3015	Medium Hospital Accreditation CONUS Accreditation Fee	EACH
3016	Medium Hospital Accreditation OCONUS Accreditation Fee	EACH
3017	Small Hospital Accreditation CONUS Accreditation Fee	EACH
3018	Small Hospital Accreditation OCONUS Accreditation Fee	EACH
3019	Large Clinic Accreditation CONUS Accreditation Fee	EACH
3020	Large Clinic Accreditation OCONUS Accreditation Fee	EACH
3021	MediumClinic Accreditation CONUS Accreditation Fee	EACH
3022	Medium Clinic Accreditation OCONUS Accreditation Fee	EACH
3023	Small Clinic Accreditation CONUS Accreditation Fee	EACH
3024	Small Clinic Accreditation CONUS Accreditation Fee	EACH
	OPT YR 3 MTF ANNUAL SURVEY FEE TOTALS		$ - 0
	OPT YR 3 TOTAL FOR ANNUAL MTF ACCREDITATION AND SURVEY FEES		$ - 0
	OPTION YEAR FOUR
	MTF ANNUAL ACCREDITATION FEES
4001	Large Hospital Accreditation CONUS Annual Fee	EACH
4002	Large Hospital OCONUS Annual Fee	EACH
4003	Medium Hospital Accreditation CONUS Annual Fee	EACH
4004	Medium Hospital Accreditation OCONUS Annual Fee	EACH
4005	Small Hospital Accreditation CONUS Annual Fee	EACH
4006	Small Hospital Accreditation OCONUS Annual Fee	EACH
4007	Large Clinic Accreditation CONUS Annual Fee	EACH
4008	Large Clinic Accreditation OCONUS Annual Fee	EACH
4009	MediumClinic Accreditation CONUS Annual Fee	EACH
4010	Medium Clinic Accreditation OCONUS Annual Fee	EACH
4011	Small Clinic Accreditation CONUS Annual Fee	EACH
4012	Small Clinic Accreditation CONUS Annual Fee	EACH
	OPT YR 4 MTF ANNUAL ACCREDITATION FEE TOTAL		$ - 0
	MTF SURVEY FEES	EACH
4013	Large Hospital Accreditation CONUS Accreditation Fee	EACH
4014	Large Hospital OCONUS Accreditation Fee	EACH
4015	Medium Hospital Accreditation CONUS Accreditation Fee	EACH
4016	Medium Hospital Accreditation OCONUS Accreditation Fee	EACH
4017	Small Hospital Accreditation CONUS Accreditation Fee	EACH
4018	Small Hospital Accreditation OCONUS Accreditation Fee	EACH
4019	Large Clinic Accreditation CONUS Accreditation Fee	EACH
4020	Large Clinic Accreditation OCONUS Accreditation Fee	EACH
4021	MediumClinic Accreditation CONUS Accreditation Fee	EACH
4022	Medium Clinic Accreditation OCONUS Accreditation Fee	EACH
4023	Small Clinic Accreditation CONUS Accreditation Fee	EACH
4024	Small Clinic Accreditation CONUS Accreditation Fee	EACH
	OPT YR 4 MTF ANNUAL SURVEY FEE TOTALS		$ - 0
	OPT YR 4 TOTAL FOR ANNUAL MTF ACCREDITATION AND SURVEY FEES		$ - 0
	EXT OF SVCS OPTION
	MTF ANNUAL ACCREDITATION FEES
E001	Large Hospital Accreditation CONUS Annual Fee	EACH
E002	Large Hospital OCONUS Annual Fee	EACH
E003	Medium Hospital Accreditation CONUS Annual Fee	EACH
E004	Medium Hospital Accreditation OCONUS Annual Fee	EACH
E005	Small Hospital Accreditation CONUS Annual Fee	EACH
E006	Small Hospital Accreditation OCONUS Annual Fee	EACH
E007	Large Clinic Accreditation CONUS Annual Fee	EACH
E008	Large Clinic Accreditation OCONUS Annual Fee	EACH
E009	MediumClinic Accreditation CONUS Annual Fee	EACH
E010	Medium Clinic Accreditation OCONUS Annual Fee	EACH
E011	Small Clinic Accreditation CONUS Annual Fee	EACH
E012	Small Clinic Accreditation CONUS Annual Fee	EACH
	EXT OF SVCS OPT MTF ANNUAL ACCREDITATION FEE TOTAL		$ - 0
	MTF SURVEY FEES	EACH
E013	Large Hospital Accreditation CONUS Accreditation Fee	EACH
E014	Large Hospital OCONUS Accreditation Fee	EACH
E015	Medium Hospital Accreditation CONUS Accreditation Fee	EACH
E016	Medium Hospital Accreditation OCONUS Accreditation Fee	EACH
E017	Small Hospital Accreditation CONUS Accreditation Fee	EACH
E018	Small Hospital Accreditation OCONUS Accreditation Fee	EACH
E019	Large Clinic Accreditation CONUS Accreditation Fee	EACH
E020	Large Clinic Accreditation OCONUS Accreditation Fee	EACH
E021	MediumClinic Accreditation CONUS Accreditation Fee	EACH
E022	Medium Clinic Accreditation OCONUS Accreditation Fee	EACH
E023	Small Clinic Accreditation CONUS Accreditation Fee	EACH
E024	Small Clinic Accreditation CONUS Accreditation Fee	EACH
	EXT OF SVCS OPT MTF ANNUAL SURVEY FEE TOTALS		$ - 0
	EXT OF SVCS OPT TOTAL FOR ANNUAL MTF ACCREDITATION AND SURVEY FEES		$ - 0

NOTE 1:	Offerors shall complete all cells as required.
NOTE 2:	Offerors shall propose quantities per each CLIN based on the number of Military Treatment Facilities per size grouping to include large, medium, or small hospitals and clinics CONUS/OCONUS IAW HFAS RFP Attachment 3b - MTF Accreditation Table with Services and Facilities and HFAS RFP Attachment 3c - MTF Summary Information
NOTE 3:	Under the Location(s) Column, Offerors shall provide all location(s)/facility site proposed for the identified sized facility [small, medium, or large hospital/clinic, CONUS/OCONUS]. A Military Treatment Facility includes all locations identified under the Facility Size Column of HFAS RFP Attachment 3b - MTF Accreditation Table with Services and Facilities and HFAS RFP Attachment 3c - MTF Summary Information.
NOTE 4:	Under the Rationale Column, Offerors shall provide a detailed rationale supporting the maximum quantity proposed for each identified sized facility [large, medium, or small hospital/clinic, CONUS/OCONUS to include all services to be provided for those facilities IAW HFAS RFP Attachment 3b - MTF Accreditation Table with Services and Facilities and HFAS RFP Attachment 3c - MTF Summary Information.

TAB 3 - PRIME - SUB INFO

CLIN NO	CLIN DESCRIPTION	CLIN TOTAL FOR PRIME	CLIN TOTAL FOR SUB	CLIN TOTAL PRICE	CONTRACTOR NAME	PLACE "P" FOR PRIME OR "S' FOR SUB	FOR EACH ROW THAT IS "P" IN COLUMN E - ENTER N/A, FOR EACH ROW THAT IS "S" IN COLUMN E- ENTER NAICS CODE PRIME HAS ASSIGNED TO THAT SUBCONTRACTOR	FOR EACH ROW THAT HAS "P" IN COLUMN E - ENTER N/A, FOR EACH ROW THAT HAS A NAICS CODE IN COLUMN F - ENTER "LARGE" OR "SMALL" BASED ON THE SIZE STANDARD FOR THE ASSIGNED NAICS CODE
BASE YR
0001	Large Hospital Accreditation CONUS Annual Fee
0002	Large Hospital OCONUS Annual Fee
0003	Medium Hospital Accreditation CONUS Annual Fee
0004	Medium Hospital Accreditation OCONUS Annual Fee
0005	Small Hospital Accreditation CONUS Annual Fee
0006	Small Hospital Accreditation OCONUS Annual Fee
0007	Large Clinic Accreditation CONUS Annual Fee
0008	Large Clinic Accreditation OCONUS Annual Fee
0009	MediumClinic Accreditation CONUS Annual Fee
0010	Medium Clinic Accreditation OCONUS Annual Fee
0011	Small Clinic Accreditation CONUS Annual Fee
0012	Small Clinic Accreditation CONUS Annual Fee
0013	Large Hospital Accreditation CONUS Accreditation Fee
0014	Large Hospital OCONUS Accreditation Fee
0015	Medium Hospital Accreditation CONUS Accreditation Fee
0016	Medium Hospital Accreditation OCONUS Accreditation Fee
0017	Small Hospital Accreditation CONUS Accreditation Fee
0018	Small Hospital Accreditation OCONUS Accreditation Fee
0019	Large Clinic Accreditation CONUS Accreditation Fee
0020	Large Clinic Accreditation OCONUS Accreditation Fee
0021	MediumClinic Accreditation CONUS Accreditation Fee
0022	Medium Clinic Accreditation OCONUS Accreditation Fee
0023	Small Clinic Accreditation CONUS Accreditation Fee
0024	Small Clinic Accreditation CONUS Accreditation Fee
0025	Patient Centered Medical Home (PCMH) Certification
0026	2-Day Traininig Session
0027	Executive Accreditation Update Webinar Series
0028	Hospital Standards Update Webinar Series
0029	Ambulatory Standards Update Webinar Series
0030	Behavioral Health Standards Update Webinar Series
0031	Compreshensive Accreditation Mannual
0032	Manuals: Hospital Accreditation Standards (150 Manuals)
0033	Manuals: Standards for Ambulatory Care (88 Manuals)
0034	Manuals: Standards for Behavioral Health Care (150 Manuals)
0035	Custom Webinars (90 Minute )x 4 (1 each Quarter)
0036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)
0037	Accrediation Software
0038	Assist Visit Software
0039	Custom Training (340)
0040	Subscription: Accreditation and Certification Compliance Strategies Publication
0041	Subscription: Environment of Care Newsletter
0042	Measures Data Submission Fees
0043	Transition-In Cost
0044	Additional Survey Day (For Cause or Follow-up Survey (CONUS) - Optional
0045	Additional Survey Day (For Cause or Follow-up Survey (OCONUS) - Optional
OPT YR 1
1001	Large Hospital Accreditation CONUS Annual Fee
1002	Large Hospital OCONUS Annual Fee
1003	Medium Hospital Accreditation CONUS Annual Fee
1004	Medium Hospital Accreditation OCONUS Annual Fee
1005	Small Hospital Accreditation CONUS Annual Fee
1006	Small Hospital Accreditation OCONUS Annual Fee
1007	Large Clinic Accreditation CONUS Annual Fee
1008	Large Clinic Accreditation OCONUS Annual Fee
1009	MediumClinic Accreditation CONUS Annual Fee
1010	Medium Clinic Accreditation OCONUS Annual Fee
1011	Small Clinic Accreditation CONUS Annual Fee
1012	Small Clinic Accreditation CONUS Annual Fee
1013	Large Hospital Accreditation CONUS Accreditation Fee
1014	Large Hospital OCONUS Accreditation Fee
1015	Medium Hospital Accreditation CONUS Accreditation Fee
1016	Medium Hospital Accreditation OCONUS Accreditation Fee
1017	Small Hospital Accreditation CONUS Accreditation Fee
1018	Small Hospital Accreditation OCONUS Accreditation Fee
1019	Large Clinic Accreditation CONUS Accreditation Fee
1020	Large Clinic Accreditation OCONUS Accreditation Fee
1021	MediumClinic Accreditation CONUS Accreditation Fee
1022	Medium Clinic Accreditation OCONUS Accreditation Fee
1023	Small Clinic Accreditation CONUS Accreditation Fee
1024	Small Clinic Accreditation CONUS Accreditation Fee
1025	Patient Centered Medical Home (PCMH) Certification
1026	2-Day Traininig Session
1027	Executive Accreditation Update Webinar Series
1028	Hospital Standards Update Webinar Series
1029	Ambulatory Standards Update Webinar Series
1030	Behavioral Health Standards Update Webinar Series
1031	Compreshensive Accreditation Mannual
1032	Manuals: Hospital Accreditation Standards (150 Manuals)
1033	Manuals: Standards for Ambulatory Care (88 Manuals)
1034	Manuals: Standards for Behavioral Health Care (150 Manuals)
1035	Custom Webinars (90 Minute )x 4 (1 each Quarter)
1036	Quarterly Environment of Care Webinar x 4 (1 each Quarter)
1037	Accrediation Software
1038	Assist Visit Software
1039	Custom Training (340)
1040	Subscription: Accreditation and Certification Compliance Strategies Publication

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File details come from the government source that posted it. Updated Sep 18, 2020.