Iowa City CT Techs Solicitation 36C26326Q0007.pdf

PAGE 1 OF1. REQUISITION NO.

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

a. NAME b. EMAIL 8. OFFER DEADLINE

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. UEI: EFT:

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. NOV 2021)

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

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C26326Q0007

36C263 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506 St. Paul MN 55101

X

N/A

X

Department of Veterans Affairs Iowa City VA Health Care System 601 Highway 6 West Iowa City, IA 52246-2209

Y

Department of Veterans Affairs Financial Services Center PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

See CONTINUATION Page

Matthew Rose Contracting Officer

03 October 2025

11:59 PM CDT

27 October 2025

X

621512

$19 Million

X

See block 9

36C368

Onsite Computed Tomography (CT) Technologist Services for ICVAHCS under the authority of 38 U.S.C. 8153, FAR Part 13, and VAAR Part 873.

This is a total SDVOSB set aside.

Period of Performance (POP): 5 years. 01 December 2025 - 30 November 2030.

See Schedule at B.2.

See Performance Work Statement (PWS) at B.3.

See Quote Submission Instructions at E.2.

See Evaluation Criteria at E.5.

Matthew Rose Matthew.Rose3@va.gov

36C26325Q0800

Table of Contents

Section B - Continuation of SF 1449 Blocks B.1 Contract Administration Data ------------------------------------------------------------------------------------------------- 3 B.2 Schedule of Services ------------------------------------------------------------------------------------------------------------- 4 B.3 Performance Work Statement -------------------------------------------------------------------------------------------------- 6 B.4 Records Management Obligations (NARA Language) ------------------------------------------------------------------- 18 B.5 VA Information and Information System Security / Privacy Language ------------------------------------------------ 20 Section C - Contract Clauses C.1 52.212-4 Contract Terms and Conditions—Commercial Products and Commercial Services (Nov 2023) ------ 25 C.2 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021) --------------------------- 30 C.3 52.216-18 Ordering (Aug 2020) --------------------------------------------------------------------------------------------- 31 C.4 52.216-19 Order Limitations (Oct 1995) ---------------------------------------------------------------------------------- 31 C.5 52.216-22 Indefinite Quantity (Oct 1995) --------------------------------------------------------------------------------- 32 C.6 52.217-8 Option to Extend Services (Nov 1999) -------------------------------------------------------------------------- 32 C.7 52.228-5 Insurance-Work on a Government Installation (Jan 1997) -------------------------------------------------- 32 C.8 CL-120 Supplemental Insurance Requirements --------------------------------------------------------------------------- 33 C.9 852.204-71 Information and Information Systems Security (Feb 2023) ----------------------------------------------- 33 C.10 852.211-76 Liquidated Damages-Reimbursement for Data Breach Costs (Feb 2023) ---------------------------- 40 C.11 852.237-70 Indemnification and Medical Liability Insurance (Oct 2019) ------------------------------------------- 41 C.12 852.237-72 Crime Control Act—Reporting of Child Abuse (Oct 2019) ---------------------------------------------- 42 C.13 52.252-2 Clauses Incorporated by Reference (Feb 1998) ------------------------------------------------------------- 42 C.14 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders— Commercial Products and Commercial Services (Feb 2025 Deviation) --------------------------------------------------- 43 Section D - Contract Attachments Section E – Solicitation Provisions E.1 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep 2023) ------------------ 51 E.2 Quote Submission Instructions ---------------------------------------------------------------------------------------------- 53 E.3 52.233-2 Service of Protest (Sep 2006) ------------------------------------------------------------------------------------- 54 E.4 52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998) --------------------------------------------- 54 E.5 52.212-2 Evaluation- Commercial Products and Commercial Services (Nov 2021) -------------------------------- 54 E.6 52.212-3 Offeror Representations and Certifications—Commercial Products and Commercial Services (Feb 2025 Deviation) -------------------------------------------------------------------------------------------------------------- 55

B.1 Contract Administration Data | Iowa City CT Techs | 36C26326Q0007

Section B - Continuation of SF 1449 Blocks

B.1 Contract Administration Data

Under the authority of Public Law 104-262, 38 USC 8153, FAR Part 13 and VAAR Part 873, the Contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Iowa City VA Health Care System (ICVAHCS), the services and prices specified in the Sections B.2 (Schedule) and B.3

(PWS).

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

Contractor:

Government:

Contracting Officer:

Matthew Rose, NCO 23 316 N. Robert St. STE 506 St. Paul MN 55101 651-293-3010 Matthew.Rose3@va.gov

2. Contractor and Government points of contact can be changed by written notification to the other party.

Notification will be placed in the Contract file and will not require a modification to the Contract.

3. Contractor Remittance Address: All payments by the Government to the Contractor will be made in accordance with FAR 52.232-33, Payment by Electronic Funds Transfer – System for Award Management, and VAAR 852.232-72, Electronic Submission of Payment Requests.

4. Availability of Funds: The Contractor may not perform services until authorization and funding is provided for the applicable performance by the Contracting Officer in writing.

5. Invoices: Invoices shall be submitted monthly in arrears. The Contracting Officer’s Representative (COR) will review all invoices submitted. The COR is responsible for certifying invoices for payment for only those services received and deemed acceptable by VA. Once certified by the COR, payment can be made via the Tungsten Network.

6. Billing Instructions: See PWS Section 6.2 for billing instructions.

7. Amendments: Contractor acknowledges receipt of solicitation amendments listed below:

Amendment Number Date Issued None mailto:Matthew.Rose3@va.gov

B.2 Schedule of Services | Iowa City CT Techs | 36C26326Q0007

B.2 Schedule of Services The Contractor shall furnish all key personnel to provide services necessary to perform onsite CT Technologist Services to eligible ICVAHCS beneficiaries.

Place of Performance: Services will be provided on site at the ICVAHCS: 601 Highway 6 West, Iowa City, IA 52246.

Pricing Instructions: The Contractor will propose a minimum of two key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. Additional key personnel may be proposed as backups.

Period of Performance (POP): 01 December 2025 to 30 November 2030. POP may be moved back by contract modification if needed to accommodate VA security onboarding processing time.

This is an Indefinite-Delivery Indefinite Quantity (IDIQ) contract. The Government intends to issue a task order at the start of each period of performance reflecting estimated services needed for that period; actual hours issued under each task order may be higher or lower than current estimates listed in the schedule below.

Per Diem (for Key Personnel located over 50 miles from Place of Performance only): These will be priced at GSA’s published per diem rates (lodging + M&IE) for Iowa City (https://www.gsa.gov/travel/plan-book/per-diem-rates).

An estimated 183 days is needed per Key Personnel.

Period: Year 1 Start Date: December 1, 2025 Schedule of Services PO#: Pending End Date: November 30, 2026 Iowa City CT Techs

LIN Sublin Description Est. Qty. Unit Unit Cost Est. Total

ARRT(CT) Certified CT Technologist

0001a Scheduled 4,160 Hours $0.00 0001b On Call 3,340 Hours $0.00 0001c Callback 372 Hours $0.00 0001d Overtime 4 Hours $0.00

Per Diem Days $162.00

Estimated Total for this Period: $0.00

Period: Year 2 Start Date: December 1, 2026 Schedule of Services PO#: Pending End Date: November 30, 2027 Iowa City CT Techs

LIN Sublin Description Est. Qty. Unit Unit Cost Est. Total

0001c Callback 372 Hours $0.00

Per Diem Days *$162.00

*Contracting Officer will incorporate current GSA pricing upon issuing task order for this POP https://www.gsa.gov/travel/plan-book/per-diem-rates

B.2 Schedule of Services | Iowa City CT Techs | 36C26326Q0007

Period: Year 3 Start Date: December 1, 2027 Schedule of Services PO#: Pending End Date: November 30, 2028 Iowa City CT Techs

LIN Sublin Description Est. Qty. Unit Unit Cost Est. Total

0001c Callback 372 Hours $0.00

*Contracting Officer will incorporate current GSA pricing upon issuing task order for this POP

Period: Year 4 Start Date: December 1, 2028 Schedule of Services PO#: Pending End Date: November 30, 2029 Iowa City CT Techs

0001c Callback 372 Hours $0.00

*Contracting Officer will incorporate current GSA pricing upon issuing task order for this POP

Period: Year 5 Start Date: December 1, 2029 Schedule of Services PO#: Pending End Date: November 30, 2030 Iowa City CT Techs

0001c Callback 372 Hours $0.00

Per Diem Days *$162.00 $

*Contracting Officer will revise to current GSA pricing upon issuing task order for this POP IDIQ minimum total (all POPs combined): 500 hours IDIQ maximum total (all POPs combined): 120,000 hours Estimated total cost (all POPs combined): $______________________

B.3 Performance Work Statement | Iowa City CT Techs | 36C26326Q0007

B.3 Performance Work Statement

1. GENERAL:

1.1. Services Provided: The Contractor shall provide ARRT(CT)-certified CT Technologist Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the ICVAHCS.

1.2. Place of Performance: Contractor shall furnish services at the ICVAHCS: 601 Highway 6 West, Iowa City, IA 52246.

1.3. Period of Performance: Five years.

1.4. Authority: Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority, and FAR Parts 8, 13 and 16 in combination with VAAR 873.

1.5. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.5.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.5.2. VHA Directive 1003.04: VHA Patient Advocacy

1.5.3. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.5.4. VHA Directive 1100.20: Credentialing of Health Care Providers

1.5.5. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel

1.5.6. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive

Procedures in Any Clinical Setting

1.5.7. VHA Directive 1605.01: Privacy and Release of Information

1.5.8. VHA Directive 1907.01: VHA Health Information Management and Health Records

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

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

1.5.10. VHA Directive 1105.05 Magnetic Resonance (MR) Safety

1.5.11. VHA Directive 1105.04 Fluoroscopy Safety

1.5.12. VHA Directive 1105.02 Nuclear Medicine and Radiation Safety Administration Service

1.5.13. VHA Directive 1187 Administrative Practices for Ensuring Safe Injection of Radio-labeled Blood Products

1.5.14. VHA Directive 1105 Management of Radioactive Materials

1.6. Acronyms/Definitions: 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.

1.6.1. ACGME: Accreditation Council for Graduate Medical Education

1.6.2. ACLS: Advanced Cardiac Life Support

1.6.3. BLS: Basic Life Support

1.6.4. CDC: Centers for Disease Control and Prevention

1.6.5. CEU: Certified Education Unit

1.6.6. Clinical Privileging: Clinical Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure.

Clinical privileges must be facility-specific and provider-specific, and within available resources.

1.6.7. CME: Continuing Medical Education

1.6.8. CMS: Centers for Medicare and Medicaid Services

1.6.9. 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.

1.6.10. 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.

https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.6.11. COS: Chief of Staff

1.6.12. CPARS: Contractor Performance Assessment Reporting System

1.6.13. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.6.14. DEA: Drug Enforcement Agency

1.6.15. EHR: Electronic Health Record - electronic health record system used by the VA

1.6.16. FSMB: Federation of State Medical Boards

1.6.17. FTE: Full Time Equivalent VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.6.18. HHS: Department of Health and Human Services

1.6.19. HIPAA: Health Insurance Portability and Accountability Act

1.6.20. ISO: Information Security Officer

1.6.21. Key Personnel: The individuals specified in this contract are essential to work performance.

1.6.22. NPI: National Provider Identifier; NPI is a standard, unique 10-digit numeric identifier required by HIPPA.

The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers)

1.6.23. POP: Period of Performance

1.6.24. PPD: Purified Protein Derivative

1.6.25. PWS: Performance Work Statement

1.6.26. QA/QI: Quality Assurance/Quality Improvement

1.6.27. QASP: Quality Assurance Surveillance Plan

1.6.28. QM/PI: Quality Management/Performance Improvement

1.6.29. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates the completion of a uniform, accurate, and complete credentials file.

1.6.30. VHA: Veterans’ Health Administration

1.6.31. VISN: Veterans Integrated Services Network

1.6.32. VISTA: Veterans Information Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. Certification: Contractor’s DRTs shall be CT-certified by the American Registry of Radiologic Technologists (ARRT) and be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance and be subject to review by the VA Chief of Staff and approval by the VA Imaging Chief.

2.1.2. Credentialing: Credentialing is to be done in accordance with the provisions of VHA Directive 1100.20 referenced above. The Contractor is responsible to ensure that proposed CT technologists possess the requisite credentials. No services shall be provided by any Contractor’s CT technologist prior to obtaining ICVAHCS approval.

2.1.2.1. If a Contractor’s CT technologist(s) is not credentialed or has credentials suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3. Technical Proficiency: Contractor’s CT technologists 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 from 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 Contractor’s CT technologists and contractor’s CT technologists shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

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

Training Frequency Annual Hours

VA Privacy and Information Security Awareness and Rules of Behavior

(10176) Annually 1

VHA Privacy and HIPAA Focused Training (10203) Annually 1

Records Management for Everyone (4192704) One time 1

OTHER TRAINING AS REQUIRED TBD TBD

2.1.5. Standard Infection Control Measures (PPD, Immunizations, etc.): Contractor shall provide proof of the following for CT technologists 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.

2.1.5.1. Tuberculosis Testing: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s CT technologists upon hire in accordance with CDC guidance. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.5.2. Measles, Mumps, & Rubella Testing: Contractors shall provide proof of immunity for all Contractor CT technologists.

2.1.5.3. Varicella: Contractors shall provide proof of immunity for all Contractor CT technologists.

2.1.5.4. Acellular Pertussis: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor CT technologists.

2.1.5.5. Influenza: Contractors shall provide proof that all Contractor CT technologists have received the annual Influenza vaccine unless it is contraindicated. If the Contractor CT technologist has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season.

2.1.5.6. 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 CT technologists; 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.

2.1.5.7. The facility 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 shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.6. Citizenship Related Requirements:

2.1.6.1. 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;

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.1.6.2. 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.

2.1.6.3. 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.

2.1.6.4. 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.

2.1.6.5. 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.

2.1.7. 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.

2.1.7.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s CT technologists 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.

2.1.7.2. By submitting their proposal, 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.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or their 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.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s CT technologists shall not be considered VA employees for any purpose.

2.4. 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.

2.5. Inherent Government Functions: Contractor and Contractor’s CT technologists 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 http://oig.hhs.gov/exclusions/index.asp 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.

2.6. No Employee status: The Contractor shall be responsible for protecting Contractor’s CT technologists 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:

2.6.1. Workers’ compensation

2.6.2. Professional liability insurance

2.6.3. Health examinations

2.6.4. Income tax withholding, and

2.6.5. Social security payments.

2.7. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s CT technologists. When a Contractor or contractor’s CT technologist(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 contractor’s CT technologist(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.8. Key Personnel:

2.8.1. The VA Full Time Equivalency (FTE) for the services required is estimated at 2.0 (two 1.0 FTE CT technologists).

2.8.2. The minimum number of Contract ARRT(CT)-certified CT Technologists required to be on site daily is two to be on site at the same time as defined in paragraph Hours of Operation in this section.

2.8.3. 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.

2.8.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within five (5) calendar day(s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least thirty (30) calendar days prior to making any permanent substitutions.

2.8.4.1. 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 thirty (30) 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.

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

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. VA Business Hours: ICVAHCS operates emergency and inpatient departments 24 hours per day each day of the year

Clinical Schedule: 7:00 a.m. to 5:30 p.m., Monday through Friday (Contractor’s CT technologists will work eight-hour shifts with possible start times ranging between 7:00 a.m. and 9:00 a.m.

3.1.1. Patients must be seen by a contractor’s CT technologist(s) on-site at the facility in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult/order completion.

Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2. Contractor’s CT technologist(s) shall be available and present in clinic during normal facility clinic hours which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are as above in 3.1.

3.1.3. Off-hours Coverage: Contractor must make the contractor’s CT technologist(s) available on-call at all times outside of normal clinic hours, including evenings, weekends and holidays.

3.1.3.1. On-call contractor’s CT technologist(s) must be available at all times by telephone.

3.1.3.2. On-call CT technologist must be available by telephone within 15 minutes of initial contract attempt and on-site within 60 minutes of completed notification.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

3.2.1. New Year’s Day

3.2.2. President’s Day

3.2.3. Martin Luther King’s Birthday

3.2.4. Memorial Day

3.2.5. Juneteenth

3.2.6. Independence Day

3.2.7. Labor Day

3.2.8. Columbus Day

3.2.9. Veterans Day

3.2.10. Thanksgiving

3.2.11. Christmas

3.2.12. Any day specifically declared to be a national holiday

4. CONTRACTOR RESPONSIBILITIES

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

4.1.1. Contractor’s CT technologists(s) shall be responsible for sending hours worked through email for approval. Time sheets derived from approved hours completed 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 CT technologist(s)’ care shall cover the range of CT 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. The professional standards of the Joint Commission (TJC):

http://www.jointcommission.org/standards_information/hap_requirements.aspx

4.2.2. The standards of the American Hospital Association (AHA):

http://www.hpoe.org/resources?show=100&type=8 and;

4.2.3. The requirements contained in this PWS

4.3. Medical Records:

4.3.1. Authorities: Contractor’s CT technologist(s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the 5 U.S.C.552a (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 of VA patients. Based on this exception, a BAA is not required for this contract. Health records generated by this contract or provided to the Contractors by the VA are covered by the VA http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.hpoe.org/resources?show=100&type=8

Privacy Act system of records entitled ‘Patient Medical Records-VA’ (24VA10A7). 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 provided to VA patients are captured in the VA electronic health record system as required by VA policy as discussed in 4.3.4.

4.3.3. Disclosure: Contractor’s CT technologist(s) may have access to patient medical records for the purpose of providing medical care and services to VA patients and performing services under the contract and shall obtain permission from the VA before disclosing patient health information for coordination of care with community health care providers in compliance with VA regulations, HIPAA and VHA Directives 1605.01, Privacy and Release of Information, and 1907.01, Health Information Management and Health Records. 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 Directive 1907.01 Health Information Management and Health Records and all guidelines provided by the facility.

4.3.5. Release of Information: The VA shall maintain control of releasing any copies of patient health information or health records and will follow policies and standards as defined, but not limited to Privacy Act requirements. Contractor will not release or disclose copies of records and will refer all such requests to the Release of Information Department at the VA facility were assigned.

4.3.6. Management for Medical Records: National Archives and Records Administration (NARA) record disposition requirements are found in RCS 10-1 Chapter 6, 6000 series.

4.4. Direct Patient Care: estimated 95% of the time involved in direct patient care.

4.4.1. Scope of Care: Contractor’s CT Technologist(s) shall be responsible for providing CT procedures and performing routine CT Technologist duties.

4.4.2. Contractor’s CT technologist(s) shall be present on time for scheduled shifts as documented by physical presence at the scheduled start time.

4.5. ADMINISTRATIVE: estimated 5% of time not involved in direct patient care

4.5.1. Staff Meetings: The contractor’s CT technologists(s) shall attend staff meetings as required by the facility Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.

4.5.2. QA/QI documentation: The contractor’s CT technologists(s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations.

4.5.3. Patient Safety Compliance and Reporting: Contractor’s CT technologists(s) shall follow all established patient safety and infection control standards of care. Contractor’s CT technologists(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be documented in the medical record of those impacted and disclosed to the patient or surrogate. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit an entry in the VA Patient Safety Reporting System, following up with COR as required or requested.

4.6. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY

IMPROVEMENT(QI)

4.6.1. Quality Management/Quality Assurance Surveillance: Contract personnel shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, and peer reviews. Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.

4.6.2. Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. In the event that The Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.

4.6.3. 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 patients or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The CO and COR shall deal with issues raised concerning Contractor’s conduct.

The final arbiter on questions of acceptability is the CO.

4.6.4. Performance Standards:

4.6.4.1. Measure: Qualifications of Key Personnel

Performance Requirement: All contractor’s CT technologist(s) shall be ARRT(CT)-certified.

Standard: All (100%) contract CT technologist(s) are ARRT(CT)-certified.

Acceptable Quality Level: 100%

Surveillance Method: Periodic Inspection of qualification documents

Frequency: On award, on adding key personnel, and as renewal of credentials is needed

4.6.4.2. Measure: Patient Access

Performance Requirement: The Contractor shall provide contractor’s CT technologist(s) in accordance with the operating hours and VA clinical schedule outlined in this PWS.

Standard: All (100%) Contractor’s CT technologist(s) are on time and available to perform services.

Acceptable Quality Level: Contractor’s CT technologist(s) on-time and available to perform services 95% of the time

Surveillance Method: Periodic Inspection of Time and Attendance Sheets

Frequency: Weekly

4.6.4.3. Measure: Patient Safety

Performance Requirement: Patient safety incidents shall be reported using VA Patient Safety Reporting System. All incidents reported immediately (within 24 hours.)

Standard: All (100%) of patient safety incidents are reported using VA Patient Safety Reporting System within 24 hours of incident.

Acceptable Quality Level: 100% of patient safety incidents are reported using VA Patient Safety Reporting System within 24 hours of incident.

Surveillance Method: Periodic Inspection

Frequency: As safety incidents occur

4.6.4.4. Measure: Maintains registration and certification

Performance Requirement: Updated registration and certification shall be provided as they are renewed. Registration information kept current.

Standard: All (100%) registration(s) and certification(s) for contractor’s CT technologist(s) shall be provided as they are renewed. Registration information kept current.

Acceptable Quality Level: All: 100% registration(s) and certification(s) for contractor’s CT technologist(s) shall be provided as they are renewed. Registration information kept current. No acceptable deviation.

Surveillance Method: Periodic Inspection

Frequency: On award, on adding key personnel, and as renewal of credentials if needed

4.6.4.5. Measure: Mandatory Training

Performance Requirement: Contractor shall complete all required training on time per facility policy.

Standard: All (100%) of required training is completed on time by Contract CT technologist(s).

Acceptable Quality Level: 100% completions

Surveillance Method: Periodic Inspection

Frequency: Quarterly

4.6.4.6. Measure: Privacy, Confidentiality and HIPAA

Performance Requirement: Contractor is aware of all laws, regulations, policies and procedures relating to Privacy, Confidentiality, and HIPAA, and complies with all standards. Zero breaches of privacy or confidentiality.

Standard: All (100%) contractor CT technologist(s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA

Acceptable Quality Level: 100% compliance

Surveillance Method: Periodic Inspection; Contractor shall provide evidence of annual training required by the facility, reports violations per VA Handbook 6500.6.

Frequency: Training: upon completion after award and annually thereafter; Reporting: quarterly

4.6.5. Registration with Contractor Performance Assessment Reporting System

4.6.5.1. As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates Contractor past performance on all contracts that exceed the Simplified Acquisition Threshold and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the Contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Sea Logistics Center in Portsmouth, New Hampshire. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardee performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for Contractor responsibility determination information.

4.6.5.2. Each Contractor whose contract award is estimated to exceed the Simplified Acquisition Threshold requires a CPARS evaluation. A government Focal Point will register your contract within thirty days after contract award and, at that time, you will receive an email message with a User ID (to be used when reviewing evaluations). Additional information regarding the evaluation process can be found at www.cpars.gov or if you have any questions, you may contact the Customer Support Desk @ DSN: 684-1690 or COMM: 207-438-1690.

4.6.5.3. For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the Contractor’s performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the Contractor’s designated representative for comment. The Contractor representative will have sixty (60) days to submit any comments and re-assign the report to the CO.

http://www.cpars.gov/

4.6.5.4. Failure for the Contractor’s representative to respond to the evaluation within those sixty (60) days, will result in the Government’s evaluation being placed on file in the database with a statement that the Contractor failed to respond; the Contractor’s representative will be “locked out” of the evaluation and may no longer send comments.

5. GOVERNMENT RESPONSIBILITIES

5.1 Contract Administration/Performance Monitoring: After award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to CO (see 5.1.1) and COR (see 5.1.2).

5.1.1 CO RESPONSIBILITIES:

5.1.1.1 The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue any modification to include (but not limited to) terms affecting price, quantity or quality of performance of this contract.

5.1.1.2 The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is final authority on validating complaints. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.

5.1.1.3 In the event that contracted services do not meet quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for Contractor personnel to be provided by the VA; replacement of the contract personnel and/or renegotiation of the contract terms or termination of the contract.

5.1.2 COR Responsibilities:

5.1.2.1 The COR shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of Contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer.

5.1.2.2 The COR will be responsible for monitoring the Contractor’s performance to ensure all specifications and requirements are fulfilled. Quality Improvement data will be collected for ongoing monitoring.

5.1.2.3 The COR will maintain a record-keeping system of services by VA supervisor-approved “hours worked” emails. The COR will review this data monthly when invoices are received and certify all invoices for payment by comparing the hours documented on the VA record-keeping system and those on the invoices. Any evidence of the Contractor's non-compliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer.

5.1.2.4 The COR will review and certify monthly invoices for payment. If in the event the Contractor fails to provide the services in this contract, payments will be adjusted to compensate the Government for the difference.

5.1.2.5 All contract administration functions will be retained by the VA.

6 SPECIAL CONTRACT…