J6-Techinical Evaluation Criteria.pdf

Evaluation Criteria:

Contract Medical Consultant Services RFP Volume 1 & Volume II, Technical 1638-DEC-22-NAT-0030

Sub-Factor Minimum Criteria Sub-Factor 1:

Offeror’s Technical Approach to Project Management

• Plan for securing timely services of appropriate and qualified medical specialists.

• Plan for effective communication with DEEOIC District Office staff and COR designee.

• Plan for timely scheduling of appointments and notification to claimants and DEEOIC staff.

• Plans for assuring consistency and quality of medical reports.

• Plan for assuring proper use of 5th Edition AMA Guides for impairment evaluations.

• Plan for assuring security and confidentiality of medical records and related materials.

• Plan for training/instructing physician specialists to respond timely and effectively to DEEOIC requirements.

• Communication Subcomponent:

The winning contractor must provide a web-based, secured portal, to facilitate the transfer of claimant personal and health data, as well as reports between the contractor and the government.

• Offeror's understanding of the specific role played by the causation evaluations, impairment evaluations, second medical opinions, and referee medical opinions in claims adjudication under the Energy Employees Occupational Illness Compensation Program Act.

• Offeror's understanding of the Contractor's role and responsibilities under the proposed Contract.

Sub-Factor 2:

Offeror’s Staffing Plan

• Adequacy of offeror's staffing plan, including identification of back-up personnel.

• The Offeror’s must provide sufficient personnel and medical specialists, both in numbers and qualifications, to perform all work associated with the PWS.

• The offeror’s employees shall remain under the Contractor’s direct supervision at all times and each contract service provider (medical specialists) shall be accountable solely to the offeror who, in turn is responsible to the Government for ensuring all services are provided in accordance with the contract’s terms and conditions.

• This factor also measures Offeror’s approach to:

o Adapting to rapidly changing priorities and direction.

o Manage quality.

o Managing and staffing the entire team, including approach to retaining and/or replacing employees, including managing subcontractors.

o Maintain continuity of staff for Government required key positions during both the implementation and operations phases.

-Factor 3: Experience and Qualifications

• The Offeror’s relevant key-personnel qualifications information must thoroughly describe the skills, abilities, and experiences of the proposed key personnel.

• The Offeror’s Key Personnel qualifications documentation must provide sufficient detail to demonstrate that the Offeror will provide quantity and quality of skilled workforce necessary to successfully meet the technical and managerial requirements descried in applicable requirements.

• The evaluation of Key Personnel qualifications will be based upon content, completeness and thoroughness of the data submitted, as well as the relevance of the skills, abilities and experience of the person as relates to the role they are proposed to perform in meeting the requirements of the solicitation.

• Management personnel should have at least five (5) years of experience successfully overseeing the type and scope of work called for by this contract.

• Administrative personnel should have at least three (3) years of experience in the successful administration of projects of the type called for by this contract.

Additional Experience Criteria:

• Offeror's past performance and experience with case file reviews for causation opinions and impairment evaluations.

• Offeror's past performance and experience with second medical opinion evaluations and Referee medical opinion evaluations.

• Offeror's past performance and experience with second medical opinion and referee medical evaluation in a workers' compensation context.

• Offeror's past performance and experience with scheduling medical examinations over a multi-state geographic area.

• Offeror's past performance and experience with managing clerical and administrative staff.

• Offeror's past performance and experience managing communication and business interactions with Physicians.

• Offeror's experience within the geographic boundaries to be covered in the entire United States.

• Offeror’s past performance and experience training physicians in the use of the

AMA Guides 5th Edition Impairment evaluations.

Sub-Factor 4:

Individual Physician/Specialists Availability to Serve in the United States

• Physician/Specialist availability for service on a national level for all geographic areas.

• Having a sufficient number of medical specialists available for service in the first six "most needed" specialties to meet solicitation requirements will be of highest importance for this factor.

• Having other medical specialists available for service will be less important than the previously noted six "most needed" specialties but will be of equal importance among themselves for this factor.

Sub-Factor 5:

Individual Physicians’ Experience and Qualifications

• Physician/Specialist availability for service on a national level for all geographic areas.

• Having sufficient number of medical specialist available for service in “most needed” specialists to meet solicitation requirements will be of highest importance for this factor.

• While solicitation may require the services of CMCs certified by any of the medical specialty Boards recognized by the American Board of Medical Specialties, or by the American Osteopathic Association, most requirements will be concentrated in a few medical specialties.

• In addition to Occupational Medicine specialists, the Government primarily utilizes physicians with expertise in pulmonary diseases, oncology, hematology, neurology, dermatology, pathology, urology, gynecology, medical toxicology, family medicine, internal medicine, and internal medicine subspecialties.

Individual Physician Qualifications:

• To be qualified to provide services under the proposed contract, all physicians must possess an M.D. degree or a D.O. degree.

• All physicians must hold a restricted license to practice medicine in the state in which they will perform examinations or otherwise practice under this contract.

• All physicians must be currently Board-certified in their respective specialties by one of the medical specialty Boards recognized by the American Board of Medical Specialties, or by the American Osteopathic Association.

• All physicians must be engaged in an active medical practice - a minimum of 240 hours of direct patient care over the previous twelve (12) months to perform second medical opinion evaluations and referee medical opinion evaluations.

• All physicians must be qualified to participate as a medical provider under the Energy Employees Occupational Illness Compensation Program Act, and as defined in 20CFR30.5 (dd); and must not be excluded or excludable from payment under the Act as defined in 20CFR30. 715-726.

Volume II Minimum Criteria Past Performance: • The offeror shall provide information on past performance of 3 current or previous

(within the last 3 years) contracts for relevancy Offeror's understanding of the Contractor's role and responsibilities under the proposed Contract.

• Government may use past performance information obtained from centralized past performance databases (CPARS)