N62645-19-Q-0016_0002.docx

N6264519Q0016

Combined Synopsis/Solicitation for Teleradiology Services Single Award Task Order Contract

AMENDMENT 0002

The purpose of this amendment is to answer questions #3 through #8 from offerors. Paragraph 2.7 of the PWS has been revised.

The closing date and time of the solicitation remain unchanged. (See Paragraph 2.1.2. of Addendum to 52.212-1 of the solicitation).

AMENDMENT 0001

The purpose of this amendment is to revise the combined synopsis/solicitation and answer questions from offerors. The following revisions were made to Attachment 8 – Pricing Workbook for N62645-19-Q-0016: The Requirement B Worksheet has been updated to add Plain Film studies for Naval Hospital Camp Pendleton; and the Requirement C worksheet has been updated to add the number of studies for U.S. Naval Hospital Rota and to add U.S. Naval Hospital Guantanamo Bay. The following revisions have been made to Attachment 10 – Initial Requirement PWSs: The Requirement B PWS has been revised to add Plain Film studies for Naval Hospital Camp Pendleton; and the Requirement C PWS has been revised to add U.S. Naval Hospital Guantanamo Bay.

The closing date and time of the solicitation remain unchanged. (See Paragraph 2.1.2. of Addendum to 52.212-1 of the solicitation).

QUESTIONS AND ANSWERS

1. Is there an incumbent in place?

RESPONSE: Yes. Services are currently provided under contract N00189-14-P-Z400.

2. Will the providers have VPN access or need their own PACS?

RESPONSE: The Contractor is required to provide their own PACS (See Section 8.2.2. of the PWS). The Government will provide VPN access for the exchange of data associated with the radiology images (See Section 8.1.2. of the PWS).

3. Could you amend to set aside for SDVOSB?

RESPONSE: The solicitation remains a 100% small business set-aside.

4. Most of our teleradiology contracts do not have a restriction for one state of the medical licenses of the Radiologists. In a paperless environment and Radiologists who will be working under virtual contract(s) from your facilities, I’m hoping it does not matter which US State for their medical license on your Orders that will be in 6 different states. Could you please reconsider since that would be a great help logistically and ultimately with pricing?

RESPONSE: The Navy requires physicians interpreting images in other states to be licensed in both the state where the image was generated as well as the state where the interpretation takes place. Therefore, there is no change to the licensure requirements within Section 6 of the PWS.

5. Is this still solely for small business set aside?

RESPONSE: Yes. This requirement is a 100% small business set-aside.

6. In accordance with Paragraph 2.7 where “The contractor shall conduct internal peer review on each Radiologist and send peer review results to the MTF Head of Radiology each Month. A minimum of 10 cases will be reviewed per Radiologist per month…” It is current practice among all the MTF’s that a review of five (5) reviews per/provider is done on a monthly basis. In order to maintain consistency in the OPPE process - would the Contracting Officer consider modifying this requirement to meet the current Navy standards?

RESPONSE: Paragraph 2.7 of the PWS has been revised to require a review of a minimum of five (5) cases per Radiologist per month.

7. Section 7 – Credentials. Would the Contracting Officer consider designating one MTF as a central location as the Privileging Authority for this contract? This will ensure that all the Tele-Radiologist credentials files are maintained correctly and in one location. It will also facilitate the issuance of the ICTB’s out to the other commands and track the process at each command.

RESPONSE: The Contracting Officer will take the request into consideration; however, this results in no changes to the solicitation.

8. Section 9 - Quality Control. In accordance with Paragraph 9.2.3 - the contractor shall submit a Quality Control Plan to the COR and the Commanding Officer for review. Would the Contractor be required to submit the Quality Control Plan to each MTF, or to the Contracting Officer?

RESPONSE: The contractor shall submit the Quality Control Plan to the Contracting Officer and each COR appointed under the contract.

COMBINED SYNOPSIS SOLICITATION

This is a requirement for commercial items and the solicitation/synopsis will be prepared in accordance with FAR 12.6, Streamlined Procedures for Evaluation and Solicitation of Commercial Items, and FAR 16.504 Indefinite Quantity Contracts, as supplemented with additional information included in the notice, and FAR 13, Simplified Acquisition Procedures. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. It is the contractor’s responsibility to be familiar with the applicable FAR and DFARS clauses and provisions. The FAR and DFARS clauses may be accessed in full text at http://farsite.hill.af.mil/

The NAICS code is 621111, with a business size standard of $11 million.

This Request for Quote (RFQ) is on behalf of the Naval Medical Logistics Command (NMLC). This requirement is for Teleradiology services in support of Navy Military Treatment Facilities (MTFs) within the contiguous United States (CONUS) and outside the contiguous United States (OCONUS).

The solicitation number is N62645-19-Q-0016.

The solicitation will result in one firm fixed price, indefinite delivery/indefinite quantity (IDIQ) contract with a 60 month ordering period from 01 December 2019 – 30 November 2024. This requirement will be solicited as a 100% small business set-aside.

The scope of the requirement is listed in the Performance Work Statement.

The closing date of the solicitation can be found in ADDEDNUM to 52.212-1 – INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS.

Lot

Teleradiology Services

FFP

Interpretive radiology procedures to include the following types of studies: Computed Tomography (CT), UItrasound, Magnetic Resonance Imaging (MRI), Nuclear Medicine, and Plain Films.

FOB: Destination

PSC CD: Q522

NET AMT

BASE AND OPTION YEAR PRICING

The Pricing Workbook for Solicitation N62645-19-Q-0016 (Attachment 8) provides a pricing sheet for all interpretive radiology procedures under this IDIQ. The pricing sheet of the successful offeror will be incorporated into the base contract award and shall be used for pricing firm fixed price task orders issued under the contract.

PWS

Performance Work Statement Teleradiology Services

SECTION 1 – SCOPE

1.1. BACKGROUND. This is a non-personal services contract covering a professional discipline which provides healthcare services to eligible beneficiaries of the Department of Defense (DoD) direct care system. The system comprises service-owned, staffed and operated hospitals and clinics throughout the world. Contracting has been chosen as a strategy to permit expansion of the healthcare capacity of DoD facilities by overcoming shortfalls in the numbers of uniformed practitioners and support personnel.

1.2. The contractor shall provide off-site diagnostic radiological interpretations and reports via teleradiology and transcribe all finalized exam reports into the Composite Health Care System (CHCS) in support of Navy Medicine Military Treatment Facilities (hereafter referred to as MTFs) and associated Branch Clinics in the Continental United States (CONUS) and Outside Continental United States (OCONUS). The location of the contractor’s facility shall be within the continental United States (CONUS).

SECTION 2 - DUTIES

2.1. The types and volume of radiographic interpretations for each MTF will be defined in site specific Task Orders.

2.2. In the event of active duty deployments or short-term absences of active duty Radiology Physicians, the contractor may be required to provide services that are outside of the defined service hours specified in the Task Order. In these cases the Government will provide a minimum of two weeks’ notice of the requirement unless otherwise specified in the Task Order. Additionally, other contingency services may be required and the contractor will receive same day notification of these requirements. The Government has no data on which to base an estimated need for these services, but anticipates infrequent occurrences of this type.

2.3. Contract Radiologists shall perform services consistent with clinical privileges approved by the Commanding Officer and consistent with the MTF's operating capacity and equipment as determined by the Commanding Officer.

2.4. The contractor shall interpret, dictate, and transcribe each received study. The contractor shall provide preliminary and final readings. Preliminary findings shall be transcribed by the contractor’s transcriptionist and provided to the MTF Emergency Department by facsimile within the timeframe specified in the Task Order. Final readings shall be completed and entered into the MTF’s Composite Health Care System (CHCS) by the contractor’s transcriptionist within the timeframe specified in the Task Order. The contractor’s transcriptionist must possess a Common Access Card (CAC) to access the MTF’s CHCS.

2.5. The contractor shall notify the MTF Radiology Department immediately upon recognition that technical difficulties prevent the contractor from receiving or reading images.

2.6. The contract Radiologists shall be available for telephonic consultation with physicians working at the MTFs for whom they are interpreting studies during all hours of service. The contractor shall provide current contact phone numbers for after-hours contract Radiologists.

2.7. The contractor shall conduct internal peer review on each Radiologist and send peer review results to the MTF’s Head of Radiology each month. A minimum of five (5) cases will be reviewed per Radiologist per month. If the Radiologists read less than five (5) cases in any given month then 100% of the cases read during that month will be peer reviewed and a comment will be included in the peer review results that are sent to the MTF. The contractor shall complete Focused Professional Practice Evaluations (FPPEs) and Ongoing Professional Practice Evaluations (OPPEs) on each Radiologist as required by the U. S. Navy’s Credentialing Privileging Program (BUMED Instruction 6010.30 or latest version) and Navy Medical Staff Bylaws (BUMEDINST 6010.17C or latest version). The contractor shall forward copies of completed FPPEs and OPPEs to the Head of Radiology at each MTF as defined in the site specific task orders.

2.8. The contractor shall provide the MTF a standard Discrepancy Report Form template. The MTF will submit completed Discrepancy Report Forms to the contractor when errors are discovered in the final radiology reports received from the contractor. The contractor shall review all Discrepancy Report Forms received from the MTF and take appropriate action.

2.9. The contractor shall submit a monthly invoice, accompanied by a detailed listing of hours of service provided and studies interpreted, to the COR specified in each task order.

SECTION 3 – HOURS OF OPERATION

3.1. The contract Radiologists shall be available during all hours of service for telephonic consultation with MTF physicians for whom they are interpreting studies, for the purpose of problem solving through direct communication. Two-way communication between the MTF and the contract Radiologists shall be established and maintained throughout the term of the contract. See individual task orders for specific hours of operation.

SECTION 4 – DELIVERABLES. All deliverables shall be submitted to the Contracting Officer’s Representative (COR) via email in Microsoft Office format, unless otherwise specified.

4.1. Quality Control Program (See Section 9)

4.2. Implementation Status Report (See Paragraph 10.1.1)

4.3. Preliminary Readings (See Section 2)

4.4. Final Readings (See Section 2)

SECTION 5 – QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) MATRIX

5.1. Refer to Attachment 1.

SECTION 6 – QUALIFICATIONS. The contractor shall provide personnel having certain minimum levels of training and experience. This section is in no way intended to dictate a staffing plan to the contractor for the performance of the services delineated in this performance work statement.

6.1. All contract employees shall possess and maintain the following minimum qualification:

6.1.1. Be a U.S. Citizen per Attachment 2.

6.2. Radiologists shall possess and maintain the following additional minimum qualifications:

6.2.1. Graduation from a medical school approved by the Liaison Committee on Medical Education of the American Medical Association or the American Osteopathic Association or permanent certification by the Educational Commission for Foreign Medical Graduates (ECFMG).

6.2.2. Successful completion of a residency program in Diagnostic Radiology which has been approved by the Accreditation Council for Graduate Medical Education or the Committee on Postdoctoral Training of the American Osteopathic Association or those Canadian training programs approved by the Royal College of Physicians and Surgeons of Canada or other appropriate Canadian medical authority.

6.2.3. Board certification in Diagnostic Radiology by the American Board of Radiology or by the American Osteopathic Board of Radiology.

6.2.4. A current, valid, unrestricted license to practice medicine in the State in which the Radiologist is located. The contractor is responsible for complying with all applicable state licensing regulations. All state medical licenses held by each healthcare practitioner must be submitted as part of the credentials record.

6.2.5. In addition to the qualification specified in paragraph 6.2.4., Radiologists providing services for CONUS locations shall possess a current, valid, unrestricted license to practice medicine in the State in which the MTF is located. The contractor is responsible for complying with all applicable state licensing regulations. All state medical licenses held by each healthcare practitioner must be submitted as part of the credentials record.

6.3. CURRENT COMPETENCY AND SUPPORTING DOCUMENTATION

6.3.1. Unless otherwise specified in the task order, each Radiologist must demonstrate clinical competency within the past two (2) years in the clinical discipline. BUMED Instruction 6010.30 (or latest version) provides the policy and procedures for determining clinical competency.

6.3.2. At a minimum each Radiologist must submit two (2) references from peers who have had experience with the applicant’s practice within the past two (2) years that attest to the Radiologist’s competence to perform the requested privileges. BUMED Instruction 6010.30 (or latest version) provides the policy and procedures for reference letters.

SECTION 7 - CREDENTIALING REQUIREMENTS

7.1. Credentialed HCWs. The privileging authority per BUMEDINST 6010.30 will grant clinical privileges to Radiologists requiring privileges to perform services. If a Radiologist’s employment with the contractor ends for any reason, all clinical privileges and medical staff appointments shall be terminated without recourse to the fair hearing and appeals procedures specified by the medical staff bylaws and DoD Manual 6025.13 and BUMEDINST 6320.67A (and subsequent revisions).

7.1.1 Following contract award, the contractor shall submit to the respective MTF Services Coordinator, via the COR, a completed Credentials Record (CR) for each Radiologist who will perform services under this contract. The CR is used as the basis of a clinical competency determination. The CR, maintained at the MTF, contains specific information with regard to qualifying degrees, licenses, national and/or board certifications, past professional experience and performance, education and training, health status, and clinical competency as compared to specialty-specific criteria regarding eligibility for defined scopes of health care services.

7.1.1.1. The contractor shall submit a complete CR (to include documentation of current clinical competency) to the COR no fewer than thirty (30) days prior to performance of duties. For those HCWs who currently have a CR on file, an updated Personal and Professional Information Sheet (PPIS) for Privileged Providers, with notation that a complete up-to-date CR is on file, shall be submitted no fewer than fifteen (15) days prior to commencement of services, in accordance with local policies. BUMED Instruction 6010.30, Enclosure (6), details the CR requirements. BUMEDINST 6010.30 is available at http://www.med.navy.mil/directives/Pages/BUMEDInstructions.aspx .

7.1.2. The contractor is responsible for prime source verification of all licenses, certifications, education, training, employment/professional affiliation history, and any other documentation required by the Medical Staff Services Professionals (MSSP) prior to submission of the CR to the COR. For verifications obtained via phone or written correspondence, the contractor shall provide written documentation from the verifying agency that includes the agency POC, position and contact information, the agency name, and the date of verification. For verifications obtained from a website that complies with The Joint Commission's accreditation standards for primary source verification, the contractor will provide a legible portable document format (.pdf) version of the web-based primary source verification and include the inquiry date and the website Uniform Resource Location (URL) address.

7.1.3. Upon receipt of a complete CR, the COR will forward the CR to the MTF’s Medical Staff Services Office (MSSO) for credentials review of the individual HCW. The MSSO shall ensure the CR is complete in accordance with (IAW) BUMEDINST 6010.30 (and subsequent revisions). The contractor shall not assign an individual to work at the MTF until the HCW’s CR has been approved by the designated Privileging Authority or other designated authority and shall discontinue the service of an individual who fails to maintain compliance with qualification and credentialing requirements.

7.1.4. . If the contractor submits an incomplete CR, the COR will notify the contractor. An incomplete CR will not be processed, and may be returned to the contractor if a prepaid means of return was provided when the original package was submitted; an incomplete CR package will not be retained by the COR. Presentation of incomplete packages by the contractor may be evaluated as part of the performance evaluation on future awards.

7.1.5. If, during the Government's evaluation of the CR, a negative current clinical competency assessment is determined, it will bring the MTF’s consideration of the Radiologist’s application for credentials review and privileging to an immediate close. Since meeting credentialing requirements and, as applicable, being granted privileges is required as a condition of employment under this contract, a negative current clinical assessment may result in the issuance of a task order termination notice by the Contracting Officer in accordance with Federal Acquisition Regulation (FAR) 52.249-12.

7.1.6. Throughout the task order, the contractor shall ensure that all documentation necessary to maintain a current CR is submitted to the MSSO via the COR, for inclusion in each file. The contractor shall maintain its own complete credential file for each Radiologist, which will be made available for Government inspection upon request if needed for further credential review.

7.1.7. If clinical privileges are suspended or held in abeyance pending an investigation into questions of professional ethics or conduct, performance under this contract may be suspended until clinical privileges are reinstated. No reimbursement shall be made and no other compensation shall accrue to the contractor so long as performance is suspended or clinical privileges are held in abeyance. The denial, suspension, limitation, or revocation of clinical privileges based upon practitioner impairment or misconduct may be reported to the appropriate licensing authorities of the state in which the license is held IAW DoD Manual 6025.13.

7.1.8. Permanent revocation of clinical privileges and permanent adverse administrative actions due to professional misconduct against licensed or certified practitioners may be reported to the appropriate professional licensure clearinghouse, and/or the National Practitioner Data Bank, and/or to the licensing authorities of the state in which the license is held in compliance with SECNAVINST 6401.2. The Department of Defense participates in the national reporting system established under Part B of the Health Care Quality Improvement Act of 1986, Public Law 99-660. Reports, naming individual practitioners, may be submitted to the National Practitioner Data Bank in accordance with this Act.

7.2. Documentation containing Radiologist’s personally identifiable information (PII) and/or the Health Insurance Portability and Accountability Act (HIPAA) information shall be transmitted via encrypted email or via the U.S. Army Aviation and Missile Research Development and Engineering Center (AMRDEC) Safe Access File Exchange (SAFE), accessible at https://safe.amrdec.army.mil/safe. The contractor shall ensure that all Radiologist’s PII and/or HIPAA information is marked appropriately and handled in accordance with all applicable rules and regulations.

7.3. The contractor shall maintain a list of all individuals who are providing services under this contract. The contractor shall provide a copy of the list to the COR within 14 days prior to performance of services under this contract and as required to maintain currency of the information.

7.4. The contractor shall inform the COR of any terminations of employment within 24 hours of the action.

SECTION 8 - GOVERNMENT AND CONTRACTOR FURNISHED ITEMS.

8.1. GOVERNMENT FURNISHED ITEMS

8.1.1. The Government will provide at its medical treatment facilities, all equipment and supplies currently and normally required to transmit images to the contractor’s facility for interpretation and will provide access to computerized applications at the Government’s facilities for the contractor Radiology Physicians to report their interpretations of the images. Government equipment may be subject to change as replacement equipment is received and as directed by the Commanding Officer. The Government will consider the contractor’s request for additional or different equipment at a time of replacement. However, approval by the Government of such requests will be contingent on the benefits that would accrue to the Government as a result in terms of efficiency and effectiveness, and on available funds. All equipment replacement shall be in accordance with the mission of the treatment facility, and shall have the approval of the Commanding Officer via the COR. Denials of requests for additional or different equipment and/or delays in acquiring any additional or different equipment shall not be cause for contractor nonperformance or claims under this contract.

8.1.2. AUTOMATED INFORMATION SYSTEMS

8.1.2.1. Unless otherwise specified in the requirements statement of the specific MTF locations, the Government will provide access to the electronic information systems required for the performance of services and will maintain all Government information systems. Contractor access to sensitive data will be granted at the level determined by the Government to be appropriate to the performance of services under this contract.

8.1.2.2. The Government will provide all technical information required for the contractor’s successful transmission of radiographic interpretations to the respective MTF Radiology Department. The contractor shall coordinate all training and connectivity with the COR specified in the Task Order prior to contract start.

8.1.2.3. The Government will provide a Common Access Card (CAC) to all eligible contract employees that successfully complete the access and security requirements. The contract employees shall comply with the MTF policies and instructions associated with processing a CAC.

8.1.2.3.1. Personnel background investigations must be initiated within seven (7) days after contract award. Advanced fingerprint and NACLC results must be received by the MTF prior to a Common Access Card (CAC) being issued to the contract employees.

8.1.2.4. Contractor personnel shall comply with DoD, DoN and Navy Medicine directed security requirements to include Computer Task Orders (CTO’s), Information Operations Condition (INFOCON) changes, Information Assurance Vulnerability Management (IAVM) directives and other Information Assurance (IA) related requirements.

8.2. CONTRACTOR FURNISHED ITEMS

8.2.1. The contractor’s facility where the work is performed shall be located within the continental United States.

8.2.2. The contractor shall provide a static IP address for a server where image studies shall be sent. The contractor shall ensure that all required HIPAA guidelines are followed in accordance with the sending facilities request. The contractor shall provide a Secure Shell to their server for image receiving. All images to be read on monitors that meet the requirements set forth in the ACR STANDARD FOR DIGITAL IMAGE DATA MANAGEMENT. The contractor’s information system shall be in compliance with DoDI 8582.01 Security of Unclassifed DoD Information on Non-DoD Information Systems (See Attachment 3).

8.2.3. SUPPLIES. The contractor shall furnish all supplies, equipment, and personnel necessary to perform the services described in this contract.

8.2.3.1. Contractor personnel shall ensure all computers have the latest Microsoft Windows updates, anti-virus signatures and other software vendor security updates (examples include Adobe Reader, Adobe Flash, Apple QuickTime, Java, RealPlayer, etc). Non-compliance with the latest security patches/signatures will result in denied access to the network.

SECTION 9 – QUALITY CONTROL

9.1. GENERAL. The contractor shall complete all necessary steps to assist each contract employee performing services under this contract in obtaining documentation required to obtain access to the MTF and DoD information systems.

9.2. QUALITY OF SERVICE. This is a non-personal services contract that supports the Navy Medicine mission to oversee and coordinate the delivery of economical and effective medical, dental and other health care services. The tele-radiology services required by the contract supports the provision of patient care in the medical treatment facilities within the Area of Responsibility (AOR) and ensure proper services are available to beneficiaries.

9.2.1. The contractor shall comply with applicable provisions of the law, rules and regulations of all Governmental authorities, including, the regulations and standards of the MTF. The contractor shall adhere to and comply with all Department of Navy (DON), Bureau of Medicine and Surgery (BUMED) and MTF Instructions and notices which may be in effect during the term of the contract. The contractor shall adhere to and comply with Governmental chain of command hierarchy of authority for all communication.

9.2.2. To achieve the Navy Medicine mission, the contractor shall establish, submit for Government approval and implement a Quality Control (QC) Plan which is consistent with the MTF Quality Control Program. The contractor shall also actively participate in the established medical Quality Improvement (QI) Plan of the MTF. Current copies of this contract, the contractor’s QC plan, and the MTF’s QI plan shall be maintained on-site for ready reference by the contractor during the term of the contract. Contract employees shall read, be familiar with, and implement the contract, including the contractor’s technical offer, QC Plan, medical QI Plan, and any revisions.

9.2.3. After contract award, but not later than commencement of services, the contractor shall submit a Quality Control Plan to the COR and the Contracting Officer for review. The contractor’s QCP shall be consistent with Joint Commission standards and the MTF Quality Control Program. The QCP shall, at a minimum, include (a) a plan for providing services for the required hours by appropriately qualified personnel that includes a specific methodology for doing so; (b) a plan to ensure maintenance and enforcement of Standards of Conduct for contractor employees as specified in Section 11.2; and (c) a plan for a patient relations program that is compliant with the MTF's patient relations protocols and which includes a notification process for all patient compliments and complaints.

9.2.4. Upon receipt of the contractor's QCP, the MTF will review and provide comments to the contractor. If the MTF finds deficiencies in any portion of the proposed QCP, the contractor shall have 5 working days to correct the deficiencies. The MTF COR will provide final approval of the QCP.

9.2.5. Sixty days prior to exercising any option year under this contract, the contractor shall submit to the COR an updated QCP that is consistent with updated Joint Commission standards and updated MTF Quality Control Program. The revised QCP shall be subject to the same review process as that required at the time of contract award.

9.3. INDEPENDENT CONTRACTOR. The services provided by the contractor are provided in the capacity of an independent contractor. The Government will evaluate the quality of services for purposes of contract inspection and acceptance. The contractor shall be solely responsible for any and all liability caused by the acts or omissions of its agents or employees. The contractor shall not in any manner represent or infer that it is an instrumentality or agent of the United States Government. The contractor shall recognize that the Commanding Officer maintains administrative and operational responsibility for all activities within the Command and may take such actions as necessary to preserve and maintain the integrity of the Command, subject to the limitations prescribed by law and U.S. Navy Regulations.

9.4. MODIFICATIONS. The Contracting Officer will designate and authorize an individual to act as the COR. Any such representative appointed will be specifically designated by letter from the Contracting Officer. The COR exclusively represents the Contracting Officer in all technical phases of the work, but is not authorized to issue Change Orders, Supplemental Agreements, or direct any contract performance requiring contractual modification or adjustment. Changes in the scope of work can only be made by modification properly executed by the Contracting Officer. All observations made by persons other than the Contracting Officer or the COR are strictly advisory and shall not influence the contractor's operations except for administrative requirements and responsibilities specified herein.

SECTION 10 – START OF SERVICES

10.1. The contractor shall recognize the importance of a successful start-up of contract services and the timely recruitment of qualified personnel to meet all contract requirements.

10.1.1. The contractor shall provide a written report to the COR each Monday for the initial 60 days of contract implementation. The Implementation Status Report (ISR) shall be for the week prior. The report shall include (1) problems experienced during the reporting period (2) recommend solutions to the problems identified and (3) anticipated/emerging problems.

10.1.1.1. The contractor shall continue on-going communication with the MTF about current or anticipated problems and recommended resolutions after the first 60 days of contract implementation.

10.2. TURNOVER OF CONTRACT EMPLOYEES

10.2.1. The contractor shall recognize the potentially negative impact on the MTF created by staff turnover and the expense incurred by the Government for credentialing new workers.

SECTION 11 - STANDARDS

11.1. STANDARDS OF CONDUCT

11.1.1. All financial, statistical, personnel, and technical data which are furnished, produced, or otherwise available to the contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. Such data shall not be released by the contractor without prior written consent of the COR. Any presentation of any statistical or analytical materials, or any reports based on information obtained from studies covered by this contract, will be subject to review and approval by the COR before publication or dissemination. All inquiries from the media shall be forwarded to the Command Public Affairs Officer via the COR.

11.1.2. All records produced in the performance of this contract and all evaluations of patients are the property of, and subject to the exclusive control of, the Government. The contractor may retain a copy of all such records or evaluations, but may not provide further copies or disclose the information from such records or evaluations to third parties. All requests from other treatment facilities or other individuals for patient records shall be handled in accordance with procedures specified by applicable MTF instructions.

11.2. CONTRACT EMPLOYEE STANDARDS

11.2.1. The contractor and all contract employees shall comply with all MTF checkout processes. These processes include returning government property, i.e., identification badges, to the MTF upon a contract employee’s last day of service. Failure to do so promptly may result in delay of payment to the contractor.

11.3. CONFLICT OF INTEREST

11.3.1. The contractor shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at the Government’s expense that such persons should receive care from the contractor at any place other than a Government facility.

SECTION 12 - DEFINITIONS

ACTIVE DUTY MEMBER: Full-time duty in uniformed service of the United States, including the United States Coast Guard, the Commissioned Corps of the United States Public Health Service and the National Oceanic and Atmospheric Administration. This includes full-time training duty, annual training duty and attendance while in the active service at a school designated as a service school by law or by the Secretary of the Military Department concerned. It does not include full-time National Guard duty.

ARMED SERVICES HEALTH LONGITUDINAL TECHNOLOGY APPLICATION (AHLTA): A Government provided computer application linked through the MTF's local area network to the Composite Health Care System (CHCS) for collection of patient demographic and morbidity data.

COMMANDER/COMMANDING OFFICER: The individual Naval Officer who has responsibility for the operation of the medical treatment facility (MTF) for which the contract services are provided.

COMPOSITE HEALTH CARE SYSTEM (CHCS): A fully integrated information system supporting the functions of the Military Health System Hospitals.

CONTRACTING OFFICER: The Government employee responsible for negotiating changes in terms, conditions, or amounts cited in this contract.

CONTRACT EMPLOYEE: For the purpose of this contract, “contract employee” means an individual employed by the prime or subcontractor.

CONTRACTOR: That entity or its representative responsible for the delivery of the services or materials specified in this contract, as designated by contract award.

DEFENSE ENROLLMENT ELIGIBILITY REPORTING SYSTEM (DEERS): A Congressionally mandated program established to improve the control and distribution of available Uniform Service Benefits, to improve the projection and allocation of costs for existing and future benefits programs, and to minimize the fraudulent use of benefits by unauthorized persons. The system is composed of two phases: (1) enrolling all active duty and retired service members, their dependents, and the dependents of deceased service members; and (2) verifying their eligibility for healthcare benefits in the direct care system.

DOCUMENT (verb): To completely, accurately and legibly record information, using prescribed forms or a computer terminal, as appropriate.

EQUIPMENT: A moveable object, such as a typewriter which is used to perform a procedure(s) that results in a work product.

JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JOINT

COMMISSION): A national organization dedicated to improving the care, safety, and treatment of patients in healthcare facilities; publishers of the Joint Commission Accreditation Manual for Hospitals and the Ambulatory Healthcare Standards Manual.

KEY PERSON: A skilled and experienced professional and/or technical person who is essential for successful accomplishment of the work to be performed under this contract.

MAINTENANCE: The upkeep of buildings, fixtures, furniture, and/or equipment that is required to keep these items fully functional and/or to produce an acceptable level of performance or quality of operation.

MEDICAL TREATMENT FACILITY (MTF): Unless otherwise specified, "the MTF" refers to the Naval MTF at which services are being performed under this contract. The MTF includes all activities providing outpatient and/or inpatient health services for eligible beneficiaries.

PERFORMANCE IMPROVEMENT (PI): An ongoing program designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care, pursue opportunities to improve patient care, and resolve identified problems.

PROTOCOLS: Written procedures providing basic guidelines for the management of specific types of situations related to medical patients, healthcare personnel, and/or medical treatment facilities (MTF's).

QUALITY ASSURANCE (CONTRACT): Those actions taken by the Government to check goods or services to determine that they meet the requirements of the contract.

QUALITY CONTROL: Those actions taken by the contractor to control the provision of services so that they meet the requirements of the Performance Work Statement.

QUALITY IMPROVEMENT (MEDICAL): An ongoing program designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care, pursue opportunities to improve patient care, and resolve identified problems.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

30-NOV-2024

SEE DO/TO

SEE DELIVERY/TASK ORDERS

FOR SHIP TO/ PAYMENT INSTRUCTIONS

SEE DO/TO MD

SEE ORDER

FOB: Destination N62645

SPECIAL CONTRACT REQUIREMENTS

NOTE 1: Before submitting an offer in response to the solicitation, prospective offerors are encouraged to investigate the potential tax consequences should they elect to perform on the resulting contract by using individuals who are not carried on their payrolls as employees. Under this RFQ, resulting contracts or its task orders, the Navy does not dictate whether the individual contract workers be classified by the successful offeror as an "independent contractor" or an "employee” for federal tax purposes. This determination shall be made solely by the offeror. If subsequent to award the successful offeror's determination is challenged, this shall be a matter to be resolved between the offeror and the Internal Revenue Service. The Navy will not consider favorably any request for the equitable adjustment to the contract upon the successful offeror's receipt of an adverse action by the IRS.

NOTE 2: For those offerors planning to engage in a teaming arrangement or to use subcontractors, a conflict of interest may be created if a company is identified as a prime contractor, teaming partner/subcontractor, or as a member of a Joint Venture on more than one offer. A conflict of interest may also be created if corporate personnel from a prime contractor, teaming partner/subcontractor, or a Joint Venture are identified on more than one offer. The Government's strong preference is that each company and its corporate personnel participate in only one offer. If the Contracting Officer concludes during offer evaluation that a potential conflict of interest exists the contracting officer reserves the right to require a conflict of interest mitigation plan from the prime contractors (offerors) of those offers. If an offeror fails to submit a plan, or submits an inadequate plan, the offer may not be considered.

NOTE 3: It is the contractor’s responsibility to be aware of applicable federal, state and local laws and regulations concerning wage compensation (e.g. overtime) to contract workers. The Navy will not consider favorably any request for an equitable adjustment to the contract upon the contractor’s receipt of adverse action by a federal, state or local agency.

1. AWARDS OF INITIAL REQUIREMENTS / MINIMUM GUARANTEE

Initial requirements will be awarded under task orders after the basic contract has been awarded. Only the offeror that is selected for a SATO IDIQ contract award will be awarded the initial requirements (Minimum Guarantee). Initial requirements represent all known requirements at the time the Combined Synopsis/Solicitation was released. Initial Requirements are outlined in Attachment 10 –Initial Requirement PWSs and Attachment 8 – Pricing Workbook for N62645-19-Q-0016. The Government reserves the right to adjust the requirements based on need and/or available funding. An offeror shall not receive award of the SATO contract if all prices for initial requirements are not determined to be fair and reasonable.

2. TASK ORDER CONTRACT

2.1. Services will be procured via the award of Task Orders issued against the basic contract. Task Orders will be awarded on a firm fixed price basis. Task Order will be issued via a SF 1449 signed by the Contracting Officer and will be transmitted electronically via e-mail.

2.2. The resultant contract shall be performed in accordance with the detailed obligations to which the contractor committed itself to in its offer dated (To be filled in at contract award) in response to NMLC Combined Synopsis/Solicitation N62645-19-Q-0016.

2.3. The contractor shall not engage a teaming partner (subcontractor, partner, mentor, protégé, parent company, sister company, etc.) that is not mentioned in their Business offer to procure services under the resultant contract without prior written approval of the Contracting Officer. Changes regarding teaming partners or duties and roles of the teaming partners as described in the Business and Technical offers shall not be made under the resultant contract without prior written consent of the Contracting Officer.

2.4. The contractor shall furnish qualified workers in accordance with the Performance Work Statement, individual Task Orders for these services, and all other terms and conditions set forth herein. Government requirements for contracted workers shall be filled in response to Task Orders issued by the Government against the contract.

2.5. The following activity is the sole authority to issue Task Orders:

Naval Medical Logistics Command Acquisition Management and Analytics Directorate, Code 05 693 Neiman Street Fort Detrick, MD 21702

2.6. Each Task Order will contain at a minimum the following information:

2.7. Location of services. The work shall be performed at the contractor’s facility. The location of the contractor’s facility shall be within the continental United States (CONUS).

2.8. The estimated ordering period is for 60 months, beginning at the start of contract services, or until the time the Government has issued Task Orders totaling the sum of the maximum quantities in the resultant contract. The period of performance for the base period or any option periods of a Task Order shall be of one year or less in duration.

3. OPTION PERIODS UNDER TASK ORDERS

3.1. The Government at its sole discretion may issue Task Orders with a base period of performance as well as option periods that provide for continued performance of the Task Order. Task Orders issued with option periods will include FAR clause 52.217-9 “Option to Extend the Term of the Contract.”

3.2. Option periods will be exercised in writing by the issuance of Task Order modifications.

3.2.1. Task order modifications will be issued unilaterally by the Contracting Officer when the written notices required by FAR 52.217-9, if included, have been provided within the timeframes listed therein.

3.2.2. Task order modifications may be issued bilaterally as agreed upon by the Contracting Officer and the contractor in cases where the written notices or timeframes required by FAR 52.217-9, if included, have not been met.

3.2.3. Provision 52.217-5 and clause 52.217-9 are listed below for the purposes of inclusion on the Task Order if the Contracting Officer determines options are applicable.

4. PRIOR WRITTEN PERMISSION REQUIRED FOR SUBCONTRACTS

4.1. None of the services required by this contract shall be subcontracted to or performed by persons other than the contractor or the contractor's employees without the prior written consent of the Contracting Officer.

5. RESTRICTION ON THE USE OF GOVERNMENT-AFFILIATED PERSONNEL

5.1. Except in very limited cases, the federal criminal statutes at 18 USC 203 and 18 USC 205 bar Government personnel, both active duty and civil service, from working as a contractor employee in a Government workplace, including a medical treatment facility, either as a second job ("moonlighting") or while on terminal leave. The contractor agrees that, before making an employment offer to an active duty member or a civil servant, it shall inform the individual of the potential applicability of these statutes and further agrees to encourage that individual to seek an advisory opinion from his/her local ethics counsel before accepting an employment offer. In addition, without the prior written approval of the contracting officer, the contractor shall not use in the performance of this contract any persons currently performing medical or dental services under other Navy contracts.

6. NOTICE REGARDING THE DISSEMINATION OF EXPORT-CONTROLLED TECHNICAL DATA

(a) Export of information contained herein, which includes release to foreign nationals within the United States, without first obtaining approval or license from the Department of State for items controlled by the International Traffic in Arms Regulations (ITARS), or the Department of Commerce for items controlled by the Export Administration Regulations (EAR), may constitute a violation of law.

(b) For violation of export laws, the contractor, its employees, officials or agents are subject to:

(c) The Government will not be liable for any unauthorized use or release of export-controlled information, technical data or specifications in this contract.

(d) The contractor shall include the provisions or paragraphs (a) through (c) above in any subcontracts awarded under this contract.

7. PERFORMANCE BY FOREIGN NATIONALS OR FOREIGN OWNERSHIP, CONTROL OR INFLUENCE (FOCI) ORGANIZATIONS

7.1. In accordance with 8 U.S.C.1324a, it is unlawful to hire for employment in the U.S. an individual without verifying that individual’s employment authorization. 8 CFR 274a.2 VERIFICATION OF EMPLOYMENT ELIGIBILITY identifies the official documents that establish employment eligibility.

7.2. Prior to performance of work by a foreign national as a result of this contract, the employer shall provide the Contracting Officer the name of the foreign national and identify the type of form(s) produced for verification of employment status.

7.3. Should the foreign national’s performance require access to DoD facilities, the employer shall coordinate with the sponsor providing access, in order to submit the following:

7.3.1. This information shall be forwarded to the Contracting Officer at least thirty days prior to the visit taking place. Failure to provide this information within this time frame may prevent the individual(s) from entry into the DoD facilities.

7.4. The offeror shall disclose if the company (or individual) is a FOCI. A FOCI organization includes sole proprietorships, partnerships, and corporations, and the divisions and subsidiaries of the corporation where: (a) 51% or more of the controlling (voting) stock is foreign-owned; or (b) parent organization is incorporated or otherwise charted in a country foreign to the U.S.; and (c) the organization is not performing a state function (any organization performing a state function falls under IPO authority). A division or subsidiary of an organization having a location in the U.S. is still considered FOCI if the parent corporation is a FOCI. A university, college, or not-for-profit organization that is chartered, incorporated, or otherwise called into being in a country foreign to the U.S. and not performing a state function is FOCI. A FOCI person is a non-U.S. citizen. Resident aliens are considered FOCI for licensing and technology transfer purposes. Approval by the U.S. Trade Representative may be required prior to executing a contract with a FOCI.

8. PRIVACY ACT AND HIPAA

8.1. The contractor shall ensure that all Protected Health Information (PHI) is protected in accordance with the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated safeguards to ensure confidentiality of…