Request for Proposal 36C25521R0002.docx

36C25521R0002

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

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.

DUNS:

DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C25521R0002 11-27-2020 Cumins, Michael 913-946-1122 12-28-2020

2:30 PM

CST

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 Healthcare Branch 3450 S 4th Street Trafficway Leavenworth KS 66048 Phone: (913) 946-1122 E-mail: michael.cumins@va.gov X 621111 $12 Million N/A X Department of Veterans Affairs Robert J. Dole VA Medical Center, Radiology Dept., Chief of Radiology 5500 E. Kellogg Wichita KS 67218 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 Healthcare Branch 3450 S 4th Street Trafficway Leavenworth KS 66048

Offeror: Complete Blocks 17a - name and address above, and Blocks 30a, b and c.

Include phone:

36C255 Department of Veterans Affairs Financial Services Center (FSC), See www. fsc.va.gov/einvoice.asp, "Tungsten Set-Up Information" Section.

See Sec. B.1, 4. and PWS Sec. 6.3 X See CONTINUATION Page Services, Non-Personal, On Site Radiologist Physician Services in accordance with the Performance Work Statement (PWS) and the terms and conditions herein for contractor-provided radiology services to the Robert J. Dole VA Medical Center and VA-beneficiaries.

See Table of Contents for Sections, Page Numbers and attachments.

See CONTINUATION Page Accounting and Appropriation Data will be included in each task order.

X X One Michael Cumins

VA-VHA-2019-C1CA342A

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. Offeror/CONTRACTOR:

Individual(s) with Authority to Bind the Offeror/CONTRACTOR:

Phone:

Fax:

E-mail:

Contractor’s Program Manager:

Program Manager Phone:

Program Manager Fax:

Program Manager E-mail:

b. GOVERNMENT: Contracting Officer Michael Cumins, (913) 946-1122, michael.cumins@va.gov

Department of Veterans Affairs Network Contracting Office (NCO) 15 Healthcare Branch 3450 S 4th Street Trafficway Leavenworth Kansas 66048

2. 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 (Oct 2018) (31 U.S.C. 3332).

3. INVOICES: Invoices shall be submitted MONTHLY, in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. Invoicing shall be in accordance with the requirements of The Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current Invoicing information is located at http://www.fsc.va.gov/einvoice.asp.” See PWS Section 6.3., Vendor Electronic Invoice Submission Methods.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

6. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

7. Post-Award Orientation (also referred to as a kick-off or pre-performance conference): Not later than 21 calendar days after contract award, the contractor shall attend, with appropriate key personnel, to include but not limited to program manager and any other designated key personnel or departments, e.g. billing, at a location to be determined. The post-award orientation may be held by teleconference in lieu of face-to-face meeting.

8. This document is a solicitation. All references to the solicitation, as amended; proposal; offer; and offeror will be removed from any award resulting from this solicitation will be removed, except when included in a law, statute, regulation, clause; or other area within the Performance Work Statement or document, exhibit or attachment when required for the operation and performance of the contract.

9. The Contractor should designate a Program Manager if other than the person, reference SF 1449 block 30 b., and Section B. 1., submitting the offer/signing the award will manage the performance of the contracted services. The designated Program Manager should be a person other than a physician assigned to perform services under this contract.

9.1 The Contractor, or Program Manager if designated, shall communicate, directly with the Radiology Department Service Chief, all contractor physician matters including, but not limited to physician scheduling and assignment, physician replacement, receiving, reviewing and addressing OPPE and FPPE concerns issued by the Service Chief and initiating corrective actions where determined necessary, and periodic, i.e. monthly, services performance meetings with the Service Chief, COR and CO. Quality Assurance/Quality Improvement, Staff and Specialist Meetings information should be provided to the Contractor through the Program Manager, if designated.

B.2 PRICE SCHEDULE

SCHEDULE OF SERVICES

Services, non-personal: The Contractor shall furnish all personnel necessary to provide onsite Interventional and Diagnostic Radiology Physician, including Neuroradiology, Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, Robert J. Dole (RJD) (hereinafter referred to as VAMC).

The contractor shall be accredited by ACR and follow the standards & guidelines set forth by American College of Radiology (ACR), meeting or exceeding the standards established by ACR, www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional, or www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Practice-Parameters-by-Subspecialty. (either link opens the latter).

Place of Performance: Contractor shall furnish services at the Robert J. Dole (RJD) VA Medical Center, 5500 E. Kellogg, Wichita, Kansas 67218. Locations within the medical center include but are not limited to the Radiology Department, Cardiac Catheterization Lab and portable and bedside patient units.

The unit of measure is work Relative Value Unit (wRVU).

Contract type is Fixed Price Indefinite Delivery Indefinite Quantity. Contractor payments for service are wRVUs actually ordered, performed and validated. wRVUs shall be current to the CMS-established wRVU per CPT code ordered, performed and validated.

The Line Item Numbers (LINs) and SubLINs (SLINs) identify the total estimated quantities required by the physician type and does not differentiate between the quantity of physicians or otherwise suggest or apply a specified quantity to any individual physician.

The Government cannot predetermine, above the stated minimum, the precise quantities of services the Government will require during any period of the contract. While it is impossible to accurately forecast the quantity of exams, CPT codes or wRVUs, or the date, time or scheduling of services required, line items are marked as "Estimated Quantity”.

The pricing shall be inclusive of all work required to perform the services of the exams, studies, interpretations and reports, including but not limited to follow-up consultations, notes and addendums, and final reports as stated in the (PWS).

Option years shall be priced up-front.

For each option period, if exercised by the Government, the pre-priced schedule will apply for the option period. The period of performance shall reflect the dates of the exercised option and the LINs/SLINs exercised.

• Opt 1: LINs 1001-1002, SLINs 1001a, 1001b, 1002a, 1002b, additional if additional physicians

• Opt 2: LINs 2001-2002, SLINs 2001a, 2001b, 2002a, 2002b, additional if additional physicians

• Opt 3: LINs 3001-3002, SLINs 3001a, 3001b, 3002a, 3002b, additional if additional physicians

• Opt 4: LINs 4001-4002, SLINs 4001a, 4001b, 4002a, 4002b, additional if additional physicians

This is a Fixed Price Indefinite Delivery Indefinite Quantity contract. The period of performance for this contract will be a Base One (1) Year. Four (4) Option Years may be exercised at the sole discretion of the Government. There is no guarantee that any option year will be exercised.

The minimum value of services is applicable through the end of the base performance period stated in the award. The maximum value of services to be provided pertains to the life of the contract award and all four option periods, whether exercised or not.

Orders will be placed in accordance with FAR 52.216-18, Ordering.

In accordance with FAR Clause 52.216-22, Indefinite Quantity, the minimum contract amount is 1,350 wRVUs. The overall maximum amount established for this contract is 90,000 wRVUs.

Pricing Instructions:

The offeror is instructed to enter its proposed prices in the column entitled “Unit Price” for each SLIN for the Base Year of Performance and enter a total amount for each SLIN price according to the entered unit price and the quantities stated. The offeror is instructed to repeat the process for Option Years One, Two, Three and Four.

See Instructions to Offerors, FAR 52.212-1 and addendum, regarding additional information required with the offeror’s proposal. The offeror shall propose not less than two Interventional Radiologists and not less than two Diagnostic Radiologists. The total number of radiologists proposed shall not exceed 10. The offeror’s total proposed radiologists shall include at least one Fellowship-Trained Interventional Radiologist and at least one Fellowship-Trained Neuroradiologist.

Period of Performance: BASE YEAR: (Estimated) 4/1/2021 – 3/31/2022

Price

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for the Base Year At Least Two (2) Interventional Radiologist (IR) At least One (1) must be Fellowship-Trained IR.

State if Fellowship Trained Neuroradiologist

NAME:

State if Fellowship Trained IR State if Fellowship Trained Neuroradiologist

NAME:

State if Fellowship Trained IR

For more than 2, include IR name(s) as a stand-alone attachment, Referencing LIN 0001

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for the Base Year At Least Two (2) Diagnostic Radiologist (DR)

NAME:

State if Fellowship Trained Neuroradiologist

NAME:

For more than 2, include DR name(s) as a stand-alone attachment, Referencing LIN 0002

Period of Performance: OPTION YEAR ONE: (Estimated) 4/1/2022 – 3/31/2023

Price

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for the Option One At Least Two (2) Interventional Radiologist (IR)

NAME:

State if Fellowship Trained IR State if Fellowship Trained Neuroradiologist

NAME:

State if Fellowship Trained IR

For more than 2, include IR name(s) as a stand-alone attachment, Referencing LIN 1001

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option One

NAME:

State if Fellowship Trained Neuroradiologist

NAME:

For more than 2, include DR name(s) as a stand-alone attachment, Referencing LIN 1002

Period of Performance: OPTION YEAR TWO: (Estimated) 4/1/2023 – 3/31/2024

Price

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option Two At Least Two (2) Interventional Radiologist (IR)

NAME:

State if Fellowship Trained IR State if Fellowship Trained Neuroradiologist

NAME:

State if Fellowship Trained IR

For more than 2, include IR name(s) as a stand-alone attachment, Referencing LIN 2001

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option Two

NAME:

State if Fellowship Trained Neuroradiologist

NAME:

For more than 2, include DR name(s) as a stand-alone attachment, Referencing LIN 2002

Period of Performance: OPTION YEAR THREE: (Estimated) 4/1/2024 – 3/31/2025

Price

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option Three At Least Two (2) Interventional Radiologist (IR)

NAME:

State if Fellowship Trained IR State if Fellowship Trained Neuroradiologist

NAME:

State if Fellowship Trained IR

For more than 2, include IR name(s) as a stand-alone attachment, Referencing LIN 3001

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option Three

NAME:

State if Fellowship Trained Neuroradiologist

NAME:

For more than 2, include DR name(s) as a stand-alone attachment, Referencing LIN 3002

Period of Performance: OPTION YEAR FOUR: (Estimated) 4/1/2025 – 3/31/2026

Price

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option Four At Least Two (2) Interventional Radiologist (IR)

NAME:

State if Fellowship Trained IR State if Fellowship Trained Neuroradiologist

NAME:

State if Fellowship Trained IR

For more than 2, include IR name(s) as a stand-alone attachment, Referencing LIN 4001

Services, Non-Personal, On-site Board Certified / Board Eligible Radiology Physician Services In Accordance With the PWS for Option Four

NAME:

State if Fellowship Trained Neuroradiologist

NAME:

For more than 2, include DR name(s) as a stand-alone attachment, Referencing LIN 4002

Total for base performance period and all option years: $____________________

36C25521R0002

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B.3 PERFORMANCE WORK STATEMENT (PWS)

Onsite Interventional and Diagnostic Radiology Physician Services

1. GENERAL:

1.1. Services Provided: Services, non-personal: The Contractor shall provide Board Certified /Board Eligible Interventional and Diagnostic Radiology Physician, including Neuroradiology, Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Robert J. Dole (RJD) VA Medical Center. The contractor shall be accredited by ACR and follow the standards & guidelines set forth by American College of Radiology (ACR), meeting or exceeding the standards established by ACR, http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional, or www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical-Standards/Practice-Parameters-by-Subspecialty. (either link opens the same website).

1.2. Place of Performance - Contractor shall furnish services at the Robert J. Dole (RJD) VA Medical Center, 5500 E. Kellogg, Wichita, Kansas 67218. Locations within the medical center include, but are not limited to the Radiology Department, Cardiac Catheterization Lab and portable and bedside patient units.

1.3. Authority: This solicitation is issued using the procedures set forth in Federal Acquisition Regulation (FAR) Parts 12 and 15.

1.4. Policy/Handbooks - the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

Note: The below handbooks and directives are publicly available by accessing the internet as follows, or use the specified hyperlinks:

VA Directives: https://www.va.gov/vapubs/search_action.cfm?dType=1 VA Handbooks: https://www.va.gov/vapubs/search_action.cfm?dType=2 VHA Directives: https://www.va.gov/vhapublications/publications.cfm?pub=1 VHA Handbooks: https://www.va.gov/vhapublications.publications.cfm?pub=2 U.S. Dept. of Justices: http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.1. VHA Directive 1004.08: Disclosure of Adverse Event to Patients https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8120

1.4.2. VHA Handbook 1100.17: National Practitioner Data Bank Reports https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.3. VHA Handbook 1100.18: Reporting And Responding To State Licensing Boards https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.4. VHA Handbook 1100.19: Credentialing and Privileging https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.5. VHA Directive 1192: Seasonal Influenza Prevention Program https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.4.6. VHA Directive 1220: Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures In Any Clinical Setting https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.4.7. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.8. VHA Handbook 1907.01: Health Information Management and Health Records https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

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

https://www.justice.gov/oip/blog/foia-update-freedom-information-act-5-usc-sect-552-amended-public-law-no-104-231-110-stat

1.4.10. VA Standards: VHA Directive 1105.04: “Fluoroscopy Safety” https://www.va.gov/bhapublications/ViewPublication.asp?pub_ID=7454

1.4.11. VA Standards: VHA Directive 1105.05: “Magnetic Resonance (MR) Safety” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=6430

1.4.12. Robert J. Dole VA Medical Center Policy SC-09 “Critical Test Value Notification” Hardcopy Attached, see Section D.

1.5. Definitions/Acronyms- 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.

1.5.1. ABI: Ankle-brachial Index, a type of ultrasound exam

1.5.2. ABR: American Board of Radiology

1.5.3. ACLS: Advanced Cardiovascular Life Support

1.5.4. ACR: American College of Radiology

1.5.5. AOBR: American Osteopathic Board of Radiology

1.5.6. BLS: Basic Life Support

1.5.7. CDC: Centers for Disease Control and Prevention

1.5.8. CDR: Contract Discrepancy Report

1.5.9. CEU: Certified Education Unit

1.5.10. CME: Continuing Medical Education

1.5.11. CMS: Centers for Medicare and Medicaid Services

1.5.12. Contracting Officer (CO) – 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.

1.5.13. Contracting Officer’s Representative (COR) – 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.

1.5.14. COS: Chief of Staff

1.5.15. CPARS: Contractor Performance Assessment Reporting System

1.5.16. CPRS: Computerized Patient Record System (see also 1.5.21. below)

1.5.17. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.5.18. CT: Computed Tomography

1.5.19. DEA: Drug Enforcement Agency

1.5.20. DEXA: Dual-energy x-ray absorptiometry

1.5.21. FPPE: Focused Professional Practice Evaluation

1.5.22. EHR: Electronic Health Record - electronic health record system used by the VA ** Note – EHR and CPRS are used interchangeably in this document and contract performance, and both refer to the same system type, function and purpose.

1.5.23. FSMB: Federation of State Medical Boards

1.5.24. HHS: Department of Health and Human Services

1.5.25. HIPAA: Health Insurance Portability and Accountability Act

1.5.26. HR: Human Resources

1.5.27. IAW: In Accordance With

1.5.28. ISO: Information Security Officer

1.5.29. JPSR: Joint Patient Safety Reporting

1.5.30. MOC: Maintenance of Certification

1.5.31. MOD: Medical Officer of the Day

1.5.32. MRI: Magnetic Resonance Imaging

1.5.33. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic

1.5.34. transactions for individual (health care practitioners) and organizational entities (medical centers).

1.5.35. NPPES: National Plan and Provider Enumeration System

1.5.36. POP: Period of Performance

1.5.37. PPD: Purified Protein Derivative

1.5.38. PWS: Performance Work Statement

1.5.39. Privileging (Clinical Privileging): 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.

1.5.40. QASP: Quality Assurance Surveillance Plan

1.5.41. QA/QI: Quality Assurance/Quality Improvement

1.5.42. QM/PI: Quality Management/Performance Improvement

1.5.43. RJD: Robert J. Dole VA Medical Center

1.5.44. TJC: The Joint Commission

1.5.45. TMS: VA’s Talen Management System

1.5.46. VA: Veterans Affairs (U.S. Department of)

1.5.47. VAMC: VA Medical Center (RJD VAMC, unless otherwise specified)

1.5.48. VHA: Veterans Health Administration: The central office for administration of the VA medical centers through throughout the United States. The VHA is in Washington, D.C.

1.5.49. VISN: Veterans Integrated Services Network: The regional oversight for the VA medical centers.

1.5.50. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.5.51. VetPro: a federal web-based credentialing program for healthcare providers.

1.5.52. wRVU: work Relative Value Unit: The unit of measure for performance, reporting, billing and payment.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License – Physicians assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed on-site on VA property. The qualifications of such personnel shall also be subject to review by the RJD Chief of Staff and approval by the RJD Medical Center Director.

2.1.2. All licenses held by the physicians working on this contract shall be full and unrestricted licenses. Physicians who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.3. Board Certification - All physicians shall be Board Certified/Board Eligible per the American Board of Radiology (http://www.theabr.org/) or per the American Osteopathic Board of Radiology (https://certification.osteopathic.org/radiology/). All continuing education courses required for MOC shall remain current during performance. Contractor shall provide documentation verifying current certification to the CO at the time of proposal and annually thereafter.

2.1.4. Credentialing and Privileging – Credentialing and privileging in accordance with RJD procedures, and as indicated in this PWS in accordance with requirements of VA VSC security, and RJD credentialing requirements, using the contractor-provided physician information, CV/resume, qualifications, training and experiences, and by information provided by each proposed physician in VA’s VETPRO electronic system. Each physician will also be sent, by RJD, a VETPRO login link, to the proposed physician’s VA e-mail address once it is established, in order to provide certain information required for the RJD credentialing and privileging processes. The Contractor shall ensure all proposed physicians possesses the requisite credentials leading to granting of privileges. Services shall not be provided by any physician prior to being added to the contract by the CO, having first received approval by the RJD VAMC’s Professional Standards Board, Medical Executive Board and Medical Center Director. VSC sponsorship and RJD VAMC’s credentialing and privileging process are two different processes but rely on each other for accomplishment. The contractor shall ensure the contractor and the proposed physicians respond expeditiously to any and all requests for information related to the two processes to provide for efficient completion of both Government tasks for the onboarding process.

2.1.4.1. If physicians cannot be credentialed and privileged or has credentials/privileges suspended or revoked, the Government will remove the physician(s) from the contract. If the Government requires a replacement, the Contractor shall submit an acceptable replacement from the contract’s list of physicians within 10 days after notification of the requirement for replacement at no additional cost to the Government.

2.1.4.1.1. If the replacement physician is a proposed new addition to the list of physicians, the proposed physician will be submitted within 10 days with all required VSC documentation, and credentialing and privileging documentation.

2.1.5. Technical Proficiency - Physicians 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 to the CO upon request verifying 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 physicians and physicians shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.6. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the CO copies of current CMEs as required or requested by the VAMC. Physicians registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentialing office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for physicians.

2.1.7. Training (ACLS, BLS, EHR and VA MANDATORY): Contractor physicians shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the physicians as required by the VA. Other training may become required. If required, the Contracting Officer will communicate any changes to the training requirement to the contractor.

2.1.8. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians 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 previous one-year period of first duty date.

2.1.8.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Physicians. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated as recommended by RJD’s Employee Health Office.

2.1.8.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians.

2.1.8.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians.

2.1.8.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians.

2.1.8.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season.

2.1.8.6. 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 physicians; 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.

2.1.8.7. The VAMC 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.

2.1.8.8. Future Vaccination(s) Requirement: If a COVID vaccine becomes available and is mandatory for RJD employees, contractors shall provide proof that all Contractor physicians have received the a COVID vaccine at contractor cost, unless it is medically contraindicated. If any key personnel contracts COVID, or tests positive through a viral test or antibody test for COVID, the contractor shall immediately remove the physician from performance under the contract and immediately provide a substitute physician. The COVID positive contractor may return to work, based on Dole VA employee health guidelines. Contractor shall provide evidence of contractor’s physicians’ vaccinations equal to those required of VA physicians, such as COVID vaccinations.

2.1.8.9. Use of Masks, other Personal Protective Equipment (PPE): Contractor’s physicians shall abide by all VAMC mask and PPE requirements as established by VA and RJD policies while on VAMC property, including entrances/common areas, patient exam locations, during patient encounters and duty/work areas during performance of the contract where masks and PPE requirements are indicated by the policies.

2.1.9. National Provider Identifier (NPI): The Contractor shall have and maintain an appropriate NPI and, where applicable, provide the Taxonomy Code confirmation notice issued by CMS NPPES with the proposal.

2.1.10. DEA:- Contractor and its physician shall have and maintain current DEA certificates at all time during performance.

2.1.11. Conflict of Interest: The Contractor and all contractor’s physicians are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.12. Citizenship related Requirements:

2.1.12.1. 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;

2.1.12.2. 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.

2.1.12.3. 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.

2.1.12.4. 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.

2.1.12.5. 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.

2.1.13. 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.

2.1.13.1. 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 physicians 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.

2.1.13.2. By submitting their proposal, the Offeror certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractor and/or firm, including proposed/submitted physicians, is not listed as excluded as of the date the offer/bid was signed. This requirement shall apply to proposed/submitted physicians throughout contract performance.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his 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 physicians 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. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and Contractor’s physicians 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 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.

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s physicians 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:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

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

2.9. Key Personnel:

2.9.1. Key Personnel shall include, as a minimum – at least four (4), but not more than 10 Qualified Radiology Physicians. Of the minimum 4 physicians, the physicians shall include:

2.9.1.1. No less than two (2) Interventional Radiologists.

Of the 2, at least 1 of the Interventional Radiologists shall be a fellowship-trained interventional radiologist. There is no requirement for daily coverage by this individual(s), but the contractor shall schedule an interventional radiologist for on-site coverage at least 5 times per month.

2.9.1.2. No less than 2 Diagnostic Radiologists.

Of the minimum 4, at least 1 shall be a fellowship-trained neuroradiologist.

2.9.2. The Contractor, through the Qualified Radiology Physicians, shall perform services in accordance with this PWS.

2.9.3. Additional security requirements include the contractor’s submittal of physicians by name and with the necessary personnel security and medical center credentialing and privileging information as follows:

2.9.4. Contractor shall submit VSC security documents to the Contracting Officer, with its offeror, in submittal of proposed physicians to work under the contract and at any time a replacement physician is required. VSC documents are the same documents used as-if the physician were applying for federal employment. Documents require PII, such as social security account numbers, dates of birth and other non-public information. They are handled in the same manner as any other personnel or patient-related information.

2.9.5. Required VSC documents, listed here, are strictly scrutinized and commonly returned even for minor errors, attention to detail and…