RFP-22-026_Amendment1_CRNA_PineRidgeSD.pdf

DEPARTMENT OF HEALTH & HUMAN SERVICES

Great Plains Area Indian Health Service Federal Building, Room 309 115 4th Ave. SE Aberdeen, SD 57401

OUR REFERENCE: GPA/DAM

Amendment No. One (1) Solicitation Number: RFP-22-026

December 15, 2021

To Whom It May Concern:

Enclosed is the executed SF-30 document(s) signed and dated by the Contracting Officer in reference to solicitation number RFP-22-026. Please retain for your own records.

Should you have any questions or need information, please contact Wenda Wright, Contract Specialist or I at 605/226-7724 at your convenience.

Sincerely, Craig Wells Contracting Officer Great Plains Area Indian Health Service Attachment(s)

- Questions and Answers

Questions and Answers/CRNA Services/Pine Ridge, South Dakota.

1. Is this a new requirement or is there an incumbent contractor? If incumbent, who is the incumbent & what is the current rate?

Yes, there is an incumbent contract which will be expiring outcome February 11, 2022 That is Rice Solutions. You can submit a FOIA request through foia.gov.

2. What is the on call rotation/schedule?

Rotation/Schedule. We solicited for a minimum of 2 but feel 3 would create a better call schedule. Or they can have more candidates cleared so that they spread the call out more. We are 24/7 coverage so Regular hours Monday – Friday and then they would split nights and weekends based on how many the company proposes. The recent vendor has been doing that where there are 3 splitting it. We require the vendor to provide a CALL schedule a minimum of the month at a time and prior to the 1st of each month for the coming period. This must be posted for JC regulations and use by the ER and Surgery teams.

3. Are the CRNAs independent or supervised by an Anesthesiologist?

Our Clinical Director is the Director of Anesthesiology but is not an Anesthesiologist, he is a surgeon. He oversees the program and directs all care. This contract allows the vendor to provide either licensed MDA (medical doctorate of anesthesia) certified CRNAs, or a combination of, please refer to page 9 of 14 for qualification section.

4. Is NRP certification required or preferred?

NRP – Recommended but not required. There is the option to attend onsite classes at Pine Ridge Hospital during course of the contract to obtain this certification. As it is offered periodically to permanent staff.

5. Section C-5 - Page 16 of 14 states Two housing units of 1bedroom size (or 1 unit of 2 bedroom size) will be retained for the purposes of this contract. What is the cost to the Vendor for the housing?

Housing costs- average monthly price for a 2 bedroom non-furnished unit is $1143.65. Rent costs change in March, annually based on the previous year’s locality prevailing rate calculations This is a shared common space. 1 bedroom unfurnished units are averaging $783.89 per month.

6. Are the below items required with the bid proposal or upon credentialing of providers once awarded?

• Complete and sign Child Care Position/Personnel Security Office form.

• Complete and sign the Declaration for Federal Employment – Optional Form 306.

• Complete and sign Addendum to Declaration for Federal Employment (OF306).

• Complete and sign Licensure Requirement Form.

• Copy of malpractice insurance coverage.

• Shall meet the Qualifications and Knowledge Requirements in the Performance Work

Statement and provide copies of the required documents (if needed).

• Copies of Continuing Education.

Required documents are after award, the required information for the proposal is found in the Technical evaluation for 1 Detailed work plan to meet the requirement, 2 Past Performance and experience, and 3 Key personnel (this section should include the Vendor personnel to manage the contract and a sample of the types of candidates that will be offered so a CV or Resume. We recognize that timing on assignments is critical and that candidates in proposals may be assigned to different locations between proposal solicitation and award and clearance. Be specific when responding to page 3-4 of the Technical Evaluation as incomplete responses to the questions will not receive full consideration. The Evaluation Team uses pages 5-8 and the instructions from page 1-2 to rate prospective offeror’s.

7. What are the average number of cases per day?

Average case load per day = up to 8 per day of the various specialties

8. Staffing

a. Does the service unit currently need 2 or 3 FTEs? SERVICE UNITS REQUESTS MINIMUM OF

2 BUT IF A VENDOR WANTS TO CREDENTIAL 3 SO THAT THE CALL AND ROTATION IS

SPREAD OUT THEN 3 IS ACCEPTABLE. ONLY 2 WILL COVER M-F REGULAR HOURS DAILY.

b. Call and call back – What will the call rotation and call schedule look like for the remaining contract designated to provide on call / call back consultation? Will this be shared between 2 FTE, or is a 3rd FTE needed to cover call? SHARED BETWEEN THE 2 OR 3 THAT

WAY WEEKEND ON CALL WILL BE SPREAD OUT. VENDOR IS REQUIRED TO PROVIDE THE

CALL SCHEDULE BEFORE THE END OF EACH MONTH BUT WOULD PREFER A 2 MONTHS

OUT SCHEDULE. 1 FTE ON CALL AFTER REGULAR HR M-F AND 1 FTE ON CALL OR SPLIT

EACH WEEKEND DAY, SO IF THE VENDOR WANTS TO SCHEDULE BY 12 HR SHIFTS THEY

MAY AND HAVE THEM OPPOSITE EACH OTHER.

c. How many Anesthesiologists on staff per shift? 0 UNLESS VENDOR PRESENTS AN

ANESTHESIOLOGIST INSTEAD OF A CRNA AS CANDIDATE

d. How many CRNAs on staff per shift? M-F 2 FTE FOR REGULAR WORK DAY

9. Clinical

e. How many OR Suites? 3

f. General cases or Heads-NO, Hearts, Trauma? GENERAL CASES, NO HEARTS, AND MINOR

TRAUMA

g. Types of Cases: Cardiac-NO, Chronic Pain-MINIMAL, Gynecological-YES, Obstetrics-YES, Neurology--NO , Trauma- MINOR CASES, Transplants-NO, Ambulatory Surgery-YES, Open-

Heart Surgery-NO, Neurosurgery-NO, Pediatric Surgery- YES DENTAL CASES MOSTLY BUT GENERAL SURGERY ALSO, Podiatry - YES?

h. How many cases per day? DAILY AVERAGE OF CASES 8

10. Start Date

i. Anticipated timeframe for award and contract staff to start on-site? WANT CANDIDATES

PRESENTED WITH PACKET TO BE THE ONES THAT WILL START 02-11-2022

11. Bid Extension

j. Will the IHS consider extending the bid deadline due to questions and additional details needed? NO, PREVIOUS CONTRACT EXPIRES AND NEW STAFF MUST BE CREDENTIALED

TO START 2-11-22.