FBO-Question_&_Answers_to_Site_Visit.pdf

RFPP01061600001

Comprehensive Medical Services

Federal Correctional Complex (FCC) Butner, United States Department of Justice

Federal Bureau of Prisons

SITE VISIT: QUESTIONS AND ANSWERS ISSUED BY:

Teresa Kennon, Contracting Officer Federal Bureau of Prisons

Field Acquisition Office

US Armed Forces Reserve Complex 346 Marine Forces Drive Grand Prairie, TX 75051

1. Please confirm that the contractor awarded Outputs #1-3 will be responsible for staffing both the specific specialist and technicians.

RESPONSE: Yes.

2. Please provide the current staffing plans with the number of hours worked by position by shift so we can compare it to our proposed staffing plan to demonstrate our recommended changes. Staffing charts are requested for Diagnostic Imaging Services, Radiation Therapy Services and Neuro-Diagnostic Services.

RESPONSE: The information requested is proprietary to the awardee and will not be released.

3. Please provide the current contracted rates for all Community-Based Physician

Services.

RESPONSE: Inpatient Physician Svs: Benchmark Medicare+ 171% Outpatient Physician Svs: Benchmark Medicare + 171%

4. Please provide the current contracted rates for all Institution-Based Physician

RESPONSE: See Chart Below

Institution – Based Physician Services: Price Dermatologist $331.00

Endocrinologist $208.00 Hematology/Oncology $434.00

Infectious Disease $203.00 Nephrologist $280.00 Neurologist $221.00

Neurosurgeon $356.00 Pathologist/Lab Director $232.00

Psychiatrist $330.00 Rheumatologist $228.00

Orthopedic Surgeon $392.00 Optometrist $119.22 Audiology $106.00 Cardiology $296.00

Pulmonary Medicine 252.00 Urology Clinic = $250.00 per hr.

Procedures = Benchmark Medicare + 271%

Anesthesiology $343.00 ENT Clinic = $338.00 per hr.

Procedure = Benchmark Medicare + 271%

5. Can these positions be subcontracted by the prime contractor or do they need to be employees of the prime contractor?

RESPONSE: The offeror makes the determination, not the Government.

6. How much involvement does the contractor have surrounding “inspection and survey” within the various FCC departments?

RESPONSE: None.

7. What is the cost for monthly dosimetry badges?

RESPONSE: The offeror is responsible for retrieving this information.

8. Does the complex have an infirmary?

RESPONSE: There are no infirmary beds at the FMC.

9. Does the complex have the ability to house LTAC patients?

RESPONSE: Yes, the FMC has a LTAC unit.

10. What is the current reimbursement structure for long care patients Per Diem Based?

RESPONSE: NOT APPLICABLE

11. Please provide the current contracted rates for Hospitalist/After Hours

Physician services.

RESPONSE: The current rate is $182.00 per hour.

12. Please clarify whether staff will assist with Output #8 Hospitalist/Afterhours physician services? Please confirm that there must be twenty-four hour coverage Saturday, Sunday and on Federal Holidays.

RESPONSE: Refer to Output #8.

13. Please provide the current staffing plan with the number of hours worked by position by shift for the Afterhours physician requirement, Output #8.

RESPONSE: Staffing plans are proprietary to the incumbent.

14. Please provide a list of equipment that is available for use for Telemedicine

RESPONSE: SEE AMENDMENT 0003

15. Which services are currently provided through telemedicine?

RESPONSE: None

16. Please provide the current FCC Butner Inmate Handbook.

RESPONSE: Information available to the public is provided on the Bureau of Prisons Public website.

17. Is there currently an electronic medical record in place at FCC Butner?

RESPONSE: Yes.

18. Will providers have the ability to perform procedures at the FMC within the FCC?

REPONSE: Providers are able to perform procedures at the Federal Medical Center.

19. Based on the large amount of outputs, will the government consider a split award?

RESPONSE: No.

20. Contractor expected to provide transportation within the FCC (RFP pg. 12) can you expand on this statement?

RESPONSE: Please be advised Amendment #0005 will address this issue.

21. Can Contractor install time clocks at the facility to account for on-site staff hours?

RESPONSE: No.

22. What type of insurance requirements (Medical Malpractice and Workers compensation) are required for the on-site staff?

RESPONSE: Refer to page 50 of 94.

23. Please provide the outputs and contracted rates that are in place for the incumbent provider.

RESPONSE: Refer to the solicitation.

24. Will there be an opportunity to submit clarifying questions following receipt of the answers to these questions?

RESPONSE : Yes.

25. EMG’s are not included in output 2 of the RFR? Is this an oversight, or will they be sent offsite?

RESPONSE: Please See Output #3 Neuro-Diagnostic

26. On page 4, Cardiology Clinics/Procedures and Oral Surgery/Procedures are combined whereas all the other clinics and procedures are broken out separately.

Since BOP breaks out the rates in the Schedule of Items, one for clinics and one for procedures, we need to know the breakdown of the number of Procedures being done for these two so a rate can be calculate for them.

RESPONSE: Refer to the solicitation.

27. In Output 4 (page 18 of 84), outpatient and inpatient facility services and professional services are requested but the scope of these services are not defined.

Please provide a list of specialty services that will be required for Output 4.

RESPONSE: Refer to solicitation page 3 of 94.

28. In Output 4 (page 18 of 84), skilled nursing facility is requested but the scope of these services and potential volume have not been defined and/or provided. Please identify the scope of services needed and if available, the volume anticipated for these service needs at a skilled nursing facility.

RESPONSE: Please be advised Amendment #0005 will be issued and skilled nursing will be addressed.

29. On page 24 in output 5, the RFP states “If the resulting contract does not provide for telemedicine consultation or all of the on‐site clinics listed, the FCC reserves the right to pursue such contracts. The FCC also reserves the right to determine the manner of an inmate’s referral, i.e., via on ‐site clinic, via community‐based referral, via telemedicine consult, or any other method the FCC determines to be reasonable and appropriate.” Does FMC Butner currently own telemedicine equipment? It is not listed on Amendment 1.

RESPONSE: Yes, the FCC does have telemedicine equipment. Additionally, Amendment #0005 will address this issue.

30. "The title of Output 4 indicates FCC Butner would like access to a skilled nursing care facility. How many patient days annually is FCC Butner anticipating for a skilled nursing facility? Is FCC Butner requesting long term acute care or nursing home services, or both?"

RESPONSE: Please be advised Amendment #0005 which will clarify skilled nursing.

31. Could we have a written statement from the Bureau of Prisons that confirms that neither the prime contract between the BOP and Contractor, nor any subcontract to which any subsidiary of potential hospital is a party, is considered a “service contract” under the Service Contract Act, 41 U.S.C.

§§351 et seq., or FAR 52.22241 and therefore the requirements of Executive Order 13658 do not apply to any party to these contracts.

RESPONSE: The Service Contract Act does not apply to this requirement.