FBO-RFPP01061600001-Butner-S.pdf

U.S. Department of Justice

Federal Bureau of Prisons Administration Division

Field Acquisition Office U.S. Armed Forces Complex Grand Prairie, Texas 75051

September 15, 2017

Re: RFPP01061600001, Comprehensive Medical Services

Federal Correctional Complex

Dear Offeror:

Accompanying this cover letter is a solicitation package prepared by the Federal Bureau of Prisons, Field Acquisition Office, for the acquisition of Comprehensive Medical Services for the Federal Center Complex, located in Butner, North Carolina. The solicitation package consists of the following:

Cover Letter (2 pages) Solicitation (94 pages) Attachments (29 pages)

In submitting proposals, offerors should consider all information provided herein. Please carefully follow all instructions located in the solicitation package concerning the content, format, and submission of the proposals. Detailed information can be located in Section 5-2 of the solicitation.

A site visit will be scheduled at a date and time to be determined. Please be advised anyone interested in attending the site visit shall submit their completed Security Clearance Forms. The forms will be included with the site visit information. The Security Clearance forms shall be electronically mailed to tkennon@bop.gov at a date to be determined. All forms received after the stated deadline will not be accepted (NO EXCEPTIONS). Additionally, on the schedule date and time to be determined all attendees shall meet in the front lobby of the Federal Medical Center, Butner, North Carolina. No, questions will be answered during the site visit; therefore, please submit any questions from the site visit to the tkennon@bop.gov who will post responses to all questions on the Federal Business Opportunity website.

All communications regarding this RFP, including any of a technical nature, shall be electronically submitted the Contracting Officer. Questions will not be answered by telephone or in person. Please read the important instructions that are incorporated by reference in the provision at FAR 52.212-1, ‘Instructions to Offerors--Commercial Items,’ and any addendum thereto.

The Contracting Officer assigned to this procurement is the undersigned. Please be advised the Contracting Officer is the only individual who can legally commit or obligate the Government to expenditure of public funds should a contract result from this RFP.

mailto:tkennon@bop.gov

Prospective offerors are also cautioned against discussing the preparation of their offer (or any technical questions) with Government technical personnel. The circumstances of such contact, when verified, may result in non-consideration of the offer. Accordingly, all communication prior to award shall be directed to the Contracting Officer, via electronical mail to tkennon@bop.gov.

Offers shall be received on or before the deadline of November 15, 2017 at 2:00pm Central Time.

Please email any questions to my attention at tkennon@bop.gov. We will consider all questions received and provide responses, where appropriate.

Respectfully, Teresa Kennon, Contracting Officer Federal Bureau of Prisons Field Acquisition Office

Enclosure

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NO. 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NO.

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

RFQ IFB RFP

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NAICS:

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8 (A)

EDWOSB

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

16-335 94

RFPP01061600001

Teresa Kennon, Contracting Officer (FAO) 972-352-4512

BFAO

FBOP - FCC Butner

Old NC HWY 75

Butner, NC 27509

BBUX

FBOP - FCC Butner

Old NC HWY 75

Butner, NC 27509

Attention: Financial Management - Accounting Staff

FBOP - FCC Butner

PO BOX 999

Butner, NC 27509

Comprehensive Medical Service for the FCC located in

Butner, NC

Teresa Kennon, Contracting Officer - FAO

622110

38.5 Million

09/15/2017

11/15/2017

2:00PM -CT

BBUX

US Department of Justice-Federal Bureau of Prisons

Field Acquisition Office (FAO)

US Armed Forces Reserve Complex

346 Marine Forces Dr.

Grand Prairie, TX 75051

BBUX

STANDARD FORM 1449 (REV. 2/2012) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

0001 Comprehensive Medical Services for the FCC, located 12 MO in Butner, NC Base Year: Date of Award (DOA) through 12 months from DOA.

0002 Comprehensive Medical Services for the FCC, located 12 MO in Butner, NC Option Year No. 1: 13 months through 24 months from DOA.

0003 Comprehensive Medical Services for the FCC, located 12 MO in Butner, NC. Option Year No. 2: 25 months through 36 months from DOA.

0004 Comprehensive Medical Services for the FCC, located 12 MO in Butner, NC. Option Year No. 3: 37 months through 48 months from DOA.

0005 Comprehensive Medical Services for the FCC, located 12 MO in Butner, NC. Option Year No. 4: 49 months through 60 months from DOA.

0006 Comprehensive Medical Services for the FCC, located 6 MO in Butner, NC. Six (6) month extension as authorized by the Federal Acquisition Regulation(FAR)

52.217-8 - Option to Extended Services.

FCC BUTNER

RFPP01061600001

2-1 CONTRACT PRICING/SUB-CONTRACT CERTIFICATION

BLOCKS 19 THROUGH 24 - CONTRACT PRICING/SUB-CONTRACT CERTIFICATION

Overview

Services are required to be provided in accordance with the Performance Work Statement included in this solicitation/contract. Offerors are required to submit, as a part of their business proposal, a completed copy of Schedule of Items/Sub-Contract Certification.

Pricing Methodology

Except for services based on session rates, price proposals will be calculated from benchmarks utilizing Medicare reimbursement methodologies. For each category of service to be provided, offerors will be allowed to propose a variance from the benchmark Medicare rate in the form of a discount from or a premium to Medicare rates established by the Centers for Medicare and Medicaid Services. The rates established in the resulting contract shall not be construed as participation in the Medicare program; contract rates will merely be equated to Medicare rates of reimbursement without reductions for deductibles, copayments, or coinsurance. When appropriate, outlier payments calculated in accordance with Medicare reimbursement methodologies shall be made in recognition of extremely costly stays. The outlier payment shall be calculated based upon the defined benchmark and will consist of the operating portion only.

This structuring of the pricing methodology is not intended to be restrictive of any offeror; offerors need only to propose that percentage discount from or premium to the Medicare benchmark rate which will reflect the desired level of payment for the category of services rendered. If during contract performance, it is determined that a necessary contract deliverable is not covered by Medicare reimbursement methodologies, a separate rate shall be negotiated for such deliverable(s).

Medicare Part A. The Medicare benchmark to be utilized for all services covered by Medicare Part A shall be the most current Basic MS-DRG payment (i.e., Operating Federal Rate) established for Core Based Statistical Area (CBSA) 20500, Durham-Chapel Hill, NC. The Basic MS-DRG calculation shall not include any provider-specific adjustments allowed under actual Medicare participation. Offerors may propose a discount from or a premium to Basic MS-DRG rates. (Refer to Attachment 1 of this solicitation)

Medicare Part B Physician Services and Non-Physician Services. The Medicare benchmark to be utilized for all physician and non-physician services covered by Medicare Part B shall be those rates established in the most current Medicare Part B Fee Schedule for Payment Locality 00, State of North Carolina – Statewide. The benchmark charges shall be those established for participating providers. Offerors may propose a discount from or a premium to the benchmark charges.

Medicare Part B Facility Services (including hospital outpatient services and ambulatory surgical centers). The Medicare benchmark to be utilized for all facility services covered by Medicare Part B shall be the most current APC and ASC rates calculated for (CBSA) 20500, Durham-Chapel Hill, NC. Offerors may propose a discount from or a premium to the benchmark charges.

Estimated Quantities

Estimated quantities for the base year and all option years are detailed below. The estimated quantities provided are not a representation to the offeror/contractor that the estimated quantities will be required or ordered or that conditions affecting requirements will be stable or normal.

Output #1 – Diagnostic Imaging

Quantity estimates are for the base period and four options.

10,180 estimated procedures per year, which include the following:

Procedures Estimated Quantities

Computer Axial Tomography 1890 per year

Echocardiograms 285 per year

Fluoroscopy 60 per year

MRI 750 per year

Nuclear Medicine 310 per year

PET/CT 320 per year

Radiography/Tomography 5430 per year

Radio Nuclide Stress 80 per year

Ultrasound (with echocardiography) 1055 per year

Output #2 – Radiation Therapy

Quantity estimates are for the base year and four options.

6320 estimated procedures per year

Dosimetry 322 per year

IMRT Plans 10 per year

Physician Appointment (New Patient) 163 per year

Physician Appointment (Follow Up) 397 per year

RTP 185 per year

Treatments 5243 per year

Output #3 – Neuro Diagnostic

Quantity estimates are for the base year and four options.

290 procedures per year, which include the following:

EEG Test 30 per year

EMG Test 80 per year

Evoked Potential Testing 2 per year

In-Service Sleep Equipment (patient encounters) 155 per year

Sleep Studies 23 per year

Output #4 – Inpatient/Outpatient Facility and Physician Services

Quantity estimates are for the base period and four option periods.

Inpatient - Estimated 2400 inpatient days Outpatient - Estimated 1350 outpatient visits

Output #5 – Institution-Based Physician Services

Quantity estimates are for the base period and four option periods. Estimated quantities shall remain constant for the base year and all option years. For Medicare-based services, duration of visits is listed for informational purposes only, as contracted rates will be based upon the Medicare allowable per procedure performed. General Practitioner, Optometry, and Audiology shall be paid upon the provision of defined session. A session is equal to one (1) hour.

Dermatologist: Visit Duration – 8 hours (Approximate) Visit Quantity – 24 per contract year (Estimated)

Endocrinologist: Visit Duration – 8 hours (Approximate) Visit Quantity – 12 per contract year (Estimated)

Hematology/Oncology: Visit Duration – 8 hours (Approximate) Visit Quantity – 260 per contract year (Estimated)

Infectious Disease: Visit Duration – 4 hours (Approximate) Visit Quantity – 52 per contract year (Estimated)

Nephrologist: Visit Duration – 4 hours (Approximate) Visit Quantity – 52 per contract year (Estimated)

Neurologist: Visit Duration – 8 hours (Approximate) Visit Quantity – 24 per contract year (Estimated)

Neurosurgeon: Visit Duration – 4 hours (Approximate) Visit Quantity – 12 per contract year (Estimated)

Pathologist/ Lab Director: Visit Duration – 8 hours (Approximate) (College of American Pathologist) Visit Quantity – 288 per contract year (Estimated)

Physiatrist: Visit Duration – 8 hours (Approximate) Visit Quantity – 12 per contract year (Estimated)

Rheumatologist: Visit Duration – 4 hours (Approximate) Visit Quantity – 12 per contract year (Estimated)

General Practitioner (3-4): Visit Duration – 8 hours (Approximate) Visit Quantity – 6240 sessions per year

Optometrist: Session Duration – 6 hours (Approximate) Session Quantity – 56 per year

Audiologist: Session Duration – 8 hours Session Quantity – 12 sessions per year

Output #6 – Outpatient Institution-Based Physician Services and Invasive/Surgical Procedures

Quantity estimates are for the base period and four option periods. The visit duration is the expected amount of time the provider will be at the FCC to perform sessions.

Cardiology Clinics/Procedures Visit Duration – 8 hours

Visit Quantity – 52 per contract year

Gastroenterology Clinics Visit Duration – 8 hours Visit Quantity – 36 per contract year

Gastroenterology Procedures Visit Duration – 4 hours (approximate) Procedure Quantity – 300 procedures per contract year

General Surgeon Clinic: Visit Duration – 8 hours Visit Quantity – 24 per contract year

General Surgeon Procedures: Visit Duration – 8 hours (approximate) Procedure Quantity – 150 procedures per contract year

Ophthalmology Clinic: Visit Duration – 8 hours Visit Quantity – 48 hours per contract year

Ophthalmology Procedures: Visit Duration – 8 hours (approximate) Procedure Quantity – 25 procedures per contract year

Oral Surgery Clinic/Procedures: Visit Duration – 8 hours Visit Quantity – 12 hours per contract year

Orthopedic Surgeon Clinic: Visit Duration – 8 hours Visit Quantity – 24 hours per contract year

Orthopedic Surgeon Procedures: Visit Duration – 8 hours (approximate) Procedure Quantity – 24 procedures per contract year

Otorhinolaryngology (ENT) Clinic: Visit Duration – 8 hours Visit Quantity – 12 hours per contract year

Otorhinolaryngology (ENT) Procedures: Visit Duration – 8 hours (approximate) Procedure Quantity – 12 procedures per contract year

Pulmonary Medicine Clinic: Visit Duration – 8 hours Visit Quantity – 12 hours per contract year

Pulmonary Medicine Procedures: Visit Duration – 4 hours (approximate) Procedure Quantity – 12 procedures per contract year

Urology Clinic: Visit Duration – 4 hours Visit Quantity – 24 hours per contract year

Urology Procedures: Visit Duration – 4 hours (approximate) Procedure Quantity – 110 procedures per contract year

Vascular Surgery Clinic: Visit Duration – 4 hours Visit Quantity – 24 per contract year

Vascular Surgery Procedures: Visit Duration – 4 hours (approximate) Procedure Quantity – 36 procedures per contract year

Anesthesiology Clinic/Procedures: Session Duration – 10 hours Session Quantity – 260 hours per contract year

Certified Registered Nursing Anesthetist: Session Duration – 10 hours (CRNA) Session Quantity – 2600 hours per contract year

Output #7 – Medical Staffing (Non-Physician)

Quantity estimates are for the base year and four options. Session is equal to one (1) hour

Respiratory Therapist - 2,080 sessions per year Respiratory Therapist Supervisor- 4,160 sessions per year Medical Librarian - 416 sessions per year Speech Language Pathologist - 1152 sessions per year Wound Care Treatment Specialist - 192 sessions per year

Output 8 – Hospitalist/After Hours Physician

Quantity estimates are for the base period and four option periods. A session is equal to one (1) hour.

The visit duration is the expected amount of time the provider will be at the FCC to perform sessions.

Hospitalist/After Hours Physician Session Duration – See Performance Work Statement Session Quantity – 6062 per contract year

SCHEDULE OF ITEMS

Offerors shall complete the following Schedule of Items. All proposed pricing will be evaluated in accordance with FAR 52.212-2, "Evaluation--Commercial Items" and "Evaluation of Proposals" in Section 5-2 of this solicitation.

BASE YEAR

Date of Award (DOA) through 12 months from date of Award

SERVICE Total Amount Per Year

1. Diagnostic Imaging Department (Output #1)

$ Total Per Year

2. Radiation Therapy Department (Output #2)

3. Neuro Diagnostic Department (Output #3)

4. Inpatient Facility Services:

(Output #4)

- Discount or + Premium to Medicare Part A

5. Outpatient Facility Services:

6. Inpatient Physicians Services:

- Discount or + Premium to Medicare Part B

7. Outpatient Physician Services:

8. Outpatient Institution Services:

Physician Services: (Output #5)

9. Outpatient Institution Services:

Physician Clinics (Output #6)

10. Outpatient Institution Services:

Physician Procedures (Output #6)

11. Outpatient Institution Services:

Anesthesiologist (Output #6)

$ Per Session

12. Outpatient Institution Services:

CRNA (Output #6)

13. Respiratory Therapy Supervisor (Output #7):

14. Respiratory Therapist (Output #7): $ Per Session

15. Medical Librarian (Output #7): $ Per Session

16. Speech Language Pathologist

17. Wound Care Treatment Specialist

18. After Hours Physicians (Output #8): $ Per Session

OPTION YEAR No. 1

13 through 24 months from DOA

15. Medical Librarian (Output #7): $ Per Session

OPTION YEAR No. 2

25 through 36 months from DOA

15. Medical Librarian (Output #7): $ Per Session

OPTION YEAR No. 3

37 through 48 months from DOA

15. Medical Librarian (Output #7): $ Per Session

OPTION YEAR No. 4

49 through 60 months from DOA

15. Medical Librarian (Output #7): $ Per Session

OPTION TO EXTEND SERVICES AS AUTHORIZED BY FAR 52.217-8

Six Month Extension as Authorized by FAR 52.217-8

15. Medical Librarian (Output #7): $ Per Session

NOTE: IF OFFERING A VARIANCE FROM THE BENCHMARK MEDICARE RATE, INSERT

APPLICABLE "-/+" PERCENTAGE. IF NO VARIANCE, ENTER "0".

All offerors are hereby advised that the successful offeror’s unit pricing (to include discount percentage from or premium percentage to the benchmark Medicare rate) for the base year and all options is public information, in accordance with Federal Acquisition Regulation FAR 15.503(b)(1)(iv). Accordingly, all successful unit pricing will be released to unsuccessful offerors with the notification of award as well as to the general public when requested. Any party who objects to the release of their own unit pricing information, should they be awarded a contract in response to this solicitation, should not submit proposal in response to the solicitation.

Sub-Contract Certification:

This contract does [___] does not [___] provide for subcontracting possibilities.

If answer is in the affirmative, offeror will submit [___] a sub-contracting plan in accordance with the requirements of FAR 52.219-9.

2-2 PERFORMANCE WORK STATEMENT

I. Background

The Federal Bureau of Prisons (BOP) was established in 1930 to provide more progressive and humane care for Federal inmates, to professionalize the prison service, and to ensure consistent and centralized administration. Today, the BOP is responsible for the custody and care of approximately 191,965 Federal offenders. The Federal prison system is a nationwide system of prisons and detention facilities for the incarceration of inmates who have been sentenced to imprisonment for Federal crimes and the detention of individuals awaiting trial in Federal court. It is the mission of the Federal Bureau of Prisons to protect society by confining offenders in the controlled environments of prisons and community-based facilities that are safe, humane, cost-efficient, and appropriately secure, and that provide work and other self-improvement opportunities to assist offenders in becoming law-abiding citizens.

As an agency under the Executive Branch of the United States Government, the BOP receives an annual appropriation of funds to accomplish its assigned mission. The public trust demands that this annual appropriation be prudently managed. Thus, dollars spent to maintain the health of the inmate population must reflect the agency’s best efforts to obtain cost-effective health care consistent with community standards.

In meeting the health care needs of a growing inmate population, the BOP provides essential medical, dental, and mental health services to Federal inmates by BOP staff. When a medical need arises which cannot be provided within prison walls by BOP staff, referrals are then made to community-based providers. It is the goal of this solicitation to establish a contractual agreement that will provide necessary professional and facility services for both inpatient admissions and outpatient encounters.

The Federal Correctional Complex (hereinafter referred to as FCC) located in Butner, North Carolina intends to make a single award as indicated below, to a responsible entity for the provision of Comprehensive Medical Services as set forth in this solicitation/contract. The FCC consists of five facilities: a Low Security Correctional Institution (LSCI), two (2) medium security Federal Correctional Institutions (FCI), a minimum security satellite Federal Prison Camp (FPC), and a Federal Medical Center (FMC). The contractor may be required to provide medical services throughout the FCC, although most services will be provided at the FMC.

The FCC will house and provide inpatient and outpatient medical and mental health services to inmates of multiple security levels, including high, medium, low, and minimum security. The contractor is expected to provide their own transportation when driving between the institutions within the FCC. All institutions within the FCC currently house male inmates exclusively. Although not planned, the FCC reserves the right to house female inmates who would require care under any contract(s) awarded.

With the exception of the FMC, the FCC institutions are presently identified as Care Level III BOP facilities.

The FMC is presently identified as a Care Level IV BOP facility. Care Levels are administrative classifications, which provide for the designation of inmates with similar health needs within a BOP facility.

The classification is based on a four-level scale system where Care Level I represents the healthiest inmates and Care Level IV represents inmates with serious health issues. Criteria for categorizing an inmate in the Care Level categories are included as Attachment 5 (medical and mental health). The contractor is responsible to provide medical and mental health services to all care levels within the FCC.

Classification and designation of inmates is the sole responsibility of the BOP and may be changed at any time without consideration to the contractor.

In evaluating offers, the Government will evaluate the proximity of the proposed community-based providers, in addition to other factors, and give preference to those providers located nearest the FCC. Although a mile-radius restriction has not been placed on Outputs #4 and 5, the Government reserves the right to determine that the proposed distances of community-based providers pose an unacceptable cost or security risk and to find such offers unacceptable.

II. Organizational Conflict of Interest

The objective of this solicitation is to satisfy the BOP’s requirement for the provision of health care to the inmates of the FCC. A potential organizational conflict of interest may arise if the awardee is an entity which also holds or participates in a separate contract/agreement with the BOP as a medical claims adjudicator. A possible conflict of interest may exist if the awardee has dual responsibilities for the submission of medical claims for services rendered under the resulting contract and for the adjudication of those medical claims under a separate contract/agreement with the BOP.

Offers received from any firm which holds or participates in a separate contract/agreement for BOP medical claims adjudication services must address any potential organizational conflict of interest that may arise and must provide a detailed explanation of how such conflicts will be avoided. Offers received from any firm which holds or participates in a separate contract/agreement for BOP medical claims adjudication services which fail to adequately address/resolve potential conflicts of interest will be rejected without further consideration. This limitation on the eligibility of offerors has been imposed as authorized by Federal Acquisition Regulation (FAR) 9.506.

III. Statement of Output

Within this Performance Work Statement (PWS), necessary services are described in terms of output rather than specific task assignments. The BOP desires to make an award to the offeror(s) who can provide the best value, considering the diversity of available services and price, among other criteria specified in Attachment 4 of this solicitation. Therefore, the Government may award any or all line items, may withhold award of any or all line items, or may award to an offeror who proposes less than the full complement of services contained in this solicitation. Accordingly, output items 1 thru 8 are optional deliverables while output items 9, 10, and 11 are applicable for all services provided. Offerors are encouraged to submit comprehensive proposals committing to provide all output listed in the solicitation. Offerors who propose less comprehensive approaches will be evaluated accordingly.

Output #1: Provide institution-based diagnostic imaging services, which conform to community standards, and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the public (Line Item 1).

Output #2: Provide institution-based radiation therapy services, which conform to community health care to members of the public (Line Item 2).

Output #3: Provide institution-based neuro-diagnostic services, which conform to community health care to members of the general public (Line Item 3).

Output #4: Provide inpatient and outpatient facility services which conform to community standards and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public (Line Items 4,5,6, and 7).

Output #4: Provide professional services which conform to community standards and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public (Line Items 4,5,6 and 7).

Output #5 Institution Based Physician Services (Line Item 8)

Output #6: Provide institution-based physician services and invasive procedures which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care to members of the general public.

(Line Items 9 thru 12).

Output #7: Provide institution-based medical staffing services (non-physician) which conform to community standards and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public (Line Items 13-17).

Output #8: Provide Hospitalist/After Hours Physician services which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care to members of the general public.

Output #9: Submit properly-priced invoices for services rendered

Output #10: Manage medical record information in a manner which promotes continuity of care while observing restrictions on the release of information.

Output #11: Maintain open avenues of communication, facilitating the exchange of information between the contract physician, contract facility, and the FCC regarding the contract services.

Due to the volume and required coordination of services being solicited, the Contractor shall provide the services of an on-site scheduler at the FCC to facilitate the Contractor’s performance of services under this contract.

IV. Compliance with Contract Requirements

The Contractor’s efforts under this contract shall be monitored to ensure that the required output is achieved.

The Government reserves the right to inspect and evaluate in a reasonable manner all services rendered during the performance of this contract. The Contractor’s performance will be measured by the Government utilizing the outcome measure indicators provided in Attachment 3.

The Contractor is responsible for all management and quality control actions necessary to meet the quality standards set forth by this contract. Prior to commencing performance, the Contractor shall develop and submit a quality control plan (QCP) for the FCC’s approval. Once the QCP is approved by the FCC, the Contractor shall utilize the QCP to guide and rigorously document the implementation of the required management and quality control actions to achieve the specified output.

V. Specific Requirements

Output #1: Provide institution-based diagnostic imaging services, which conform to community standards, and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public.

The Contractor shall provide for the complete management, staffing, and operation of the FCC Diagnostic Imaging Department. The FCC Diagnostic Imaging Department is located within the FCC. The Diagnostic Imaging Department hours will be from 6:00am to 6:00pm with the bulk of patient encounters between 7:30 am to 4:00 pm, Monday through Friday, excluding Federal holidays. The Contractor shall ensure that staff remains on-call and available to return to the FCC to provide services which are required on an urgent basis outside of the normal operating hours. If services are required outside of normal working hours, the contractor’s response time shall be within one hour of telephonic notification from the Government.

In performance of this output, the contractor shall provide the following services, to include but not be limited to:

Computer axial tomography Echocardiogram Fluoroscopy, to include in Operating Room Magnetic Resonance Imaging Nuclear Medicine Positron Emission Tomography/Computed Tomography Scans (PET/CT) Radiography/tomography, to include portables on nursing units Radio Nuclide Stress Test Ultrasound (with echocardiography)

The Contractor shall be responsible for determining the staffing required to operate the FCC Diagnostic Imaging Department. At a minimum, the Contractor shall staff the unit so as to satisfy all applicable requirements of the Food and Drug Administration (FDA), the Joint Commission for Accreditation of Health Care Organizations (JC), Nuclear Regulatory Commission and any other local, state, or Federal guidelines pertaining to the performance of diagnostic imaging services. All Contractor staff requiring professional licensure shall maintain active licenses. All clinical privileges shall be appropriate to the qualifications of the provider and the resources of the facility where care is provided. The Contractor shall ensure that a radiologist is available on site or on call to perform all clinical functions as required and to provide consultation on other relevant issues. The Contractor shall ensure a radiology physicist is included within the staffing guidelines, designate a manager, and a radiologist as having primary responsibility for the operations of the FCC Diagnostic Imaging Department. The radiology physicist will chair the Radiation Safety Committee and inspect and calibrate systems, in addition to other duties. The Contractor shall ensure a registered nurse is included within the staff guidelines. The FCC will provide all equipment, supplies, and forms for the performance of this output.

At least two weeks prior to performing services, the Contractor shall submit a bi-weekly work schedule to the Contracting Officer’s Representative (COR) or designee for reference purposes.

The contractor shall coordinate all issuance of personnel dosimetry badges to identified staff on a monthly and/or quarterly basis. The Contractor shall procure and pay for the monthly badges.

Exam/test/procedure result turn-around time limit for forwarding results to the appropriate patient care units shall normally be no later than the end of the shift on which the exam/test/procedure result is known or when clinically needed, whichever occurs first. Transcribed results will be provided to the FCC within 24 hours of exam/test/procedure or when clinically needed, whichever occurs first. The practitioner who requests a stat test or examination shall receive a verbal report the day the test is ordered. If at any time a practitioner suspects serious immediate life-threatening pathology has been identified or verified via an exam/test/procedure, that information shall be telephoned to the referring physician or practitioner, or in his/her absence, the FCC Clinical Director or designee, upon becoming knowledgeable of the potential immediate life-threatening condition. The Contractor shall be responsible for providing all transcription support. On a monthly basis and within ten calendar days following month end, the Contractor shall submit a report of total tests/procedures/examinations and other operational matters in a format prescribed by the

FCC.

In addition to abiding by all regulatory requirements, the Contractor shall ensure that the FCC Diagnostic Imaging Department successfully passes all required surveys or inspections. The Contractor’s performance shall comply with the following standards:

1. BOP Program Statement P6000 Patient Care Series Policies (current version), Medical, Dental, and

Health Services

2. Ambulatory Health Care (CAMAC), Behavioral Health Care (CAMBHC), and Nursing Care Center (CAMNCC) – Joint Commission (current version)

3. Food and Drug Administration Rules, Regulations, and Standards regarding medical device and radiation safety (current version)

The offeror’s technical proposal shall discuss in detail the staffing approach and proposed methodology for accomplishing Output #1, including a proposed plan for securing substitute services in the event of staff absences.

Output #2: Provide institution based radiation therapy services, which conform to community

The Contractor shall provide for the complete management, staffing, and operation of the FCC Radiation Therapy Department. The FCC Radiation Therapy Department is located within the FMC. The Radiation Therapy Department shall normally receive patients during the hours of 6:00 am to 6:00 pm, Monday through Friday, excluding Federal holidays. In performance of this output, the Contractor shall operate a linear accelerator and implant isotopes or seeds or other procedures as needed. Based on the patient load for the FCC, the Contractor may be required to provide extended services into the evening.

The Contractor shall be responsible for determining the staffing required to operate the FCC Radiation Therapy Department to include a Radiation Physicist. At a minimum, the Contractor shall staff the unit so as to satisfy all applicable standards, rules, or regulations prescribed by the Federal Government, JC, and any other governmental agency, which has oversight responsibility for the performance of therapeutic radiation services. All Contractor staff requiring professional licensure shall maintain active licenses. All clinical privileges shall be appropriate to the qualifications of the provider and the resources of the facility where care is provided. The Contractor shall ensure that a radiation oncologist is available on site to perform all clinical functions as required and to provide consultation on other relevant issues. The Contractor shall designate a supervisor, radiation oncology physicist, and physician as having primary responsibility for the operations of the FCC Radiation Therapy Department.

At least two weeks prior to performing services, the Contractor shall submit a bi-weekly work schedule to the COR or designee for reference purposes.

The FCC will provide all equipment, supplies, and forms for the performance of this output.

Exam/test/procedure result turn-around time limit for forwarding results to the appropriate patient care units shall normally be no later than the end of the shift on which the exam/test/procedure result is known or when clinically needed, whichever occurs first. Transcribed results will be provided to the FCC within 48 hours of exam/test/procedure or when clinically needed, whichever occurs first. The practitioner who requests a stat test or examination shall receive a verbal report the day the test is ordered. If at any time a practitioner suspects serious immediate life-threatening pathology has been identified or verified via an exam/test/procedure, that information shall be telephoned to the referring physician or practitioner, or in his/her absence, the FCC Clinical Director or designee, upon becoming knowledgeable of the potential immediate life-threatening condition.

The Contractor shall be responsible for providing all transcription support. On a monthly basis and within ten calendar days following month end, the Contractor shall submit a report of total tests/procedures/examinations and other operational matters in a format prescribed by the FCC.

In addition to abiding by all regulatory requirements, the Contractor shall ensure that the FCC Radiation Therapy Department successfully passes all required surveys or inspections. The Contractor’s performance shall comply with the following standards:

3. Food and Drug Administration Rules, Regulations, and Standards regarding medical device and radiation safety (current version)

The offeror’s technical proposal shall discuss in detail the staffing approach and proposed methodology for accomplishing Output #2, including a proposed plan for securing substitute services in the event of staff absences.

Output #3: Provide institution-based neuro-diagnostic services, which conform to community

The Contractor shall provide for the complete management, staffing, and operation of the FCC Neuro Diagnostic Services Department. The FCC Neuro Diagnostic Services Department is located within the FMC.

The FCC Neuro Diagnostic Services Department shall normally receive patients during the hours of 7:30 am to 4:00 pm, Monday through Friday, excluding Federal holidays.

In performance of this output, the contractor shall provide the following services, to include but not be limited to:

EEG testing Evoked potential testing Sleep studies

The Contractor shall be responsible for determining the staffing required to operate the FCC Neuro Diagnostic Services Department. A Neurologist will be required to review and sign EEGs and evoked potentials. A Neurologist or Pulmonologist will be required to review and sign Sleep Studies. At a minimum, the Contractor shall staff the unit so as to satisfy all applicable standards, rules, or regulations prescribed by the Federal Government, JC, and any other governmental agency, which has oversight responsibility for the performance of neuro diagnostic services. All Contractor staff requiring professional licensure shall maintain active licenses. All clinical privileges shall be appropriate to the qualifications of the provider and the resources of the facility where care is provided. The Contractor shall designate a manager/supervisor as having primary responsibility for the operations of the FCC Neuro Diagnostic Services Department.

At least two weeks prior to performing services, the Contractor shall submit a bi-weekly work schedule to the COR or designee for reference purposes.

The FCC will provide all equipment, supplies, and forms for the performance of this output.

In addition to abiding by all regulatory requirements, the Contractor shall ensure that the FCC Neuro Diagnostic Services Department successfully passes all required surveys or inspections. The Contractor’s performance shall comply with the following standards:

The offeror’s technical proposal shall discuss in detail the staffing approach and proposed methodology for accomplishing Output #3, including a proposed plan for securing substitute services in the event of staff absences.

Output #4 Provide inpatient and outpatient facility services, and skilled nursing facility which conform to community standards, and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public.

Provide professional services, which conform to community standards, and all local, state and Federal laws and regulations applicable to the delivery of health care to members of the general public.

Output #4 is an optional deliverable. However, if the offeror proposes to provide these services, the following minimum requirements apply. Throughout the performance of this contract, the Contractor shall not utilize any provider that appears in the List of Excluded Individuals/Entities (LEIE) maintained by the U.S.

Department of Health & Human Services.

The Contractor shall provide facility services on an as-needed basis in a manner which adheres to community standards of quality and cost effective medical care.

The services required to satisfy Output #4 may include inpatient facility and outpatient facility, including emergency room services. The contractor shall include a tertiary care medical facility.

Inpatient visits for non-emergency services shall require private room accommodations with available space for up to three armed or unarmed guards per inmate. Inmates may be supervised/escorted by either BOP staff or a contract guard service, or may be placed in furlough status and unescorted.

It is the FCC’s preference to obtain the services of facilities that are accredited by the Joint Commission.

Offerors utilizing facilities which maintain accreditation by the Joint Commission shall submit a copy of the current accreditation certificate as part of the offeror’s technical proposal. If an offeror intends to utilize a facility which is accredited or certified by any other recognized professional accrediting body, the offeror shall submit documentation validating this accreditation or certification as a part of its proposal.

The offeror’s technical proposal shall discuss in detail the diversity of services, as well as the proximity of providers to the FCC, that it is capable of providing to accomplish Output #4.

Professional services resulting from a BOP referral are necessary to be performed in a community-based setting (e.g., hospital facility, surgical center, physician’s office, etc.). The Contractor shall provide the services of professional medical staff who have appropriate educational qualification, experience, licensure, and board certification (where required) to achieve Output #4. This output specifically excludes the provision of radiological interpretations of BOP provided films, images, or other media.

If requested by the Contracting Officer, the Contractor shall be required to document primary source verification of the credentials for each provider including: current license from the appropriate State Board of Medical Examiners, education from professional schools or universities, evidence of completion of internships and/or residences as appropriate.

Whenever possible, appointments for specialty care should be available within 14 calendar days from the date of referral to the specialty provider. This practice promotes the safety and security of the federal prisoner, the escorting correctional staff, and the general public. The medical urgency of any referral must receive consideration in the scheduling and delivery of professional services. The Contractor shall not supervise or discipline any FCC staff or inmates.

For prescriptions to be filled by the FCC pharmacy, contract providers shall only prescribe pharmaceutical drugs that are listed in the approved BOP Formulary.

The BOP Formulary can be accessed at www.bop.gov/resources/pdfs/formulary.pdf. Requests for exemptions shall be submitted to the Contracting Officer’s Representative (COR), who shall obtain the required approvals. Hospitals should have a plan to address and plan for the continuation of medications for HIV and Hepatitis patients while hospitalized. As part of the Discharge Instructions, the issuance of sample medication to any Federal inmate shall be prohibited.

The offeror’s technical proposal shall discuss in detail the diversity of services, as well as the proximity of providers to the FCC, that it is capable of providing to accomplish Output #4.

Institution-Based Services

Output #5 Institution Based Physician Services

Professional services shall be performed within the confines of the FCC. Services may be provided in any of the FCC facilities. 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.

If the Contractor performs on-site specialty clinics at the FCC, the following minimum requirements shall apply. Contract services shall be provided on-site within the Health Services Unit of the FCC. Consultations shall be limited to the chief complaint on the Bureau consultation form. Services shall include diagnosis and treatment of medical conditions with appropriate referral, if necessary, to a specialist at the contract medical facility. Clinic hours will be during 7:30am and 4pm Monday thru Friday, excluding Federal holidays. The Contractor shall provide transcription services for this output.

Providers performing institution-based services shall be licensed to practice medicine and accepted for clinical privileges at the FCC. All clinical privileges shall be appropriate to the qualifications of the provider and the resources of the facility where care is provided. Any clinical privileges granted due to the award of this contract shall be contingent upon the continuation of this contract and upon the physician’s continued affiliation with the Contractor or any subcontractor. Continuation of privileges at the FCC shall be at the sole discretion of the FCC. Non-physician providers shall maintain active licenses and accepted for clinical privileges at the FCC, as applicable.

The following specialty clinics/sessions may be conducted at the FCC, contingent upon an acceptable offer.

The BOP reserves the right to award some, all, or none of the following on-site clinics.

Audiology Dermatology Endocrinology

General Practitioner Hematology/Oncology Infectious Disease Nephrology Neurology Neurosurgery Optometry Pathologist/Lab Director (for CAP purposes) Physiatrist (PM&R) Rheumatology

Pathologist/Lab Director - MD or DO certified in clinical pathology by American Board of Pathology or American Osteopathic Board of Pathology and experience in the following areas of a high complexity testing laboratory: Transfusion Medicine, Chemistry, Toxicology, Hematology, Coagulation, Urinalysis, Microbiology, Serology, Immunology, Point-of-Care Testing, Phlebotomy and specimen processing. The Laboratory Clinical Director is responsible for the overall technical operation and administration of the Medical Referral Laboratory, including provision of timely, reliable, and clinical relevant test results and compliance with applicable regulation and accreditation requirements for College of American Pathologists Certificate of Accreditation, Joint Commission, and CLIA '88 regulations.

The offeror’s technical proposal shall discuss in detail the diversity of services that it is capable of providing to accomplish Output #5, including a proposed plan for securing substitute services in the event of staff absences.

Output #6 Provide Institution-Based Physician clinic services and invasive procedures, which conform to community standards, and all local, state, and Federal laws and regulations

Consultations shall be limited to the chief complaint on the BOP consultation form. Services shall include diagnosis and treatment of medical conditions with appropriate referral, if necessary, to a specialist and/ or a contract medical facility. Scheduling of clinics and surgical/invasive procedures shall be subject to the mutual agreement of the FCC and the contract physician. The Contractor shall provide transcription services for this output.