RFQ - 36C25620Q0622- PSYCHIATRIST SERVICES HOUSTON_TX.pdf

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 93

580-20-3-218-0010

36C25620Q0622 06-15-2020

Steven Berkeley, ACO 713-770-2823 06-30-2020

4:00 PM CST

36C256

Department of Veterans Affairs

Network Contracting Office 16

Michael E. DeBakey VA Medical Center

2002 Holcombe Boulevard

Houston TX 77030 4298

X 100

X

561320

$30 Million

X

N/A

X

36C580

Department of Veterans Affairs

Michael E. DeBakey VA Medical

Center – Ambulatory Care

2002 Holcombe Boulevard

Houston TX 77030

36C256

Department of Veterans Affairs

Network Contracting Office 16

Michael E. DeBakey VA Medical Center

2002 Holcombe BLVD

Houston TX 77030 4298

Department of Veterans Affairs

Financial Service Center

PO Box 149971

Austin TX 78714-9971

1-877-353-9791 512-460-5429

Contractor to provide onsite Psychiatry Services at Michael E. DeBakey VA Medical Center located in Houston, TX

Nine (9) CBOCs and/or its two (2) Future outpatients’ clinics.

Reference schedule of Services on page 6 through page 13.

This acquisition is utilizing Federal Acquisition Regulation

(FAR Parts 12, 13, and 13.5)

This solicitation is a set -aside to Service-Disabled Veteran

Owned Small Business (SDVOSB).

Addendum to 52.212-1 is attached and provides instructions to

Contractor page 69 through 70.

X X

X one(1)

Corey L. Labbe

VA-VHA-2020-FC38F64E

36C25620Q0622

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE COST SCHEDULE/SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT (PWS)

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS-COMMERCIAL ITEMS (OCT 2018)

C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (JUN 2016)

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.6 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997) . 50

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION

OF COMMERCIAL ITEMS (APR 2020)

C.9 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.10 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.11 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.12 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.13 MANDATORY WRITTEN DISCLOSURES

C.14 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO

BENEFICIARIES (JAN 2008)

C.15 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (MAR 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SERVEILANCE PLAN (QASP)

D.2 CONTRACTOR CONFLICT OF INTEREST

D.3 CONTRACTOR CERTIFICATION

D.4 PAST PERFORMANCE REFERENCES

D.5 PAST PERFORMANCE QUESTIONNAIRE

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (MAR 2020)

E.2 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

ITEMS

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.7 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (MAR 2020)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

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

a. CONTRACTOR:

POC: ___________________________

Address: ________________________ Phone: __________________________ Email: __________________________ DUNS Number: ___________________

TAX ID: _________________________

b. GOVERNMENT:

Corey Labbe, Contracting Officer (CO) 36C256 Department of Veterans Affairs Network Contracting Office 16 2002 Holcombe Boulevard Houston, TX 77030

Phone: 713-770-2766 Email: corey.labbe@va.gov

Steven A. Berkeley, Administrative Contracting Officer (ACO) 36C256 Department of Veterans Affairs Network Contracting Office 16 2002 Holcombe Boulevard Houston, TX 77030

Phone: 713-770-2823 Email: steven.berkeley@va.gov

Ashish Patel, Health Care System Specialist Contracting Officer Representative (COR) 36C580 Department of Veterans Affair Michael E. DeBakey VA Medical Center (MEDVAMC) 2002 Holcombe Boulevard, Houston, TX 39216

Phone: 713-791-1414 Ext 27574 Email: ashish.patel2@va.gov mailto:corey.labbe@va.gov mailto:steven.berkeley@va.gov mailto:ashish.patel2@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor shall be electronically reimbursed:

[X] 52.232-33, Payment by Electronic Funds Transfer- System For Award Management

[ ] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly [ ]

b. Semi-Annually [ ]

c. Other [X] 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.

5. SECURE FAX: Please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included: 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.

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

AMENDMENT NO DATE

B.2 PRICE COST SCHEDULE/SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite

Board-Certified/ Board-Eligible Psychiatry Services (5,928 hours per year/2.85 Full Time

Equivalent (FTE)) to eligible beneficiaries of the Department of Veterans Affairs (VA), Michael E.

DeBakey Veterans Affairs Medical Center (MEDVAMC) and/or its CBOCs.

Place of Performance: Contractor shall furnish services onsite at MEDVAMC, 2002 Holcombe

Boulevard, Houston, Texas, 77030 or at any of its nine (9) Community-Based Outpatient Clinics

(CBOC) locations and two (2) future outpatient clinics:

(9) CBOCs:

• Beaumont VA Outpatient Clinic (BOPC) at 3420 Veterans Circle, Beaumont, Texas 77707 in Jefferson County

• Charles Wilson VA Outpatient Clinic (CWOPC) at 2206 North John Redditt Drive, Lufkin, Texas 75904 in Angelina County

• Conroe VA Outpatient Clinic (COPC) at 690 S Loop 336 W, Conroe, Texas

77304 in Montgomery County

• Galveston VA Outpatient Clinic (GOPC) at 3828 Avenue N, Galveston, Texas

77550 in Galveston County

• Katy VA Outpatient Clinic (KOPC) at 750 Westgreen Boulevard, Katy, Texas

77450 in Harris County

• Lake Jackson VA Outpatient Clinic (LJOPC) at 208 Oak Drive South, Lake

Jackson, Texas 77566 in Brazoria County

• Richmond VA Outpatient Clinic (ROPC) at 22001 Southwest Freeway, Suite 200, Richmond, Texas 77469 in Fort Bend County

• Texas City VA Outpatient Clinic (TXOPC) at 9300 Emmett F. Lowry Expressway, Suite 206, Texas City, Texas 77591 in Galveston County

• Tomball VA Outpatient Clinic (TOPC) at 1200 W. Main Street, Tomball, Texas

77375 in Harris County

(2) Outpatient Clinics (micro)

• Site A: Future location and address to be determined (Greater Houston-Area)

• Site B: Future location and address to be determined (Greater Houston-Area)

Pricing Instructions:

The offeror is instructed to edit the number of sub-clins to correspond with the number of key personnel submitted for the contract line item number (CLIN). Commercial health care

Contractor shall identify by title/position or level of experience the key personnel submitted.

Also, renumber SUB-CLINs if adding or removing Key Personnel.

The Contractor shall propose and maintain an adequate pool of qualified Psychiatrist physicians to be credentialed and available for scheduling to meet the requirements of the contract. The contractor shall be required to provide at a minimum, an adequate pool of appropriately qualified physicians to be credentialed and privileged.

One FTE is defined by VA as a minimum of 80 hours every two week per year and does not include holidays.

Contract will begin with a base period of September 1, 2020 to August 31, 2021 with four (4) one (1) year options.

***Note*** (Period of Performance for base and each option year is based on a twelve (12) month period, effective date and end date may change depending on when award will be made but will be based on a twelve (12) month period).

BASE YEAR: September 1, 2020 – August 31, 2021

OPTION YEAR 1: September 1, 2021 – August 31, 2022

OPTION YEAR 2: September 1, 2022 – August 31, 2023

OPTION YEAR 3: September 1, 2023 – August 31, 2024

OPTION YEAR 4: September 1, 2024 – August 31, 2025

The contract shall offer sufficient number of Psychiatrist Physicians to provide for a 6 days/week coverage and contingency (short notice) coverage.

The contractor shall provide all personnel and services necessary to perform services in accordance with the terms and conditions of the scope and work reflected below. 2.85 FTE

(5,928 hours per year)

Period of Performance: BASE YEAR: September 1, 2020 to August 31, 2021

CLIN

No.

SUB-

Description Qty. Unit Unit Cost Total

Annual Cost

0001 None Board certified/board eligible

Psychiatrist Physicians 5928 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0001a

Psychiatrist Physician

NAME:

TITLE/LEVEL OF EXPERIENCE:

1976 Hours $_______/hr $_________

None 0001b

Psychiatrist Physician

1976 Hours $________/hr $__________

None 0001c

Psychiatrist Physician

CLIN 0001 TOTAL FOR BASE TERM

Hours

TOTAL FOR BASE: $_______________________

OPTION YEAR 1: September 1, 2021 to August 31, 2022

No.

Annual Cost

1001 None Board certified/board eligible

Psychiatrist Physicians 5928 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1001a

Psychiatrist Physician

None 1001b

None 1001c

CLIN 1001 TOTAL FOR OPTION YEAR 1

TOTAL FOR OPTION YEAR 1: $________________________

OPTION YEAR 2: September 1, 2022 to August 31, 2023

No.

Annual Cost

2001 None Board certified/board eligible

Psychiatrist Physicians 5928 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2001a

None 2001b

None 2001c

CLIN 2001 TOTAL FOR OPTION YEAR 2

TOTAL FOR OPTION YEAR 2: $___________________

OPTION YEAR 3: September 1, 2023 to August 31, 2024

No.

Annual Cost

3001 None Board certified/board eligible

Psychiatrist Physicians 5928 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3001a

None 3001b

None 3001c

CLIN 3001 TOTAL FOR OPTION YEAR 3

TOTAL FOR OPTION YEAR 3: $___________________

OPTION YEAR 4: September 01, 2024 to August 31, 2025

No.

Annual Cost

4001 None Board certified/board eligible

Psychiatrist Physicians 5928 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4001a

None 4001b

None 4001c

CLIN 4001 TOTAL FOR OPTION YEAR 4

TOTAL FOR OPTION YEAR 4: $___________________

TOTAL FOR BASE PERFORMANCE PERIOD AND ALL OPTION YEARS:

Reference PWS section 1.1 for experience requirements for Board Certified/Board Eligible

Psychiatrist Physicians.

Option Year Four (4) pricing will apply to any extensions exercised in accordance with

FAR Clause 52.217-8 or if the extension is exercised prior to the end of Option Year Four

(4), the immediately preceding option price will apply.

B.3 PERFORMANCE WORK STATEMENT (PWS)

Onsite Psychiatrist Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified/Board Eligible

Psychiatrists to provide Psychiatry Care on-site in accordance with the specifications contained herein to beneficiaries of the Michael E. DeBakey Veterans Affairs Medical Center (hereinafter referred to as MEDVAMC).

1.2. Place of Performance - Contractor shall furnish services onsite at MEDVAMC, 2002 Holcombe Boulevard, Houston, Texas, 77030 or at any of its nine (9) Community-Based Outpatient Clinics (CBOC) locations and two (2) future outpatient clinics:

(9) CBOCs:

• Beaumont VA Outpatient Clinic (BOPC) at 3420 Veterans Circle, Beaumont, Texas 77707 in Jefferson County

• Charles Wilson VA Outpatient Clinic (CWOPC) at 2206 North John Redditt Drive, Lufkin, Texas 75904 in Angelina County

• Conroe VA Outpatient Clinic (COPC) at 690 S Loop 336 W, Conroe, Texas 77304 in Montgomery County

• Galveston VA Outpatient Clinic (GOPC) at 3828 Avenue N, Galveston, Texas 77550 in Galveston County

• Katy VA Outpatient Clinic (KOPC) at 750 Westgreen Boulevard, Katy, Texas 77450 in Harris County

• Lake Jackson VA Outpatient Clinic (LJOPC) at 208 Oak Drive South, Lake Jackson, Texas 77566 in Brazoria County

• Richmond VA Outpatient Clinic (ROPC) at 22001 Southwest Freeway, Suite 200, Richmond, Texas 77469 in Fort Bend County

• Texas City VA Outpatient Clinic (TXOPC) at 9300 Emmett F. Lowry Expressway, Suite 206, Texas City, Texas 77591 in Galveston County

• Tomball VA Outpatient Clinic (TOPC) at 1200 W. Main Street, Tomball, Texas 77375 in Harris County

(2) Outpatient Clinics (micro)

• Site A: Future location and address to be determined (Greater Houston-Area)

• Site B: Future location and address to be determined (Greater Houston-Area)

1.3. Authority: Federal Acquisition Regulation (FAR) Parts 12,13,13.5. Under the authority of 38 USC 8153, the Contractor agrees to provide services in accordance with the terms and conditions stated herein, to furnish to MEDVAMC or at any of its nine (9) Community-Based Outpatient Clinics (CBOC) locations and two (2) future outpatient clinics.

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

1.4.1. VHA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

1.4.2. VHA Directive 2006-041, “Veterans Health Care Service Standards” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.4.3. VHA Handbook 1100.17: National Practitioner Data Bank Reports http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.4. VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.5. VHA Handbook 1100.19 Credentialing and Privileging

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.6. VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

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

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.8. 38 USC. Section 7332, regarding a timely special consent for any medical treatment for drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus (HIV), or sickle cell anemia, to a Veteran with health insurance. A special consent from the Veteran is needed to allow VA to release bills and medical records associated with the treatment.

http://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html

1.4.9. Title 21 C.F.R 900.12(c), “Mammography Quality Standards” http://www.gpo.gov/fdsys/pkg/CFR-2012-title21-vol8/pdf/CFR-2012-title21-vol8-sec900-12.pdf

1.4.10. “Patient Medical Records-VA" (24VA19).

http://vaww.vhaco.va.gov/privacy/SystemofRecords.htm

1.4.11. VHA Directive 2007-033, "Telephone Service for Clinical Care," https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1605

1.4.12. VHA Directive 1088, “Communicating Test Results to Providers and

Patients” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

1.4.13. VHA Directive 1033, “Anticoagulation Therapy Management” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3129

1.4.14. VHA Directive 1108.08, “VHA Formulary Management Process” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3291

1.4.15. VHA Directive 1230 “Outpatient Scheduling Processes and Procedures” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3218

1.4.16. VHA Directive 2010-033, “Military Sexual Trauma (MST) Programming,” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2272

1.4.17. VHA Directive 2010-053, “Patient Record Flags”.

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2341

1.4.18. VHA Directive 2011-012, “Medication Reconciliation”

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2390

1.4.19. VHA Handbook 1122, “Podiatric Medical and Surgical Services” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html http://www.gpo.gov/fdsys/granule/USCODE-2011-title38/USCODE-2011-title38-partV-chap73-subchapIII-sec7332/content-detail.html http://www.gpo.gov/fdsys/pkg/CFR-2012-title21-vol8/pdf/CFR-2012-title21-vol8-sec900-12.pdf http://www.gpo.gov/fdsys/pkg/CFR-2012-title21-vol8/pdf/CFR-2012-title21-vol8-sec900-12.pdf http://vaww.vhaco.va.gov/privacy/SystemofRecords.htm https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1605 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3129 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3291 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3218 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2272 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2341 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2390 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5959

1.4.20. VHA Handbook, “1330.01 Health Care Services for Women Veterans” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5332

1.4.21. Seasonal Influenza prevention Program for VHA Health Care Personnel https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.4.22. VHA Directive 2011-020, “Automated Safety Incident Surveillance and Tracking System (ASISTS)” http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2407

1.4.23. VHA Handbook 1160.01, “Uniform Mental Health Services” http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762

1.4.24. Title 38 CFR §17.107, “VA Response to Disruptive Behavior of Patients” (2010) www.gpo.gov/.../pdf/CFR-2012-title38-vol1-sec17-107.pdf

1.4.25. VHA Handbook 1003.4, "VHA Patient Advocacy Program,"

https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.4.26. Title 38 CFR § 1.203, “Information to be reported to VA Police” (2003) https://www.gpo.gov/fdsys/granule/CFR-2011-title38-vol1/CFR-2011-title38-vol1-sec1-203

1.4.27. VHA Directive 1231 Outpatient Clinic Practice Management https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3296

1.4.28. VA Assistant Secretary OSP Memo, Clarification of Policy for Sexual Assault

Reporting, June 2011.

http://www.diversity.va.gov/products/files/DAW/v10i05.docx

1.4.29. VHA Directive 1231 Outpatient Clinic Practice Management https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3296

1.4.30. Provision of Medical Statements and Completion of Forms by VA Health

Care Providers https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=4300

1.4.31. VHA Directive 1306, “Querying State Prescription Drug Monitoring Programs

(PDMP)”

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3283

1.4.32. VHA Handbook 1101.10, “Patient Aligned Care Team (PACT)” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2977

1.4.33. VHA Handbook 1105.0, “Mammography Program Procedures and Standards” http://www1.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID=2411

1.4.34. VHA Handbook 1106.01, “Pathology and Laboratory Medicine Service

(P&LMS) Procedures” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3169 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5959 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5332 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2407 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762 http://www.gpo.gov/.../pdf/CFR-2012-title38-vol1-sec17-107.pdf https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970 https://www.gpo.gov/fdsys/granule/CFR-2011-title38-vol1/CFR-2011-title38-vol1-sec1-203 https://www.gpo.gov/fdsys/granule/CFR-2011-title38-vol1/CFR-2011-title38-vol1-sec1-203 https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3296 http://www.diversity.va.gov/products/files/DAW/v10i05.docx https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=3296 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=4300 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3283 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2977 http://www1.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID=2411 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3169

1.4.35. VHA Handbook 1108.05, “Outpatient Pharmacy Services”

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3209

1.4.36. VHA Directive 1120.02 Health Promotion and Disease Prevention Core Program Requirements https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5965

1.4.37. VHA Handbook 1050.01, “VHA National Patient Safety Improvement Handbook” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2389

1.4.38. VHA Directive 1199, “Reporting Cases of Abuse and Neglect”, https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5624

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. ABIM: American Board of Internal Medicine http://www.abim.org/

1.5.2. ABFM: American Board of Family Medicine https://www.theabfm.org/

1.5.3. ACGME: Accreditation Council for Graduate Medical Education

1.5.4. BLS: Basic Life Support

1.5.5. CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

1.5.6. CDC: Centers for Disease Control and Prevention

1.5.7. CDR: Contract Discrepancy Report

1.5.8. CEU: Certified Education Unit

1.5.9. CME: Continuing Medical Education

1.5.10. CMS: Centers for Medicare and Medicaid Services

1.5.11. 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.

1.5.12. 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.

1.5.13. COS: Chief of Staff

1.5.14. CPARS: Contractor Performance Assessment Reporting System

1.5.15. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.5.16. 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.

1.5.17. DEA: Drug Enforcement Agency

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3209 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2389 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5624 http://www.abim.org/ https://www.theabfm.org/ http://www.aacn.nche.edu/accreditation

1.5.18. FSMB: Federation of State Medical Boards

1.5.19. HHS: Department of Health and Human Services

1.5.20. HIPAA: Health Insurance Portability and Accountability Act

1.5.21. HR: Human Resources

1.5.22. ISO: Information Security Officer

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

1.5.24. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

1.5.25. Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors

1.5.26. NP: Nurse Practitioner

1.5.27. NPPES: National Plan and Provider Enumeration System

1.5.28. F/OPPE: Focused/Ongoing Professional Practice Evaluation

1.5.29. PA: Physician Assistant

1.5.30. POP: Period of Performance

1.5.31. PPD: Purified Protein Derivative

1.5.32. PWS: Performance Work Statement

1.5.33. 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.

1.5.34. QASP: Quality Assurance Surveillance Plan

1.5.35. TMS: Training Management System

1.5.36. Veterans Health Administration (VHA): The central office for administration of the

VA medical centers through throughout the United States. The VHA is located in

Washington, D.C.

1.5.37. Veterans Integrated Services Network (VISN) : The regional oversight for the VA medical centers in Mississippi.

1.5.38. 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.

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

http://www.nlnac.org/

1.5.40. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the

Michael E. DeBakey Veterans Affairs Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License - Contract Psychiatrist(s) 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. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract Psychiatrist(s) 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.

2.1.2. Board Certification - All contract Psychiatrist(s) shall be Board Certified/Board Eligible in Psychiatry Services and be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging –Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed Psychiatrist(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract Psychiatrist(s) prior to obtaining approval by MEDVAMC Professional Standards Board and Medical Center Director.

2.1.3.1. If a contract Psychiatrist(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency - Contract Psychiatrist(s) 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 upon request of the CO/COR to verify 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 contract Psychiatrist(s) and contract Psychiatrist(s) shall be responsible for abiding by the MEDVAMC Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the MEDVAMC. Contract Psychiatrist(s) 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 credential’s office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract Psychiatrist(s).

2.1.6. Training (BLS, CPRS, and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract Psychiatrist(s) as required by the VA.

Onsite training will be conducted for CPRS. All other mandatory training will be electronic through TMS.

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for Psychiatrist(s) 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 past year.

2.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all contract Psychiatrist(s). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

2.1.7.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract Psychiatrist(s) for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.1.7.3. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contract psychiatrist(s); provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The MEDVAMC 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. 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 transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the quote.

2.1.9. DEA (as required) - Contractor shall provide copy of current DEA certificate.

2.1.10. Conflict of Interest: The Contractor and all contract Psychiatrist(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, 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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf 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.

2.1.11. Citizenship related Requirements:

2.1.11.1. 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;

2.1.11.2. 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.

2.1.11.3. 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.

2.1.11.4. 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.

2.1.11.5. The Contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the offerors response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.12. 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.

2.1.12.1. 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 contract Psychiatrist(s) 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 http://oig.hhs.gov/exclusions/index.asp 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.

2.1.12.2. By submitting their quote, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Direction: 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 direction of all clinical personnel covered by this contract will be provided by the MEDVAMC 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 contract Psychiatrist(s) shall not be considered VA employees for any purpose.

2.4. Inherent Government Functions: Contractor and Contract Psychiatrist(s) 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.

2.5. No Employee status: The Contractor shall be responsible for protecting Contract Psychiatrist(s) 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:

2.5.1. Workers’ compensation

2.5.2. Professional liability insurance

2.5.3. Health examinations

2.5.4. Income tax withholding, and

2.5.5. Social security payments.

2.6. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract

Psychiatrist(s). When a Contractor or contract Psychiatrist(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 contract Psychiatrist(s) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.7. Key Personnel:

2.7.1. The VA Full Time Equivalency (FTE) for the services required is 2.85 FTE is defined by VA as a minimum of 80 hours every two weeks and does not include federally observed holidays.

2.7.2. The number of BE/BC Psychiatrists required to be on site on a daily basis is 2.85 as defined in paragraph 3 “Hours of Operation” in this section.

2.7.3. It is essential that continuity of services is maintained to the maximum degree possible, hence substitution of contractor provided Psychiatrist(s) shall be limited to urgent/emergent absences of approved, assigned providers. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required.

In the event a scheduled psychiatrist is unable to complete an assigned shift, the contractor shall provide replacement psychiatrists coverage and notify the Contracting Office Representative (COR) MEDVAMC immediately of the schedule change.

2.8. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.8.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.8.2. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives.

Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract Psychiatrist(s), s/he may request, without cause, immediate replacement of said contract Psychiatrist(s).

2.8.3. The CO and COR shall deal with issues raised concerning Contract Psychiatrist(s) conduct. The final arbiter on questions of acceptability is the CO.

2.9. Contingency Plan: Because continuity of care is an essential part of MEDVAMC’s medical services, the Contractor shall have a contingency plan in place to be utilized if the contract Psychiatrist(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. HOURS OF OPERATION

3.1. VA Business Hours: The MEDVAMC is open 24 hours per day 365 days per year.

(1) Work Schedule: The contractor shall furnish Psychiatrist services, five days per week, eight hours per day Monday through Friday 8:00 a.m. to 4:30 p.m. There will be a requirement to provide Psychiatrists to work an extended hours schedule 3-4 times/year.

The extended hour tours lasts for a one-week period. The extended hour tours for the designated week(s) will be as follows: Monday – 10 hours, Tuesday – 10 hours, Wednesday – 8 hours, Thursday – 8 hours, Friday – off duty, and Saturday – 4 hours.

Note: Contract employee is responsible for ensuring that all patients have been seen, associated documentation has been finished (orders written, consults submitted, labs reviewed, etc.) before leaving at the end of each workday.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor shall provide contract Psychiatrist(s) who are competent and qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contract Psychiatrist(s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor’s invoices.

4.1.2. The only services provided by Contract Psychiatrist(s) that are off-site and should be included on timesheets of contract personnel involved will be (1) Pre-approved, periodic meetings for development management, and planning of services for MEDVAMC and its CBOCS. Psychiatrist(s) must be present at assigned facility and performing the duties outlined herein in order to receive payment. Services performed at other un-destinated VA sites are not compensable.

4.2. Standards of Care: The contract Psychiatrist(s) care shall cover the range of services as would be provided in a state-of-the-art health care treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

4.2.1. The American Medical Association http://www.ama-assn.org/

4.2.2. The American Psychiatric https://www.psychiatry.org/

4.2.3. VA Standards: VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

4.2.4. The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/

4.2.5. The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and;

4.2.6. The requirements contained in this PWS.

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contract Psychiatrist(s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R.

Parts 160, 162, and 164 (HIPAA).

http://www.ama-assn.org/ https://www.psychiatry.org/ https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www.jointcommission.org/ http://www.hpoe.org/resources?show=100&type=8

4.3.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract.