S02 36C24223Q0017 12152022 2.8.23 PCM.pdf

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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. UEI: EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C24223Q0017 02/09/2022

Sciortino, Kathleen kathleen.sciortino@va.gov 315-425-6702 03/10/2023 4:30 pm EST

Department of Veterans Affairs Network Contracting Office 02 1304 Buckley Road Suite 101 Syracuse NY 13212

X

621111

$14 Million

N/A

East Orange VAMC

385 Tremont Avenue East Orange NJ 07018-1023

Network Contracting Office 02 1304 Buckley Road Suite 101 Syracuse NY 13212

TO ALL OFFERORS

Tungsten Network https://www.tungsten-network.com/ customer-campaigns/veteransaffairs/

See CONTINUATION Page

In accordance with 38 USC 8153 and FAR Parts 12 and 13. This is for non-personnel healthcare services for on-site Board Certified Interventional Radiology Physician services for New Jersey Healthcare System - East Orange VAMC for one (1) FTE including on-call.

This is full and open unrestrictive competition Request for Quote requirement for one (1) base year, with four (4) one (1) year option periods.

1. Schedule of Healthcare Resources: see page 5

2. Performance Work Statement: see page 11

3. Instructions to Offerors: see page 74

See CONTINUATION Page

Kathleen Sciortino

VA-VHA-SAOC-2019-1257353F

36C24223Q0017

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1. CONTRACT ADMINISTRATION:

B.2 SCHEDULE OF HEALTHCARE RESOURCES

B.3 PERFORMANCE WORK STATEMENT

B.4 VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

B.5 TMS MANDATORY TRAINING

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2021)

C.2 52-204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.9 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997) . 58

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 59

852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL. .. 59

C.9 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.10 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.11 VAAR 852.219-76 SUBCONTRACTING PLANS MONITORING AND COMPLIANCE

(JUL 2018)

C.12 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009)

C.13 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE (OCT

2019)

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.16 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.17 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QASP

D.2 Organizational Conflict of Interest D.3 Immigration

D.4 Key Personnel D.5 Contract Discrepancy Report D.6 Certification of Vaccination OMB Control No. 3206-0277 exp. 02/28/2025 D.7 VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors D.8 VHA Directive 1105.02, Nuclear Medicine and Radiation Safety Administrative Services . 73 D.9 VHA Directive 1105.04 Flouroscopy Safety D.10 VHA Directive 1105.05 Magnetic Resonance (MR) Safety

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.1.2 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

ITEMS

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

Revision 06/01/2022

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1. CONTRACT ADMINISTRATION: To be completed by Offeror

a. CONTRACTOR:

Offeror’s Agency:

Street Address:

City:

State and Zip Code:

Overnight/Express Address if different from above: N/A UeiSAM:

Contact person(s) name:

Contact person(s) email:

Contact person(s) direct telephone:

Contact person(s) fax number: _______________

b. GOVERNMENT:

Kathleen Sciortino, Contracting Officer NCO 02 Kathleen.sciortino@va.gov

(315) 425-6702

Allan Preston, Branch Chief Medical Sharing

Allan.preston@va.gov Office Phone: (718) 862-7359

Department of Veterans Affairs Network Contracting Office (NCO) 02 1304 Buckley Rd.

Syracuse, NY 13212

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with FAR 52.232-33, Payment by Electronic Funds Transfer –System for Award Management

3. INVOICES: Invoices shall be submitted in arrears: Submission will be monthly for the previous 30-day period and no later than seven (7) calendar days of close of the month being invoiced. Invoices will be based on the applicable fixed rates for services provided to referred Veterans in accordance with the contract. The Contracting Officer’s Representative (COR) will review all invoices submitted. The COR is responsible for certifying invoices for payment only for services received and deemed acceptable.

Payment will not be authorized unless a proper invoice is submitted, reviewed and accepted.

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.

Invoicing shall be in accordance with the requirements of the Department of Veterans Affairs (VA) mailto:Kathleen.sciortino@va.gov mailto:Allan.preston@va.gov

Financial Services Center (FSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current Invoicing information is located at https://www.fsc.va.gov/einvoice.asp

Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin TX

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

6. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Procurement Policy Memorandum (PPM) 2019- 01.

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

AMENDMENT NO DATE

B.2 SCHEDULE OF HEALTHCARE RESOURCES

Pursuant to 38 U.S.C. 8153, the Department of Veterans Affairs (VA) intends to enter into a single, Fixed price IDIQ contract for Interventional Radiology services for New Jersey Healthcare System – East Orange VAMC. The contractor agrees to provide non-personal Healthcare Resources in accordance with the attached Performance Work Statement, to furnish at the Department of Veterans Affairs, East Orange VA Medical Center. The contractor’s physician(s)’ care shall cover the range of Interventional Radiology (IR) services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by: College of Radiology Guidelines http://www.acr.org/Quality-Safety/Standards- Guidelines/Practice-Guidelines-by-Modality/Interventional

All services shall be performed on-site at 385 Tremont Avenue, East Orange New Jersey 07018-1023.

Any services provided off site shall not be compensated. The services are for one year with the option to extend for four (4) one (1) year options, which may be exercised at the discretion of the Government.

Prices shall be based on 1.0 FTE (Full Time Equivalent) Board Certified IR on an as needed basis in addition to on-call requirements. An FTE is defined by the VA as a minimum of 80 hours every two weeks and does not include holidays. The Contractor is not guaranteed a forty (40) hour work week or an eight (8) hour day. Personnel rendering services under this contract are not subject, either by the contract's https://www.fsc.va.gov/einvoice.asp http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

The total number of estimated hours equivalent is 2,080 annually. Contractor’s Physicians shall “ONLY” be reimbursed for actual services rendered based on the hourly rates per Physician’s Line Item for that period of performance. For all billing and payment processes and procedures, refer to the terms and conditions set forth within the Performance Work Statement under paragraph 6.2.

Contract Minimum and Maximum: In accordance with FAR Clause 52.216-22, Indefinite Quantity, the overall guaranteed minimum amount established for the base year only is 1,700 hours and the overall maximum amount for this contract is 4,160 hours.

Contractor’s physician (s) are required to be available on-call during all hours when East Orange VAMC Interventional Radiology Section is closed, including evenings, weekends and holidays.

The contractor will have available Interventional Radiology Physicians according to the Key Personnel and Hours of Operation annotated within the Performance Work Statement. On-call rates will be separated under its own line item and not included in the Contracted Physicians hourly rate.

Pricing Instructions:

The offeror is instructed to edit the number of SUB-Line Items to correspond with the number of key personnel submitted for the line item number. Commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-Line Items if adding Key Personnel. Contractor is to identify the estimated total number of hours for each IR Dr being submitted for services for each period of performance. These are estimated number of hours and is understanding that hours could fluctuate through the contract term.

The Contractor shall propose a minimum of four (4) key personnel to be credentialed and be available for scheduling in order to meet the 1.0 FTE (2,080) requirement at the time of quote submission.

For each period of performance, the Government will issue a Task order by the Contracting Officer based on the approved pricing for each Line Item. Task Orders will be issued from the effective date of contract award through the day before the commence date of the next Option year. Issuing of Task Orders will accompany the contract modification for each period based on the estimated number of hours within each period of performance below.

Task Orders will be issued only by the Contracting Activity Office, NCO 2. At the time of each period of performance option renewal, the CO will issue the Task Order based on the agreed pricing annotated in the Schedule of Services for HCR and sent electronically to the Contracted Agency POC identified under Section B, page 4.

Estimated Base Period: 04/01/2023 – 03/31/2024

Line Item

NO.

SUB-

Line Items

DESCRIPTION

Est.

QTY. UNIT UNIT COSTS

Est. TOTAL UNIT

COST

0001 None

1.0 FTE Board Certified

Interventional Radiologist Physician Services.

2,080 Hours DO NOT PRICE DO NOT PRICE

KEY PERSONNEL

None 0001A

NAME:

Hours $ /Hr $______________

TITLE:

None

0001B

NAME:

Hours $ /Hr $______________

TITLE:

On-call: including on-call/call-back call coverage – actual services performed

12 Monthly $

ESTIMATED TOTAL

LINE ITEMS Hours $

Option Period 1 04/01/2024 – 03/31/2025

Line Item

NO.

SUB-

Line Items

DESCRIPTION Est.

QTY. UNIT UNIT COSTS Est. TOTAL UNIT

COST

1001 None

1.0 FTE Board Certified

Interventional Radiologist Physician Services.

2,080 Hours DO NOT PRICE DO NOT PRICE

KEY PERSONNEL

None 1001A

NAME:

Hours

$ /Hr

None

1001B back call coverage – actual services performed

12 Monthly $

Option Period

04/01/2025 – 03/31/2026

Item

NO.

SUB-

Line Items

DESCRIPTION Est.

QTY. UNIT UNIT COSTS Est. TOTAL UNIT

COST

2001 None

1.0 FTE Board Certified

Interventional Radiologist Physician Services. including on-call/call-back call coverage – actual services performed

2,080 Hours DO NOT

PRICE

DO NOT PRICE

KEY PERSONNEL

None 2001A

TITLE:

None

2001B

On-call including on-call/call-back call coverage – actual services performed

12 Monthly $ $

Option Period 3 04/01/2026 – 03/31/2027

Item

NO.

SUB-

Line Items

DESCRIPTION Est.

QTY. UNIT UNIT COSTS Est. TOTAL UNIT

COST

3001 None

1.0 FTE Board Certified

Interventional Radiologist Physician Services.

2,080 Hours DO NOT PRICE DO NOT PRICE

KEY PERSONNEL

None 3001A

TITLE:

None

3001B back call coverage – actual services performed

12 Monthly $ $

Option Period 4 04/01/2027 – 03/31/2028

Item

NO.

SUB-

Line Items

DESCRIPTION Est.

QTY. UNIT UNIT COSTS Est. TOTAL UNIT

COST

4001 None

1.0 FTE Board Certified

Interventional Radiologist Physician Services.

2,080 Hours DO NOT PRICE DO NOT PRICE

KEY PERSONNEL

None 4001A

TITLE:

None

4001B back call coverage – actual services performed.

12 Monthly $ $

ESTIMATED TOTAL

LINE ITEMS Hours $

Estimated Grand Total: $

The Offeror shall provide the estimated grand total for all periods of performance listed below.

Summary of Period Totals:

Base Period Total $

Option Period #1 Total $

Option Period #2 Total $

Option Period #3 Total $

Option Period #4 Total $

Total Estimated Grand Total $_________

B.3 PERFORMANCE WORK STATEMENT

for Onsite Interventional Radiology Physician Services including on-call

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified Interventional Radiology

Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the VA New Jersey Healthcare System, East Orange Campus. The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR). A contractor providing onsite interventional radiologist services shall provide services that meet or exceed the American College of Radiology Guidelines http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by- Modality/Interventional

1.2. Place of Performance - Contractor shall furnish all services onsite at the VA New Jersey Health Care System, East Orange Campus, 385 Tremont Ave, East Orange, New Jersey, 07018.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority and FAR Part 12 and 13.

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

1.4.1. VHA Handbook 1100.17: National Practitioner Data Bank Reports:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.2. VHA Handbook 1100.18: Reporting And Responding To State Licensing Boards:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174

1.4.3. VHA Handbook 1100.19: Credentialing and Privileging:

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

1.4.4. VHA Directive 1003.04: VHA Patient Advocacy:

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

1.4.5. VHA Directive 1088: Communicating Test Results to Providers and Patients:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

1.4.6. VHA Directive 1192.01: Seasonal Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.4.7. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures In Any Clinical Setting:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.4.8. VHA Directive 1400.01: Supervision of Physician, Dental, Optometry, Chiropractic, and Podiatry Residents https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8579

1.4.9. VHA Directive 1907.01: VHA Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

1.4.10. VHA Directive 1100.20 Credentialing of Health Care Providers:

https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=9444 http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Interventional https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8579 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fvaww.va.gov%2Fvhapublications%2FViewPublication.asp%3Fpub_ID%3D9444&data=04%7C01%7C%7C5a2fc81d5c9e4c31696308d9ca3b3c47%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C637763178024295633%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=g4iIWP0fMWV1ITn9%2F0vT4lpul7nFJAe%2FDMHlz4MTfT8%3D&reserved=0

1.4.11. VA Directive 1663: Health Care Resources Contracting – Buying:

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

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

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

1.4.13. VHA Directive 1105.02 Nuclear Medicine and Radiation Safety Administration Services

VHA Forms and Publications - Publications - Brochures (va.gov)

1.4.14. VHA Directive 1105.05 Magnetic Resonance (MR) Safety

VHA Forms and Publications - Publications - Brochures (va.gov)

1.4.15. VHA Directive 1105.04 Fluoroscopy Safety

VHA Forms and Publications - Publications - Brochures (va.gov)

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. ACEP: American College of Emergency Physicians

1.5.2. ACGME: Accreditation Council for Graduate Medical Education

1.5.3. AOD: Admitting Officer of the Day

1.5.4. CDC: Centers for Disease Control and Prevention

1.5.5. CDR: Contract Discrepancy Report

1.5.6. CEU: Certified Education Unit

1.5.7. CME: Continuing Medical Education

1.5.8. CMS: Centers for Medicare and Medicaid Services

1.5.9. 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.

1.5.10. 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.

1.5.11. COS: Chief of Staff

1.5.12. CPARS: Contractor Performance Assessment Reporting System https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm https://vaww.va.gov/vhapublications/publications.cfm?pub=1&order=asc&orderby=pub_Number https://vaww.va.gov/vhapublications/publications.cfm?pub=1&order=asc&orderby=pub_Number https://vaww.va.gov/vhapublications/publications.cfm?pub=1&order=asc&orderby=pub_Number

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

1.5.14. 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.

1.5.15. DEA: Drug Enforcement Agency

1.5.16. HER: Electronic Health Record – electronic health record system used by the VA

1.5.17. FSMB: Federation of State Medical Boards

1.5.18. HHS: Department of Health and Human Services

1.5.19. HIPAA: Health Insurance Portability and Accountability Act

1.5.20. HR: Human Resources

1.5.21. ISO: Information Security Officer

1.5.22. MOD: Medical Officer of the Day

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. NPPES: National Plan and Provider Enumeration System

1.5.25. POP: Period of Performance

1.5.26. PPD: Purified Protein Derivative

1.5.27. PWS: Performance Work Statement

1.5.28. 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.

1.5.29. QA/QI: Quality Assurance/Quality Improvement

1.5.30. QM/PI: Quality Management/Performance Improvement

1.5.31. QASP: Quality Assurance Surveillance Plan

1.5.32. 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.

1.5.33. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Michigan and Indiana.

1.5.34. 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.

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

1.5.36. 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 VANJ Health Care System, East Orange Campus.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License - Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in New Jersey.

All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract physician(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 physician(s) shall be board certified in Diagnostic Radiology per the American Board of Radiology (https://www.theabr.org), successfully fulfilling the requirements of the American Board of Radiology Maintenance of Certification Program and have a Certificate for Additional Qualifications (CAQ) in Interventional Radiology. 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 and VHA Directive 1100.20 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract physician(s) prior to obtaining approval by the VA New Jersey Healthcare System Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. All contract physician(s) must establish and maintain compliance with all requirements for full access to the HER, PACS and Voice Recognition systems.

2.1.3.2. If a contract physician(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.

https://www.theabr.org/

2.1.4. Technical Proficiency - Contract physician(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 physician(s) and contract physician (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements:

Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract physician (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current, as well as the minimum standards required by their active state license (s) and the Bylaws of the VA New Jersey Healthcare System. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging.

Failure to provide shall result in loss of privileges for contract physician(s).

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

Training (The following training is mandatory per VHACO for Contracted Physicians)

Frequency (once a year, etc)

Annual Hours

Active Threat Training 1 1 Blood Administration:

Complications

1 1

Blood Administration:

Administration (all contract employees who administer blood components)

1 1

Government Ethics 1 1 Hospice and Palliative Care for VA Clinicians

1 1

Military Sexual Trauma (MST) for Medical Providers

1 1

Moderate Sedation In-Service Training

1 1

Prevention of Workplace Harassment/No Fear Act

1 1

VHA MRI Safety Training Level 1 Training (all who enter MRI suites)

1 1

VA Core Values Training (ICARE Recommitment)

1 1

VA Privacy and Information Security Awareness and Rules of Behavior

1 1

VHA Privacy and HIPAA Focused Training

1 1

ACLS/BLS 1 1

Patient Safety 1 1 Patient Rights 1 1 Patient Abuse 1 1 Prevention/Management of Disruptive Behavior/Violence Prevention Level I

1 1

Suicide Prevention: Suicide Risk Management Training for Clinicians

1 1

SUX Infection Control and Blood Borne Pathogens

1 1

EHR 1 1

VISTA Imaging 1 1

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season . {This is applicable to all health care workers}.

2.1.7.6. COVID-19: Contractors shall comply with VHA Supplemental Contract Requirements for Combatting COVID-19 {This is applicable to all health care workers}. For indefinite delivery contracts: Contractor agrees to comply with VHA Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced – See Section D

2.1.7.7. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contract physician (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 VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998;

26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.7.8. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8. 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 proposal.

2.1.9. DEA (as required) - Contractor shall provide copy of current DEA certificate registered in the state in which services are provided.

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

2.1.11. 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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

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 RFP 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 physician (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 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 proposal, 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.

http://oig.hhs.gov/exclusions/index.asp

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 and VHA Directive 100.20.

Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non Personal Healthcare Services: The parties agree that the Contractor and all contract physician (s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and Contract physician (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.

2.7. No Employee status: The Contractor shall be responsible for protecting Contract physician (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:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s).

When a Contractor or contract physician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contract physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE) for the services required is 1.0 FTE. FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

2.9.2. The minimum number of Board Certified Interventional Radiologists located within the VA Medical Center, on a daily basis (be on site) is one (1) as defined in paragraph Hours of Operation in this section).

2.9.3. 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 physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) at the VAMC immediately of the schedule change.

2.10. 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 7 calendar day (s) after the occurrence of any of these events and provide the information required below. After 90 calendar days, the Contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions

2.10.1. 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

2.10.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.10.3. 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 physician (s), s/he may request, without cause, immediate replacement of said contract physician (s). The CO and COR shall deal with issues raised concerning Contract physician (s) conduct. The final arbiter on questions of acceptability is the CO.

2.10.4. Contingency Plan: Because continuity of care is an essential part of VAMC’s medical services, The Contractor shall have a contingency plan in place to be utilized if the contract physician (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: Monday thru Friday 8:00 am to 4:30 pm

3.1.1. Patients must be seen by a contract physician (s) on-site at VAMC in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult/order completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.1.2. Contract Physicians shall be available and present in clinic during normal VAMC clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are Monday thru Friday 8:00 am to 4:30 pm.

3.1.3. Off-hours Coverage: Contractor must make the contract physician (s) available on-call during all hours when the VAMC clinic is closed, including evenings, weekends and holidays:

3.1.3.1. Evenings/Nighttime: from 4:30p.m until the following morning at 8:00a.m, Mondays through Fridays

3.1.3.2. Federal Holidays: from 8:00a.m on the morning of the holiday through 8:00a.m the following day (24 hour period)

3.1.3.3. Weekends: from 8:00a.m on Saturday morning to 8:00a.m Sunday morning and from 8:00a.m. Sunday morning through 8:00a.m. Monday morning (two 24 hour shifts).

3.1.3.4. On-call contract physicians must be available at all times for phone consultations with VA physicians.

3.1.3.5. The on-call Contract Interventional Radiologist(s) will be available at all on-call times, by a mutually agreed upon method such as a long-range pager or cell phone and will be expected to verbally respond to the request for procedure within 15 minutes and then arrive, in person, when necessary for emergency procedures within 75 minutes of the notification.

3.1.3.6. The on-call Contract Interventional Radiologist will perform urgent and routine procedures in a timely manner on the day of the request so as to not delay care or increase the length of stay. Urgent or routine requests received after 8:00 pm may be performed as soon as possible the following day if clinically appropriate and no later than 24 hours from receipt of the request.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared to be a national holiday

4. CONTRACTOR RESPONSIBILITIES

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

4.1.1. Contract physician(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.

4.2. Standards of Care: The contract physician (s)’ care shall cover the range of Interventional Radiology services as would be provided in a state-of-the-art civilian medical 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 College of Radiology Guidelines for Interventional Radiology:

https://www.acr.org/Clinical-Resources/Practice-Parameters-and-Technical- Standards/Practice-Parameters-by-Subspecialty

4.2.2.