S02 36C24525Q0294 CRNA_SAM.gov.pdf

PAGE 1 OF 122 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

36C24525Q0294 02/25/2025

Sue Lepore, Sue.lepore@va.gov (410)642-2411 Ext. 25360 03/14/2025

0800 AM EDT

Department of Veterans Affairs VA Maryland Health Care System Crystal Hinton, Contracting Officer Sue Lepore, Contracting Specialist P.O. Box 1000, Bldg. 101, Room 4 Perry Point MD 21902

X 100

X

621399

$10 Million

Net 30

N/A

X

Louis A. Johnson VA Medical Center 1 Medical Center Drive Clarksburg, WV 26301

Department of Veterans Affairs VA Maryland Health Care System Sue Lepore, Contracting Specialist P.O. Box 1000, Bldg. 101, Room 4 Perry Point MD 21902

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically.

http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135

See CONTINUATION Page

The contractor shall provide two (2) FTE Certified Registered Nurse Anesthetists (CRNA) to the Clarksburg VA Medical Center in accordance with the Performance Work Statement

(PWS).

The Performance Work Statement is on page 9.

Contractor shall be responsible for correct wages, titles, and compliance with applicable wages and hour laws.

See CONTINUATION Page

X X

X One (1)

Paschal L. Dawson, Contracting Officer

36C24525Q0294

Table of Contents

SECTION A…………………………………………………………………………………………………………..1

A.1 SF1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES…………………………………………………………………………….…1

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 KEY PERSONNEL

B.4 PERFORMANCE WORK SCHEDULE (PWS)

B.5 IT CONTRACT SECURITY

B.6 CONTRACTOR’S RESPONSIBILITY – CONTRACTORS PERFORMANCE ASSESSMENT

REPORTING SYSTEM (CPARS)

SECTION C - CONTRACT CLAUSES

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

COMMERCIAL SERVICES NOV 2023)

C.2 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (JUN 2020)

C.3 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (JAN

2011)

C.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

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

C.6 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.8 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA BREACH COSTS

(FEB 2023) ALTERNATE I (FEB 2023)

C.9 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR VERIFIED SERVICE-DISABLED

VETERAN OWNED SMALL BUSINESSES (NOV 2022)

C.10 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING--CERTIFICATE OF

COMPLIANCE FOR SERVICES AND CONSTRUCTION (NOV 2022)

C.11 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

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

C.13 852.239-70 SECURITY REQUIREMENTS FOR INFORMATION TECHNOLOGY

RESOURCES (FEB 2023)

C.14 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

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

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (JAN 2025)

C.16 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

D.2 CONTRACTOR RULES OF BEHAVIOR

D.3 CONTRACTOR CERTIFICATION: CONTRACTOR CERTIFICATION: IMMIGRATION AND

NATIONALITY ACT OF 1952, AS AMENDED

D.4 WAGE DETERMINATION

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

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

E.6 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(NOV 2021)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

BUSINESS NAME

ADDRESS

CITY/STATE/ZIP CODE

UEI

POINT OF CONTACT

EMAIL ADDRESS

TELEPHONE NUMBER

b. GOVERNMENT:

Crystal Hinton, Contracting Officer Sue Lepore, Contract Specialist Department of Veterans Affairs Department of Veteran Affairs VA Maryland Health Care System VA Maryland Health Care System NCO 5 Contracting Office NCO 5 Contracting Office PO Box 1000, Bldg. 101, Room 26 PO Box 1000, Bldg. 101, Room 26 Perry Point, MD 21902 Perry Point, MD 21902 crystal.hinton@va.gov sue.lepore@va.gov

(410) 642-2411 Ext. 26065

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

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

[] 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.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135

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

AMENDMENT NO DATE

5. CONTRACT MODIFICATIONS: The Contractor is advised that only the Contracting Officer, acting within the scope of the contract and his/her duties and responsibilities and after advice and consultation with the Contracting Officer’s Representative (COR), has the authority to make changes that will affect contract prices, quantity, quality, delivery terms and conditions, or the term of the contract. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Officer.

6. CONTRACTING OFFICER REPRESENTATIVE: The Contractor shall be provided a copy of the letter of delegation authorizing the Contracting Officer Representative (COR) at the commencement of the term of this contract. No other person shall be authorized to act in such capacity unless appointed in writing by the Contracting Officer.

7. CONTRACT PERFORMANCE: Contractor shall be required to begin providing Certified Registered Nurse Anesthetist (CRNA) services under the contract awarded as a result of this solicitation beginning on the first date of the base period listed in the Schedule of Services.

Failure to understand the contract requirements shall not relieve the Contractor from performing in accordance with the strict meaning and intent of the specifications. The Government will not reimburse any costs not incorporated into the Contractor’s price.

8. SOLICITATION/CONTRACT: This solicitation and resulting contract adheres to the format defined in Federal Acquisition Regulation (FAR) Parts 12 and 15. An official copy of the FAR can be obtained at https://www.acquisition.gov/far/ .

9. STATUS AS INDEPENDENT ENTITIES: None of the provisions of this contract are intended to create or shall be deemed or construed to create any relationship between VA and the Contractor other than that of independent entities contracting with each other solely for the purpose of effecting the provisions of this contract. Neither VA nor the Contractor, nor any of their respective agents, employees or representatives, shall be construed to be the agent employee or representative of the other.

10. NON-SOLICITATION: Neither the Contractor nor any employee, agent or subcontractor of the Contractor shall solicit or attempt to convince or otherwise persuade any veteran not to participate or to discontinue participation in the services provided under this contract.

11. SECURE FAX: All faxes should contain the following language: “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.”

12. PRIVACY AND CONFIDENTIALITY: Contractors to the Department of Veterans Affairs may be exposed to sensitive information. Information may be overheard, seen on documents or electronic devices, or observed that could potentially violate the privacy and confidentiality of our Veterans, employees, volunteers and their families. Regulations such as, but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Freedom of Information (FOIA) and Privacy Act of 1974 have been enacted to protect sensitive information from being improperly disclosed. Information should not be divulged or released to anyone unless specifically authorized by this contract or its attached documents accordance with the contracted services. Failure to comply with applicable statutes and regulation can result in the termination of this contract and civil and criminal penalties, including fines and imprisonment. All suspected or actual breeches of privacy and confidentiality should be reported immediately to the Contracting Officer, Contracting Officer Representative (COR) or the Facility Privacy Officer.

B.2 PRICE/COST SCHEDULE

The Louis A. Johnson VA Medical Center is seeking to procure two (2) FTE locum tenens Certified Registered Nurse Anesthetist (CRNA) services. A contractor providing contracting CRNA services shall meet the guidelines described in the Performance Work Statement (PWS).

The new contract will ensure coverage of anesthesia related services for the veterans.

Business hours are Monday through Friday, 7:00 am to 3:30 pm with on-call duties as required afterhours. Overtime rate shall be base pay for hours worked over 40 hours per week. On-call weeknights, Monday through Friday, 3:30 pm to 7:00 am. On-call weekends, Saturday 7:00 am to Sunday 7:00 am and/or Sunday 7:00 am to Monday 7:00 am. On-call holidays, midnight through 11:59 pm. Prescribing staff agree to utilize VHA formulary pharmaceuticals and the established non-formulary request procedures. The current quantity of hours listed in this solicitation under CLIN1 is 2080 hours for two (2) CRNAs for a six (6) month period.

Place of Performance: Services shall be provided at the Louis A. Johnson VA Medical Center, 1 Medical Center Drive, Clarksburg, WV 26301.

Period of Performance: six (6) months, 05/17/2025 to 11/16/2025.

Pricing Instructions:

Offerors must fill out the cells in the following columns in the Price Schedule for each Contract Line-Item Number (CLIN).

ITEM INFORMATION

NAICS: 561320; PSC: Q501

ITEM

NUMBER

DESCRIPTION OF SERVICES

ESTIMATED

QUANTITY

UNIT UNIT PRICE AMOUNT

On-site Certified Registered Nurse Anesthetist (CRNA)

Weekday Rate: Mon - Fri

POP 05/17/2025 - 11/16/2025

HR

0002 Overtime Rate

POP 05/17/2025 - 11/16/2025

120 HR

0003 On-Call Weeknights

POP 05/17/2025 - 11/16/2025

200 HR

0004 On-Call Weekends

POP 05/17/2025 - 11/16/2025

600 HR

0005 On-Call Holidays

POP 05/17/2025 - 11/16/2025

24 DY

0006 Lodging

POP 05/17/2025 - 11/16/2025

275 DY

0007 Per Diem

POP 05/17/2025 - 11/16/2025

275 DY

0008 Rental Car

POP 05/17/2025 - 11/16/2025

275 DY

GRAND

TOTAL

B.3 KEY PERSONNEL

Per VAAR 852.237-75, The key personnel specified in this contract are considered to be essential to work performance. The key personnel are:

Key Personnel Official Title National Provider Identifier

Number

B.4 PERFORMANCE WORK SCHEDULE (PWS)

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Certified Registered Nurse Anesthetist (CRNA) Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Louis A. Johnson VA Medical Center.

1.2. Contractor shall furnish services at the Louis A. Johnson VA Medical Center, 1 Medical Center Drive, Clarksburg, WV 26301

1.2. Authority: Title 38 USC 513 General Contracting Authority

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

1.3.1. 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

1.3.2. VHA Directive 2010-018 “Facility Infrastructure”

www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227

1.3.3. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep

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

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

1.3.6. VHA Handbook 1100.19 Credentialing and Privileging -

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

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

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

1.3.8. 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. 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.

1.4.1. ABA: American Board of Anesthesiology http://www.theaba.org/

1.4.2. ACGME: Accreditation Council for Graduate Medical Education

1.4.3. ACLS: Advanced Cardiac Life Support

1.4.4. AOD: Admitting Officer of the Day

1.4.5. ASA: American Society of Anesthesiologists

1.4.6. BLS: Basic Life Support

1.4.7. CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

1.4.8. CDC: Centers for Disease Control and Prevention

1.4.9. CR: Contract Discrepancy Report

1.4.10. CEU: Certified Education Unit

1.4.11. CME: Continuing Medical Education

1.4.12. CMS: Centers for Medicare and Medicaid Services

1.4.13. 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.

1.4.14. 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.

1.4.15. COS: Chief of Staff

1.4.16. CPARS: Contractor Performance Assessment Reporting System

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

1.4.18. 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.

1.4.19. DEA: Drug Enforcement Agency

1.4.20. ED: Emergency Department

1.4.21. FSMB: Federation of State Medical Boards

1.4.22. HHS: Department of Health and Human Services

1.4.23. HIPAA: Health Insurance Portability and Accountability Act

1.4.24. HR: Human Resources

1.4.25. ISO: Information Security Officer

1.4.26. Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.4.27. MOD: Medical Officer of the Day

1.4.28. NBCRNA: National Board of Certification & Recertification for Nurse Anesthetists. https://www.nbcrna.com

1.4.29. 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).

1.4.30. NLNAC: National League for Nursing Accrediting Commission. www.nea.nln.org

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

1.4.32. NP: Nurse Practitioner

1.4.33. NPPES: National Plan and Provider Enumeration System

1.4.34. PA: Physician Assistant

1.4.35. PALS: Pediatric Advanced Life Support

1.4.36. POP: Period of Performance

1.4.37. PPD: Purified Protein Derivative

1.4.38. PWS: Performance Work Statement

1.4.39. 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.

1.4.40. QA/QI: Quality Assurance/Quality Improvement

1.4.41. QM/PI: Quality Management/Performance Improvement

1.4.42. QASP: Quality Assurance Surveillance Plan

1.4.43. 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.

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

1.4.45. 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.

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

1.4.47. 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 Louis A. Johnson VA Medical Center.

2. QUALIFICATIONS:

2.2. Staff/Facility

2.2.1. License - The Contractor’s CRNA 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) when services are performed onsite on VA property.

All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s CRNA 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.

2.2.2. Board Certification – Contract CRNA’s shall be currently certified in Basic Life Support (BLS) and Advanced Cardiac Life Support through the American Heart

Association. If applicable, 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 CO on an annual basis for each year of contract performance.

2.2.3. 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 CRNA possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s CRNA prior to obtaining approval by the VAMC Professional Standards Board, Medical Executive Board and Medical Center Director.

2.2.3.1. If a Contractor’s CRNA 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.

2.2.4. Technical Proficiency - Contractor’s CRNA 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 Contractor’s CRNA and Contractor’s CRNA shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.2.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the credentialing office copies of current CMEs as required or requested by the VAMC. Contractor’s CRNA 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 Contractor’s CRNA.

2.2.6. Training (ACLS, 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 contractor’s CRNA as required by the VA.

Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training Frequency Annual Hours

ACLS/BLS Bi-annually 1 hour

Blood Administration:

Complications

Not required unless contractor administers blood components

1 hour

EHR One time 1.5 hours

Hospice and Palliative Care for VA Clinicians

Annually 30 minutes

Moderate Sedation In- Service Training

No required unless contractor uses moderate sedation

1 hour

PACT Act 2022 Toxic Exposure Screening (TES)

Annually 15 min

Patient Abuse Annually 30 minutes

SUX Infection Control and Blood Borne Pathogens

Annually 30 minutes

VA Privacy and Information Security Awareness and Rules of Behavior

Annually 1 hour

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

Annually 30 minutes

VISTA Imaging One time 30 minutes

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

2.2.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s CRNA {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. The TST or IGRA testing shall be repeated annually.

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

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

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

2.2.7.5. INFLUENZA: Contractors shall provide proof that all Contractor CRNAs have received the annual Influenza vaccine unless it is contraindicated. If the Contractor CRNA 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}.

2.2.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s CRNA {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.2.7.7. 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.

2.2.8. 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.

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

2.2.10. Conflict of Interest: The Contractor and all Contractor’s CRNA 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.

2.2.11. Citizenship related Requirements:

2.2.11.1. 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;

2.2.11.2. 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.

2.2.11.3. 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.

2.2.11.4. 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.

2.2.11.5. 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.

2.2.12. 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.

2.2.12.1. 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 Contractor’s CRNA 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.

2.2.12.2. 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.

2.3. Clinical/Professional Performance: 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 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.

2.4. Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor’s CRNA shall not be considered VA employees for any purpose.

2.5. 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.

2.6. Prohibition Against Self-Referral: Contractor’s CRNAs are prohibited from referring VA patients to contractor’s or their own practice.

2.7. Inherent Government Functions: Contractor and Contractor’s CRNA 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.

2.8. No Employee status: The Contractor shall be responsible for protecting Contractor’s CRNA 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:

2.8.1. Workers’ compensation

2.8.2. Professional liability insurance

2.8.3. Health examinations

2.8.4. Income tax withholding, and

2.8.5. Social security payments.

2.9. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor’s CRNA. When a Contractor or Contractor’s CRNA 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 Contractor’s CRNA) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.10. Key Personnel:

2.10.1. 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.

2.10.2. The minimum number of CRNAs required to be on site on a daily basis is one (1) as defined in paragraph Hours of Operation in this section.

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 Contractor’s CRNA, s/he may request, without cause, immediate replacement of said Contractor’s CRNA. The CO and COR shall deal with issues raised concerning Contractor’s CRNA conduct. The final arbiter on questions of acceptability is the

CO.

3. HOURS OF OPERATION

3.1. VA Business Hours: Normal business hours are 8:00am to 4:30pm

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

3.1.1.1. Contractor’s CRNA shall be available and present in the surgery area during normal surgery hours. Surgery hours will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal hours are 7:00am to 3:30pm.

3.1.1.1. Off-hours Coverage: Contractor must make the Contractor’s CRNA available on-call during all hours when the VAMC clinic is closed, including evenings, weekends and holidays.

3.1.1.1.1. The contract CRNA shall provide at least four (4) days of evening on-call coverage and at least one (1) weekend of on-call coverage per month. On-call is at the discretion of the Chief of Surgery Service.

3.1.1.1.2. On-call contractor’s CRNA must be available at all times for phone consultations with VA residents and CRNAs.

3.1.1.1.3. Patients must be seen within 60 minutes of the page when medically indicated.

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 National Independence Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Any day specifically declared to be a national holiday.

3.2.1. Unless a state of emergency has been declared, the Contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

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

4.1.1. Contractor’s CRNA 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 Contractor’s CRNA’ care shall cover the range of

Anesthesiology services as would be provided in a state-of-the-art health care facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:

4.2.1. American Society of Anesthesiology (ASA) Guidelines:

http://ww.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx

4.2.2. 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

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

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

4.2.5. The requirements contained in this PWS.

4.3. Resident Supervision and Teaching: Not applicable to this requirement

4.4. MEDICAL RECORDS

4.4.1. Authorities: Contractor’s CRNA 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).

4.4.2. 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. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled ‘Patient Medical Records-VA’ (24VA19). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date.

4.4.3. Disclosure: Contractor’s CRNA may have access to patient medical records:

however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA ‘s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information.

The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.4.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAMC.

4.4.5. Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual’s Records, to process “Release of Information Requests.” In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility. The VA’s Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient’s consent form. Completed Release of Information requests will be forwarded to the VA Privacy Officer at the following address: Tonya Facemire, 1 Medical Center Drive, Clarksburg, WV 26301 Phone: 304-623- 3461 X3292

4.5. Direct Patient Care: estimated 95% the time involved in direct patient care.

4.5.1. Per the qualification section of this PWS, the Contractor shall provide the following staff:

4.5.1.1. Certified Registered Nurse Anesthetist

4.5.2. Scope of Care: Contractor’s CRNA (as appropriate and within scope of practice/privileging) shall be responsible for providing Anesthesiology care, including, but not limited to :

4.5.2.1. Clinic and Surgical Care: Contractor’s CRNA shall provide clinical Anesthesiology services. Contractor’s CRNA shall be present on time for any scheduled clinics/surgeries as documented by physical presence in the clinic or operating room at the scheduled start time.

4.5.2.1.1. Operative Services: Contractor’s CRNA shall provide comprehensive clinical anesthesiology services to include, but not limited to, patients undergoing cardiac surgery, orthopedic joint replacement, and major vascular, thoracic, neurosurgical, plastic, ENT, urologic, and ophthalmologic surgeries.

4.5.2.1.2. Contractor’s CRNA shall provide clinical care of patients undergoing electroconvulsive therapy and diagnostic and therapeutic procedures in the cardiac catheterization laboratory, electrophysiology, gastrointestinal and radiological suites, to include MRI.

4.5.2.1.3. Contractor’s CRNA shall provide primary coverage for all patients in the surgical intensive care, short stay unit, acute and chronic pain management services, diagnostic trans esophageal echocardiography for medical and surgical patients, and emergency airway management.

4.5.2.1.4. Contractor’s CRNA shall provide consultative services at the patient’s bedside if the patient is not ambulatory and, in the clinic, setting if the patient is able to report to the outpatient clinic.

4.5.2.1.5. The following is a list of unique competencies the Chief of Surgery Service expects the CRNA shall have:

Performing and documenting a pre-anesthetic assessment and evaluation of the patient, including requesting consultations and diagnostic studies;

selecting, obtaining, ordering, and administering pre-anesthetic medications and fluids; and obtaining informed consent for anesthesia.

Developing and implementing an anesthetic plan.

Initiating the anesthetic technique which may include general, regional, local, and IV sedation.

Selecting, applying, and inserting appropriate non-invasive and invasive monitoring modalities for continuous evaluation of the patient's physical status.

Selecting, obtaining, and administering the anesthetics, adjuvant and accessory drugs, and fluids necessary to manage the anesthetic.

Managing a patient's airway and pulmonary status using current practice modalities.

Facilitating emergence and recovery from anesthesia by selecting, obtaining, ordering, and administering medications, fluids, and ventilator support.

Discharging the patient from a post-anesthesia care area and providing post-anesthesia follow-up evaluation and care, as needed.

Responding to emergency situations by providing airway management, administration of emergency fluids and drugs, and using basic or advanced cardiac life support techniques.

Implements acute pain management modalities.

Perform arterial puncture, arterial cannulization and arterial pressure monitoring devices if indicated.

Fiberoptic bronchoscopy.

Other duties as assigned.

4.5.2.2. Medications: Contractor’s CRNA shall follow all established medication policies and procedures. No sample medications shall be provided to patients.

4.5.2.3. Discharge education: Contractor’s CRNA shall provide discharge education and follow up instructions that are coordinated with the next care setting for all Anesthesiology clinical or surgical patients.

4.5.3. Administrative: estimated 5% of time not involved in direct patient care

4.5.3.1. QA/QI documentation: The Contractor’s CRNA shall complete the appropriate QM/PI documentation pertaining to all procedures, complications, and outcome of examinations.

4.5.3.2. Patient Safety Compliance and Reporting: Contractor’s CRNA shall follow all established patient safety and infection control standards of care. Contractor’s CRNA shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the COR VA Safety Policy.