S02 36C24525Q0369.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. 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

36C24525Q0369 05-21-2025

Keith Roberts (Keith.Roberts@va.gov) 410-642-2411 x22921 06-05-2025

8:00AM EDT

Keith Roberts, Contracting Officer VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101C, Room 3 Perry Point MD 21902

X

621399

$10 Million

N/A

Department of Veterans Affairs Hershel “Woody” Williams VA Medical Center Surgical Service (112) 540 Spring Valley Drive Huntington, WV 25704-9300

Keith Roberts, Contracting Officer VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101C, Room 3 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 intraoperative neuromonitoring services to the Hershel “Woody” Williams VA Medical Center in accordance with the Performance Work Statement (PWS).

The awarded contract performance period is estimated to be June 21, 2025 – June 20, 2026, with four option years exercisable at the Government’s sole discretion.

See Section E.1 for instructions for quote submissions.

X ONE (1)

Keith Roberts Contracting Officer

36C24525Q0369

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 DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

B.4 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

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

SERVICES (NOV 2023)

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.4 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)

C.5 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.6 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.7 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.8 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.9 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA BREACH COSTS (FEB 2023)

ALTERNATE I (FEB 2023)

C.10 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESS

EVALUATION FACTORS (JAN 2023) (DEVIATION)

C.11 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

C.12 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF

COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION)

C.13 VAAR 852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899 (DEVIATION) (APR 2025)

C.14 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.15 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (OCT 2019)

C.16 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE (OCT 2019)

C.17 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.18 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.19 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.20 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (JAN 2025) (DEVIATION

FEB 2025)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

D.2 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF 1952, AS AMENDED

D.3 CONTRACTOR RULES OF BEHAVIOR

D.4 ORGANIZATIONAL CONFLICT OF INTEREST CERTIFICATION STATEMENT

D.5 WAGE DETERMINATION 2015-4367

SECTION E - SOLICITATION PROVISIONS

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

(SEP 2023)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—REPRESENTATION

AND DISCLOSURES (DEC 2023)

E.4 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

E.5 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)

E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2024) (DEVIATION FEB 2025)

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: Name:

Address:

UEI:

Point of Contact:

Email:

Phone:

b. GOVERNMENT:

Keith Roberts, Contracting Officer VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg 101C, Room 3 Perry Point, MD 21902

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

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] MONTHLY

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

B.2 SCHEDULE OF SERVICES

The Contractor shall provide intraoperative neuromonitoring services to Department of Veterans Affairs (VA) eligible veteran beneficiaries at the Hershel “Woody” Williams VA Medical Center

(VAMC).

Place of Performance: Clinical services shall be provided on site at Hershel “Woody” Williams VA Medical Center, 1540 Spring Valley Drive, Huntington, WV 25704.

Period of Performance: Estimated June 21, 2025 – June 20, 2026 (plus four additional option years exercisable at Government’s discretion in accordance with FAR 52.217-9).

BASE PERIOD: June 21, 2025 – June 20, 2026

ITEM

NUMBER

DESCRIPTION

OF SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 24.00 EA __________________ __________________

Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Vendor to provide IONM service on as needed basis with all necessary supplies and equipment. Rate to include all training requirements as specified under the PWS.

Contract Period: Base POP Begin: 06-21-2025 POP End: 06-20-2026

PRINCIPAL NAICS CODE: 621399 – Offices of Other Miscellaneous Health Practitioners PRODCUT/SERVICE CODE: Q510 – Medical - Neurology

BASE YEAR TOTAL __________________

OPTION YEAR 1: June 21, 2026 – June 20, 2027 (if exercised)

ITEM

NUMBER

DESCRIPTION

OF SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

24.00 EA __________________ __________________

Complete Intraoperative Neuromonitoring Service (IONM) in accordance with Performance Work Statement (PWS).

Vendor to provide IONM service on as needed basis with all necessary supplies and equipment. Rate to include all training requirements as specified under the PWS.

Contract Period: Option 1 POP Begin: 06-21-2026 POP End: 06-20-2027

PRINCIPAL NAICS CODE: 621399 – Offices of Other Miscellaneous

OPTION YEAR 1

TOTAL

OPTION YEAR 2: June 21, 2027 – June 20, 2028 (if exercised)

NUMBER

DESCRIPTION

36.00 EA __________________ __________________

accordance with Performance Work Statement (PWS).

Vendor to provide IONM service on as needed basis with all necessary supplies and equipment. Rate to include all training requirements as specified under the PWS.

Contract Period: Option 2 POP Begin: 06-21-2027 POP End: 06-20-2028

PRINCIPAL NAICS CODE: 621399 – Offices of Other Miscellaneous

OPTION YEAR 2

OPTION YEAR 3: June 21, 2028 – June 20, 2029 (if exercised)

NUMBER

DESCRIPTION

accordance with Performance Work Statement (PWS).

Vendor to provide IONM service on as needed basis with all necessary supplies and equipment. Rate to include all training requirements as specified under the PWS.

Contract Period: Option 3 POP Begin: 06-21-2028 POP End: 06-20-2029

PRINCIPAL NAICS CODE: 621399 – Offices of Other Miscellaneous

OPTION YEAR 3

OPTION YEAR 4: June 21, 2029 – June 20, 2030 (if exercised)

ITEM

NUMBER

DESCRIPTION

accordance with Performance Work Statement (PWS).

Vendor to provide IONM service on as needed basis with all necessary supplies and equipment. Rate to include all training requirements as specified under the PWS.

Contract Period: Option 4 POP Begin: 06-21-2029 POP End: 06-20-2030

PRINCIPAL NAICS CODE: 621399 – Offices of Other Miscellaneous

OPTION YEAR 4

Total base and all options value:

*Note: 52.217-8 will be evaluated as described in 52.212-2 below.

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL

1.1 Services Provided: Electro Neurophysiologic Technologist as Needed. The Contractor shall provide VA and Joint Commission Certified Interoperative Monitoring Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Hershel Woody Williams VA Medical Center

1.1.1. Place of Performance: Contractor shall furnish services at the HWW VAMC, 1540 Spring Valley Drive Huntington, WV 25704

1.1.2. Services on an As Needed Basis: The Contractor shall provide as needed and case-by-case service that enables Hershel Woody Williams VAMC to offer intraoperative neuromonitoring options for patients under the direct medical care within the operating room. The IONM Contractor must be experienced and available to cover as scheduled. Routine cases must be scheduled by 1:00 p.m.

ET on the day immediately preceding the surgery or by 1:00 p.m. ET on Friday if the case will be performed on Monday.

1.1.3. Ordering: Services are to be conducted in the operating room on a per case basis as determined by the neurosurgeon. The neurosurgeon case manager shall notify the OR Manager or appropriate designee in Surgical Service when monitoring services are needed for a neurosurgical patient. The OR Manager or appropriate designee will contact the Contractor with the request for monitoring.

All changes to the proposed monitoring, to include date/time, type of monitoring, etc., will be conveyed by the OR Manager or appropriate designee to the Contractor.

1.1.4. “Technical Only” Services: Services are “technical only” and shall include intraoperative, preoperative, postoperative neurophysiologic monitoring services and evoked potential testing for neurosurgery patients. Contractor shall provide interoperative neuromonitoring services. Intraoperative monitoring modalities needed include: SSEPS, TcMEP, S-EMG, T-EMG, spinal cord mapping including D-Waves, DNEPs, NMEPs, Cortical, motor.

1.2. Authority: Title 38 USC 513 General Contracting Authority and FAR Part 12 in combination with FAR Part 13.

1.3. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.3.1. VHA Directive 1003.04: VHA Patient Advocacy

1.3.2. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider

Group Practice

1.3.3. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.3.4. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.3.5. VHA Directive 1100.20: Credentialing of Health Care Providers

1.3.6. VHA Directive 1100.21: Privileging

1.3.7. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA

Health Care PersonnelVHA Directive 1220(1): Facility Procedure Complexity https://www.va.gov/vapubs/ https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm

Designation Requirements to Perform Invasive Procedures in Any Clinical Setting

1.3.8. VHA Directive 1605.01: Privacy and Release of Information

1.3.9. VHA Directive 1907.01: VHA Health Information Management and Health

Records

1.3.10. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.3.11. 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. Acronyms/Definitions: 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.

• AANS: American Association for Neurological Surgeons http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx

• ABNS: American Board of Neurological Surgery http://www.abns.org/content/default.asp

• ACGME: Accreditation Council for Graduate Medical Education

• ACLS: Advanced Cardiac Life Support

• AOD: Admitting Officer of the Day

• BLS: Basic Life Support

• CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

• CDC: Centers for Disease Control and Prevention

• CR: Contract Discrepancy Report

• CEU: Certified Education Unit

• CME: Continuing Medical Education

• CMS: Centers for Medicare and Medicaid Services

• 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.

• 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.

• COS: Chief of Staff

• CPARS: Contractor Performance Assessment Reporting System

• 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.

• DEA: Drug Enforcement Agency http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx http://www.aacn.nche.edu/accreditation

• ED: Emergency Department

• EHR: Electronic Health Record - electronic health record system used by the VA

• FSMB: Federation of State Medical Boards

• FTE: Full Time Equivalent VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

• HHS: Department of Health and Human Services

• HIPAA: Health Insurance Portability and Accountability Act

• HR: Human Resources

• ISO: Information Security Officer

• 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.

• MOD: Medical Officer of the Day

• 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).

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

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

• NP: Nurse Practitioner

• NPPES: National Plan and Provider Enumeration System

• PA: Technicians Assistant

• PALS: Pediatric Advanced Life Support

• POP: Period of Performance

• PPD: Purified Protein Derivative

• PWS: Performance Work Statement

• 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.

• QA/QI: Quality Assurance/Quality Improvement

• QM/PI: Quality Management/Performance Improvement http://www.nlnac.org/

• QASP: Quality Assurance Surveillance Plan

• 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.

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

1.4.2. 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.

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

1.4.4. 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 Hershel “Woody” Williams Veterans Affairs Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. Certification: The contractor shall provide Electro Neurophysiologic Technologists who perform on-site IONM services who is accredited through the American Board of Registered Electro Neurophysiologic Technologist (http://www.abret.org). This technical certification is intended for technologists who work under supervision by a Neurophysiologist or Neurologist. All continuing education courses required for maintaining certification must be always kept up to date. Documentation verifying current certification shall be provided by the Contractor to the VA Contracting Officer Representative (COR) with proposal, and on an annual basis for each year of contract performance.

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

2.1.3 Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the facility. Contractor’s Technicians(s) registered or certified by national/medical associations shall -continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credential’s office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s Technicians(s).

2.1.4 Training (ACLS, BLS, EHR 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 Technicians(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training Frequency Number of Hours

Mandatory Training for Transient Clinical Staff (TMS Item #20152).

NOTE: Completion of this course satisfies the following training requirements:

Once a Year Annually: 2.00 hrs

ACLS/BLS Quarterly Quarterly: 2.00 hrs

Annual Total: 8.00 hrs

VA Privacy and Information Security and Rules of Behavior

Annually Annual: 1.00 hr

2.1.5 STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.):

Contractor shall provide proof of the following for Technicians 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.

2.1.5.1 TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s Technicians(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.

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

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

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

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

2.1.5.6 COVID-19: Contractors shall provide proof that all Contractor Technicians have received COVID-19 vaccine unless it is contraindicated. If the Contractor technician 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}.

2.1.5.7 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 Technicians(s) {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.

2.1.5.8 The facility 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.

2.1.6 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 facilities). 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.

2.1.7 Conflict of Interest: The Contractor and all Contractor’s Technicians(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 and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.8 Citizenship related Requirements:

2.1.8.1 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;

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

2.1.8.2 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, because 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.

2.1.8.3 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.

2.1.8.4 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.

2.1.8.5 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.

2.1.8.6 Please note, in order to initiate the required background investigation for a non-citizen, the subject individual must have resided continuously in the United States for at least three years.

2.1.8.7 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.

2.1.8.8 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 Technicians(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.

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

2.1.8.9 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.

2.2 Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility 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 COR appointment.

2.3 Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor’s Technicians(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 Technicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6 Inherent Government Functions: Contractor and Contractor’s Technicians(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 Contractor’s Technicians(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 contractor’s Neurophysiologic Technologists. When a contractor or contractor’s Neurophysiologic Technologists have 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 Neurophysiologic Technologists) action or non-action shall be the responsibility of the contractor and/or insurance carrier.

2.9 Liability and Insurance Requirements

2.9.1 The Contractor shall provide insurance coverage in accordance with Federal Acquisition Regulation (FAR) Clause 52.228-5, Insurance – Work on a Government Installation (Jan 1997), VA Acquisition Regulation (VAAR) Clause 852.237-70, Indemnification and Medical Liability Insurance (Oct 2019), and Supplemental Insurance Requirements incorporated herein under the Clauses Section.

2.9.2 Before commencing work under the contract, the Contractor shall furnish to the Contracting Officer a certificate of insurance indicating the coverage outlined herein or in FAR Clause 52.228-5 and VAAR Clause 852.237-70 containing an endorsement to the effect that cancellation of, or any material change in the policies which adversely affect the interests of the Government in such insurance shall not be effective unless a 30-day advance written notice of cancellation or change is furnished the Government.

2.10 Key Personnel:

2.10.1 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 technician is unable to complete an assigned scheduled /emergent case, the contractor shall provide replacement technician coverage within two (2) hours and notify the Contracting Office Representative (COR) at the VAMC immediately of the schedule change.

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

2.10.2.1 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 30 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.

2.10.2.2 For temporary substitutions where the key person shall not be reporting to work for thirty 30 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.

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

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

3 VA HOURS OF OPERATION/SCHEDULING:

3.1 VA Business Hours: Work Schedule: cases shall be performed Monday through

Friday between the hours of 0800-1730. Operating Room Schedule: 0800-1730.

3.1.1 Patients must be seen by a contractor’s technicians(s) on-site at facility 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.

3.1.2 Contractor’s technician(s) shall be available and present in clinic during normal facility clinic hours, facility which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 0800-1730.

3.1.3 Routine cases must be scheduled by VA by 1:00 p.m. Eastern Time on the day immediately preceding the surgery or by 1:00 p.m. Eastern Time on Friday if the case will be performed on Monday. VA will make every effort to schedule non-emergent cases with at least 48 hours or more in advance of scheduled surgeries.

3.1.4 During normal business hours of operation, contracted staff shall be onsite and ready to perform services 45 minutes prior to the start of surgery. Equipment and technicians shall be cleared through biomed and SPS 45 minutes prior to surgical procedure.

3.1.5 24-Hour Scheduling: Contractor shall provide direct line phone numbers bypassing menus, recorded messages, etc., allowing authorized Government personnel immediate access to contractor scheduling and/or customer service personnel 24/7/365. Voice/live response to customer calls shall not exceed thirty

(30) seconds.

3.2 Federal Holidays: Unless a state of emergency has been declared, the Contractor shall be responsible for providing services. 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/TECHNOLOGIST RESPONSIBILITIES

4.1 The Contractor shall furnish “technical only” services and shall not include any professional oversight via MD/DO Neurologists. The Contractor shall furnish all supplies, accessories, equipment, consumables, transportation, delivery, training, and services.

4.2 The Contractor shall provide 24/7 onsite case coverage and scheduling 365 days/year by Key Personnel who are cleared to perform services after submitting to a background check and fingerprinting. Electro Neurophysiologic Technologists must be available for onsite coverage before and during surgery. Contractor shall coordinate provision of services with the attending surgeon or designee. Contractor shall complete all administrative tasks and required documentation immediately following the procedures.

4.3 Intraoperative Neuromonitoring (neurophysiology) services: The Electro Neurophysiologic Technologist shall be under direction of the OR Surgeons and shall perform multiple modality evoked potentials on patients in the operating room at the Hershel Woody Williams VAMC. Procedures may include stimulate screws and stimulate nerves. The Electro Neurophysiologic Technologist will be responsible for setting up all necessary OR equipment and supplies necessary for neurophysiological intraoperative monitoring and the placement of suitable electrodes on predetermined measured positions on the patient’s body. Contractor must accurately apply all recording and stimulating electrodes. Once connected to the machine in the operating room, data can be interpreted by the neurophysiologist (in-house) or remotely where the data is transmitted using a secure HIPAA compliant internet connection.

4.3.1 Intraoperative monitoring modalities needed include: SSEPS, TcMEP, S-EMG, T-EMG, spinal cord mapping including D-Waves, DNEPs, NMEPs, Cortical, motor, sensory.

4.4 Contractors must comply with appropriate and applicable policies, procedures and regulations of the Hershel Woody Williams VAMC as well as with centers for Medicare and Medicaid services (CMS) requirements and complete medical record deficiencies within policy guidelines. Services must meet Joint Commission clinical quality standards for intraoperative monitoring and be FPIS compliant. Quality reports required for quality assurance need to be JHACO certified.

4.5 The Contractor establishes communication protocols with the surgical team to report monitoring activity. The Neuromonitoring team will provide all resources required to ensure a smooth transition in accordance with the contract requirements.

4.6 Contractor shall interpret the intraoperative monitoring recording and make recommendations regarding action or consequence to the attending Neurosurgeon.

The Electro Neurophysiologic Technologist will recognize artifacts in the data differentiate them from evoked potential patterns and take appropriate steps to eliminate them. They will obtain patient medical information when requested and will translate test results from computer files to a hard copy report for VA Neurophysiologic Technologist’s interpretation.

4.6.1 Contractor must be proven capable of identifying monitored waveforms and any variation from baseline.

4.6.2 Contractor must demonstrate an understanding of anesthetic techniques and physiologic changes that can affect the waveforms being monitored.

4.7 The Electro Neurophysiologic Technologist staff will be responsible for removing electrodes post procedure and removing the contractor’ supplied equipment from the operating room upon completion of each procedure.

4.8 Equipment: Hershel Woody Williams VAMC will not procure, or provide separate compensation for contractor’s use of, any equipment required to perform services or necessary accessories/supplies under this contract. The Hershel Woody Williams VAMC will not be responsible for the contractor’s equipment for costs of repairs and or replacements of such equipment, technology, or software. contractor has full responsibility of using its own technology to conduct IONM services. The contractor shall abide by all Hershel Woody Williams VAMC policies and procedures regarding the maintenance, use and safety of any clinical equipment utilized by the technicians in the or at Hershel Woody Williams VAMC.

4.8.1 Equipment Set Up/ Inspection: Delivery activities shall consist of the following:

4.8.1.1 Equipment Set Up: All necessary preparation required to ready the

Neuromonitoring Equipment for operation/service.

4.8.1.2 Maintenance: The Contractor shall maintain equipment in accordance with manufacturer’s specifications. The Contractor shall provide written documentation of Preventive Maintenance Services (PMS)/Maintenance has been performed as required for verification by the COR or his/her designee for all scheduled services. Documentation shall describe the maintenance and repair service performed on the equipment in sufficient detail to be acceptable by field inspectors of the Joint Commission and other inspecting bodies. This shall include a list of all parts replaced, all service performed as well as a statement that the equipment is operating per manufacturer’s specifications after repair. The service report will be signed by the Contractor’s service technician, and by designated the Hershel Woody Williams VA Medical Center personnel.

4.8.2 Contractor shall be responsible for computer networking assistance reasonably necessary for the technologist to perform IONM services at its own expense if using company owned equipment.

4.8.3 The Electro Neurophysiologic Technologist will be sufficiently knowledgeable and test equipment prior to use and to make any adjustments in the equipment settings that are required. The Electro Neurophysiologic Technologist will select predetermined electrode combinations as well as non-standard assortments as necessary. The Electro Neurophysiologic Technologist will obtain standard recordings and report on-going status of patient’s nervous system to the surgeon.

4.8.4 The contractor shall submit an equipment service report to the COR within 24 hours of the completion of the surgical case.

4.9 Contracted personnel shall be responsible for signing in and out when in attendance in the operating room. Attendance rosters shall be used for verification of worked performed by the COR. Failure to sign in and out on the attendance log may delay payment for services being rendered.

4.10 Supplies/ Specialty Supplies: The Contractor shall supply all supplies per procedure. Specialty Supplies shall only include supplies that are not common to most procedures and will therefore be excluded from the per case fee in the Price Schedule and only shall be provided by the Contractor when deemed necessary by the Surgeons/Physicians at the Hershel Woody Williams VA Medical Center. All Specialty Supplies must be provided to the VA at cost to the Contractor.

4.11 Contractor Special Agreement Check (SAC): A Special Agreement Check (SAC) is an FBI criminal history check of fingerprints which is initiated prior to entry on duty for all new Contractor provider employees who perform services for at least ten (10) days and who: (1) Provide direct and/or ancillary healthcare services at VA facilities;

(2) have access to sensitive information; and/or (3) have access to VA computer/information systems.

5 STANDARDS OF CARE: The Contractor’s technician(s) shall cover the range of IONM 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 exceedingly currently recognized TJC, VA and national standards as established.

• Certification in American Board of Psychiatry and Neurology http://www.abpn.com

• Neurophysiologic Intraoperative Monitoring (CNIM) from the American Board of Registered Electro Neurophysiologic Technologist http://www.abret.org

• This technical certification intended for technologists who work under the supervision by a neurophysiologist or neurologist. American Board of Neurophysiologist Monitoring (ABNM) certification (https://abnm.info)

• The American College of Neurology (ANN): https://www.aan.com/policy-and-guidelines/guidelings/

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

• The standards of the American Hospital Association (AHA) http:

www.hpoe.org/resources?show=100&type=8

• The requirements contained in this PWS.

5.1 MEDICAL RECORDS

5.1.1 Authorities: Contractor’s Technicians(s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the 5 U.S.C.552a (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).

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