S02 - 36C26324R0008.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

618-23-3-4005-0584

36C26324R0008 10-23-2023

Daniel Vagts 651-293-3040 11-09-2023

11:59AM CDT

36C263

Department of Veterans Affairs

Network 23 Contracting Office

Attention: Daniel Vagts

316 Robert Street N. STE. 506

St Paul MN 55101

X 100

X

621111

$16 Million

N/A

X

Department of Veterans Affairs

NCO 23 - Minneapolis

One Veterans Dr

Minneapolis MN 55417

Network 23 Contracting Office

316 Robert Street N. STE. 506

St. Paul MN 55415

Y

Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

5.6 Full-Time Equivalent (FTE) Diagnostic Radiologic

Technologists Services for the Minneapolis VA Health Care

System.

See Section B.4 Schedule of Services (pg.7)

See Section B.5 Performance Work Statement (pg.9)

See CONTINUATION Page

X ONE

Daniel Vagts VA-VHA-SAOC-2019-161D3612

Contract Officer

36C26324R0008

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 SUBCONTRACTING PLAN--MONITORING AND COMPLIANCE (JUN 2011)

B.3 SUPPLEMENTAL INSURANCE REQUIREMENTS

B.4 SCHEDULE OF SERVICES

B.5 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

COMMERCIAL SERVICES (DEC 2022)

C.2 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (JAN 2011)

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

(NOV 2021)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.9 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.10 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.11 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL

BUSINESS SET-ASIDE (JUL 2019) (DEVIATION)

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

C.14 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (OCT 2019)

C.15 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE (OCT 2019)

C.16 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.17 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (NOV 2021)

C.18 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (JUN 2023)

ALTERNATE II (JUN 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 LIST OF ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017)

E.3 PROPOSAL SUBMITTAL INSTRUCTIONS

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

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

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

E.8 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY REFERENCE

(JAN 2008)

E.9 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)

E.10 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.11 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer

Contracting Officer is Daniel Vagts at daniel.vagts@va.gov

Department of Veterans Affairs

NCO 23 – St. Paul

316 Robert Street N.

St. Paul MN 55101

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

See Billing Instructions, PWS 6.2. Billing:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

AMENDMENT NO DATE

mailto:daniel.vagts@va.gov

6. TYPE OF CONTRACT: Resultant contracts shall be a Fixed-Price (FP), Indefinite-Delivery, Indefinite-

Quantity (IDIQ) contract effective for the period stated in the Schedule of Services.

7. TERM OF CONTRACT: The contract period is effective December 1, 2023 through November 30, 2024.

8. POINT OF CONTACT: The Contractor shall provide a point of contact (POC) who shall be responsible for the performance of the work under this contract. The POC shall have full authority to act for the

Contractor on all matters relating to the daily operation of this contract. The POC may be a contract health care provider performing under this contract. An alternate may be designated, but the

Contractor shall identify, in writing, those times when the alternate shall act as the POC. The Contractor shall identify the POC and alternate in writing to the Contracting Officer’s Representative (COR) and

Contracting Officer (CO). The Contractor shall give written notification to the COR and CO of the time when the alternate will act as the POC. The POC shall be available by telephone Monday through Friday, 8:00 AM through 4:30 PM, excluding Federal holidays.

9. SECURE FAX: VA Handbook 6500 requires the following statement on all fax cover sheets be included: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribute on, 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.”

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

B.2 SUBCONTRACTING PLAN--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes FAR 52.219-9, Small Business Subcontracting Plan, and VAAR 852.219-9, VA Small Business Subcontracting Plan Minimum Requirement. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing the contractor's compliance with the plan, including reviewing the contractor's accomplishments in achieving the subcontracting goals in the plan. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting plan.

B.3 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers’ liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

B.4 SCHEDULE OF SERVICES

Place of Performance: Services shall be provided on site, Minneapolis VA Health Care System, One

Veterans Drive, Minneapolis, MN 55417 and outpatient clinic at Northwest Metro Ramsey (NWM) located at 7545 Veterans Drive, Ramsey MN.

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

The Contractor shall propose a minimum of 5.6 FTEE Diagnostic Radiologic Technologists – key personnel to be credentialed and be available for scheduling to meet the requirements of the contract by 12/01/2023.

Period of Performance: Base Period: 12/01/2023 – 11/30/2024

CLIN

No.

SUB-

CLIN

Description Qty. Unit Unit Cost Total

Annual Cost

0001 None

5.6 FTEE Diagnostic Radiologic

Technologists 11,648 Hours

CLIN

No.

SUB-

CLIN

Description Qty. Unit Unit Cost Total

Annual Cost

0001a None

Diagnostic Radiologic

Technologist

NAME:

2080 Hours $____/HR $_________

0001b None

Diagnostic Radiologic

Technologist

2080 Hours $____/HR $_________

0001c None

Diagnostic Radiologic

Technologist

2080 Hours $____/HR

Total for Base Period: $___________

In accordance with FAR 16.504(a)(1), The guaranteed minimum and maximum dollar amounts are listed in the table below. These amounts cover the base contract. The maximum dollar amounts listed shall not be exceeded.

IDIQ Established MIN and Max dollar amounts for Base Period

Minimum $2,000.00

Maximum $1,499,000.00

0001d None

Diagnostic Radiologic

Technologist

0001e None

Diagnostic Radiologic

Technologist

B.5 PERFORMANCE WORK STATEMENT

DIAGNOSTIC RADIOLOGIC TECHNOLOGISTS SERVICES

1. GENERAL

1.1 SERVICES REQUIRED: The Contractor shall provide 11,648 hours of certified Diagnostic

Radiological Technologists (DRTs) (R) (CT) (MRI), for a variety of shifts to provide services onsite in accordance with the specifications contained herein to beneficiaries of the Department of

Veterans Affairs (VA) and the Minneapolis VA Health Care System (MVAHCS) Contractors (DRTs) must-have at least one year experience and certified by the American Registry of the of

Radiologic Technologists (ARRT).

1.2 PLACE OF PERFORMANCE: Contractor shall furnish services at the Minneapolis VA Health Care

System (MVAHCS) and an outpatient clinic at Northwest Metro Ramsey (NWM) located at 7545

Veterans Drive, Ramsey MN.

1.3 Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority.

1.4 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 and VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

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

Practice

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

1.4.5. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.6. VHA Directive 1100.21: Privileging

1.4.7. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care

Personnel

1.4.8. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to

Perform Invasive Procedures in Any Clinical Setting

1.4.9. VHA Directive 1605.01: Privacy and Release of Information

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

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

1.4.12. VHA Directive 1414 Stereotactic Body Radiotherapy

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

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

1.4.14. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR

Parts 19, 20, 30, 33, 35, and 71:

http://www.nrc.gov/reading-rm.html https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.nrc.gov/reading-rm.html

1.5. 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.

1.5.1. ASRT: American Society of Radiological Technologists

1.5.2. ARRT(T): American Registry of Radiologic Technologists (T) in Radiation Therapy

1.5.3. CDC: Centers for Disease Control and Prevention

1.5.4. CEU: Certified Education Unit

1.5.5. CME: Continuing Medical Education

1.5.6. CMS: Centers for Medicare and Medicaid Services

1.5.7. CO: Contracting Officer

1.5.8. COR: Contracting Officer’s Representative

1.5.9. COS: Chief of Staff

1.5.10. CPARS: Contractor Performance Assessment Reporting System

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

1.5.12. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.5.13. DEA: Drug Enforcement Agency

1.5.14. DRT: Diagnostic Radiological Technologist

1.5.15. DRT(R): General Certified Diagnostic Radiological Technologist DRT(CT) CT Certified

Diagnostic Radiological Technologist DRT(MRI) MRI Certified Diagnostic Radiological

Technologist FSMB: Federation of State Medical Boards

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

1.5.17. FSMB: Federation of State Medical Boards

1.5.18. 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.

1.5.19. HHS: Department of Health and Human Services

1.5.20. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.5.21. HIPAA: Health Insurance Portability and Accountability Act

1.5.22. IGRT: Image Guided Radiation Therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

1.5.23. ISO: Information Security Officer

1.5.24. Key Personnel: The individuals specified in this contract who are essential to work performance.

1.5.25. NPI: National Provider Identifier. NPI is a standard, unique 10-digit numeric identifier required by HIPPA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers)

1.5.26. NROP: National Radiation Oncology Program

1.5.27. POP: Period of Performance

1.5.28. PPD: Purified Protein Derivative

1.5.29. PWS: Performance Work Statement

1.5.30. QASP: Quality Assurance Surveillance Plan

1.5.31. QMP: Quality Management Program

1.5.32. SPE: Senior Procurement Executive

1.5.33. TJC: The Joint Commission

1.5.34. TRT: Therapeutic Radiologic Technologist (Interchangeable Names: Radiologic Therapy

Technologist, Radiation Therapist)

1.5.35. VA: Department of Veterans Affairs

1.5.36. VetPro: Is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates completion of a uniform, accurate, and complete credentials file.

1.5.37. VHA: Veterans Health Administration

1.5.38. VISN: Veterans Integrated Services Network

1.5.39. VistA: Veterans Information Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Certification: DRTs assigned by the contractor to perform the services covered by this contract must be: Certified. Diagnostic Radiologic Technologists with American Registry of Radiologic Technologists (ARRT).

All certifications held by the personnel working on this contract shall be full and unrestricted. DRTs will not be considered for this contracted service if their certification has ever been restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered, pending action, or denied upon application.

2.2. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive 1100.21 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract physician(s) prior to obtaining approval by the Facility

Medical Executive Board and Medical Center Director.

2.2.1. If a contracted DRT has credentials/privileges suspended or revoked during contracted performance, the Contractor shall furnish an acceptable substitute immediately within 24 hours without any additional cost to the government.

2.3. Technical Proficiency: The contracted DRTs shall be technically proficient in the skills necessary to fulfill the requirements identified in the function statements for a General

DRT, CT DRT, and MRT DRT and 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 Contracted DRTs and they shall be responsible for abiding by the Facility's Medical Staff By- Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.4. Continuing CME/CEU Requirements: Contractor shall provide the COR copies of current

CME’s as required or requested by the MVAHCS. The contracted DRTs certifications meet the minimum standards for CME to remain current. These documents are required for both privileging and re- privileging. Failure to provide shall result in loss of privileges for contracted DRT.

2.5. Training (CPR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contracted DRTs as required by the VA prior to VA Orientation date.

Training Frequency (once a Annual Hours year, etc.)

CPR/Basic Life Support by American Heart Association ACLS preferred but not required.

Biennial 4.0 hours

CPRS One time 4.0 hours

Security Rules of Behavior Annual

1-hour TMS course after favorable adjudication of background-check

HIPPA/Privacy Annual

1-hour TMS course after favorable adjudication of background-check

2.6. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer.

Tests shall be current within the past year.

2.6.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis

Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers).

A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

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

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

2.6.4. 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 physician(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.

2.6.5. 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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.7. Conflict of Interest: Contractor and all Contracted DRTS 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.

2.8. Citizenship related Requirements:

The Contractor certifies that the Contracted DRTS shall comply with 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.

2.8.1. 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.

2.8.2. 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.

2.8.3. 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.

2.8.4. 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.

2.9. 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.

2.9.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract physician(s) is 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.

2.9.2. 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.

2.10. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical

Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21.

Clinical/Professional direction of all clinical personnel covered by this contract 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 make changes to the contract during the administration of the resultant contract.

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

2.11. Non-Personal Healthcare Services: The parties agree that the Contractor and all contracted

DRTs shall not be considered VA employees for any purpose.

2.12. Inherent Government Functions: Contractor and Contract DRTs 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.

2.13. No Employee Status: The Contractor shall be responsible for protecting Contracted

DRTs 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:

2.13.1. Workers’ compensation

2.13.2. Professional liability insurance

2.13.3. Health examinations

2.13.4. Income tax withholding, and

2.13.5. Social security payments.

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

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

Contractor’s (or contract physician(s) or other contract provider (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.15. Key Personnel:

Contractor shall provide the number of qualified staff as is necessary to perform the services required under this contract, at the staffing level determined to be professionally acceptable by the Facility Chief of Staff and in accordance with American College of Radiology staffing guidelines.

2.15.1. The VA Full Time Equivalency (FTEE) for the services required is 2080 hours for one year defined as 1.0 FTEE.

2.15.2. The minimum number of hours for contracted DRTs with ARRT certification is

11,648 They are required to be on site daily as defined in the paragraph Hours of

Operation section.

2.15.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contracted personnel due to sick leave, personal leave, vacations, and additional coverage as required. In the event a scheduled contracted

DRT is unable to complete an assigned shift, the contractor shall notify the

Contracting Office Representative (COR) and Imaging Section at the Minneapolis VA

Health Care System immediately of the schedule change and how they plan to cover the shift. Contractor shall insure same day shift changes shall be covered within 1 hour of notification of contractor staff unable to complete shift.

2.16. Personnel Substitutions: During the first ninety (90) calendar days of performance, the

Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar 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 15 calendar days prior to making any permanent substitutions.

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

2.16.2. For temporary substitutions where the key person shall not be reporting to work for three (3) 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.

2.16.3. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility.

Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract physician(s), s/he may request, without cause, immediate replacement of said contract physician(s).

2.16.4. The CO and COR shall deal with issues raised concerning Contract DRTs conduct. The final arbiter on questions of acceptability is the CO.

2.17. Contingency Plan: Because continuity of care is an essential part of MVAHCS medical services, The Contractor shall have a contingency plan in place to be utilized if the

Contracted DRTS leaves the Contracted employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract hours of operation.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. MVVHCS Business Hours: 24 hours a day, 7 days a week

3.2. Work Schedule: General Radiology

3.2.1. CBOC Northwest Metro Ramsey: 7545 Veterans Drive Ramsey, MN 55424. 0730-

1600.

3.2.2. 0800 to 1600 Monday, Tuesday, Wednesday, Thursday, and Friday

3.2.3. Days Every other Weekend 730am-4pm M-W Monday through Wednesday and

Friday with Thu Thursday off having 3 Rotating holiday shifts and Possible OT

3.2.4. Days Monday, Tuesday, Wednesday, Thursday, and Friday 1130-2000 having 3 rotating holidays and possible OT

3.2.5. Days Monday, Tuesday, Wednesday, Thursday, and Friday 0730-1600 having 3 rotating holidays and possible OT

3.2.6. Days Monday, Tuesday, Wednesday, Thursday, and Friday 0800-1630 With 3

Rotating holidays and possible OT

3.2.7. Work Schedule CT and MRI

3.2.7.1. CT is a 24 X 7 service with call (Variable shifts)

3.2.7.2. MRI is day, evening, and weekend service with call (variable shifts)

3.3. If contracted DRTs are in the middle of a procedure and their shift ends, it is expected the

Contracted DRTs will complete the procedure and be paid at the overtime rate. All other Overtime shall be pre-approved by COR to ensure proper obligations are met prior.

3.4. Patients must be seen by Contracted DRTs on-site at Minneapolis VA or CBOC in a timely manner in accordance with VA Rules and Regulations on Radiation Safety,

3.5. Patient Identification, contrast procedures and safe patient handling Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.

3.6. Contracted DRTs shall be available and present in clinic during normal Minneapolis VA clinic hours. Minneapolis Health Care schedule which will be established, and may be revised, as deemed appropriate for patient care by the COS.

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

Affairs:

• New Year’s Day

• Martin Luther King’s Birthday

• President’s Day

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared to be a national holiday.

3.7.1. Unless a state of emergency has been declared or clinics are otherwise cancelled by the MVAHCS, the Contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

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

4.1.1. Contracted DRTs shall be responsible for signing in and out when in attendance. All timecards must be signed by Contracted DRTs and supervisor of the area that they are assigned. Time sheets will be used by the COR to confirm hours/days and services provided against the Contracted invoices.

4.1.2. Work will be monitored daily to ensure the minimum expectation is met.

4.2. Standards of Practice: The Contracted DRTS will perform CT, MRI and General

Radiology procedures as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding the current recognized national standards as established by:

4.2.1. American Registry of Radiological Technologists (ARRT) https://www.arrt.org/ https://www.arrt.org/

4.2.2. 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/hap_requirements.aspx

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

4.2.5. VHA Handbook 5005-54 – Office of Human Resources Management, Staffing

Directive http://vaww.va.gov/ohrm/

4.2.6. The requirements contained in this PWS.

4.3. MEDICAL RECORDS

4.3.1. Authorities: Contracted DRTs 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

4.3.2. 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).

4.3.3. 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. Health 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’ (24VA10A7). 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 provided to VA patients are captured in the VA electronic health record system as required by VA policy as discussed in 4.4.4.

4.3.4. Disclosure: Contracted DRTS AND RVTS’s 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.

https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.hpoe.org/resources?show=100&type=8 http://vaww.va.gov/ohrm/ http://www.rms.oit.va.gov/SOR_Records/24VA19.asp

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

Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 and all guidelines provided by the facility.

4.3.6. 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. Contractor will not release or disclose copies of records and will refer all such requests to the Release of Information Department at the VA facility were assigned.

4.3.7. Management for Medical Records: National Archives and Records Administration record disposition requirements are found in RCS 10-1 Chapter 6, 6000 series.

4.3.8. 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: Jon Power, MVAHCS

One Veterans Drive, Minneapolis, MN 55417 612- 725-2000 ext. 3373, jon.power@va.gov

4.4. Direct Patient Care: Estimated 95% of the time involved in direct patient care.

4.4.1. Scope of Care: DRTs Perform a wide variety of diagnostic radiography exams under the direction of a physician. Operates all radiographic equipment including general diagnostic, portable, fluoroscopic, and Picture Archiving Communication System

(PACS) related equipment as part of the diagnostic plan for patients in the Imaging

Service. Supports Radiologists and/or other medical officers, to produce high quality images for the purpose of diagnosis and treatment of a wide variety of medical conditions.

4.4.2. Maintains records of patients, exams performed, etc. Receives and identifies patients, explains procedure, assists movement of patients to and from wheelchairs or litters. Assists with instruction of students in the clinical setting.

4.4.3. Complete variety of complex physiological and radiological procedures ordered by and/or in collaboration with Radiologist Fellow without direct supervision.

4.4.4. Knowledge of radiation techniques and protection standards for the proper use, quality control and preventative maintenance of single and biplane x-ray systems, contrast injectors, image management systems.

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 http://www4.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf http://www4.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf http://www4.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf http://www4.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf mailto:jon.power@va.gov

4.4.5. Advises team members and visiting professional on radiation protection measures.

4.4.6. Practices radiation safety in order to reduce exposure to patients, staff and self.

4.4.7. Must be alert and recognize changes in patient’s condition, including emergencies, which may necessitate immediate intervention.

4.4.8. Observe the patient’s condition, making notation of pertinent information, vital signs, and other clinical information in accordance with the established practices and in response to physician demand or changes in the patient’s condition.

4.4.9. Recognizes serious patient abnormalities and individualizes each procedure to the needs of the situation to produce reliable results.

4.4.10. Determines the critical isocenter value necessary for accurate exams.

4.4.11. Confers with Radiologists to establish imaging protocols of non-standard examinations and determine technical factors.

4.4.12. Make adjustments to equipment: frame rates, exposure time, kV, mAs settings, shutter openings, cardiac shielding, magnification factors, source intensifier distance to decrease radiation exposure.

4.4.13. Performs proper calibrations on X-Ray equipment.

4.4.14. May be required to perform exams in the OR.

4.4.14.1. Procedure and presence in surgery requires comprehensive knowledge of sterile technique and adheres to VA Handbook/Policy, VHA Directive

2006- 041.

4.4.14.2. Observe special precautions for critical care and the operating room areas relating to their specialized equipment.

4.4.15. Operate fluoroscopic equipment, General X-ray Equipment, C-Arms equipment.

4.4.16. Makes multiple simultaneous changes in settings and adjustments in operation of equipment during an exam to ensure accurate results.

4.4.17. Recognize electrical hazards and other outside factors which affect the technical accuracy and quality of the procedure.

4.4.18. Clean equipment, maintain, prepare and calibrate. 4.2.13.14.7. Manages workload flow.

4.4.19. Coordination and communication between Imaging unit, patient and MVAHCS to promote teamwork and cooperative efforts to smoothly work together.

4.4.20. Clinic Responsibilities: Contracted DRTs shall be present on time scheduled

Clinic/Procedure start times as documented by physical presence in the clinic at the scheduled start time.

4.4.21. Staff Meetings: The Contracted DRTs shall attend staff meetings as required by the

VAMC Chief of Service, Chief of Staff, or designee. Contractor to communicate with

COR on this requirement and report any conflicts that may interfere with compliance with this requirement.

4.4.22. QA/QI documentation: The Contracted DRTs shall complete the appropriate records for patient examinations.

4.4.23. Specialized CPRS Documentation Procedures: Patient documentation is completed using the Computerized Patient Record System (CPRS) and PACs.

4.4.24. Patient Safety Compliance and Reporting: Contracted DRTs shall follow all established patient safety and infection control standards of care. Contracted DRTs 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. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit the Patient Safety Report, following up with COR as required or requested.

4.4.25. Customer Service: Contracted DRTs shall refer all patient/customer service issues to the Imaging Manager of the area they work in.

4.5. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI):

The…