Solicitation 36C24823R0205 -Bay Pines Home Oxygen - 9.5.2023.docx

36C24823R0205

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

36C24823R0205

Melva Stennis 813-893-7784 09-25-2023 15:00

EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

X

621610 $19 Million

N/A

Department of Veterans Affairs C.W. Bill Young VAMC 10000 Bay Pines Boulevard

Bay Pines FL 33744-8200 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Tampa FL 33637

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page Home Oxygen Services for VA Beneficiaries serviced by the C.W. Young Veterans Affairs Medical Center, Bay Pines, Florida in accordance with the Statement of Work

(SOW).

It is anticipated the government will award a single firm.

fixed price Requirements ContractIndefinite Delivery, Indefinite Quantity (IDIQ) Requirements Contract

The contract will be for base plus four option years.

See CONTINUATION Page

Table of Contents

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:

b. GOVERNMENT: Contracting Officer 36C248

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

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

3. INVOICES: Invoices shall be submitted in arrears:

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

Vendor Electronic Invoice Submission Method VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge. The Department of Veterans Affairs TN Number is: AAA544240062.

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below.

A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org) Vendor e-invoice Set-Up Information:

Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below.

1. Tungsten e-Invoice Setup Information: 1-877-489-6135

2. Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

3. FSC e-Invoice Contact Information: 1-877-353-9791

4. FSC e-invoice email: vafsccshd@va.gov See https://www.fsc.va.gov/einvoice.asp for more information.

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

B.2 PRICE/COST SCHEDULE

This is a Requirements fixed-price contract. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government. The maximum contract value – including base period and any option periods – will be $15 million.

The contractor agrees to provide Home Oxygen services in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Supplies/Services. Proposed Contractor shall have a service office and warehouse within one (1) hours of the Bay Pines VA Healthcare System (Bay Pines, FL). The Parent Facility for this Home Oxygen contact is the Bay Pines VA Medical Center, 10000 Bay Pines Boulevard, Bay Pines, FL. Payment for home oxygen services shall be based monthly in arrears.

A task order shall be issued at the start of each performance period and orders will be placed by Prosthetic Representatives.

ESTIMATED QUANTITIES: The quantities listed in the Price Schedule below are annual estimates only and are not to be considered a minimum or maximum. The Government is not obligated to purchase any specified amount of services under this contract, but will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contract.

ORDERING PROCEDURES: Orders will be placed by Veteran’s Affairs Prosthetic or Respiratory personnel via email, facsimile, or another electronic format. Each individual order will describe the deliverables required as well as the inclusive tasks and services.

The Contractor shall confirm receipt of VAHCS prescriptions for requests for services via email in password protected Excel report or via secure fax within two (2) working hours. The information shall include patient last, first name, last 4 SSN and type of request (new setup, renewal and/or cancellation).

AUTHORIZED USERS

Authorized Users refers to the clinical staff such as the Respiratory Care Practitioner or any other authorized medical professionals who are responsible for identifying the need of the patient and making the necessary recommendation in the form of a consult to the Prosthetics Department. The respective Prosthetic or Respiratory personnel will then be responsible for creating the order which is then submitted to the vendor.

Individual orders for Home Oxygen services may be authorized by phone/fax by the following:

Home Oxygen Coordinator

1. Chief, PSAS

1. PSAS Staff Representatives

1. Clinical Program Leader Cardio-Pulmonary Services.

ITEM INFORMATION

Initial set-ups of equipment that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies Contract Period: Base Year POP Begin:

POP End:

PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - General Health Care

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Base Year POP Begin:

POP End:

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

POP Begin:

POP End:

Portable System Rental for patients’ home Contract Period: Base Year POP Begin:

POP End:

Cylinder, Aluminum, E-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, D-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, C-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, M-6, Rental

POP Begin:

POP End:

Cylinder, Aluminum, H or K-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e., concentrator, portables (# of portables)

POP Begin:

POP End:

Pneumatic Demand/Conserving Regulators

POP Begin:

POP End:

Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

POP Begin:

POP End:

Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Base Year POP Begin:

POP End:

Portable Concentrator w/two batteries. For travel not to exceed 30 days.

POP Begin:

POP End:

5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly Contract Period: Base POP Begin:

POP End:

Rental liquid oxygen system (90 – 100 lbs.) stationary reservoir per beneficiary

POP Begin:

POP End:

Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag

POP Begin:

POP End:

Liquid oxygen per pound

POP Begin:

POP End:

High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Heated humidifier to be used in conjunction with volume ventilator

POP Begin:

POP End:

Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Emergency service to check out situations other than equipment failures

POP Begin:

POP End:

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

POP Begin:

POP End:

Therapist time per hour for special situations/clinical procedures when a credentialed therapist’s services are needed in the home as prescribed by the treating physician

POP Begin:

POP End:

Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed

POP Begin:

POP End:

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed

POP Begin:

POP End:

Initial set-ups of equipment proper storage and disposable supplies Contract Period: Option Year 1 POP Begin:

POP End:

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Option Year 1 POP Begin:

POP End:

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

POP Begin:

POP End:

Portable System Rental for

Contract Period: Option Year1 POP Begin:

POP End:

Cylinder, Aluminum, E-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, D-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, C-tank, Rental

Cylinder, Aluminum, M-6, Rental Contract Period: Option Year1 POP Begin:

POP End:

Cylinder, Aluminum, H or K-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e., concentrator, portables (# of portables)

POP Begin:

POP End:

Pneumatic Demand/Conserving Regulators

POP Begin:

POP End:

Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

POP Begin:

POP End:

Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 1 POP Begin:

POP End:

Portable Concentrator w/two batteries. For travel not to exceed 30 days.

Contract Period: Option 1 POP Begin:

POP End:

5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

Rental liquid oxygen system (90 – 100 lbs.) stationary reservoir per beneficiary

POP Begin:

POP End:

Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag

POP Begin:

POP End:

Liquid oxygen per pound

POP Begin:

POP End:

High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Heated humidifier to be used in conjunction with volume ventilator

POP Begin:

POP End:

Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Emergency service to check out situations other than equipment failures

POP Begin:

POP End:

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

POP Begin:

POP End:

Therapist time per hour for special situations/clinical procedures when a credentialed therapist’s services are needed in the home as prescribed by the treating physician

POP Begin:

POP End:

Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed

POP Begin:

POP End:

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed

POP Begin:

POP End:

Initial set-ups of equipment proper storage and disposable supplies Contract Period: Option Year 2 POP Begin:

POP End:

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Option Year 2 POP Begin:

POP End:

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

POP Begin:

POP End:

Portable System Rental for

Contract Period: Option Year 2 POP Begin:

POP End:

Cylinder, Aluminum, E-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, D-tank, Rental Contract Period: Option 2 POP Begin:

POP End:

Cylinder, Aluminum, C-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, M-6, Rental

POP Begin:

POP End:

Cylinder, Aluminum, H or K-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e., concentrator, portables (# of portables)

POP Begin:

POP End:

Pneumatic Demand/Conserving Regulators

POP Begin:

POP End:

Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

POP Begin:

POP End:

Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 2 POP Begin:

POP End:

Portable Concentrator w/two batteries. For travel not to exceed 30 days.

POP Begin:

POP End:

5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

Rental liquid oxygen system (90 – 100 lbs.) stationary reservoir per beneficiary

POP Begin:

POP End:

Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag

POP Begin:

POP End:

Liquid oxygen per pound

POP Begin:

POP End:

High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Heated humidifier to be used in conjunction with volume ventilator

POP Begin:

POP End:

Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Emergency service to check out situations other than equipment failures

POP Begin:

POP End:

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

POP Begin:

POP End:

Therapist time per hour for special situations/clinical procedures when a credentialed therapist’s services are needed in the home as prescribed by the treating physician

POP Begin:

POP End:

Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed

POP Begin:

POP End:

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed

POP Begin:

POP End:

Initial set-ups of equipment proper storage and disposable supplies Contract Period: Option Year 3 POP Begin:

POP End:

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Option Year 3 POP Begin:

POP End:

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Option 3 POP Begin:

POP End:

Portable System Rental for

Contract Period: Option Year 3 POP Begin:

POP End:

Cylinder, Aluminum, E-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, D-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, C-tank, Rental

POP Begin:

POP End:

Cylinder, Aluminum, M-6, Rental

POP Begin:

POP End:

Cylinder, Aluminum, H or K-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Cylinder, Aluminum, B or BB-tank Rental

POP Begin:

POP End:

Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e., concentrator, portables (# of portables)

POP Begin:

POP End:

Pneumatic Demand/Conserving Regulators

POP Begin:

POP End:

Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

POP Begin:

POP End:

Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 3 POP Begin:

POP End:

Portable Concentrator w/two batteries. For travel not to exceed 30 days.

POP Begin:

POP End:

5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

POP Begin:

POP End:

Rental liquid oxygen system (90 – 100 lbs.) stationary reservoir per beneficiary

POP Begin:

POP End:

Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag

POP Begin:

POP End:

Liquid oxygen per pound

POP Begin:

POP End:

High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Heated humidifier to be used in conjunction with volume ventilator

POP Begin:

POP End:

Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

POP Begin:

POP End:

Emergency service to check out situations other than equipment failures

POP Begin:

POP End:

Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

POP Begin:

POP End:

Therapist time per hour for special situations/clinical procedures when a credentialed therapist’s services are needed in the home as prescribed by the treating physician

POP Begin:

POP End:

Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed

POP Begin:

POP End:

Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed

POP Begin:

POP End:

Initial set-ups of equipment proper storage and disposable supplies Contract Period: Option Year 4 POP Begin:

POP End:

Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

Contract Period: Option Year 4 POP Begin:

POP End:

Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.

POP Begin:

POP End:

Portable System Rental for

Contract Period: Option Year 4 POP Begin:

POP End:

Cylinder, Aluminum, E-tank, Rental

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Cylinder, Aluminum, D-tank, Rental Contract Period: Option 4 POP Begin:

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Cylinder, Aluminum, C-tank, Rental

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Cylinder, Aluminum, M-6, Rental

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Cylinder, Aluminum, H or K-tank Rental

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Cylinder, Aluminum, B or BB-tank Rental

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Cylinder, Aluminum, B or BB-tank Rental

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Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e., concentrator, portables (# of portables)

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Pneumatic Demand/Conserving Regulators

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Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc.) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).

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Ventilator, Volume ventilator, alternated current with battery backup, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable Contract Period: Option Year 4 POP Begin:

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Portable Concentrator w/two batteries. For travel not to exceed 30 days.

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5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

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14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

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50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly

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Rental liquid oxygen system (90 – 100 lbs.) stationary reservoir per beneficiary Contract Period: Option 4 POP Begin:

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Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag

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Liquid oxygen per pound

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High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) 0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

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Heated humidifier to be used in conjunction with volume ventilator

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Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.

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Emergency service to check out situations other than equipment failures

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Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.

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Therapist time per hour for special situations/clinical procedures when a credentialed therapist’s services are needed in the home as prescribed by the treating physician

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Back-up Respiratory Therapist time per hour for special situations/clinical procedures, when needed

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Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed

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DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

Scope of Services:

This solicitation calls for the provision of Home Oxygen services and supplies for beneficiaries of the Bay Pines VA Healthcare System, FL. Contracted services are to be extended to patients managed in their home environment and may extend to veteran patients in a nine-county service area of the Bay Pines VA Healthcare System (see Geographic area of coverage). Quantities listed are estimates only.

The Bay Pines VA Healthcare System currently supplies an estimated 1000 oxygen using patients on a monthly basis. The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA either minimum or maximum. The contract shall be for the actual requirements of the VA as ordered by the VA during the life of the contract. The Contracting Officers Representative (COR) or designee will provide the contractor with notification to initiate individual beneficiary service requirements via fax or encrypted electronic means (telephone for emergencies), including the beneficiary’s oxygen prescription, equipment, supplies and services to be provided including date and place of delivery, the contractor will confirm receipt of the request within two working hours of notification via fax or encrypted electronic means (telephone for emergencies); the COR or designee will also provide notification of VA initiated discontinuance of service. The notification may be made orally but will be confirmed in writing within three (3) working days.

Geographic Area of Coverage:

The contractor is responsible for deliveries to VA beneficiaries in the following Florida counties:

Charlotte, Collier, DeSoto, Hardee, Hernando, Highlands, Hillsborough, Lee, Manatee, Pasco, Pinellas, Polk, and Sarasota.

MONTHLY AVERAGE 1200 Beneficiaries Distribution of patients on Bay Pines Home Oxygen Program will vary from month to month as patients are added or deleted from Program.

Health Insurance Portability and Accounting Act (HIPAA) Standards to Protect the Privacy and Security of Protected Health Information (PHI) as required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). The Contractor will be required to adhere to these Standards.

Accreditation The VA in its on-going effort to ensure all Veterans are provided the highest quality care requires each VA facility to meet or exceed the standards of the Joint Commission. The VA also has a responsibility to ensure contractors meet the standards articulated by the Joint Commission. Specifically, the contractor can be accredited by any national accrediting body; however, the standards set by that accrediting body must at least meet Joint Commission standards. If the accrediting body (ies) standards meet or exceed Joint Commission standards and proof these accreditations must be provided by the Contractor as part of its technical proposal. The Joint Commission standards may be accessed at www.jointcommission.org. The Contractor must maintain this Accreditation throughout the term of the contract.

General Requirements:

1. The contractor can be accredited by any national accrediting body; however, the standards set by that accrediting body must at least meet Joint Commission standards. If the accrediting body (ies) standards meet or exceed Joint Commission standards, then proof of these accreditations must be provided. The Joint Commission standards may be accessed at www.jointcommission.org. The Contractor must maintain this accreditation throughout the term of the contract.

2. Contractor must be an established home oxygen business for a minimum of three years.

3. Contractor shall have a physical location which houses the service office, warehouse, dispatch of vehicles and other functions related to the performance of services of this contract within a sixty-minute commute of Bay Pines VA Healthcare System, to facilitate Joint Commission and/or other inspections.

4. Contractor shall replace all appropriate VAMC authorized equipment presently located in homes of beneficiaries with his/her own equipment within 45 days of receiving the award. The change shall include delivery, setup instruction, and shall be accomplished with the least disruption in service to the VAMC beneficiary as possible. Cost will be prorated upon setup and discontinuance with equipment pickup no more than one billing cycle.

5. All services will be performed in the veteran’s place of residence. The area of service shall be Bay Pines VA Healthcare Systems catchment area. The equipment needs are subject to change as determined by the prescribing physician.

A. Admission to Home Oxygen Therapy Program:

1. Criteria for admission are stated in the 1173.13, HomeO2-Clinical Indications-10-07-2021 recommendations, Home Oxygen Therapy. The Contractor will have no role and is relieved of any responsibility for the admission of patients to Bay Pines VA Healthcare Systems Home Oxygen Therapy Program.

2. The initial patient assessment is completed by the Bay Pines Cardio-Pulmonary Section to determine eligibility for this program. The provider documents in CPRS (electronic patient record) the patient prescription identifying type of oxygen, flow and frequency; this prescription is forwarded to the Home Oxygen Coordinator in Prosthetics Service. The Home Oxygen Coordinator will fax a copy of the prescription to the Contractor to initiate home oxygen treatment.

B. Patient Assessment:

The Contractor shall perform an assessment of the patient’s home and home environment in accordance with the Joint Commission accreditation standards and maintain documentation of assessments in the individual patient records. The home assessment shall include:

1. The Contractor will provide an in-home initial patient setup and installation of prescribed equipment within six (6) hours of notification. The Delivery Driver will document the forms.

2. The Contractor will be provided sample forms to use for gathering the information for assessing/reassessing patients’ needs.

3. The Contractor will complete a Home Oxygen Equipment Check when required, per manufacturer's instructions, or annually, at a minimum. An adhesive sticker, depicting the date of inspection and the date of the next required inspection will be annotated using a permanent marker, on said equipment. If indicated by Home Oxygen Coordinator (or designee), Contractor will assess or reassess Home Oxygen Equipment and/or beneficiary's needs.

4. The Delivery Driver will immediately contact the Bay Pines Home Oxygen Coordinator when one of the following occurs:

(a) Non-Compliance of prescription.

(b) Any unsafe conditions observed which may preclude the installation or continuance of oxygen service.

5. The Home Oxygen Coordinator will inform the Bay Pines Cardio-Pulmonary Section who will alert the Bay Pines clinical provider and communicate appropriate interventions to the Contractor.

6. The Delivery Driver will provide the patient with a Bay Pines “Home Oxygen Therapy Packet” on the first visit. This packet will include, but not be limited to, the following information:

a) Bay Pines VAMC Patient Information Guide that includes information regarding Advance Directives, Patient Rights and Responsibilities, and other general information.

b) Mission, Vision, and Scope of Home Care Services.

c) Complaint Process.

d) Emergency Preparedness Information

e) Emergency Contact Names and Phone Numbers

f) Consent for Participation in Home Care

g) Pain Information

*The presence of the “Home Oxygen Therapy Packet” will be inspected upon subsequent deliveries to the veteran and will be replaced if the packet is missing.

C. Care Planning:

1. The Bay Pines VAMC clinical staff will be responsible for initiating and directing the patient’s plan of care.

2. The Pulmonologist will determine the individual prescription of the patient.

3. The Contractor will be responsible for providing documentation of the initial home installation, assessment, and reassessment.

4. The Contractor is responsible for the patients’ individual home care plans. Each home assessment and reassessment will be reviewed, and an individualized plan of care will be implemented based upon the information gathered from the assessment/reassessment forms.

5. The Contractor’s initial care plan will be completed within seven (7) days of receipt of the Delivery Driver’s initial assessment.

D. Quality Assurance, Coordination, Supervision, and Evaluation of Care/Services:

1. Bay Pines VAMC clinical staff will coordinate, supervise, and evaluate the care and services required by outpatients to include: initiation of prescriptions for oxygen and various equipment items, devices or other appliances which may be medically indicated for the continuum of care in their home environment.

2. Contracting Officers Technical Representative (COR) will have oversight responsibility to ensure Contractor services are in compliance with the terms of the contract.

3. Bay Pines VA Healthcare Systems Home Respiratory Care Team staff will make Contractor site visits biannually,…