USDA Medical Unit- Request for Information (RFI).pdf

REQUEST FOR INFORMATION

United States Department of Agriculture (USDA) Office of Operations (OO)

Performance Work Statement (PWS) - Medical Unit Request for Information (RFI)

Service Description:

The contractor (Medical Staff) shall operate the USDA Medical Unit as an onsite medical clinic.

The contractor shall provide Basic, Extended, and Additional Care; and minor medical assistance when necessary in the event of injuries, illnesses, or life-threatening emergencies to Government employees or others while in USDA facilities or on the grounds (Whitten Building, South Building, and George Washington Carver Center (GWCC). The Whitten and South Buildings are adjacent buildings in Washington, DC., also known as the USDA Headquarters Complex (HQ). The GWCC Building is in Beltsville, MD. The USDA Medical Unit shall comprise a main unit located in the South Building and satellite units located in both the Whitten and GWCC buildings.

The contractor shall provide the Basic and Additional Services as defined herein at a cost to USDA as prescribed in the bid solicitation. This cost may be reduced or offset by some of the revenue the contractor receives via direct billing for Extended Services as defined herein.

The contractor shall be able to provide Extended/ Urgent Care as defined in this solicitation.

The cost of providing the Extended Care will be paid for by the employee’s health insurance carrier under the terms of the applicable health plan. The contactor must be able the accept and direct bill most health insurance carriers for the cost of providing the Extended Care (see terms and conditions herein). The revenue generated from providing the Extended Care and direct billing health insurance providers should be considered toward reducing the cost to USDA for providing the Basic and Additional Care.

In the event USDA is required to participate in MCM (Medical Counter Measures) and CPOD (Closed Pod Distribution Points) per CDC guidelines, engagement/support would be required by Medical Staff, to participate as essential components of that program. This program would afford USDA employees the opportunity to receive related Medical countermeasures (MCM) services, such as vaccines, antiviral drugs, antibiotics, antitoxins, and chemical antidotes, used to effectively prevent, mitigate, or treat adverse health effects of an intentional, accidental, or naturally occurring public health emergency.

The pre-COVID-19 average annual medical unit visitations by USDA employees for the Whitten, South, and GWCC for services rendered are 1,220, 3,425, and 1,365 respectively. See table below.

The average annual medical unit visitations for the Whitten, South, and GWCC buildings for the Nursing Mother’s room are 16, 2,343, and 474 respectively. See table below.

The hours of operation are: 6:00 a.m. to 5:00 p.m., Monday-Friday.

Basic Care:

Basic Care services includes but is not limited to:

Blood pressure testing/screening Bed Rest B12 Injections Biometric Screening (annual for federal employees only) Medication Administration, by injection Glucose Screening Weight- use of scale COVID-19 Virus Testing COVID-19 Antibody Testing (for FED Employees only)

COVID-19 Vaccine (for FED Employees only) Drug and Alcohol Screenings (Post-accident, Reasonable suspicion or cause, Randomly);

Should be capable of testing for many different substances including:

•Cocaine •Marijuana •Opiates •Methamphetamines •Phencyclidine (PCP) •Barbiturates •Benzodiazepines •Methadone •Methaqualone •Propoxyphene •Hydrocodone •Oxycodone •Hydromorphone •Oxymorphone

Physicals:

Pre-Employment Physicals and Return-To-Work Physicals (for Fed Employees)

Emergency Services includes but is not limited to:

CPR

Diabetic attacks Cardiac defibrillation Concussion evaluations Coordinate with EMS with transport to near hospital emergency room, for the following conditions:

Chest pain, numbness in face, arm or leg; difficulty speaking Coughing up or vomiting blood Heart attack High fever with stiff neck, mental confusion, or difficulty breathing Major injury

Severe shortness of breath Stroke Sudden or unexplained loss of consciousness Wound that will not stop bleeding

Education and Outreach Services, should be able to provide at least seven (7) annually:

Coordinate Annual Blood Drives Basic Health Risk Assessment Back Care Education BMI / Weight Maintenance Cancer Prevention Education (Breast, Colon, Skin, and Cervical) Depressive Symptoms Ergonomic Education Healthy Eating Influenza Vaccination Education Injury Prevention Education Other Elective Seminars Physical Activity Index (PAI Calculation) Risky Drinking Stress Management Tobacco Cessation

Extended/Urgent Care:

The Contractor should be able to provide the following Extended or Urgent Care Services for non-life-threatening conditions; to be billed to employee’s health insurance provider. This extended care, includes but is not limited to:

Fractures Sprains and strains Lacerations Burns and rashes Wound care Colds, flu, viruses Infections Tetanus and flu vaccinations Stitches Eye swelling, irritation, redness or pain COVID-19 Antibody Testing (non-FED Employees)

COVID-19 Vaccine (non-FED Employees) STD Testing

Sudden illnesses:

Allergic reactions Mild to moderate Asthma attacks Bronchitis Cough

Dehydration Ear infections Eye irritations (including pink eye) Fever Flu Gastrointestinal or Digestive Illnesses Mono Nausea, vomiting, and diarrhea Pneumonia Rashes (including poison ivy, ringworm, shingles, and hand, foot, and mouth disease) Sinus infections Sore throat Strep throat Ticks and Lyme Disease Upper respiratory infections (including the common cold) Urinary tract infections, yeast infections

Lab Tests (Lab must be CLIA-approved*):

Complete blood count with differential Urinalysis Blood Chemistries: Electrolytes, Creatinine, BUN Rapid Strep Test Mono Spot Test Serum and Urine Pregnancy Tests Blood Glucose Flu Tests, including influenza A and B Access to major reference labs for balance of all routine tests

* In order to be CLIA-approved, a laboratory must meet the quality standards of the Clinical Laboratory Improvement Amendments regulations by passing periodic government inspections.

Routine Immunizations (Excluding Immunization for international travel**):

DTaP-INFINRIX (Diphtheria, tetanus, and pertussis vaccine) FLUARIX QUAD (Influenza vaccine) FLUZONE QUAD (Influenza vaccine) GARDASIL 9 (HPV vaccine)

HEPATITIS-A ADULT

HEPATITIS-A PEDIATRIC

HEPATITIS-B ADULT

HEPATITIS-B PEDIATRIC

IPOL (Polio vaccine) MENACTRA (Meningitis vaccine)

M-M-R II (Measles, mumps, and rubella vaccine) PNEUMOVAX 23 (Pneumococcal vaccine) PREVNAR 13 (Pneumococcal vaccine) TDaP-ADACEL/BOOSTRIX (Tetanus, diphtheria, and pertussis vaccine) VARIVAX (Varicella vaccine) COVID-19 Vaccines

**Immunization for international travel shall not be provided.

Physicals:

Routine Annual wellness Physicals

Department of Transportation (DOT) Physicals Pre-Employment Physicals and Return-To-Work Physicals (for non-federal employees)

Women’s Services:

Consultation about birth control

HPV Vaccine Pap Smear (cervical cancer screening) Pregnancy Tests Urinary Tract Infections (UTIs) urine testing, send sample out for a urine culture) Yeast Infections (perform lab testing and may also provide prescription drugs)

Additional Services:

Manage the Nursing Mother’s Lactation Room (in accordance with the Fairness for Breastfeeding Mothers Act of 2019; Public Law No. 116-30).

The Lactation Room in the South Building is on the same Wing, but located in a different office, Room 1441 just down the hall from the Medical Unit in the south building.

The Lactation Room at Whitten is in Room 514-A.

The Lactation Room at GWCC is located in Room 2-L129, down the hall from health unit.

The Medical Unit staff:

1. Conduct Mother’s Room tours for USDA employees during health fairs and also on a regular basis for walk-in moms and also for mom’s who booked an appointment in advance to tour the Lactation Room.

2. Conduct tours for other agencies that would like to visit the USDA facility. Our Lactation Room is considered a great model for other federal agencies.

3. Coordinate with Housekeeping to make sure that the following are addressed:

-trash are removed daily in the Mother’s room -weekly sweeping and vacuuming in the area

4. Coordinate with the USDA Facilities and Management Team to address issues, if any, with the Mother’s Room lock, the lighting, and other facility related issues.

5. Provide weekly reports on the utilization of the Lactation Room: the number of usage and the corresponding agencies they are coming from.

6. Provide orientation of the Mothers Room and expectations to new nursing mothers (i.e., cleaning up after use of the station). This is the same process for GWCC Lactation Room.

7. Assign access code to the room.

Reasonable Accommodation Request Evaluate Reasonable Accommodation (RA) request.

• This is part of a validation process of information provided by employees through their physician. The contractor’ s Physician or Nurse Practitioner will have the authority/responsibility to contact the employee’s Physician and validate/verify critical information.

• The information would be used to evaluate RA requests and make subsequent recommendations.

Security Personnel Medical and Fitness test

• On an annual basis, USDA conducts medical exams and fitness tests for 12-15 employees of the Security Detail staff.

• Requires access to specialized equipment (e.g., electrocardiograph, audiometer, phoropter, etc.).

This is the same service currently being provided under contract OSSP-FOH/EPO IAA #198559

See USDA Medical Standards Program

Usage Data:

Personnel Needed:

Board Certified Physician licensed in DC and MD.

Full-time; Essential

**2018 Data**

GWCC SOUTH WHITTEN

Blood Pressures 333 821 291 Bedrest 5 70 7 Medical 628 1898 520 Weights 294 190 161 Questions - 11 313 200 Fitness Center 88 11 3 Emergency 4 34 4 Injury 2 64 27 B12 Injection 0 24 7 Total Visits 1,365 3,425 1220

Nursing Mother’s Room

473 2,343 16

Board Certified Nurse Practitioner(s) licensed in DC and MD.

Full-time; Essential

Staff Nurse(s)

Full-time; Essential Medical Administrative Support

Full-time; Non-Essential Personnel must be present at both buildings at HQs in DC and at GWCC in MD. However, only physician is necessary to oversight all three locations.

‘Essential’ means that persons in these positions are required to be on site even in emergency and extreme situations.

Estimated Period of Performance (POP):

12-Month Base period and four (4) 12-month option periods.

Additional Information:

Must be able to respond to an emergency anywhere in the facility within 5 mins max.

Must provide their own office and medical supplies, tools, and equipment.

Must adhere to USDA Safety and Environment standards regarding the disposal of any medical or hazardous waste.

Must adhere to all HIPAA guidelines and policies regarding the privacy and safekeeping of patient health and PII information.

Must maintain a certified Electronic Health Recordkeeping (EHR) Technology System that demonstrates the technological capability, functionality, and security requirements required for medical recordkeeping by the Secretary of Health and Human Services (HHS). This system must also be certified by the Office of the National Coordinator (ONC) based on the certification criteria standards set forth by the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) for electronic health recordkeeping.

Must be capable of operating the EHR system within a Federal Risk and Authorization Management Program (FedRAMP) Certified environment. FedRAMP is a government-wide program that promotes the adoption of secure cloud services across the federal government by providing a standardized approach to security assessment, authorization, and continuous monitoring for cloud products and services. FedRAMP empowers agencies to use modern cloud technologies, with emphasis on security and protection of federal information.

Must provide a secure online check-in and patient information portal that’s accessible 24/7 for the following:

• Prescriptions

• Communications with your provider

• Medical records

• Test results

• Appointments

Must provide reports and statistical data on a quarterly and ad hoc bases documenting the types of services rendered and the amount in revenue received third parties.

Must participate as an in-network service provider with most major health insurance plans including for following:

•Aetna

•Amerigroup of MD •AmeriHealth Caritas DC •CareFirst Blue Cross Blue Shield (CFBCBS, BCBS, Administrators, BlueChoice) •Cigna Health Care (except Cigna Health Spring Medicare Advantage) •Coventry Health Network (except Medicare Advanta Freedom) •First Health •Johns Hopkins Healthcare (EHP, Priority Partners, USFHP) •Medicaid •Medicare Part B •MedStar (Family Choice MD only, Medicare Choice, Select) •Tricare •United Healthcare

Risks, Issues, Assumptions, Gaps Please impart any specific additional information regarding this RFI that the USDA should be aware of when reviewing this and other RFI responses. This section should include risks, issues, assumptions and/or gaps that solution evaluation teams may or may not be aware of at this time and should be considered in any upcoming procurements.

Commercial Pricing Provide an Estimate/Rough order of Magnitude (ROM) of the prices associated with procuring, developing and deploying the solution your company would propose in as much detail as possible.

USDA is looking for a cost-effective solution.

NOTE: This is not a request for proposal, it is purely for the USDA to set an expectation for pricing this work and to assess project viability given budget constraints.

Responses

Interested Parties Interested parties are requested to respond to this RFI with an electronic response to Contracting Officer, Sean Jordan, at sean.jordan@usda.gov.

mailto:sean.jordan@usda.gov

Electronic Responses RFI Responses shall include:

• Name of the primary point of contact (POC) for the response

• Business Title, Email Address and Phone Number for primary POC,

• Firm Name or organization affiliation and Firm Dun and Bradstreet (DUNS Number)

• Identification of other key individual(s) who collaborated on RFI

RFI Response Format:

• Responses can be in the following authorized formats, Adobe Acrobat

• When emailing RFI responses, the required naming convention in the subject line should be the following: RFI Response [FIRM NAME] – USDA Medical Unit

Electronic Responses are due no later than May 7, 2021 by 12 Noon EST. Additional Marketing Materials may be included with response; however USDA is not at this time seeking proposals and will not accept unsolicited proposals.

Industry Discussions USDA representatives may or may not choose to meet with Responders. Such discussions would only be intended to get further clarification of potential solution(s) or service(s) to meet the USDA Medical Unit requirements, especially any risks, issues, assumptions and/or gaps.

Questions Questions regarding this announcement shall be submitted in writing by e-mail to the Contracting Officer, email address. Verbal questions will NOT be accepted. Questions will be answered by posting answers to beta.SAM.gov; accordingly, questions shall NOT contain proprietary information. The Government does not guarantee that questions received after April 27, 2021 by 3:00pm EST will be answered.

Interested parties should send questions in regards to this RFI to Contracting Officer, Sean Jordan at sean.jordan@usda.gov by April 27, 2021 by 3:00pm EST. When emailing RFI questions, the required naming convention in the subject line should be the following: RFI Question(s) [FIRM NAME] - USDA Medical Unit.

Summary THIS IS A REQUEST FOR INFORMATION (RFI) ONLY to identify service(s) or solution(s) that can provide service (s) or solution to support the USDA Medical Unit. The information provided in the RFI is subject to change and is not binding on the Government. USDA has not made a commitment to procure any of the items discussed, and release of this RFI should not be construed as such a commitment or as authorization to incur cost for which reimbursement would be required or sought. All submissions become Government property and will not be returned.