FSS-621-I - Quality Innovation, Inc. - V797D50586

RFP-797-FSS-99-0115-R3

Exhibit 6 – Quality Innovation, Inc. FSS Pricelist

Contract #: V797D-50586 Modification: P00006 1

Department of Veterans Affairs Federal Supply Service

Authorized Federal Supply Schedule Price List Effective Date: May 15, 2016

On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an electronic delivery order are available through GSA Advantage!, a menu-driven database system. The Internet address for GSA Advantage! is: www.GSAAdvantage.gov

Federal Supply Schedule (FSS) 621 I Professional & Allied Healthcare Staffing Services

Product Service Code Q

Contract #: V797D-50586 Modification: P00006

For more information on ordering from Federal Supply Schedules click on the FSS Schedules at http://www.fss.gsa.gov

Contract Period: 05/15/2016 through 05/14/2021 www.teamqi2.com

Primary Contact: Josh Ladick / josh@gsafocus.com Alternative Contact: Rusty Lingenfelter / rusty@teamqi2.com For Orders & Information: contracts@teamqi2.com

Phone# (512)246-0000 Fax# (512)246-4949

Business Size: Service-Disabled Veteran-Owned Small Business (SDVOSB), HUBZone

Data Universal Number System (DUNS) Number: 133687272 Central Contractor Registration (CCR) Cage Code: 3GN03 http://www.gsaadvantage.gov/ http://www.fss.gsa.gov/ mailto:contracts@teamqi2.com

Contract #: V797D-50586 Modification: P00006 2

Customer Information:

1. Table of awarded special item number(s):

SIN 621-

Description

025 Registered Nurse – General 025 Registered Nurse - Specialty 032 Certified Emergency Medical Technician (EMT) Paramedic 033 Dental Hygienist 037 Occupational Therapy Assistant 037 Occupational Therapist 038 Licensed Practical/Vocational Nurse 039 Certified Medical Assistant 039 Medical Record Clerk 040 Certified Nurse Assistant 047 Social Worker / Counselor

2. Maximum order: N/A

3. Minimum order: (Travelers) 13 weeks at 36-40 hours per week. Supplemental and Per Diem, one 8-hour day. Supplemental and Per Diem = 8 hours per shift or 36 hours per week/12 hours per shift.

4. Geographic coverage (service area): AZ, DC, MD, VA, NH, AR, WA, SD, IL, RI, WY, FL, AL, KS, IA, SC, and OR.

5. Prompt Payment Terms: NET 30 Days

6. Government Commercial Credit Card: Yes, will accept credit card orders at or above $3,000.

Credit Cards accepted at any amount.

7. Ordering address: Quality Innovation, Inc. 15808 Ranch Road 620 N, Suite 205 Austin, Texas 78717 Ordering email contracts@teamqi2.com

8. Payment address: Same as Ordering Address

9. Prices shown herein are “net” ceiling prices-not to exceed rates. The net ceiling rates include malpractice insurance for non-personal services task-orders and exclude travel and lodging.

Personal Services task-orders will also be accepted. See page 3 of this price list.

10. Minimum Qualifications of Professionals: See pages See pages 4-5

11. Medical Liability Insurance Limits: $1,000,000 per occurrence; $3,000,000aggregate.

12. For services, the ordering procedures, information on Blanket Purchase Agreements (BPA’s), are found in the Federal Acquisition Regulation (FAR) 8.405-3.

13. Background Investigations: Nationwide background check (NAC-1 Investigation), TransMed (or equivalent), 10-panel drug testing and E-Verify validation. State Professional license and pre-

Contract #: V797D-50586 Modification: P00006 3 employment verification. The ordering facility is responsible for any other additional background investigation.

(Quality Innovation, Inc.) Not to Exceed Hourly Rates effective date: 07/01/2020

SIN 621-

Position Description

FSS Net Ceiling Hourly Price

025 Registered Nurse - General $72.23

Registered Nurse – Specialty (Specialty Care, Extended Care, ER, Dialysis, Intensive Care, Coronary Care, Psychiatric, Geriatric, Charge Nurse)

$85.87

032 Certified Emergency Medical Technician (EMT) Paramedic

$49.21

033 Dental Hygienist $82.31 037 Occupational Therapy Assistant $56.23 037 Occupational Therapist $67.06 038 Licensed Practical/Vocational Nurse $46.75 039 Certified Medical Assistant $33.91 039 Medical Record Clerk $37.18 040 Certified Nurse Assistant $30.07 047 Social Worker / Counselor $59.05

Note: Rates shown are ceiling rates, including malpractice insurance. The rates shown exclude lodging and transportation charges.

Shift Differentials: None

Work Week: Sunday – Saturday

Overtime Rate(s): 1.4 times the base hourly rate for hours worked in excess of 8 or 12 per day (depending on shift assignment) or in excess of 40 hours per week, in accordance with state and local labor laws.

Holiday Rate(s): Regular hourly rate applies for all Federal holidays worked, unless overtime is incurred after an 8-hour shift or 40-hour worked, then the overtime rate applies.

On-Call Rate(s): $6.00 per hour with 1hour minimum. While in “on-call” status, the provider must carry a beeper or cell phone and remain within a 30 min/mile radius of the facility (or to an agreed upon radius by the task ordering facility). Phone consultations are included.

Call Back Rate(s): Call back minimum is 2 hours. If the placement is called back to the facility, the regular hourly base rate (Task Order) will be charged unless overtime is incurred. Overtime rate is charged for hours the placement worked over 40 hours in a week. Vendor call back rates will apply once the individual is physically on site at the facility. Overtime and holiday rates are also applicable only after a 40-hour work week.

Contract #: V797D-50586 Modification: P00006 4

Minimum Qualifications of Professionals:

SIN 621-025

Job Title Registered Nurse - General Experience Requirement Minimum (1) year experience as RN Minimum Education RN Associate’s Degree or Diploma, Bachelor’s Degree

Nursing Preferred Certification BLS License Requirement Appropriate State Licensure

SIN 621-025

Job Title Registered Nurse – Specialty (Specialty Care, Extended

Care, ER, Dialysis, Intensive Care, Coronary Care, Psychiatric, Geriatric, Charge Nurse)

Experience Requirement Minimum (1) year experience in specialty Minimum Education RN Associate’s Degree or Diploma, Bachelor’s Degree

Nursing Preferred Certification BLS, ALS License Requirement Appropriate State Licensure

SIN 621-032

Job Title Certified Emergency Medical Technician

(EMT)/Paramedic Experience Requirement Minimum (1) year experience Minimum Education Completion of state required course.

Certification BLS. Appropriate State Certification.

License Requirement Appropriate State Licensure for Paramedic Other Requirements Valid Drivers’ License

SIN 621-033

Job Title Dental Hygienist Experience Requirement Minimum twelve months recent experience Minimum Education Degree or certificate in dental hygiene from a school accredited by the Council on Dental Education of the American Dental Association

Certification BLS License Requirement Appropriate License as directed by state law

SIN 621-037

Job Title Occupational Therapy Assistant Experience Requirement Minimum (1) year experience as Occupational Therapy

Assistant Minimum Education Associate’s Degree Certification BLS License Requirement Appropriate License as directed by state law

Contract #: V797D-50586 Modification: P00006 5

SIN 621-037

Job Title Occupational Therapist Experience Requirement Minimum (1) year experience as Occupational Therapist Minimum Education Bachelor’s Degree. Master’s Degree preferred Certification BLS License Requirement Appropriate State Licensure

SIN 621-038

Job Title Licensed Practical/Vocational Nurse Experience Requirement Minimum (1) year experience as LPN/LVN Minimum Education Diploma or certificate of completion from a state approved practical nursing program – passing score on NCLEX - PN Certification BLS. ALS preferred for critical care placements License Requirement Appropriate State Licensure

SIN 621-039

Job Title Certified Medical Assistant Experience Requirement Minimum (1) year experience Minimum Education Diploma or certificate of completion from an Accredited

Medical Assistant Program Certification BLS. Appropriate State Certification.

State Licensure Not required

SIN 621-040

Job Title Certified Nurse Assistant Experience Requirement Minimum (6) months experience Minimum Education High School Diploma or GED Certification BLS. Appropriate State Certification.

State Licensure Not Required

SIN 621-047

Job Title Social Worker/Counselor Experience Requirement Minimum (1) year experience Minimum Education Bachelor’s Degree. Master’s Degree preferred.

Certification Appropriate State Certification State Licensure LCSW, BSW, ASW, or Appropriate State Licensure

SIN 621-039

Job Title Medical Record Clerk Experience Requirement Minimum (1) year experience Minimum Education High School Diploma. Associate’s Degree preferred.

Certification Registered Health Information Technician - Preferred State Licensure Not Required