VA247-17-R-0885-00003000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2.

AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE

OF PAGES

10A. MODIFICATION OF

CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV.

11/2016) is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITE M 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR

43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes r eference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS

ENTERED INTO

PURSUANT TO AUTHORITY OF:

D. OTHER

BY

Contractor

16C. DATE SIGNED

14.

DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME

AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS

OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 00003 none 36+C247 Department of Veterans Affairs Central Alabama Veterans Health Care 215 Perry Hill Road Montgomery AL 36109-3798 36C247 Department of Veterans Affairs Central Alabama Health Care System East Campus 2400 Hospital Road Tuskegee AL 36083-5001 To all Offerors/Bidders

VA247-17-R-0885

12-13-2017

X X X The purpose of this amendment is to:

1. Publish solicitation Questions and Answers for all interested parties (page 2).

2. Amend language in PWS paragraph 2.1.2. (page 3).

No other changes are made as a result of this amendment.

Valeria Murray

QUESTIONS & ANSWERS

IN RESPONSE TO VA247-17-R-0885- ED PHYSICIAN SERVICES

Q1. Is this a new requirement?

A1. No

Q2. Who is the incumbent?

A2. Top Docs Inc.

Q3. Would you please clarify the following with more detail? “The offeror’s proposal shall not contain any identifying markings.” (see page 66) A3. ‘Markings’ refers to anything that will identify your company (name, logo, symbol, acronym, etc). Pages must be free of logos and company name should be redacted or replaced with generic term (i.e. contractor, or vendor) in body of proposal.

Q4. How many PA's and NP's will the VA have on shift to assist the awardee's physicians?

A4. The VA will schedule 3 to 4 NP’s during the day. The VA’s coverage with NP’s is on weekdays from 8:00am to 1:30am, 6 days per two-week pay period. The NP’s do not “assist” the physicians, but work independently, consulting the physician for certain cases.

Q5. How far in advanced will the VA provide the awardee with details regarding the shifts that require coverage?

A5. Shift details are provided two months in advance.

Q6. The RFQ states 2.3 FTE however in the work schedule provided in 3.1.1 it sounds as if the awardee is required to cover all shifts 24/7. Please clarify if the awardee will be required to provide 24/7 coverage or will we only be required to cover one, twelve-hour shift in the daily schedule.

A6. The contract doctors are only responsible for covering the hours they are scheduled to work. The Price/Cost Schedule (Section B.2) identifies the estimated hours required.

Q7. Are there guaranteed 12 hours per day for our providers?

A7. Yes, 12 hours are guaranteed.

Q8. Will the customer consider an Internal Medicine or a Family Practice Physician who has ER experience?

A8. Family Practice or Internal medicine trained physicians will not be considered. All contract doctors must be Emergency Medicine residency trained and board certified.

Further, PWS paragraph 2.1.2. is revised. See page 3 of this amendment.

Q9. Reference PWS paragraph 2.9.2. The awardee would only be responsible for their contract physicians, correct? If a VA scheduled physician called out, it is up to the VA to provide a replacement. Do we have that correct?

A9. Correct. The awardee will only be responsible for the schedules of their contract physicians.

Q10. What is the total annual volume for the ER?

A10. The volume is estimated at 34,000 patients per year.

Q11. On average, what is the number of patients seen per physician by shift?

A11. The providers who work in the ED will typically care for 13-16 patients in a 12-hour shift.

Performance Work Statement (PWS) paragraph 2.1.2. is changed as followed:

FROM:

2.1.2. Board Certification - All contractors’ physician (s) shall be Board Certified/Board Eligible in Emergency Medicine and be currently certified in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

TO:

2.1.2. Board Certification - All contractors’ physician (s) shall be Board Certified in Emergency Medicine, and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) and Continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.