Amendment 1_W81K00-21-R-3005_20 November 2020.pdf

0011453137

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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 (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

This amendment is issued as follow s:

A. Provide Vendor Questions and Government Answ ers; No further questions w ill be entertained.

B. Provide revised Instructions to Offerors_Evaluation criteria C. Provide revised QASP

Revised attachments are posted individually on BetaSAM. All other terms and conditions remain the same

1. CONTRACT ID CODE PAGE OF PAGES

1 4

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 20-Nov-2020

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0021R3005

X 9B. DATED (SEE ITEM 11)

12-Nov-2020

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer 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:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram 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 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 telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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 ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

20-Nov-2020

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0021R3005

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ADDENDUM TO 52.212-1

Proposal Submission Instructions:

NOTE: Revised Attachments are provided under separate cover and are posted as individual attachments on BetaSAM .

PWS

QASP – Para A corrected:

QUALITY ASSURANCE AND SURVEILLANCE PLAN

FOR

Emergency Room Physicians

EVANS ARMY COMMUNITY HOSPITAL

A. OBJECTIVE: This requirement is for the full time services of 5.2 FTEs Emergency Room Physicians for performance at Evans Army Community Hospital, Evans Army Community Hospital, Fort Carson, CO.

B. PERFORMANCE MEASUREMENT OBJECTIVE: The key area(s), shown in paragraph E below, will be evaluated during the term of the contract. The PWS reference is provided for each performance measurement objective.

C. ASSESSMENT METHOD: Contractor performance is inspected and evaluated on key areas of performance as shown in paragraph E. below.

D. ACCEPTABLE QUALITY LEVEL (AQL): The degree to which the Government will allow the Contractor’s key areas of performance to vary; the variance from the standard that the Contractor is allowed and the grading/ measurement associated with deviation from the specific performance standard.

E. KEY AREAS OF PERFORMANCE:

The following Performance Measurements Requirement Summary applies. The Government may modify inspection methods in accordance with site specific requirements.

PERFORMANCE

MEASUREMENT

OBJECTIVE

STANDARD

ACCEPTABLE

QUALITY LEVEL

METHOD OF

ASSESSMENT

REMEDY

1. Patient and Customer satisfaction. PWS Para.

1.5.11

Maintain a high level of patient and customer satisfaction.

No more than two substantiated patient complaints per 12-month period per

HCP.

Review data systems and assessment of customer complaints (ICE comments/APPLS) through patient and

CDR Issued, and Document in CPARs.

Government Provider Feedback.

COR Monitors.

2. Provider Credentials and Licensure. PWS Para. 1.7.

Provide certifications and licenses as required.

100% compliance. Annual review of COR files.

CDR Issued, and Document in CPARs.

3. Combating Trafficking in persons (awareness program).

PWS Para. 1.3.11.

FAR Clause 52.222- 50 and FAR Subpart 22.1703.

100% compliance (zero tolerance) regarding trafficking in persons policy.

COR

documentation and program review.

Any non-compliance must be brought to the immediate attention of the KO.

CDR Issued, and Document in CPARs.

4. Provide patient care IAW MTF policies and procedures. PWS Para. 5.

Complete a proper assessment of patients.

100% Compliance.

Average two patients per hours worked per

HCP.

Review charts, workload data systems through Departmental Process Improvement procedures.

Department and COR monitors.

CDR Issued, and Document in CPARs.

5. Complete documentation of patient treatment using MTF electronic record keeping system. PWS Para.

1.3.4.4.

Treatment and care shall be recorded in ESSENTRAS within 24 hours after patient visit.

100% Compliance.

All required documentation completed. No significant omissions.

Clinic reviews records to determine if assessments are complete, timely, and appropriate.

CDR Issued, and Document in CPARs.

6. Fill Shifts and ensure Retention of Qualified Personnel. PWS Para.

1.3.1.

Maintain fill rates. Shift-Fill Rate of 99.5%

COR monitors. CDR Issued, and Document in CPARs.

7. Service Contract Reporting Requirements Para. 8. IAW clause 52.204-14

Complete Service Contract Reporting Requirments by 31 Oct each year and notify COR by the 5th working day of Nov.

100% Compliance. COR monitors. CDR Issued, and Document in CPARs.

F. CONTRACTOR PERFORMANCE ASSESSMENT REPORT. This report shall be submitted to the Contracting Officer monthly (unless otherwise agreed upon between the Contracting Officer and the Contracting Officer’s Representative).

G. REPERFORMANCE OF SERVICES. If any of the services do not conform with contract requirements, the Government will require the Contractor to re-perform the services in conformity with contract requirements, at no additional cost to the Government. When the defects in services cannot be corrected due to circumstances, the Government may (1) require the Contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the services performed. The Contracting Officer may exercise appropriate contractual remedy should the Contractor fail to promptly take the necessary action to ensure future performance is in conformity with contract requirements.

When apparent non-satisfactory work is identified, the Contracting Officer’s Representative shall prepare a Contract Discrepancy Report (CDR) and submit to the Contracting Officer for review, use DD Form 2772. The Contractor shall then be required to respond to the CDR. The Contractor shall explain reasons for substandard performance, how performance will be returned to acceptable levels, and how recurrence of the same or like problems will be prevented. The Contracting Officer will evaluate the Contractor's explanation, assess its validity, and determine whether it is acceptable.

The Contractor shall be required to correct/eliminate any deficiencies in services in a timely manner. Notification begins when pertinent documents (e.g., Customer Complaint Record or CDR) are issued to the Contractor. Time of notification and correction of all applicable deficiencies should be entered on all Government documents and retained in the contract file. The Government may execute a deduction in payment for non-compliance when validated by the Contracting Officer.

H. PERFORMANCE RATINGS.

The Government will rate past performance using the following performance standards.

EXCEPTIONAL:

Performance meets contractual requirements and exceeds many to the Government’s benefit.

VERY GOOD:

Performance meets contractual requirements and exceeds some to the Government’s benefit.

SATISFACTORY: Performance meets contractual requirements.

MARGINAL: Performance does not meet some contractual requirements.

UNSATISFACTORY:

Performance does not meet most contractual requirements and recovery is not likely in a timely manner.

Other performance evaluation factors that will be monitored and documented in the Contractor’s performance records but cannot be quantified by numerical measurements:

NOTE: This plan is provided for information purposes only. The QASP is not a part of the solicitation, nor shall it be part of any resulting contract. The Government has the right to change or modify inspection methods at its discretion.

(End of Exhibit 1 ~ QASP)

(End of Summary of Changes)