Questions_Answers_22-R-0002_18 Feb 2022.pdf

Questions and Answers Solicitation W81K00-22-R-0002

Hospitalist and Nocturnist Physicians Services 18 February 2022

1. Question: Is it a new requirement? If not, please provide the incumbent contract information

Answer: No. Current incumbents:

Contract: W81K00-17-P-0573 Contractor: Prosperitus Solutions, LLC PoP: 15 August 2017 - 31 March 2021 Total Value: $3,430,689.80

Contract: W81K00-17-P-0696 Contractor: Cherokee Nation Mission Solutions, LLC PoP: 01 October 2017 - 31 March 2021 Total Value: $9,640,221.60

2. How many FTEs are currently on each contract?

Answer:

W81K00-17-P-0573 - 2 FTEs W81K00-17-P-0696 - 6 FTEs

3. When is the final solicitation expected to be released?

Answer: Solicitation was posted on SAM.gov on 8 February 2022.

4. Is there any facility clearance required?

Answer: Reference the PWS and solicitation for all contract requirements.

5. Can you tell me this is a new requirement or if these services are currently being performed by a contractor? If the latter, could you please provide the incumbent name as well as the contract number?

Answer: See response to question #1

6. Many MTF CORs no longer complete PPQ for staffing requirements after the DHA MQS program standardized the use of either or PPQs or CPARs in personal service source selections.

Would the Army clarify whether it will accept CPARS with Past Performance Information Sheets as well as PPQs, subject to the recency standards in the RFP?

Answer: Yes, we will accept CPARs with Past Performance Information Sheets as well as PPQs. Attach 1_ Instructions to Offerors_Evaluation Criteria has been revised.

Hospitalist and Nocturnist Physicians Services

7. I have a question on this RFP on the set aside. It shows Section 8. We are VOSB. Will VOSB be accepted in place of section 8?

Answer: This requirement has been in the 8(a) program for multiple years therefore, it must remain an 8(a) requirement. Only valid 8(a) vendors are eligible to propose as a Prime or Joint Venture.

8. Is there an incumbent on this contract? If yes, please provide details?

9. Are these physician positions currently fully staffed? If not fully staffed, please share current vacancies.

Answer: Fully staffed, there are no vacancies on the current contracts.

10. What is the expected transition period for performance to start?

Answer: Contractor will be required to commence performance on the 1 April 2022 contract start date. Award is estimated on or before 15 March 2022.

11. Do the military Internists physicians currently take calls at BAMC?

Answer: Yes

If so, what are the typical hours of on call duty performed?

Answer: Military is on call 24/7 during this period.

12. Who is/are the incumbent vendor(s)?

13. How many of the hospitalist positions are currently filled and how many of the nocturnist positions are currently filled?

Answer: See response to question #9.

Hospitalist and Nocturnist Physicians Services

14. How many credentialed/privileged hospitalists are in the current vendor(s) float pool and how many credentialed/privileged nocturnists?

Answer:

Hospitalist the contract is authorized 6 FTEs, the pool covers with 7 FTEs.

Nocturnist the contract is authorized 2 FTEs, pool provides 4 FTEs at .75, .75, .25, .25 which equals 2 FTEs.

15. If the Government is aware, have any incumbent staff have given notice of his/her intention to not stay on the succeeding contract and if so, in which of the two labor categories?

Answer: The Government is not privy to this information.

16. How long is it taking physicians to become credentialed and privileged?

Answer: 30 days to 60 days and security onboarding it can take up to 120 days.

17. How many military/civilian providers are there in each labor category?

Answer: 12 FTE military/civilian

18. Are there any service delivery issues of which prospective vendors need to be aware?

Answer: None

19. Will all the daytime hospitalists be working with the interns and residents?

Answer: No, not always. We also have a non-teaching service that all hospitalists rotate onto.

20. Are there any non-teaching service teams too?

21. Are all Shifts 6A-6P or some of them would be 7A-7P?

Answer: Reference PWS paragraph 1.4. HOURS OF PERFORMANCE (Hospitalist work 0600-1800 and Nocturnist work 1800-0600) (06:00am – 06:00pm and 06:00pm -06:00am).

Hospitalist and Nocturnist Physicians Services

22. Are all shifts 12 hours?

23. Would Hospitalists be working on a week on and week off schedule?

Answer: Yes, they could also be on a 2 week on and 2 week off schedule

24. What is the Average volume of patients seen per day?

Answer: 12-16 patients

25. Are hospitalists required to run any codes or rapid responses?

26. Are hospitalists required to do any procedures?

27. How many daytime hospitalist teams are present daily?

Answer: There are Nine (9) daytime hospitalist teams

28. If the entity's SAM and 8(a) certification status is still pending for approval, will the entity's offer still be considered in the selection process?

Answer: Offerors shall be registered in the SAM with the appropriate NAICS Code and shall not have any Active Exclusions listed within SAM prior to award. Award is estimated on or before 15 March 2022. In addition, an 8(a) eligibility determination will be requested from the respective SBA office prior to award for the apparent successful offeror. In order to receive the award the offeror shall have an active registration in SAM and be determined eligible by the SBA.

29. When will the winning bid be announced?

Answer: Award is estimated on or before 15 March 2022.

30. What is the schedule structure for both Hospitalist and Nocturnist HCPs? How does this work with academic and call schedules?

Answer: Hospitalists work /on call 2 on 2 off. Nocturnist is 7 days in a row, every other week 1800-0600

Hospitalist and Nocturnist Physicians Services

31. In the first 6 months, will BAMC allow the use of interim providers since it is such a short period between contract finalization and the official start date of the contract?

Answer: It is up to the contract company to provide appropriate coverage. Current contracts have no vacancies. Full time is preferred however, PRN is acceptable.

32. Will BAMC allow additional providers to be credentialed for emergency coverage?

33. How long is the credentialing process for HCPs?

Answer: See response to question #16

34. If needed, what is the process for emergency credentialing? How long will it take?

Answer: This contract is a service, so DOM needs equivalent of 7 FTE Hospitalist per day, and 1 Nocturnist per day 24/7. It is up to the contract company to provide appropriate coverage. Normal credentialing 30 days to 60 days and security onboarding it can take up to 120 days.

35. How long is the orientation & training process?

Answer: Approximately one month

36. Will HCPs or Contractor bill commercial and government payers for professional fees?

Answer: The awarded contract will be with the Prime contractor. The government does not accept billing from HCPs. Reference PWS for credentialing, licensing, education and training responsibilities/requirements.

37. What is the average daily morning census?

Answer: 12-16 patients, depending on time of year

38. What is the average daily admissions in a 24-hour period?

Answer: 12-16 patients, depending on time of year

Hospitalist and Nocturnist Physicians Services

39. Who is responsible for scheduling the physicians, the Government or the Contractor?

Answer: Reference PWS section 1.4. Hours of Performance

40. Can the Government provide a sample schedule?

Answer: A sample schedule is not available. Reference PWS section 1.4. Hours of Performance. Hospitalists work /on call 2 on 2 off. Nocturnist is 7 days in a row, every other week 1800-0600

41. Can the Government provide a sample on-call schedule be provided?

Answer: A sample schedule is not available. PWS has been revised for on-call services.

42. Are the hospitalists currently all contractors or are there active duty and GS employees as well?

Answer: Staff consist of active duty and GS employees as well

43. 1.4.1. states: “The place and hours of performance shall be determined by the Internist supervisor per guidance from the Chief, Department of Medicine.” Can the Government provide a listing of the expected places? Does “place” refer to departments within the facility or other local MTFs (i.e. Lackland AFB, Randolph AFB, etc.)?

Answer: They are expected to be anywhere necessary within the MTF (SAMMC/BAMC)

44. Can the Government please provide the incumbent(s) contract number(s) and name(s) for these services?

45. Are there currently any vacancies under the incumbent services?

Answer: See response question #9

46. To cover the required 9.0 FTE, can contractors fill with PRN staff or are all positions expected to be fulltime?

Answer: FTE is preferred however, PRN is acceptable.

47. Are the current billable hours/units (noted in the solicitation) consistent with the most completed contract period?

Answer: Yes however, the current requirement has increased by 1 FTE for Hospitalist.

Hospitalist and Nocturnist Physicians Services

48. Please provide the tenure/anniversary date of all current employees/staff/team members.

Answer: This will be provided to successful Offeror upon award.

49. What are the # of FTEs included in the previous contract?

Answer: Hospitalist = 6 FTEs and Nocturnist = 2 FTEs

50. The instructions in Attachment 1 for the Past Performance (Page 3) states that “Performance must have been by the Offeror (not by a subsidiary or sister company) either as the prime contractor or subcontractor.” Does this include performance on contracts by an entity’s parent company?

Answer: Offerors shall review attachment 1_ Instructions to Offerors_Evaluation Criteria provided under this solicitation. Performance must have been by the Offeror either as the prime contractor or subcontractor.