Dermatology Services

VISN 1 NETWORK CONSOLIDATED LABORATORY

STATEMENT OF WORK

YALE UNIVERSITY

SCHOOL OF MEDICINE





Physical Address: YALE UNIVERSITY

Department of Dermatopathology/Surgery

5040 LMP

105 Wall St

New Haven, CT 06511-6614



YALE UNIVERSITY

Department of Genetics/Cytogentics Laboratory

333 Cedar St. WWW 333

New Haven , CT 06510



YALE UNIVERSITY

Department of Laboratory Medicine

333 Cedar St.

P.O. Box 208035

New Haven, CT 06520-8035



YALE UNIVERSITY

Department of Pathology

Lauder Hall Room 108

New Haven, Ct, 06511-6614



POC:

For Dermatopathology:

Patricia Napoletano

Client Services Manager

Tel: 203-785-2054

Fax: 203-785-7637

Patricia.napoletano@yale.edu



For Laboratory Medicine

Kasia.olszewski@yale.edu

Tel: 203-737-5440



For Cytogenetics Laboratory

Peining Li, PhD, FACMG

Tel: 203-785-5681



For Pathology

David Wooster

Vice Chair for Finance and Administration

Dept of Pathology

Tel: 203-785-6493

Fax: 203- 785-7303

Email: David.Wooster@yale.edu



Remit to Address:

For Depts of Lab Medicine, Pathology and Dermatopathology



Yale University School of Medicine

Treasury Operations

P.O. Box 208087

New Haven, Ct. 06520-8087



For Cytogenetics Laboratory

Yale University

Department of Genetics

Business Office

P.O. Box 208005

New Haven, CT 06520-8005





CCR Registration valid until 03-23-2011

DUNS 043207562

Tax ID:060646973





DEFINITIONS

Test Result Report - A printed final copy of laboratory testing results.



Proficiency Testing- An assessment of the accuracy of testing by a laboratory based on the analysis of an unknown specimen analyzed by a large number of other labs. The proficiency survey is conducted by an organization or agency authorized by the Department of Health and Human Services to do so.



POC- Point of Contact





Description/Specifications/Statement of work



The contractor shall provide the following services:

Consultative Dermatopathology Services to include both technical and professional component.

Pathology Professional Services for Flow Cytometry Testing

Chromosome Analysis to include both professional and technical component.

Consultative Surgical Pathology Services to include both technical and professional component.

Special Coagulation Testing



Services will be provided to: West Haven VAMC Laboratory.

VA Connecticut

950 Campbell Ave

West Haven, CT 06511

Tel: 203-932-5711 x 4122

Fax: 207-937-4746

POC: William Potts, Lab Administrative Officer





The CONTRACTING LABORATORY:

1. Shall perform consultation services entirely upon their premises.

2. Will provide faxed results as well as hard copy.

3. Shall carry out its functions hereunder in full compliance with all local, state, and federal laws or regulations.

4. Provide consultation reports that include the laboratory's name that performed the consultation, laboratory specific accession number, the date and time a specimen was collected, received by the laboratory and completed, and the pathologists signature.

5. Shall certify and ensure that all employees, officers, or agents do not use Protected Health Information received from any VISN 1 site that would constitute a violation of any applicable provision in standards set forth in the Health Insurance Portability and Accountability Act (HIPAA).



LICENSING AND ACCREDITATION- CONTRACTING LABORATORY

1. Shall have all licenses, permits, accreditation certificates required by law.

2. Shall be accredited by the CLIA or the College of American Pathologists. Copies of all certifications and renewal certifications will be provided upon submission of a proposal to the Contracting Officer and Contracting Officer's Technical Representative (COTR).

3. Medical Director must be licensed Physician with suitable qualifications and experience to direct a laboratory providing consultation services under this contract according to CLIA and CAP standards.

4. Must submit a copy of the professional certification and/or licensure of the Laboratory Director and/or Medical Director to the COTR with proposal.

5. Must comply with the regulatory requirements of Centers for Medicare and Medicaid.

6. Must notify the Contracting Officer immediately, in writing, upon its loss (or any of its subcontractors) of any required certification, accreditation, or licensure.



QUALITY CONTROL: To ensure proper handling and test performance, the contractor shall provide the following updated information upon request during the life of the contract. The VA will maintain an Internal Quality Control Program to monitor the quality of test results received from CONTRACTING LABORATORY.









































































PRICING: is at Connecticut CMS rates. See chart below



ESTIMATED YEARLY WORKLOAD AND EXPENSE:







TELECOMMUNICATIONS:

1. The VA Lab shall receive transmissions of consultations via fax at the fax numbers listed above. Hardcopy reports will also be issued.





PAYMENT

1. Payments shall be made via 2237 (certified invoice). VISN 1 Consolidated Monthly invoices to include testing for all sites listed in Attachment A should be sent to:

Department of Veteran's Affairs

Financial Services Center

P.O. Box 149971

Austin, TX 78714-9975

§ For inquiries by the vendor, the vendor should call 512-460-5380 or toll free 1-877-353-9791

The following information is required on each certified invoice:



1. A valid certified PO number

2. Vendor's name and remittance address.

3. Invoice number or other payment identification that the vendor will designate.

4. Date of invoice.

5. Description of goods or services purchased, quantity of each item, and unit price of each item.

6. Total dollar amount of invoice.

7. Discount terms, if applicable.

8. Tax ID Number



2. Contracting Officer's Technical Representative:

Mary-Ann Bridgwood, MS (523/A5/113/NCL)

Program Manager, NCL

Boston Healthcare System

940 Belmont St.

Brockton, MA 02301

Tel: 774-826-2928

Fax: 774-826-1090





3. Contractor shall invoice monthly for services rendered. Payment shall be processed thirty (30) days from receipt of proper invoice.









SECURITY CLAUSES:



852.273-75 - SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION

TECHNOLOGY RESOURCES (INTERIM- OCTOBER 2008)

As prescribed in 839.201, insert the following clause:

The contractor, their personnel, and their subcontractors shall be subject to the Federal laws,

regulations, standards, and VA Directives and Handbooks regarding information and

information system security as delineated in this contract.

(END OF CLAUSE)





A hospital laboratory is not required to have a business associate contract to disclose protected health information to a reference laboratory for treatment of the individual. See 45CFR 164.502(e), exceptions to the Business Associate Standard.



C&A requirements do not apply and a Security Accreditation Package is not required.

ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS



1. All contractors, subcontractors, and third-party servicers and associates working with

VA information are subject to the same investigative requirements as those of VA appointees

or employees who have access to the same types of information. The level and process of

background security investigations for contractors must be in accordance with VA Directive

and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations,

Security, and Preparedness is responsible for these policies and procedures.



2.Custom software development and outsourced operations must be located in the U.S.

to the maximum extent practical. If such services are proposed to be performed abroad and

are not disallowed by other VA policy or mandates, the contractor/subcontractor must state

where all non-U.S. services are provided and detail a security plan, deemed to be acceptable

by VA, specifically to address mitigation of the resulting problems of communication, control,

data protection, and so forth. Location within the U.S. may be an evaluation factor.



3. The contractor or subcontractor must notify the Contracting Officer immediately when

an employee working on a VA system or with access to VA information is reassigned or leaves

the contractor or subcontractor's employ. The Contracting Officer must also be notified

immediately by the contractor or subcontractor prior to an unfriendly termination.