Driver Rehabilitation Training

Added: Dec 15, 2016 12:13 pm SOURCES SOUGHT SYNOPSIS



The Veterans Administration is issuing this sources sought synopsis as a means of conducting market research to identify parties having an interest in and the resources to support this requirement for Driver Rehabilitation Training. The result of this market research will contribute to determining the method of procurement. The applicable North American Industry Classification System (NAICS) code assigned to this procurement is 611692- Automobile Driving Schools.



THERE IS NO SOLICITATION AT THIS TIME. This request for capability information does not constitute a request for proposals; submission of any information in response to this market survey is purely voluntary; the government assumes no financial responsibility for any costs incurred.





If your organization is a SDVOSB or VOSB and has the potential capacity to perform these contract services, please provide the following information: 1) Organization name, address, email address, Web site address, telephone number, and size and type of ownership for the organization; and 2) Tailored capability statements addressing the particulars of this effort, with appropriate documentation supporting claims of organizational and staff capability. If significant subcontracting or teaming is anticipated in order to deliver technical capability, organizations should address the administrative and management structure of such arrangements.



The government will evaluate market information to ascertain potential market capacity to provide services consistent in scope and scale with those described in this notice and attached Scope of Work.



BASED ON THE RESPONSES TO THIS SOURCES SOUGHT NOTICE/MARKET RESEARCH, THIS REQUIREMENT MAY BE SET-ASIDE FOR SERVICE DISABLED VETERAN OWNED SMALL BUSINESSES / VETERAN OWNED SMALL BUSINESSES OR PROCURED THROUGH FULL AND OPEN COMPETITION, and multiple awards MAY be made. Telephone inquiries will not be accepted or acknowledged, and no feedback or evaluations will be provided to companies regarding their submissions.



Submission Instructions: Interested parties who consider themselves qualified to perform the above-listed services are invited to submit a response to this Sources Sought Notice by 12/20/2016. All responses under this Sources Sought Notice must be emailed to Thomas.mckendry@va.gov with VA258-17-N-129 in the subject line.



If you have any questions concerning this opportunity please contact: Thomas McKendry at Thomas.mckendry@va.gov or 602-795-4363.



























Statement of Work Driver Rehabilitation Training

Phoenix Veterans Administration Health Care System (PVHCS)

650 E Indian School Road

Phoenix, AZ 85012

(602) 795-4363





Estimated Annual Quantities

Driver Evaluations = 150

Training = 40 veterans



Contract Period: One year with four Option Years.



Description of Services

Definition:

Driver rehabilitation for the disabled, within the Department of Veterans Affairs is designed to provide professional evaluation and instruction for eligible veterans in the safe, competent utilization of special add on equipment, and mastery of specific skills and techniques to effectively drive a motor vehicle, independently, and in accordance with State Department of Motor Vehicle (DMV) regulations.



The following objectives are to be accomplished:



The patient will acquire specific knowledge in all areas of the driver training course including didactic theory and practical experience.

Psychomotor improvements in handling segments of the driver training task will be noted by comparison of function before and after completion of the training course

The patient will maximize independence in all aspects of driving

Supporting adaptive equipment will enable patients to mainstream themselves into society.



Staff Qualifications

It is required that at least one contract driver rehabilitation specialist in the organization be licensed, registered or certified by their professional organization. All specialists must have a minimum of a Baccalaureate Degree in adapted physical education, kinesiotherapy, physical therapy, occupational therapy or a specifically related rehabilitation therapy area or certified Driver Rehab specialist. Completion of the National Driver Rehabilitation Specialist Examination is preferred.

Components of Driver Training Services



Pre-driving Testing Evaluation will be completed on all patients and will be comprised of the following components:



Vision evaluation-evaluate visual acuity, field of vision, depth perception, glare recovery and reaction time.

Basic perceptual testing

Functional muscle testing

Range of motion of all extremities

Coordination testing

Hearing (subjective)

Sitting tolerance

Activity tolerance and susceptibility to fatigue

Spasticity

Precautions to be taken for patient without bowel and/or bladder control

General cognitive testing



Adapted Driver Evaluation will include the following activities:



Transfer to and from conveyance

Stowage and retrieval of wheelchair or ambulatory aid

Orientation to vehicles controls

Proper body positioning and alignment

Mirror references, including blind spot checks and tests

Passenger responsibility (for example; seat belts, door locks)

Pre-driving checks, including external considerations (for example; lights, tire pressure), and internal (for example, gas supply)

Starting and stopping the vehicle

Right and left turns, U-turns and 3 point turnabouts

Backing up

Parking, parallel parking

Lane changes

Emotional stability behind the wheel

Hill driving, uphill and downhill parking

Passing other vehicles

Hazardous driving situation (for example; inclement weather, brake failure, flat tire, stuck accelerator)

Changing traffic flows

Pedestrian hazards

Freeway entry and exit, as applicable



Upon completion of the Driving Evaluation, the contractor shall report the recommended driver training services to the Physical Medicine and Rehabilitation Services Driver s Rehab Specialist at the appropriate facility site for review and/or approval of the recommended driver training services for the referred veteran



Vehicle Needs Assessment:



Adapted Equipment Evaluation- evaluate the need for assistive devices, equipment adaptations and vehicle modification. A copy of all evaluations and training will be uploaded into patient s medical record for inclusion in their files.

Vehicle Inspection -inspect vehicle after modification to insure that equipment was properly installed and the patient can operate the adaptations. A copy of all evaluations will be provided to the Contracting Officer s Technical Representative for inclusion in their files

Vehicle Consultation and Selection- assist the patient in the selection of an appropriate vehicle that best suits the needs of the particular patient as applicable





Equipment Qualifications

Adaptive Equipment for driver rehabilitation training must include the following

Hand controls (reversible with optional dimmer switch & horn button)

Dimmer switch

Steering devices (spinner knob, V-grip, tri-pin, and amputee ring)

Assorted seat belts

Panavision rear view mirrors

Parking break extension

Left-foot gas pedal

Right-Turn signal adapter

Driver training sign

Instructor rear view mirror

Instructor eye-check mirror

Instructor brake



Van Modification and Adaptive Equipment. Van modification and adaptive equipment must include:



A lift and/or ramp system;

A dropped-floor with leveling and appropriate wheelchair flooring;

A raised roof with structural support and insulation (a full-size van must have, in addition, a headliner);

A removable 6-way power transfer seat base;

An occupant-restraint system with wheelchair tie-down system in the driver station;

An occupant-restraint system with wheelchair tie-down in the passenger area;

A variable steering and braking system with backup;

An extended-steering column, as applicable;

An electric emergency brake;

A dual back-up battery system;

Hand control (reversible) with dimmer switch and horn button;

Steering devices such as: spinner knob, v-grip, tri-pin, and amputee ring;

An instructor and/or dual steering system for high-tech driving systems; as applicable;

An instructor and/or dual braking system;

A turn signal extension;

A secondary control system for high-tech driving systems, e.g., touch-pad, voice-activated system, etc.;

An instructor rear-view mirror; and

An instructor eye-check mirror.



Maintenance and Safety. Routine maintenance and weekly safety checks of all adaptive equipment must be scheduled and documented.



Clinical Evaluation for Adaptive Equipment The following areas of clinical evaluation are defined.

Vision. Portable vision devices provide an evaluation of certain vision factors necessary to perform a safe driving task. Equipment must be available to measure the following: visual acuity, color perception, field of vision, depth perception, glare recovery, and night vision.

Reaction Time. A device is used to measure reaction time from acceleration to braking.

Cognitive and Perceptional Screening. In screening of basic cognitive and perceptional motor materials, identification and/or verification of a potential problem must be referred to the appropriate professional for a more in-depth evaluation.

Neuromotor Assessment. This is a physical assessment of range of motion, strength, sensation, coordination, and endurance.



Evaluations

Types of Disabilities that are Treated in the VA Driver Rehabilitation Program

Paraplegia;

Tetraplegia;

Brain dysfunction;

Hemiplegia;

Neurological disorders;

Amputation, i.e., upper and lower extremities;

Orthopedic problems;

Psychiatric disorders;

Disabilities associated with aging;

Cognitive impairment.



Pre-driving Assessment and Evaluation The Driver Rehabilitation Specialist must ensure the following areas are addressed as part of the initial assessment and evaluation:

(1) Initial Contact. Have the initial contact with patient (driver rehabilitation candidate) in an interview atmosphere.

(2) History. Obtain from patient the history of the patient s driving record, including any citations, accidents, or suspensions.

(3) Medical Clearance. Inform patient of steps to be taken to obtain medical clearance, if such is required from the State medical authority.



Pre-driving Testing

(1) Visual acuity, depth-perception, color-vision, peripheral-vision, night acuity, and glare recovery (tests may be administered by use of visual screening tools)

(2) Functional muscle testing.

(3) Basic perceptual test (e.g., dynamic figure-ground).

(4) Range of motion of all extremities, plus neck, if feasible. If lower extremities are non-functional, emphasis on exactness of upper extremity range of motion becomes greater.

(5) Coordination testing.

(6) Hearing (subjective).

(7) Balance (static and dynamic).

(8) Activity tolerance and susceptibility to fatigue.

(9) Spasticity.

(10) Bowel or bladder control.

(11) Reaction time, i.e., response time from accelerator to brake.

(12) Sensation and proprioception.

(13) Educational training

(14) Verification of Driver s license



On Road Testing:

Pre-Driving Skills

Knowledge of controls (turn signals, etc.)

Basic Driving Skills (low traffic area)

Complex Driving Skills (high traffic area)

Reaction time in real-world situations

Navigation skills

Parking skills

Overall driving skills



Scheduling & Documentation

Driver Rehabilitation staff will contact contractor when consult for driver rehabilitation training is ordered.

Veteran will be scheduled by contractor within fourteen days of referral.

Evaluation will be completed within 30 days after evaluation unless veteran prefers a later time.



POC/COTR

KT Supervisor or OT Supervisor will be the point of contact for VAPHS on this contract.