Methadone Treatment Provide opiate substitution services on weekends and federal holidays to patients of Drug Dependence Treatment Center of VA Boston Healthcare System.

STATEMENT OF WORK



1. General



A. Provide opiate substitution services for VA patients referred by VA Boston HCS Drug Dependence Treatment Center (DDTC) staff to include:

i. Opiate substitution medications and pharmaceutical counseling during weekends and Federal holidays.

ii. Copy of patient progress notes to document patient management and receipt of medication.



2. Estimated Work Load



A. Upon contract award, the average number of patients to receive pharmaceutical care for regular opiate replacement treatment is projected to be approximately 165 patient doses per month. This estimate may increase or decrease as determined by the VA.



3. Patient Management Documentation and Communication with VA Clinical Staff



A. Patients shall be informed by VA staff of this contractual arrangement for services. Only DDTC clinical staff will schedule/refer VA patients for services with the designated contractor. The VA/DDTC will contact the contractor by telephone and/or fax with a list of all patients to be referred to the weekend medication treatment program at the time of the decision to refer the patient for services. The VA/DDTC will provide documentation of referral to treatment, which will include: 1) a physical description of the patient, 2) the identifying data as listed in Paragraph 6 below, and 3) will provide the contractor a completed consent form to release VA medical records protected by 38 U.S.C. § 7332. At the time of a patient's initial visit to the contractor, the patient will present a copy of the referral documentation and show either the VA patient ID card or other agreed upon identification. The contractor shall also obtain and provide to the VA/DDTC a patient consent form to release information to the VA regarding care provided by the contractor.



B. The contractor shall provide patient management and treatment documentation to VA/DDTC as requested.



C. Within the first regular business day following a weekend, the contractor shall contact by 7:30 am, a designated VA/DDTC clinical staff by telephone at (617) 248-1035, 1013, 1008, 1039, or by fax at (617) 248-1014 to report any patient incident, adverse or untoward event, related directly or indirectly to patient treatment provided by the contractor. A copy of written documentation regarding the event shall follow the telephonic communication.



D. The contractor shall also communicate either by telephone or fax, by 7:30 am on the first business day following the weekend, a list of patients that both received their scheduled treatment or did not show for scheduled treatment.



E. The contractor shall notify the VA/DDTC if a patient elects to refuse the opiate substitution medication.



F. For all other emergent needs or problems, the contractor will contact the DDTC Program Manager at (617) 248-1007 or during "off" hours by calling the West Roxbury VAMC administrator on duty (AOD) at (857)203-5491, 5492, or by pager at (617) 705-0546.



4. Accreditation, Regulatory, Location and Staff Qualifications



A. The contractor shall be accredited by, or have applied for accreditation by, either The Joint Commission or the Commission of Accreditation of Rehabilitation Facilities (CARF). A copy of this accreditation must be submitted with the solicitation response.



B. The contractor shall provide copies of safety programs and policies on how personnel monitor/measure patient quality/safety.



C. The contractor shall provide all performance improvement and treatment data as specified in the Quality Assurance Surveillance Plan at the quarterly combined staff meetings between the contractor and DDTC staff.



D. The contractor shall comply with HIPAA regulations and execute a Business Associate Agreement (BAA) with the Dept. of Veterans Affairs, if required.



E. The contractor must perform the required work in accordance with Joint Commission and/or CARF standards.



F. The contractor shall provide a report detailing the names and credentials of all clinical staff providing contracted services.



G. The contractor is required to develop and maintain the following documents for each contractor employee providing contracted services:

i. Staff credentials and qualifications for the job.

ii. A current competency assessment (an assessment of knowledge, skills, abilities and behaviors required to perform a job correctly and skillfully).

iii. A current performance evaluation supporting the ability of the contractor employee to successfully perform the work required in this solicitation.



The contractor shall provide access to copies of these records for review, when requested, during quarterly combined meetings.



H. The contractor shall have all licenses, permits, accreditation and certificates required by state and federal law.



I. Licensed, registered and certified contractor employees shall follow the requirements of their licensure, registration, certification and their employing agency in the performance of their duties. Documentation of current licensure or certification shall be submitted to the VA/DDTC annually.



J. The contractor clinic location shall be no more than 0.2 miles away from public transportation. This requirement is in conjunction with VHABHS' efforts to provide patient-centered care. Any change in location would be communicated with VABHS in a timely manner.



K. The contractor shall provide services to VA patients during the hours of 8:00 am and 11:00 am on Saturdays and Sundays, and on federal holidays.

i. The ten holidays observed by the Federal Government are:

FEDERAL HOLIDAYS

New Year's Day Labor Day

Martin Luther King Day Columbus Day

President's Day Veterans Day

Memorial Day Thanksgiving Day

Independence Day Christmas Day

and any other day specifically declared by the President of the United States to be a national holiday.



L. The parties agree that the Contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose.



5. Billing and Invoice Submission



A. Billing shall be based upon an all-inclusive standard cost per VA/DDTC patient enrolled in the contractor's opiate substitution program. All services described shall be provided as clinically indicated and included in the all-inclusive standard cost per patient. Invoices shall be submitted monthly and payment shall be made upon receipt of properly prepared invoices.



B. Invoices shall include patient name, social security number, date of service rendered during the billing period, as well as any Contract/Purchase Order Numbers provided.



C. Please see Clause 852.232-72 and Section D.1 of the contract for additional information regarding submitting electronic invoices.



6. The VA/DDTC Shall Provide the Following Information to the Contractor Upon Referral of New Patients:



A. Full patient name, social security number and date of birth.



B. A completed consent form to release VA medical records protected by 38 U.S.C. 7732.



C. Date of referral.



D. Appropriate clinical history (both medical and psychiatric).



E. Physical descriptions, address, phone number, and identifiable tattoos or scars of referred patient's.



F. Name and telephone number of VA/DDTC contact.