Combine Solicitation – Q– RFP #VA257-16-R-1722 – STX Primary Care Physician
Notice Type: Combine Solicitation
Posted Date:
Office Address:
Subject: Q-- RFP #VA257-16-R-1722 - STX Primary Care Physician
Classification Code: Q - Medical services
Solicitation Number: VA25716R1722
Contact: Mr.
Setaside: Service-Disabled Veteran-Owned Small BusinessService-Disabled Veteran-Owned Small Business
Place of Performance (address): * See Solicitation Places of Performance *
Place of Performance (zipcode): See Notice
Place of Performance Country:
Description:
VA257-16-R-1722 COMBINED SYNOPSIS/SOLICITATION A.1 STANDARD FORM 1449 (SHALL BE ATTACHED)
SECTION B
B.1 CONTRACT ADMINISTRATION DATA
1.
a. CONTRACTOR INFORMATION:
Address: _______________________________________
City/State/Zip: _______________________________________
POC: _______________________________________
Phone: _______________________________________
TIN: _______________________________________
DUNS: ______________________________________
b. GOVERNMENT:
Email: [email protected]
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
[X] 52.232-34, Payment by Electronic Funds Transfer-Other Than System For Award Management
3. INVOICES: Invoices shall be submitted in arrears: [X] Monthly in arrears. Invoice shall depict the contract personnel's name, dates and hours worked, and assigned obligation number. Submit Invoice to the address in Block 18a of the SF 1449.
4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.
FMS-
PO Box 149971
5. INSTRUCTIONS TO OFFERORS: Offers shall submit their proposals in accordance with paragraph 12 below.
The Offeror shall submit the following information and documents with their proposals:
For each candidate to include:
License number, to include state currently registered and expiration date
List of all relevant education to include training in Universal Precautions and Blood Borne Pathogens, Hazardous Material Management and Life Safety Management (fire preparedness)
Job qualifications and any specialty training to include a narrative of experience as listed in paragraph 1.4 (Qualifications) of this solicitation.
A minimum of three (3) references of an equal to or higher level of licensure than the contractor applicant (name, address, capacity, current telephone number, current email address) including the current or last supervisor
Current resume/curriculum vitae material for a minimum of 4 Primary Care
Physicians (PCPs). Failure to provide a minimum of 4 PCPs may result in your offer
being non-responsive and may result in your offer not being considered for award.
Statement of availability
Statement of health
Copies of all current licenses and certificates as appropriate.
A minimum number of two of either: Past Performance Surveys or References from current or previous federal government contracts. (Surveys Attached)
Contractor's certificate of liability insurance
Socioeconomic Status: Copy of Verified SDVOSB or VOSB. Only verified SDVOSBs/VOSBs in the VIP database (VetBiz.gov) when an offer is submitted and at the time of contract award will be considered for award, any unverified firms will be considered non-responsive and ineligible for award.
Complete Clause 52.209-5 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW and Acknowledge Rules of Behavior.
Complete Contractor Certification of Immigration and Nationality Act
Complete Contractor Information
The Contractor shall verify and confirm via written statement that submitted candidates have a current health examination and fitness for work determination to include the following prior to providing any services (record of immunization and fitness determination required prior to clearance for work):
Receipt of Hepatitis B vaccine series, immune status as a result of acquired infection, or declination of the hepatitis vaccine
Receipt of measles-mumps-rubella (MMR) vaccine. Persons born before 1956 are exempt from this requirement.
Evidence of negative PPD within the last year, or, if known to be positive, evidence of a negative chest x-ray within the past year.
Evidence of varicella (chicken pox) history, or, if unknown, results of a varicella antibody test. If non-immune, must be vaccinated with Varivax.
The Contractor shall be responsible for providing updated documentation of training, vaccination, and licensing requirements annually, at the time of expiration of a particular requirement, and upon submission of subsequent candidates. Additionally, the contractor must certify in writing that immunizations/TB testing are up to date.
6. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
AMENDMENT No. DATE
7. TECHNICAL CRITERIA: Although offerors are only required to submit documentation listed in paragraph 5 above, Instructions to Offerors, the submission for each candidate submitted must demonstrate the experience and knowledge required in accordance with the Schedule of Services and the Statement of Work. Candidates must submit to security background investigation and immunization requirements after contract award and receive security approval prior to reporting for work under the contract.
8. PRICING: The contractor is encouraged to provide their best pricing with the offer as awards may be made without discussions or negotiations. Evaluation is based upon the best value - tradeoff that represents the best value for the Government. Therefore, the lowest price may not receive the award. Technical evaluation factors, when combined with past performance, are more important than price; however, price must be found to be fair and reasonable within the market or within a competitive range among technically qualified offerors.
9. BASIS FOR AWARD: The Government shall award a firm-fixed price contract resulting from this solicitation to the responsible offeror whose proposal, conforming to the solicitation, is the best value - tradeoffs. * THIS REQUIREMENT IS A TOTAL SDVOSB/VOSB SET-ASIDE *
10. QUESTIONS: All questions must be submitted to [email protected] no later than
11. OFFER/PROPOSAL DUE DATE/TIME:
Section 1 - Socioeconomic Status (Verified SDVOSB/VOSB)
Section 2 - Technical Capability
Section 3 - Past Performance
Section 4 - Pricing
Proposals shall be submitted no later than the solicitation close date and time by either email to [email protected], or on CD-ROM. NO FAX COPIES WILL BE ACCEPTED. If submitted via CD-R, it shall arrive at the address below not later than the solicitation date/time of closing. Mark the face of the package with: "SUBJ: VA257-16-R-1722 STX PCP Proposal. To be opened only by
Attn:
Late offers shall not be considered for award. All contractors must be current and active in SAM.gov. Subject line for emails should be -- SUBJ: VA257-16-R-1722 STX PCP Proposal.
B.2 PRICE/COST SCHEDULE
YEAR:
0001 Primary Care Physician Services. Maintain a minimum of four (4) FTE to be available to provide services. Total hours shall not exceed 8,064 for the period of performance. The Primary Care Service Coordinator shall confirm the exact duty day schedule and work hour shifts (including time for lunch breaks)
Hours: 8064 Unit Price: $__________________Total Amount:$____________________
* STANDARD FORM 1449 MUST BE COMPLETED AND RETURNED WITH PROPOSALS *
* ALL AMENDMENTS MUST BE ACKNOWLEDGED AND RETURNED WITH PROPOSALS *
NOTE: The price proposed above shall be an all-inclusive rate which includes all costs for housing and transportation, etc. This price shall also stand fast as an hourly rate for any hours that are performed above the normal 8 hour per day/40 hour per week scheduled work period.
B.3 SCHEDULE OF SERVICES
Under the authority of Public Law 104-262 and 38 U.S.C. --8153, the contractor agrees to provide a minimum of four (4) Family Primary Care - Family Practice/Internal Medicine Physician services to the
Places of Performance:
Kerrville Division (KVD) Primary Care,
B.4 STATEMENT OF WORK/PERFORMANCE WORK STATEMENT
PRIMARY
FAMILY PRACTICE/INTERNAL MEDICINE PHYSICIAN
STATEMENT OF WORK/PERFORMANCE WORK STATEMENT (SOW/PWS)
GENERAL
The contractor shall provide physician services for Primary Care at
Description of Work. The HCP shall provide physician services for Primary Care to patients assigned to STVHCS in
Performance Measures.
Outcome. The Contractor shall provide qualified personnel who shall fulfill the requirement to provide physician services for Primary Care at a standard enabling STVHCS to provide such services at a high level of quality. Providers are expected to comply with all requirements of the STVHCS including the use of the Computerized Patient Record System (CPRS) and shall complete all mandatory training required for clinicians in accordance to STVHCS and
Standards. Acceptable measures include: fill rate - 100%; employee turnover rate no more than one employee turnover per year (for more than one FTE consider using a percentage i.e., 25% and if the contract has multiple specialties, ensure standards are identified for each.); substantiated patient complaints - max 2 per year; per provider; no provider initiated cancellation of treatments except as medically required by patient, or provider illness or emergency leave. This shall only be done if there are no other providers to see the patients scheduled. It is highly recommended that there be a minimum of four providers credentialed and privileged with STVHCS in order to ensure that there are four physicians available full time at all times to eliminate any contractor physician absences. Other performance evaluation factors shall be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.
How Measured.
QUALIFICATIONS:
THIS REQUIREMENT IS A TOTAL SDVOSB/VOSB SET-ASIDE: Contractor shall provide SDVOSB or VOSB status verified in VetBiz.gov. First preference will be given to the Service Disable Veteran Owned Business (SDVOSB) whose offer is equal to or exceeds the proposals of any Veteran Owned Small Business (VOSB) that provides the best value to the Government. Only verified SDVOSBs/VOSBs in the VIP database (VetBiz.gov) when an offer is submitted and at the time of contract award will be considered for award, any unverified firms will be considered non-responsive and ineligible for award. The Order of preference is in accordance with VAAR 819.7004 Contracting Order of Priority.
Contractor employee shall possess and maintain a valid unrestricted current license from any
Contractor employee shall possess a valid Basic Cardiac Life Support (BCLS) certification during the contract period of performance.
The contract physician shall have no record of disciplinary action that would currently exclude, suspend, or terminate him/her as an authorized
Contract physician shall be Board Certified or Board Eligible in Internal Medicine or Family Practice. Shall have a degree of Doctor of Medicine or Osteopathic Medicine. Contractor employee shall be a Doctor of Medicine or Osteopathy who has successfully completed an approved residency, training program in a primary care specialty or is board certified in a primary care specialty such as Family Practice or Internal Medicine.
Contract physician shall have current, full and unrestricted license to practice medicine in a State, Territory, Commonwealth of
Contract physician employee shall be able to read, write, and speak English well enough to effectively communicate with all personnel eligible for medical care as required by 38 U.S.C. '--' 7402(d) and 7407(d).
Contract physician shall be able to utilize electronic record systems, including keyboarding.
Contract physician shall be required to meet Continuing Medical Education (CME) requirements. The government shall not reimburse for these costs.
Contract physician shall be mentally and physically able to fulfill responsibilities of the work to be performed.
The contract physician shall have and demonstrate sufficient experience to be able to diagnose and treat diseases and injuries to include, but not limited to the following:
Ears Nose Neck
Throat/Mouth Gastrointestinal System Cardiovascular System
Pulmonary System Genitourinary System Lymphatic System
Muscular Skeletal System Central Nervous System Reproductive System
Psychiatric Disease Endocrine System Peripheral Nervous System
The contract physician shall have and demonstrate sufficient experience to be able to perform medical procedures to include, but not limited to the following:
Nail Trephination
Sling or swath injuries / bandaging
Reduce dislocations and fracture when appropriate
Stabilize and evaluate cervical spine injuries as appropriate
Removal of foreign bodies as appropriate
Perform venous punctures for lab studies and interpret results
Draw arterial blood gases for evaluation and interpret results
Suture simple lacerations / remove sutures
Secure and maintain an adequate airway, by such means as: oral tracheal airways; oral tracheal intubation; nasal/tracheal intubation; crico-thyrotorny (needle and surgical)
Splint and stabilized traumatic injuries to extremities
Administer intravenous, intramuscular and subcutaneous medications as appropriate
Secure and maintain adequate intravenous access by peripheral and by central routes
Bladder catheterization
Local anesthesia
Restraints
The contract physician shall possess and demonstrate sufficient experience to be able to perform miscellaneous tasks to include, but not limited to the following:
Consult with consultant appropriately
Provide medical advice over the telephone
Complete all required paperwork/computerized documentation
Perform physical examinations
Obtain an adequate history, physical, assessment, and plan in a timely and appropriate manner on each patient and develop treatment plan
Utilize paraprofessional staff as appropriate
Respond to cardiopulmonary arrest as appropriate and arrange backup from STVHCS staff
Interpret electrocardiograms
Preliminarily interpret radiographs to include CAT scan
ADMINISTRATIVE
The government may elect to provide unique training to contract physician who are performing services under this contract. If STVHCS or the
HOURS OF PERFORMANCE
Duty hours: Duty hours and patient scheduling templates are established by the clinic Chief Medical Officer (CMO) and approved by the ACOS, Primary Care Service. Approximately 10 to 18 scheduled patients per day shall be serviced by the physician. Shifts may include 8, 10, or 12 hour shifts and may include weekdays, weekends, and federal holidays. However, the contract physician shall not normally be scheduled on federal holidays or for more than 40 hours per week unless by mutual agreement of the contractor, contract physician and the ACOS, Primary Care Service or his/her designee. Duty hours include one hour (per 8 hour shift), non-compensable lunch break.
There are 10 federal holidays observed by the Federal Government and/or any other day specifically declared by the President of
New Year's
And any other day specifically declared by the President of
On Call Hours: N/A
Scheduled absences shall be scheduled at least 30 calendar days in advance and mutually agreed upon by the CMO and contractor.
Unscheduled absences shall be called into the CMO by the contract physician within the first two hours of each duty day they are unable to report to work.
SPECIFIC TASKS
Contract Physicians shall:
Perform within the standards of conduct and perform by the rules and regulations of the
Perform all duties in such a manner that they meet all
The contract physician shall maintain proper medical records on all patients treated under this contract to include appropriate CPT/ICD coding, and administrative closure of patient records. The physician is mandated to fully and completely document all patient related information pertinent to the Veterans care and in accordance to the STVHCS and
Provider shall enter all orders and prescriptions electronically using CPRS.
B.5 SPECIAL CONTRACT REQUIREMENTS
SERVICES
The services specified in this contract may be changed by written modification to this contract. The modification shall be prepared by the VA Contracting Officer and, prior to becoming effective, shall be approved by the VA Undersecretary for Health or his/her designee.
Other necessary personnel for the operations of services contracted for the
The services to be performed by the contractor shall be performed in accordance with all
The services to be performed by the contractor shall be under the direction of the VA Director, STVHCS,
All referrals for non-
Contract workload shall be monitored by VA Primary Care Service using physician time sheet and information from the VISTA Appointment Management and Ambulatory computer packages, Patient Care Encounter (PCE) file, Computerized Patient Record System (CPRS) and Patient Treatment File (PTF).
TERM OF CONTRACT:
This contract is effective for 365/366 (
PERSONNEL POLICY:
The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel:
Worker's compensation
Professional liability insurance
Health examinations
Proof of Licensure
Credentials and qualifications for the job.
Current job description
Current competence assessment checklist (assessment of knowledge, skills, abilities, and behaviors required to perform a job correctly and skillfully)
Current performance evaluations supporting ability of contractor employee to successfully perform the work required in this solicitation.
Listing of relevant continuing education for the last two years
Income tax withholding, and
Social security payments
The parties agree that such contractor furnished personnel shall not be considered
The contractor shall provide current copies of these records at the time of the contract award and annually on the anniversary date of the contract award to the
BILLING:
The physicians shall need to fill out a contractor provided time sheet to track appropriate hours. These time sheets shall be verified by the CMO, signed bi-weekly and faxed to the contractor with a signed copy provided to the COR. Failure to turn in a time sheet could delay the payment process. The time sheets shall be used to validate hours worked by the Primary Care Service Office.
The invoices shall include:
Invoice date
Contract number
Purchase order number
Provider's name
Hours worked
Invoices shall be submitted no later than the 10th workday of the following month of performance. Subsequent changes or corrections shall be submitted by separate invoice.
Government Invoice Address: All invoices from the contractor shall be mailed to the following address:
FMS-
PO Box 149971
MONITORING PROCEDURES: Contract shall be monitored and validated against time sheets and billing using the VISTA Appointment Management Package, ambulatory database, Patient Care Encounter (PCE), Computerized Patient Record System (CPRS) and Patient Treatment File (PTF). These systems shall be used to verify procedures and clinic workload.
KEY PERSONNEL AND TEMPORARY EMERGENCY SITUATIONS:
Provider shall serve as Staff Physician throughout the period of the contract ad shall be under the direction of the Associate Chief of Staff (ACOS) Primary Care Service or his/her designated representative.
During the first 120 days of contract performance, the contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The contractor shall notify the Contracting Officer, in writing, within 5 calendar days after the occurrence of any of these events. Upon award and prior to the issuance of the full Notice To Proceed, the contractor shall provide and/
or confirm the names and information of the key personnel (minimum of 4) that will be working on this contract - those individuals should be the same (initial candidates) whose resume/curriculum vitae were provided with the offer. Any substitutes after the first 120 days shall only be acceptable if they meet the same or higher qualifications listed in the solicitation. The Contractor shall maintain a minimum of 4 Primary Care Physicians for the life of this contract.
The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete CVs for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer shall notify the contractor within 5 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract shall be modified to reflect any approved changes of key personnel.
For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days or more, the contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks shall require the procedures as stated above.
CONTRACTOR PERSONNEL SECURITY REQUIREMENTS: All contractor employees who require access to the
Position sensitivity - The position sensitivity has been designated as Low Risk.
Background Investigation - The level of background investigation commensurate with the required level of access is National Agency Check with Written Inquiries.
Contractor Responsibilities:
The contractor shall bear expenses of obtaining background investigations. The
The contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain a
The contractor shall submit or ensure that their employees submit the required information to the Contracting Officer and Contracting Officer's Representative (COR). The contractor shall submit the required forms to the VA Security and Investigation Center within 10 days of receipt of the email they receive with instructions to do so. The contractor shall not allow contractor personnel who require a background investigation to start performing until the contractor has received written confirmation from the Contracting Officer that the SIC has initiated a background investigation.
The contractor, when notified of an unfavorable determination by the government, shall withdraw the employee from consideration from working under the contract.
7.3.5. Sign and acknowledge (either manually or electronically) understanding of and responsibility for compliance with the Contractor Rules of Behavior, attached, relating to access to
7.3.6. Successfully complete the VA Cyber Security Awareness and Rules of Behavior training and annually complete required security training;
7.3.7. Successfully complete the appropriate
7.3.8. Successfully complete any additional cyber security or privacy training, as required for
7.3.9.The Contractor shall provide the Contracting Officer and/or the COTR a copy of the training certificates and certification of signing the Contractor Rules of Behavior for each applicable employee within one week of the initiation of the contract and annually thereafter, as required.
Failure to comply with the contractor personnel security requirements may result in termination of the contract for default.
PERSONAL IDENTITY VERFIICATION OF CONTRACTOR PERSONNEL: If required, Contracting Officer's Representative shall be responsible for coordination with Human Resources Management Services (HRMS) to obtain identification badges for contract personnel working under contract for which he/she has responsibility. Contractors shall wear/display issued identification badges in a visible manner while on STVHCS property. These procedures implement Homeland Security Presidential Directive-12 (HSPD-12),
CREDENTIALING AND PRIVILEGING: Credentialing and privileging shall be done in accordance with the provisions of VHA Handbook 1100.19. This
The credentialing, but not privileging, requirements of this handbook apply to physicians, dentists and other practitioners allowed by law and the facility to practice independently who are assigned to Research or administrative positions not involved in patient care.
Physicians assigned by the contractor to work at the
A complete credentialing shall be provided to the STVHCS credentialing office within 10 working days from date of award.
HIPPA COMPLIANCE: Contractor shall adhere to the provision of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPPA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the
Contractor shall provide health care to patients seeking such care from or through
Records created by the contractor in the course of treating
Upon the expiration of this contract or termination of the contract, the contractor shall promptly provide the
TJC, VHA, QM AND OTHER STANDARDS: The contractor shall be responsible to ensure that Contractor's employees providing work on this contract are fully trained and completely competent to perform the required work. The contractor shall perform the required work in accordance with The Joint Commission (TJC) and Veterans Health Administration Standards. The TJC website is www.jointcommission.org. The contractor shall comply with all annual updates as issued. Contractor agrees to maintain the minimum acceptable service, reporting systems and quality control as specified herein. Failure to comply with the specified terms and conditions and/or adverse reports from external monitoring agencies that indicate poor quality of care may be grounds for termination of the contract. Contract shall provide immediate notification, within 24 hours, to the responsible
QUALITY MANAGEMENT MONITORING: SERVICES PROVIDED BY CONTRACT STAFF AT A VA FACILITY: It is the expectation that the performance of contracted services shall meet basic principles of risk reduction, safety, staff competence, and performance improvement. The
Each licensed independent practitioner and/or allied health physician extender providing services through a contractual agreement shall be credentialed and privileged by the
The
In the event that contracted services do not meet quality and/or safety expectations, the best remedy shall be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for the contract staff to be provided by the
TUBERCULIN
CONTRACTOR AUTOMATION SECURITY REQUIREMENTS: Unless written authorization is issued by the Contracting Officer, contractor employees shall not use any form of removable storage media when providing services under the terms of this contract. Removable storage media includes, but is not limited to, USB thumb drives, MP3 Players, and external hard drives. Should the contractor determine that the use of removable storage devices is required they shall submit a written request with full justification to the Contracting Officer. For contractor employees who have such devices, and if used to store sensitive information, the device shall contain protective features that have the approval of the local senior Office of information and Technology (OI&T) official. Unless and until this written authorization is received, contractor personnel are not authorized to use any form of removable storage media when providing services under the terms of this contract.
OFFEROR'S REQUIREMENTS AND CLAUSES SHALL BE ADDED AS AN ATTACHMENT DUE TO SIZE RESTRAINTS * THIS REQUIREMENT IS A TOTAL SDVOSB/VOSB SET-ASIDE *
Link/URL: https://www.fbo.gov/spg/VA/VANTHCS/VANTHCS/VA25716R1722/listing.html
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