Q– Community Nursing Home (CNH)
Notice Type: Sources Sought Notice
Posted Date:
Office Address:
Subject: Q--
Classification Code:
Solicitation Number: 36C25618R0493
Contact: Thomas M. KovarovicContract Specilaist (Contractor) [email protected] mailto:[email protected] [[email protected]]
Setaside: Total Small BusinessTotal Small Business
Description:
Page 9 of 10SOURCES SOUGHT NOTICE:
Community Nursing Home Services Indefinite Delivery Contract (IDC)
DESCRIPTION: This is a sources sought notice to determine the availability of potential sources having the skills and capabilities necessary to provide
REQUIRED: Interested agencies will be Medicaid/Medicare as applicable to the location as a Certified Nursing Home Facility, licensed as a Nursing Home by the
REQUESTED INFORMATION: (1) STATEMENT OF CABABILITY: Submit a brief description, five (5) pages or less, that demonstrates how your company can provide the requested services at time of award. (i.e. if you can only support a certain number of beds, please state what you can provide). Include your company s past experience in performing these services to the
Responses will only be accepted in writing and must be emailed to [email protected] no later than
MEDICAID PERFORMANCE WORK STATEMENT (PWS)
1. Federal Acquisition Regulation (FAR) Indefinite Delivery Contract (IDC). In accordance with FAR 16.504, Indefinite-Quantity Contracts, this is a IDC for the time period
2. Services Rendered at VA Per Diem Rates. Upon acceptance of a
3. Ordering. Orders will be issued by Ordering Officers to place Veterans in
Ordering Officer Name:
Address
Telephone number
318-466-2431/2265
E-mail address
Facsimile number
318-483-5064
Agency task and delivery order ombudsman (see 16.505(b)(8)) if multiple awards may be made.
Background/Introduction.
Requirements
1. General. Nursing home facilities in the CNH program shall ensure that care meets the health needs and promotes the maximum well-being of
2. Termination of Services.
3. VA Authorizations. Authorization for nursing home care will be submitted on VA Form 10-7078, Authorization and Invoice for Medical and Hospital Services. Each authorization validity period will be noted on the VA Form 10-7078 with a beginning and end date. Any extension to the original authorization validity period, regardless of the number of days, requires a new VA Form 10-7078.
4. Medicaid-Based Rates. The current State Medicaid rates may be used as a basis for determination of
5. Primary Medical Coverage. The assigned CNH provider is the primary medical provider during the nursing home stay and is responsible for writing or approving admission and all other orders as soon as the veteran arrives at the CNH. The CNH provider is responsible for general medical care, urgent evaluation and intervention. Provider visits will be according to the
6. Rehabilitation Criteria. All therapy provided under this IDC will be individual therapy, rather than group therapy, unless otherwise ordered by the authorizing
Description of Rehabilitative Therapy. The concept of rehabilitative therapy includes recovery or improvement in function and, when possible, restoration to a previous level of health and well-being. Therefore, evaluation, re-evaluation and assessment documented in the Progress Report should describe objective measurements which, when compared, show improvements in function, or decrease in severity, or justification for an optimistic outlook to justify continued treatment. Covered therapy services shall be rehabilitative therapy services unless they meet the criteria for maintenance therapy requiring the skills of a therapist.
Evaluations/re-evaluations should consider the following: Establishment of treatment goals specific to the patient s disability or dysfunction and designed to specifically address each problem identified in the evaluation; design of a plan of care addressing the patient s disorder, including establishment of procedures to obtain goals, determining the frequency and intensity of treatment; continued assessment and analysis during implementation of the services at regular intervals; instruction leading to establishment of compensatory skills; selection of devices to replace or augment a function (e.g., for use as an alternative communication system and short-term training on use of the device or system); and patient and family training to augment rehabilitative treatment or establish a maintenance program. Education of staff and family should be ongoing.
7. Emergency Care; Financial Responsibility; Advanced Directives. In emergencies, nursing home staff will utilize the 911 local emergency systems as for any resident. Advance directives or living wills shall be adhered to according to CNH physician s orders. When private hospitalization or emergency services are required, the patient, spouse, financial guardian or insurer is financially responsible. Service connected veterans may qualify for
8. HIPAA Compliance. HIPAA compliance is required. The Contractor must adhere to the
provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA)
of 1996 and the National Standards to Protect the Privacy and Security of
Information (PHI). As required by HIPAA, the
(HHS) has promulgated rules governing the security and use and disclosure of protected health
information by covered entities, including the
with HIPAA, the Contractor may be required to enter into a Business Associate Agreement (BAA)
with
9. State Licensure; Access to CNH Quality of Care Reports (QASP Indicator #1). The CNH must maintain a current and unrestricted state license to operate as a skilled nursing facility. Changes in the status of the licensure will be immediately reported to the
10. Corrective Action Plan (QASP Indicator #2). The CNH will cooperate with timely development of Corrective Action Plans (CAPs) related to identified deficiencies and related to State, Federal or
contain elements detailing how the CNH will correct the deficiency as it relates to the individual;
indicate how the CNH will act to protect residents in similar situations;
Include the measures the CNH will take or systems that will be altered to ensure that the problem will not recur. The CNH must look at the system and determine if a change to the existing system will work, if a new system is necessary, or if a system does not exist and must be developed;
Indicate how the CNH plans to monitor performance to make sure that solutions are permanent. The CNH must develop a quality assurance tool for ensuring that correction is achieved and sustained. This tool must be implemented. Failure to implement a quality assurance tool to sustain compliance will reflect that the CNH has an ineffective quality assurance system; and
Provide dates when corrective action will be completed.
11. Life Safety Code. The CNH s building shall conform to the most recent standards of the Life Safety Code (National Fire Protection Association Standard #101) in effect on the date of the IDC award and compliance with all applicable Federal, State and local regulations. The administrator of the CNH is required to notify the VA Contracting Officer in writing at least thirty (30) calendar days prior to any planned facility changes that could impact the Life Safety Code and other safety features of the facility which were in existence at the time this IDC became effective. The VA Contracting Officer will notify the VA Safety Manager responsible for the Life Safety Code inspection of the CNH and he/she will review (inspect the facility if required) the proposed changes and provide necessary approval or disapproval of the CNH to house veterans during and/or after the proposed changes. These changes may include but are not limited to:
Interior changes requiring
Automatic sprinkler system. All
Natural disasters. In the event of a natural disaster (flood, tornado, etc.), the CNH shall communicate all action plans to
Major construction; additions; and renovations. Major construction including building additions or other renovations which may affect physical plant integrity; SHALL MEET latest NFPA 101 Life/Safety Code requirements as well as any additional VA CNH construction standards in place at time of renovation or alteration.
12. Acceptable Safety and Sanitation Practices. Acceptable safety and sanitation practices shall be observed throughout the facility. The CNH will address employee and patient safety practices through staff orientation, training and adherence to related policy or procedures to provide a safe and clean environment.
13. Re-admission to the
When such an admission is not feasible because of the nature of the emergency, hospitalization in a non-Federal facility may be accomplished provided
In the event of a death of any veteran, the Contractor agrees to notify
When disposition has been made, the itemized inventory with annotation as to the disposition of the funds and effects will be immediately forwarded to the
14. Leave of Absence (LOA) Bed-Hold Statement. For re-hospitalizations or therapeutic passes,
The host
2 days/episode, pre-approved by
Bed-hold will begin the date the resident leaves the CNH and full per diem will resume on the date of readmission to the CNH. Absences of fifteen (15) consecutive calendar days or more, whether in a
15. Reportable Events (QASP Indicator #4).
Sentinel events;
When there is a change of ownership of the CNH;
When there is a change of nursing home administrator or Director of Nursing/Director of Nursing Service;
substantiated allegations of mistreatment, neglect, abuse or misappropriation of CNH veterans or property;
Elopements of CNH veterans pursuant to state regulations;
Infectious outbreaks;
Resident to resident or resident to staff altercations involving a CNH veteran resulting in any injury that is other than minor;
Copies of annual surveys or substantiated complaint investigations conducted by a State oversight agency; and
Adverse events. Reporting shall include date of occurrence and patient disposition and outcome.
A sentinel event may include, but is not limited to the following:
A fall resulting in death or injury;
Elopement resulting in a missing patient;
Patient abuse confirmed or under suspicion;
A medication error resulting in patient illness or injury;
Death or patient injury related to restraint (including side rails) use; or
Death related to an unconfirmed or suspicious cause.
When an adverse event occurs involving a CNH Veteran which is not determined to be a Sentinel Event (but that the State requires that the occurrence be reported to the State), such event is also to be reported to
16. VA Actions Regarding Serious Quality of Care Deficiencies. In cases of serious deficiencies affecting the health or safety of veterans or in cases of continued uncorrected deficiencies,
Increase
Suspend placement of veterans in the CNH;
Remove or transfer veterans under the IDC from the subject CNH;
Not renew the IDC; and/or
Terminate the IDC.
17.
VAHCS Referral Package to the CNH:
1. Copy of Physician Orders for
2. Copy of Authorization Agreement (VAF 10-7078).
b. Nursing Home Clinical Record: The CNH must maintain clinical records on each veteran in accordance with accepted professional standards and practice. The clinical record must be: complete, accurately documented, readily accessible, systematically organized, and legible. Clinical records must contain at a minimum:
Sufficient information to identify the resident;
A record of the veteran s assessments, including those assessments performed by services under the IDC with the CNH;
The plan of care and services including medication administration, provided by CNH staff and services provided under the IDC with the CNH;
Interdisciplinary progress notes to include effect of care provided, veterans response to treatment, change in condition, and changes in treatment;
Medical practitioner orders which are signed and dated;
Allergies;
Person to contact in an emergency situation;
Advanced directives if available.
c. Clinical Record Safeguards: The CNH must safeguard clinical record information against loss, destruction, or unauthorized use. If the CNH maintains a veteran s record by computer, electronic signatures are acceptable. If attestation is done on computer records, safeguards to prevent unauthorized access and to provide for reconstruction of information must be in place.
18. Specialty Services. The CNH will assume responsibility for arranging specialty care for veterans (e.g., dental care, podiatry and ophthalmology).
19. VA Health Care System Consultation/Resources.
(a) Telephone Care Communications Systems (TCCS): For urgent same-day outpatient specialty care or for non-urgent scheduled clinic appointments/consultations, phone 318-466-2431/2265
(b) Admissions Conference Call Systems phone number Phone #:318-466-2431/2265
For non-emergency consultation or /evaluation for admission to the
(c) After hours, weekends and holidays: For urgent referrals or consultation contact the
Admission Conference Call System number 318-466-4402. (Urgent Care), still leave message at the above phone number.
(d) Transportation: Necessary transportation to and from the
20. Charitable Contributions. The CNH will not solicit contributions, donations, or gifts from patients or family members. Note: Established charitable fundraising activities of a CNH fall outside the scope of this language.
21. CNH Billing (QASP Indicator #6). Invoices for board, care and ancillary services shall be submitted promptly to the authorizing facility by the 15th calendar day following the end of the month in which services were rendered. The CNH will promptly notify the VA CNH Coordinator regarding any change in Veteran status: discharge, transfer, against medical advice (
Pre-approves services billed by CMS procedures or CPT codes: All services which are pre-approved by
High cost drugs: All requests for additional reimbursement for high cost drugs and corresponding billing are due as soon as possible, but no later than 90 calendar days after use of products.
Invoices: Corrected invoices must be submitted for additional payment of any ancillary costs or changes to the original billing. All corrected invoices must include all items that are affected by the change.
22. Minimum Quantities; VA Payment. It is impossible to determine the exact or estimated amount, which will be expended under this IDC. No obligation will be incurred by
23. VA Payments. Payments made by
Vendors who bill electronically using the HIPAA-compliant claims transactions must submit claims through the
Vendors who are not able to use the HIPAA-compliant transactions are not required to do so. Supporting information for monthly invoices will be mailed to:
P. O. Box 69004
ATTN:
END PERFORMANCE WORK STATEMENT
Link/URL: https://www.fbo.gov/spg/VA/VACAHCS598/VACAHCS598/36C25618R0493/listing.html
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