Sources Sought Notice – Q– Pulmonary / Critical Care Locum Tenans
Notice Type: Sources Sought Notice
Posted Date:
Office Address:
Subject: Q-- Pulmonary / Critical Care Locum Tenans
Classification Code: Q - Medical services
Solicitation Number: VA26117N0133
Contact:
Setaside: N/AN/A
Place of Performance (address):
Place of Performance (zipcode): 89502-3828
Place of Performance Country:
Description:
Page 15 of 17
THIS IS A SOURCES SOUGHT NOTICE
(a) The Government does not intend to award a contract on the basis of this Sources Sought or to otherwise pay for the information solicited.
(b) Although proposal, offeror, contractor, and offeror may be used in this sources sought notice, any response will be treated as information only. It shall not be used as a proposal.
(c) Any information received from a contractor in response to this Sources Sought may be used in creating a solicitation. Any information received which is marked with a statement, such as proprietary or confidential, intended to restrict distribution will not be distributed outside of the Government, except as required by law.
(d) This Sources Sought is issued for the purpose of collecting information about the availability of Board Certified /Board Eligible Pulmonary/Critical Care Physician Services from different sources for the desired service listed in the Performance Work Statement (PWS).
(e) Contractors that feel they have an equal service are encouraged to provide a quote in response to this notice and/or email full information to
Contractors shall identify the NAICS code for the product being offered as well as their size status.
Contractors shall identify whether they have a GSA contract or not as well as whether this requirement is on their GSA contract.
Contractors shall furnish supporting documentation, which demonstrates that the proposed equal service meet or exceed the PWS.
Contractor shall identify any concerns or questions regarding the PWS.
Please respond no later than COB Monday 12/12/16.
Performance Work Statement for Onsite Pulmonary/Critical Care Physician Services
GENERAL:
Services Provided: The Contractor shall provide Board Certified Pulmonary/Critical Care Physician Services on site in accordance with the specifications contained herein to beneficiaries of the
Place of Performance
Authority: Title 38
Policy/Handbooks:
- VA Directive 1663:
VHA Directive 2006-041 Veterans Health Care Service Standards (expired but still in effect pending revision)
https://www1.va.gov/vhapublications/ViewPublication.asp pub_ID=1443
- VHA Handbook 1100.17: National Practitioner Data Bank Reports - http://www1.va.gov/vhapublications/ViewPublication.asp pub_ID=2135
- VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards - http://www1.va.gov/vhapublications/ViewPublication.asp pub_ID=1364
- VHA Handbook 1100.19 Credentialing and Privileging - http://www.va.gov/vhapublications/ViewPublication.asp pub_ID=2910
- VHA Handbook 1400.01 Resident Supervision http://www.va.gov/vhapublications/ViewPublication.asp pub_ID=2847
VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp pub_ID=2791
- Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm
Definitions/Acronyms- Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.
ABIM: American
ACGME:
ACLS: Advanced Cardiac Life Support
AOD: Admitting Officer of the Day
BLS: Basic Life Support
CCNE:
CDC:
CDR: Contract Discrepancy Report
CEU: Certified Education Unit
CME: Continuing Medical Education
CMS:
Contracting Officer (CO) The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.
Contracting Officer s Representative (COR) A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.
COS: Chief of Staff
CPARS: Contractor Performance Assessment Reporting System
CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the
Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.
ED:
FSMB:
Full Time Equivalent (FTE):
HHS:
HIPAA: Health Insurance Portability and Accountability Act
HR: Human Resources
ISO: Information Security Officer
Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.
MOD: Medical Officer of the Day
National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The
NLNAC:
Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors
NP: Nurse Practitioner
NPPES: National Plan and Provider Enumeration System
PA: Physician Assistant
PALS: Pediatric Advanced Life Support
POP: Period of Performance
PPD: Purified Protein Derivative
PWS: Performance Work Statement
Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual s license, based upon the individual s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.
QA/QI: Quality Assurance/Quality Improvement
QM/PI: Quality Management/Performance Improvement
QASP: Quality Assurance Surveillance Plan
Veterans Integrated Services Network (VISN): The regional oversight for the
VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient s medical record and with the hospital information system.
VetPro: a federal web-based credentialing program for healthcare providers.
QUALIFICATIONS:
Staff/Facility
License The Contractor s physician (s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of
All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor s physician (s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.
Board Certification - All contractor s physician (s) shall Board Certified /Board Eligible by the American
Credentialing and Privileging Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges.
If a contractor s physician (s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.
Technical Proficiency - Contractor s physician (s) shall be technically proficient in the skills necessary to fulfill the government s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractor s physician (s) and contractor s physician (s)shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.
Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contractor s physician (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contractor s physician (s).
Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all
Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.
TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all contractor s physician (s). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.
RUBELLA TESTING: Contractor shall provide proof of immunization for all contractor s physician (s)for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.
OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contractor s physician (s); provide their own Hepatitis B vaccination series at no cost to the
National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The
Conflict of Interest: The Contractor and all contractor s physician (s)are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided.-- The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services.-- The Contractor must also provide relevant facts that show how it s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (
Citizenship related Requirements:
The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security,
While performing services for the
If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the
This certification concerns a matter within the jurisdiction of an agency of
The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.
Annual
Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor s physician (s)are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.
By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.
Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by
Non Personal Healthcare Services: The parties agree that the Contractor and all contractor s physician (s)shall not be considered
Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.----
Prohibition Against Self-Referral: Contractor s physicians are prohibited from referring
Inherent Government Functions: Contractor and Contractor s physician (s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.
No Employee status: The Contractor shall be responsible for protecting Contractor s physician (s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:
Workers compensation
Professional liability insurance
Health examinations
Income tax withholding, and
Social security payments.
Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor s physician (s). When a Contractor or contractor s physician (s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor s (or contractor s physician (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.
Key Personnel:
The VA Full Time Equivalency (FTE) for the services required is one (1). FTE is defined by
The number of Board Certified /Board Eligible Pulmonary/Critical Care physicians required to be on site on a daily basis is one, as defined in paragraph Hours of Operation in this section.
The Contractor shall be responsible for providing coverage to the
Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make
The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within FIVE calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.
Temporary substitutions are not authorized.
The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor s physician (s), s/he may request, without cause, immediate replacement of said Contractor s physician (s) .The CO and COR shall deal with issues raised concerning Contractor s physician (s) conduct. The final arbiter on questions of acceptability is the CO.
Contingency Plan: Because continuity of care is an essential part of VAMC s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor s physician (s) leaves Contractor s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract. .
VA HOURS OF OPERATION/SCHEDULING: THE ICU IS OPEN 24 HOURS PER DAY, 365 DAYS PER YEAR, INCLUDING HOLIDAYS.
VA Business Hours: Standard business hours for
Patients must be seen by a contractor s physician (s) on-site in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.
Contractor s physician(s) shall be available and present in clinic during normal clinic hours, which are outlined in item 3.1; these clinic hours may be revised, as deemed appropriate for patient care by the Chief of Staff.
Off-hours Coverage: Contractor must make the contractor s physician (s) available on-call during all hours when the VAMC clinic is closed, including evenings, weekends and holidays.
On-call contractor s physicians must--be available at all times for phone consultations with
Patients must be seen within 60 minutes of the page when medically indicated.
Federal Holidays: The following holidays are observed by the
Christmas
Any day specifically declared by the President of
Cancellations: Unless a state of emergency has been declared, the Contractor shall be responsible for providing services.
CONTRACTOR RESPONSIBILITIES
Clinical Personnel Required: The Contractor shall provide contractor s physician (s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.
Contractor s physician (s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor s invoices.
Standards of Care: The contractor s physician (s) care shall cover the range of Pulmonary services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized TJC,
VA Standards: VHA Directive 2006-041 Veterans Health Care Service Standards (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp pub_ID=1443
The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/standards.aspx
The standards of the
The requirements contained in this PWS
Resident Supervision and Teaching:
Resident Supervision/Teaching: According to the guidelines dictated by the
Academic environment: Provide for an academic environment conducive to the training and professional development for residents rotating through the Internal Medicine/Pulmonary Service.
Resident patient care documentation: Contractor s physician (s) shall be responsible for complying with the Residency review documentation and insuring that all notes and encounters are completed and shall appropriately document medical records in accordance with
Clinical Direction and Oversight: Contractor s physician (s) shall provide clinical direction to and oversight of residents/fellows consistent with current accreditation guidelines, clinical research, protocol development, data management of protocols, quality assurance conferences and meetings, and affiliate /
Attending Physician: Clinics/Pulmonary procedures shall not be conducted by residents in the absence of an attending physician. All procedures, inpatient admissions and consults shall be the responsibility of an attending physician.
MEDICAL RECORDS
Authorities: Contractor s physician (s)providing healthcare services to
HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the
Disclosure: Contractor s physician (s) may have access to patient medical records: however, Contractor shall obtain permission from the
Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp pub_ID=2791 and all guidelines provided by the VAMC.
Release of Information: The
Direct
Per the qualification section of this PWS, the Contractor shall provide the following staff:
Board Certified/Board Eligible Pulmonary/Critical Care Physician
Scope of Care: Contractor s physician (s) (as appropriate and within scope of practice/privileging) shall be responsible for providing Pulmonary/Critical Care, including, but not limited to :
Clinic and Critical Care: Contractor s physician (s) shall provide clinical Pulmonary and Critical Care services. Contractor s physician (s) shall be present on time for any scheduled clinics/ICU tour as documented by physical presence in the clinic or operating room at the scheduled start time.
Approximate case load is as follows:
# of patients per clinic: 16
# of patients per ICU rotation: varies, maximum of 12.
Operative Services: Contractor s physician (s) shall provide comprehensive clinical Pulmonary/Critical Care services including the diagnosis and treatment of pulmonary disease. Typical procedures include, but are not limited to:
NOTE: CPT Codes provided for reference only. Not for billing purposes.
31615 Visualization of windpipe
94013 Meas lung vol thru 2 yrs
94014 Patient recorded spirometry
31620 Endobronchial us add-on
94015 Patient recorded spirometry
94016 Review patient spirometry
31622 Dx bronchoscope/wash
94060 Evaluation of wheezing
94060 26 Evaluation of wheezing
31623 Dx bronchoscope/brush
94060 TC Evaluation of wheezing
94070 Evaluation of wheezing
31624 Dx bronchoscope/lavage
94070 26 Evaluation of wheezing
94070 TC Evaluation of wheezing
31625 Bronchoscopy w/biopsy(s)
94150 Vital capacity test
94150 26 Vital capacity test
31626 Bronchoscopy w/markers
94150 TC Vital capacity test
94200 Lung function test (MBC/MVV)
31627 Navigational bronchoscopy
94200 26 Lung function test (MBC/MVV)
94200 TC Lung function test (MBC/MVV)
31628 Bronchoscopy/lung bx each
94250 Expired gas collection
94250 26 Expired gas collection
31629 Bronchoscopy/needle bx each
94250 TC Expired gas collection
94375 Respiratory flow volume loop
31630 Bronchoscopy dilate/fx repr
94375 26 Respiratory flow volume loop
94375 TC Respiratory flow volume loop
31631 Bronchoscopy dilate w/stent
94400 CO2 breathing response curve
94400 26 CO2 breathing response curve
31632 Bronchoscopy/lung bx addl
94400 TC CO2 breathing response curve
94450 Hypoxia response curve
31633 Bronchoscopy/needle bx addl
94450 26 Hypoxia response curve
94450 TC Hypoxia response curve
31634 Bronch w/balloon occlusion
94452 Hast w/report
94452 26 Hast w/report
31635 Bronchoscopy w/fb removal
94452 TC Hast w/report
94453 Hast w/oxygen titrate
31636 Bronchoscopy bronch stents
94453 26 Hast w/oxygen titrate
94453 TC Hast w/oxygen titrate
31637 Bronchoscopy stent add-on
94610 Surfactant admin thru tube
94620 Pulmonary stress test/simple
31638 Bronchoscopy revise stent
94620 26 Pulmonary stress test/simple
94620 TC Pulmonary stress test/simple
31640 Bronchoscopy w/tumor excise
94621 Pulm stress test/complex
94621 26 Pulm stress test/complex
31641 Bronchoscopy treat blockage
94621 TC Pulm stress test/complex
94640 Airway inhalation treatment
31643 Diag bronchoscope/catheter
94642 Aerosol inhalation treatment
94644 Cbt 1st hour
31645 Bronchoscopy clear airways
94645 Cbt each addl
94660 Pos airway pressure cpap
31646 Bronchoscopy reclear airway
94662 Neg press ventilation cnp
94664 Evaluate pt use of inhaler
31647 Bronchial valve init insert
94667 Chest wall manipulation $
94668 Chest wall manipulation
31648 Bronchial valve remov init
94680 Exhaled air analysis o2
94680 26 Exhaled air analysis o2
31649 Bronchial valve remov addl
94680 TC Exhaled air analysis o2
94681 Exhaled air analysis o2/co2
31651 Bronchial valve addl insert
94681 26 Exhaled air analysis o2/co2
94681 TC Exhaled air analysis o2/co2
31660 Bronch thermoplsty 1 lobe
94690 Exhaled air analysis
94690 26 Exhaled air analysis
31661 Bronch thermoplsty 2/> lobes
94690 TC Exhaled air analysis
94726 Pulm funct tst plethysmograp
94002 Vent mgmt inpat init day
94726 26 Pulm funct tst plethysmograp
94726 TC Pulm funct tst plethysmograp
94003 Vent mgmt inpat subq day
94727 Pulm function test by gas
94727 26 Pulm function test by gas
94010 Breathing capacity test
94727 TC Pulm function test by gas
94728 Pulm funct test oscillometry
94010 26 Breathing capacity test
94728 26 Pulm funct test oscillometry
94728 TC Pulm funct test oscillometry
94010 TC Breathing capacity test
94729 Co/membane diffuse capacity
94729 26 Co/membane diffuse capacity
94011 Spirometry up to 2 yrs old
94729 TC Co/membane diffuse capacity
94750 Pulmonary compliance study
94012 Spirmtry w/brnchdil inf-2
94750 26 Pulmonary compliance study
94750 TC Pulmonary compliance study
94799 26 Pulmonary service/procedure Unlisted
94760 Measure blood oxygen level
94761 Measure blood oxygen level exercise
94799 TC Pulmonary service/procedure Unlisted
94762 Measure blood oxygen level
94770 Exhaled carbon dioxide test
95012 Exhaled nitric oxide meas
94772 Breath recording infant
94772 26 Breath recording infant
95782 Polysom paramtrs
94772 TC Breath recording infant
94774 Ped home apnea rec compl
95782 26 Polysom paramtrs
94775 Ped home apnea rec hk-up
94776 Ped home apnea rec downld
95782 TC Polysom paramtrs
94777 Ped home apnea rec report
94780 Car seat/bed test 60 min
95783 Polysom param
95810 Polysom 6/> yrs 4/> param
95800 Slp stdy unattended
95807 Sleep study attended
95811 Polysom 6/>yrs cpap 4/> parm
95801 Slp stdy unatnd w/anal
95806 Sleep study unatt & resp efft
99291 Critical care first hour
95803 Actigraphy testing
95805 Multiple sleep latency test
99292 Critical care addl 30 min
Contractor s physician (s) shall provide consultative services at the patient s bedside if the patient is not ambulatory and in the clinic setting if the patient is able to report to the outpatient clinic. Procedures shall be scheduled for completion within 30 days of the date of the consult.
Medications: Contractor s physician (s) shall follow all established medication policies and procedures.
Discharge education: Contractor s physician (s)shall provide discharge education and follow up instructions that are coordinated with the next care setting for all Pulmonary clinical or surgical patients.
ADMINISTRATIVE: None.
Quality Improvement Meetings: The contractor s physician(s) shall not be required to participate in continuous quality improvement activities or meetings.
Staff Meetings: The contractor s physician(s) shall not be required to attend staff meetings.
QA/QI documentation: The contractor s physician(s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations.
Patient Safety Compliance and Reporting: Contractor s physician(s) shall follow all established patient safety and infection control standards of care. Contractor s physician(s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the COR VA Safety Policy. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested.
PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI)
Quality Management/Quality Assurance Surveillance: Contractor s physician(s) shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, and Peer Reviews. Methods of Surveillance: Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE). Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted.
Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. In the event that The Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse.
The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The CO and COR shall deal with issues raised concerning Contractor s conduct. The final arbiter on questions of acceptability is the CO.
Performance Standards:
Measure: Provider Quality Performance
Performance Requirement:
Standard: OPPE documentation for all (100%) staff providing services under the contract. All staff (100%) meet Standards.
Acceptable Quality Level: 100% meet Standards
Surveillance Method: Ongoing Provider Performance Evaluation (OPPE) data pertinent to care performed for each provider working under this contract. OPPE data will review the following elements:
A. Patient Care Performance
B. Medical/Clinical knowledge
C. Practiced Based Learning and Improvement
D. Interpersonal and Communication Skills
E. Professionalism
F. System Based Practice
Frequency: Ongoing
Incentive: Favorable Contractor Performance Evaluation
Disincentive: Unfavorable Contractor Performance Evaluation, removal from contract until such time the contract physician(s) meet qualification standards. Deduction: none
Measure: Qualifications of Key Personnel
Performance Requirement: All contractor physician(s) shall be Board Certified /Board Eligible in accordance with the American
Standard: All (100%) contractor physician(s) are Board Certified /Board Eligible as noted above.
Acceptable Quality Level: 100%, no deviations accepted
Surveillance Method: Random Inspection of qualification documents
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contractor performance evaluation. Deduction: none
Measure: Scope of Practice/Privileging
Performance Requirement: Contractor physician(s) perform within their individual scopes of practice/privileging.
Standard: All (100%) contractor physician(s) perform within their scope of practice/privileges 100% of the time.
Acceptable Quality Level: 100% of contractor physician(s) perform within their scope of practice/privileges 100%of the time.
Surveillance Method: Random Inspection of records.
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contractor s physician(s) meet qualification standard. Deduction: none
Measure: Patient Access
Performance Requirement: The Contractor shall provide contractor physician(s) in accordance with the operating hours and
Standard: All (100%) contractor s physician(s) are on time and available to perform services.
Acceptable Quality Level: Contractor physician(s) on-time and available to perform services 97% of the time
Surveillance Method: Periodic Sampling of Time and Attendance Sheets
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contractor performance evaluation, Deduction: none
Measure: Patient Safety
Performance Requirement: Patient safety incidents shall be reported using Patient Safety Report. All incidents reported immediately (within 24 hours.)
Standard: All (100%) of patient safety incidents are reported using Patient Safety Report within 24 hours of incident.
Acceptable Quality Level: 100% of patient safety incidents are reported using Patient Safety Report within 24 hours of incident.
Surveillance Method: Direct Observation
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contractor performance evaluation, Deduction: none
Measure: Maintains licensing, registration, and certification
Performance Requirement:
Standard: All (100%) licensing, registration(s) and certification(s) for contractor physician(s) shall be provided as they are renewed. Licensing and registration information kept current.
Acceptable Quality Level: 100% licensing, registration(s) and certification(s) for contractor s physician (s)shall be provided as they are renewed. Licensing and registration information kept current.
Surveillance Method: Periodic Sampling and Random Sampling
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contractor performance evaluation, Deduction: none
Measure: Mandatory Training
Performance Requirement: Contractor shall complete all required training on time per VAMC policy
Standard: All (100%) of required training is complete on time by contractor physician(s).
Acceptable Quality Level: 100% completions, no deviations
Surveillance Method: Periodic Sampling
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contractor performance evaluation, suspension or termination of all physical and/or electronic access privileges and removal from contract until such time as the training is complete. Deduction: none
Measure: Privacy, Confidentiality and HIPAA
Performance Requirement:
Standard: All (100%) contractor physician (s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA
Acceptable Quality Level: 100% compliance.
Surveillance Method: Periodic Sampling; Contractor shall provide evidence of annual training required by VAMC, reports violations per VA Directive 6500.6.
Frequency: Ongoing
Incentive: Favorable contactor performance evaluation.
Disincentive: Unfavorable contactor performance evaluation. Deduction: none
Registration with Contractor Performance Assessment Reporting System
As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the
Each Contractor whose contract award is estimated to exceed
For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete.-- For contracts exceeding one year, the contracting officer will evaluate the Contractor s performance annually.-- Interim reports will be filed each year until the last year of the contract, when the final report will be completed.-- The report shall be assigned in CPARS to the Contractor s designated representative for comment.-- The Contractor representative will have sixty (60) days to submit any comments and re-assign the report to the CO.
Failure for the Contractor s representative to respond to the evaluation within those sixty (60) days, will result in the Government s evaluation being placed on file in the database with a statement that the Contractor failed to respond; the Contractor s representative will be locked out of the evaluation and may no longer send comments.--
GOVERNMENT RESPONSIBILITIES
VA Support Personnel, Services or Equipment: The physician will use an available desktop computer in the ICU or
CO RESPONSIBILITIES:
CO -
The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue any modification to include (but not limited to) terms affecting price, quantity or quality of performance of this contract.
The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is final authority on validating complaints. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.
In the event that contracted services do not meet quality and/or safety expectations, the best remedy will 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 Contractor personnel to be provided by the
COR Responsibilities:
The COR for this contract is: Title/Address/Phone/email
The COR shall be the
The COR will be responsible for monitoring the Contractor s performance to ensure all specifications and requirements are fulfilled. Quality Improvement data that will be collected for ongoing monitoring includes but is not limited to: enter data that may be collected.
The COR will maintain a record-keeping system of services by comprised of a standard paper timecard that will be submitted weekly or bi-weekly for review and approval; this must be completed prior to vendor submitting invoices for payment. The COR will review this data monthly when invoices are received and certify all invoices for payment by comparing the hours documented on the
The COR will review and certify monthly invoices for payment. If in the event the Contractor fails to provide the services in this contract, payments will be adjusted to compensate the Government for the difference.
All contract administration functions will be retained by the
SPECIAL CONTRACT REQUIREMENTS
Reports/Deliverables: The Contractor shall be responsible for complying with all reporting requirements established by the Contract. Contractor shall be responsible for assuring the accuracy and completeness of all reports and other documents as well as the timely submission of each. Contractor shall comply with contract requirements regarding the appropriate reporting formats, instructions, submission timetables, and technical assistance as required.
The following are brief descriptions of required documents that must be submitted by Contractor: upon award; weekly; monthly; quarterly ; annually, etc. identified throughout the PWS and is provided here as a guide for Contractor convenience. If an item is within the PWS and not listed here, the Contractor remains responsible for the delivery of the item.
What
Submit as noted
Submit To
Quality Control Plan: Description and reporting reflecting the contractor s plan for meeting of contract requirements and performance standards
Upon proposal and as frequently as indicated in the performance standards.
Contracting Officer
Copy of Sub Contracting Plan (as required) Copy of Contractor Certification Statement if non-subcontracting possibilities exist.
Upon proposal and as updated
Contracting Officer
Copies of any and all licenses, board certifications, NPI, to include primary source verification of all licensed and certified staff
Upon proposal and upon renewal of licenses and upon renewal of option periods or change of key personnel.
Contracting Officer with proposal; renewal submitted to VETPRO system.
Certification that staff list have been compared to OIG list
Upon proposal and upon new hires.
Contracting Officer
Proof of
Upon proposal and upon renewals.
Contracting Officer
Certificates of Completion for Cyber Security and Patient Privacy Training Courses
Before receiving an account on VA Network and annual training and new hires.
Contracting Officer
ACLS/BLS Certification
Upon award and every two years after award.
COR
Contingency plan for replacing key personnel to maintain services as required under the terms of the contract
Upon proposal and as updated
COR
Billing:
Invoice requirements and supporting documentation: Supporting documentation and invoice must be submitted no later than the 20th workday of the month. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a proper invoice in accordance with FAR 52.212-4 (g), all invoices must include:
Invoice Date and Invoice Number
Contract Number and Purchase/Task Order Number
Date of Service
Contractor s physician (s)(
Hourly Rate
Quantity of hours worked
Total price
Vendor Electronic Invoice Submission Methods
Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below:
A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the
The X12 EDI Web site (http://www.x12.org).
The Contract may contact FSC at the phone number or email address listed below with any questions about the e-invoicing program or OB10:
OB10 e-Invoice Setup Information: 1-877-489-6135
OB10 e-Invoice email: [email protected]
FSC e-Invoice contact Information: 1-877-353-9791
FSC e-invoice email: [email protected]
Payment Adjustments/Performance Related Payment Deductions:
Invoices will be prorated for partial days/hours worked. The contractor shall be paid only for actual work performed onsite. In the event that the Contract provider works a portion of an hour, the government may adjust payments by 15 minute increments. Contract providers shall be responsible for reporting time worked accurately. The Contract shall be paid for actual hours performed.
The contract shall be adjusted at the end of the performance period in accordance with actual performance.
Performance Deductions: If the contractor fails to meet the Acceptable Quality Level on any performance measure that references a deduction as a disincentive, the following method for calculating and applying the deduction shall be employed:
In the event of a physician no-show for duty, the Contractor will be liable for the costs associated with finding a suitable replacement for the shift or other period of absence.
Payments in full/no billing
To the extent that the Veteran desires services which are not a
The Contractor shall not bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against, any person or entity other than
Contractor Security Requirements (Handbook 6500.6)
6.7.1 General
6.7.2 Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as
6.7.3 ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS
6.7.4 A contractor/subcontrator shall request logical (technical) or physical access to
6.7.5 All contractors, subcontractors, and third-party servicers and associates working with
6.7.6 Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared
6.7.7 Custom software development and outsourced operations must be located in the
6.7.8 The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a
Link/URL: https://www.fbo.gov/spg/VA/VANCHCS/VANCHCS/VA26117N0133/listing.html
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Modification/Amendment – Stavanger, Norway LNDH Group Life Insurance
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