Sources Sought Notice – Q– VA249-17-R-0296 Cardiologists Short Term Mt Home 6 Months
Notice Type: Sources Sought Notice
Posted Date:
Office Address:
Subject: Q-- VA249-17-R-0296 Cardiologists Short Term Mt Home 6 Months
Classification Code: Q - Medical services
Solicitation Number: VA24917R0296
Contact: Alyson [email protected]
Setaside: N/AN/A
Place of Performance (address):
Place of Performance (zipcode): 37684-4000
Place of Performance Country:
Description:
Nashville VAMC
Version 0001 Date:
Description of Requirement:
Network Contracting Office 9 (NCO 9) is posting this Sources Sought Notice for the purpose of locating capable small businesses, including Service Disabled and Veteran Owned small businesses, to provide cardiology physician short-term services for the
A DRAFT Performance Work Statement (PWS) is attached hereto. The Contractor shall provide all resources necessary to accomplish the services described in the attached PWS. All professionals providing services under the terms of this contract will be appropriately certified and/or licensed as described in the PWS, and shall possess the requisite skills and experience to perform the services as required. Qualified physicians must be American citizens (or offer evidence of a green card). Contractor s employee(s) shall be technically proficient in the skills necessary to fulfill the Government s requirements, to include the ability to speak, understand, read and write English fluently.
Contractor shall not perform inherently governmental functions.
This Sources Sought is an advance notice for information and planning purposes only and is not a solicitation. Interested organizations may submit their capabilities and qualifications to perform the effort in writing to the identified point of contact. Such capabilities/qualifications will be evaluated solely for the purpose of determining whether or not to conduct this procurement on a competitive basis. A determination by the Government not to compete this proposed effort on a full and open competition basis, based upon responses to this notice, is solely within the discretion of the government. Oral communications are not acceptable in response to this notice.
Sources shall include in their information:
1. A detailed capabilities statement stating their experience in providing the same or similar work described in this notice.
2. A point of contact with phone and e-mail information.
3. Business status (Socio-Economic Factors: 8(a), HUBZone, Service-Disabled Veteran-Owned Business), business size based on NAICS 531110.
4. A positive statement of interest to submit a proposal.
This request for information is not a commercial solicitation and the Government will not pay for any information submitted, or for any costs associated with providing the information.
FSC Code is: Q201. NAICS Code is: 621111.
The point of contact for this Sources Sought Notice is:
All correspondence is to be via e-mail. Telephone calls and messages will not be returned.
MOUNTAIN HOME VA HEALTHCARE SYSTEM
ONSITE FTE CARDIOLOGY SERVICES MASTER PACKAGE
INCLUDES:
PRICE SCHEDULE
PERFORMANCE WORK STATEMENT (PWS)
SCHEDULE OF SERVICES
The Contractor shall furnish all personnel to provide services necessary to perform onsite Cardiology Physician Services to eligible beneficiaries of the
Place of Performance: Services shall be provided on site,
Pricing Instructions: The offeror is instructed to edit the number of sub-clins to correspond with the number of key personnel submitted for the contract line item number (CLIN). Affiliate Offerors shall include the title of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-CLINs if adding or removing Key Personnel.
The offeror is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments.
The Contractor shall propose a minimum of 5 key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.
One FTE is defined by
Period of Performance: BASE Period 6 months from date of award
CLIN No.
SUB-CLIN
Description
Qty.
Unit
Unit Cost
Total
Annual Cost
0001
None
Board Certified /Board Eligible Cardiology Physician Services
-to include seven days of on call coverage monthly
3.0
Hours
DO NOT PRICE
DO NOT PRICE
KEY PERSONNEL
None
0001a
Board Certified /Board Eligible (edit per requirement) Cardiology Physician Services
TITLE/LEVEL OF EXPERIENCE:____________
Hours
$__/hr
$__
None
0001b
Board Certified /Board Eligible (edit per requirement) Cardiology Physician Services
TITLE/LEVEL OF EXPERIENCE:____________
Hours
$__/hr
$__
None
0001c
Board Certified /Board Eligible (edit per requirement) Cardiology Physician Services
TITLE/LEVEL OF EXPERIENCE:____________
Hours
$__/hr
$__
None
0001d
Board Certified /Board Eligible (edit per requirement) Cardiology Physician Services
TITLE/LEVEL OF EXPERIENCE:____________
Hours
$__/hr
$__
None
0001e
Board Certified /Board Eligible (edit per requirement) Cardiology Physician Services
TITLE/LEVEL OF EXPERIENCE:____________
Hours
$__/hr
$__
TOTAL FOR BASE
Hours
$___________________
Performance Work Statement for Cardiology Physician Services
GENERAL:
Services Provided: The Contractor shall provide Board Certified /Board Eligible Physician Services services on site in accordance with the specifications contained herein to beneficiaries of the
Place of Performance - Contractor shall furnish services at the
Authority: Title 38
Policy/Handbooks the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:
- 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.
ACGME:
CEU: Certified Education Unit
CME: Continuing Medical Education
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.
DEA:
FSMB:
HHS:
HIPAA: Health Insurance Portability and Accountability Act
ISO: Information Security Officer
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
National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The
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 be 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. No services shall be provided by any Contractor s physician(s) prior to obtaining approval by the
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 and VA MANDATORY): Contractor shall meet all
List all training required, frequency and associated time
Training
Frequency (once a year, etc.)
Annual Hours
VA20152 Mandatory Training for Transient Clinical Staff
Once/year
4 hours
Once/year
1 hour
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 contract physicians (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
DEA - Contractor shall provide copy of current DEA certificate.
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 2.0 FTE or 4160 hours. FTE is defined by
The minimum number of Board Certified /Board Eligible Cardiology physicians required to be on site on a daily basis is TWO 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 NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within __ calendar day (s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions.
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 14 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.
For temporary substitutions where the key person shall not be reporting to work for three 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 will require the procedure as stated above.
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.
HOURS OF OPERATION
VA Business Hours:
Patients must be seen by a Contractor s physician(s) on-site at
Contractor s physician(s) shall be available and present during normal
Off-hours Coverage: Contractor must make the Contractor s physician(s) available on-call during all hours when the
On-call contractor s physician(s) 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: Cancellation require a 45 day written notice..
Unless a state of emergency has been declared or otherwise cancelled by the VAMC, 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 cardiology 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 national standards as established by:
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/hap_requirements.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 Cardiology 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:
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
Scope of Care: Contractor s physician(s) shall be responsible for providing cardiology and interventional cardiology consultative services for cardiac catheterization and interventional cardiology procedures, including, but not limited pericardiocentesis, endocardial biopsies, placement of intra-aortic balloon devices, and percutaneous revascularization procedures, including: balloon angioplasty, atherectomy, endoluminal stenting, intravascular ultrasound, intra-coronary Doppler flow velocity measurements, rhyolitic thrombectomy, and management of patients prior to, during, and following their percutaneous revascularization procedure, high risk coronary and peripheral vascular percutaneous procedures.
Clinic Responsibilities: Contractor s physician(s) shall be present on time scheduled
Medications: Contractor s physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients.
Discharge education: Provide discharge education and follow up instructions that are coordinated with the next care setting for all emergency department patients.
ADMINISTRATIVE: There are no administrative tasks expected for this position
Staff Meetings: The Contractor s physician(s) shall attend staff meetings as required by the VAMC Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement.
List all meetings, associated time and frequency.
Meeting
Frequency (once a year, etc.)
Annual Hours
Medicine Service Meeting
Monthly
12
Cardiology Service Meeting
Monthly
12
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: Contract personnel 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: 95% 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: Quarterly
Measure: Qualifications of Key Personnel
Performance Requirement: All Contractor s physician(s) shall be Board Certified /Board Eligible in accordance with ACC Standards.
Standard: All (100%) Contractor s physician(s) s are board certified.
Acceptable Quality Level: 100%
Surveillance Method: Random Inspection of qualification documents
Frequency: Quarterly
Measure: Scope of Practice/Privileging
Performance Requirement: Contractor s physician(s) perform within their individual scopes of practice/privileging.
Standard: All (100%) Contractor s physician(s) perform within their scope of practice/privileges 100% of the time.
Acceptable Quality Level: 100%Contractor s physician(s) perform within their scope of practice/privileges 100% of the time.
Surveillance Method: Random Inspection of records.
Frequency: Quarterly
Measure: Patient Access
Performance Requirement: The Contractor shall provide Contractor s 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 s physician(s) are on-time and available to perform services 100 %of the time
Surveillance Method: Periodic Sampling of Time and Attendance Sheets
Frequency: Quarterly
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: 95%of patient safety incidents are reported using Patient Safety Report within 24 hours of incident.
Surveillance Method: Direct Observation
Frequency: Quarterly
Measure: Maintains licensing, registration, and certification
Performance Requirement:
Standard: All (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.
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: Quarterly
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 s physician(s)
Acceptable Quality Level: 100%completions,
Surveillance Method: Periodic Sampling
Frequency: Quarterly
Measure: Privacy, Confidentiality and HIPAA
Performance Requirement:
Standard: All (100%) Contractor s 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: Quarterly
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
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 hard copy and electronic filing. 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 are 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
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
Invoices will be electronically submitted to the Tungsten website at http://www.tungstennetwork.com/uk/en/ Tungsten direct vendor support number is 877-489-6135 for
Tungsten Support
Phone: 1-877-489-6135
Website: http://www.tungsten-network.com/uk/en/
Phone: 1-877-353-9791 Email: [email protected]
Payment Adjustments
Invoices will be prorated for partial days/hours worked. The contractor shall be paid only for actual work performed onsite. All partial work will be done in 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 during the renewal of options in accordance with actual performance.
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
Link/URL: https://www.fbo.gov/spg/VA/NaVAMC/VAMCCO80220/VA24917R0296/listing.html
Create & E-file: Affordable Care Act forms
CONTRACT AWARD – Group Life Insurance for U.S. Embassy Belgrade Locally Employed Staff
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