SOLICITATION NOTICE
Q -- EMERGENCY ROOM PHYSICIAN SERVICES
- Notice Date
- 3/30/2005
- Notice Type
- Solicitation Notice
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North PO Box 36600, Billings, MT, 59107
- ZIP Code
- 59107
- Solicitation Number
- RFQ-10-05-033-REL
- Response Due
- 4/22/2005
- Archive Date
- 5/7/2005
- Small Business Set-Aside
- Total Small Business
- Description
- This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items (10 U.S.C. 2304(g) and 2305 and 41 U.S.C. 253(g) and 253a and 253b), FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)), and FAR 37.104, Personal Services Contracts (Public Law 103-332, Department of the Interior and Related Agencies Appropriation Act, Title II, September 30, 1994, 108 Stat. 2530 as implemented by 25 U.S.C. 1638c). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a firm fixed-price commercial item contract in response to Request for Quotation (RFQ) 10-05-033-REL. This solicitation is restricted to 100% Small Business concerns. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-02. The associated North American Industry Classification System code is 621111 and the small business size standard is $8.5 million. PRICE SCHEDULE: Potential offerors shall propose an all inclusive hourly rate for BASE YEAR: 832 HOURS @ $________ per HOUR = $__________ and 24 HOLIDAY HOURS @ $________ = $__________; OPTION ONE: 2,496 HOURS @ $________ per HOUR = $__________ and 72 HOLIDAY HOURS @ $________ = $__________; OPTION TWO: 2,496 HOURS @ $________ per HOUR = $__________ and 72 HOLIDAY HOURS @ $________ = $__________; OPTION THREE: 2,496 HOURS @ $________ per HOUR = $__________ and 72 HOLIDAY HOURS @ $________ = $__________; and OPTION FOUR: 2,496 HOURS @ $________ per HOUR = $__________ and 72 HOLIDAY HOURS @ $________ = $__________. STATEMENT OF WORK: The Contractor shall provide Emergency Room Physician Services at the Fort Belknap Service Unit, PHS Indian Health Center, Harlem, Montana for weekend coverage from 8:00 a.m. to 8:00 a.m., on Saturday through Monday morning of each weekend for the months of June 2005 through September 2005 as well as one 24 hour shift on July 4, 2005. Additionally, contract physicians must be available for Monday morning rounds immediately following their Emergency Department (ED) shift from 8:00 a.m., to 9:00 a.m., in order to report significant activities, patient admissions, transfers and recommended follow up as well as to give an inpatient status report. Contract physicians are required to provide personal transportation to and from the work site and provide for their meals while on duty. MAJOR DUTIES: Provides remedial treatment for illness and injury, guided by established principles of diagnosis based on the medical history and physical examination; orders and interprets appropriate ancillary laboratory and radiological studies as an aid to diagnosis when medically indicated; as part of the patient evaluation process provides and documents an appropriate medical screening examination for all individuals who come to the health center requesting to see a physician; prescribes and carries out therapy in conformance with approved clinical privileges and Billings Area Indian Health Service (IHS) policy; refers individuals for follow up and/or consultation when appropriate; educates individuals on the nature of health related conditions, recommended therapy, and the general promotion of health and prevention of illness/disease; assists, as able, in the teaching of primary care medicine to medical students, physician assistants, and other health professionals; makes necessary arrangements, authorizes and oversees the transfer of patients to an appropriate hospital when emergent medical and/or surgical intervention is required which is beyond the scope of practice of the contract physician or otherwise outside the capability of the IHS facility. All such transfers are to be accomplished in accordance with COBRA/EMTALA legislation. Provides direct, radio, or telephone ?online? medical control for the Fort Belknap Ambulance Services. The contract physicians primary responsibility is the ED. Additionally, he/she will also conduct daily rounds on all admitted patients unless directly relieved of this responsibility by the patients regular attending physician. The physician will also respond to requests for needed medical assistance for hospitalized patients upon request of the patients regular attending physician or nurse supervisor as well as medical evaluation and treatment of emergencies, which may arise on the inpatient floor. Physicians will promptly respond to all ?Codes? in the hospital. Legibly records all patient/provider encounters in the problem oriented medical record format and completes required data collection instruments, referrals, third party billing, and medical records in a timely fashion. Documents the appropriate level of service for services rendered during each ED patient encounter. KNOWLEDGE REQUIRED BY THE POSITION: A professional degree of Doctor of Medicine or Doctor of Osteopathy is required. The contract physician shall hold a current unrestricted license to practice medicine osteopathy in at least one State of the United States of America and shall certify that he/she has not been barred or sanctioned by Medicare and/or Medicaid and has not had license to practice medicine/osteopathy suspended or revoked in any State. Expert knowledge of the specialty or completion of an approved residency in Emergency Medicine or Primary Care leading to board eligibility or board certification by an approved American Specialty board or an equivalent combination of graduate training and experience to total a minimum of five years. Must be knowledgeable of Service Unit medical staff bylaws and rules and regulations and comply with all requirements for appointment to and maintaining status as an active member of the medical staff. Must maintain current ACLS, ATLS, and PALS or APLS certification. Any physician not meeting this certification criterion must be specifically approved by the health center prior to providing any services. Must have knowledge and skills to provide direct, radio, or telephonic ?online? medical control for the Fort Belknap Ambulance Service. Must obtain Montana State Online Medical Control Certification if and when an official requirement is implemented by the State of Montana. Shall be able to speak, understand, read, and write the English language fluently and communicate with sufficient clarity to be understood by IHS personnel and patients. Contract physicians shall possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that he/she can relate constructively to patients from Native American communities. Must possess and demonstrate skill in tact and diplomacy while working in stressful situations. PROJECT OFFICER AND SUPERVISOR: Dr. Robert B. Andrews, D.O., shall supervise, monitor and ensure the contractor is adequately performing the requested services, duties and responsibilities in accordance with the statement of work and performance requirements for which they were hired to accomplish. Work performance is reviewed for conformance to IHS and updated policies, procedures and accepted professional practices relating to direct patient care. GUIDELINES: Available guidelines include DHHS, PHS, IHS, Billings Area, Service Unit, and Medical Staff regulations, policies, procedures, and bylaws. In addition, traditional and currently accepted medical practices area available in the form of specialty consultation, medical journals, and textbooks. In nearly all cases, however, the physicians judgment is the key factor in determining whether guidelines are to be adhered to or deviated from or whether new guides need to be developed to protect the interests of the patient. COMPLEXITY: The work consists of a broad practice of emergency and general medicine, involving diagnosis and treatment of patients with an extremely wide variety of physical and emotional problems. Assignments are characterized by breadth and intensity of effort and generally involve the simultaneous application of multiple distinct skills, knowledge, and abilities in the care of one or more patients. The work is often difficult and further complicated by the fear and skepticism of the patients, undefined or ill defined problems presented in advanced stages, and conflicting data. Cases may be critical and require immediate decisions and/or are complicated because patients may be unconscious, intoxicated, unable or unwilling to respond. SCOPE AND EFFECT: The work of this position affects the health and well being of individuals on an immediate basis, and impacts the health status of the community on a broad basis. PERSONAL CONTACTS: Personal contacts are with patients, patients family, visitors, other staff physicians, nurses, EMS and ancillary service personnel as well as physicians and nurses from the private sector. May also have contact with representatives of federal, state and tribal health organizations as well as hospital administrators from the private sector. These contacts are made with individuals and occasionally groups in moderately unstructured settings. PURPOSE OF CONTACTS: The purpose of the contacts is to diagnose and treat ill and/or injured patients, to exchange information, resolve problems, educate, influence, and motivate individuals and groups to understand and accept recommended medical information, diagnosis and treatments. PHYSICAL DEMANDS: The work requires mild to moderate physical exertion, a high degree of stamina, extensive walking, standing, bending, and similar activities. Patients may be required to be lifted from time to time. The physician may be required to remain awake on duty for periods up to 24 hours in duration. WORK ENVIRONMENT: The work is performed in a clinic setting, with continual exposure to patients having a variety of illnesses, injuries and communicable diseases. Occasionally, the contract physician may be subjected to adverse weather and hostile patients and/or families. Physician works on a regular assigned, rotation to provide continuity of medical services during weekends and selected holidays. HOLIDAYS: The following Federal legal holidays are observed under this contract. New Year's Day on 1 January; Martin Luther King's Birthday the Third Monday in January; Presidents Day the Third Monday in February; Memorial Day the Last Monday in May; Independence Day on 4 July; Labor Day the First Monday in September; Columbus Day the Second Monday in October; Veterans Day on 11 November; Thanksgiving the Fourth Thursday in November; and Christmas Day on 25 December. PERFORMANCE-BASED SERVICE DELIVERY SUMMARY: The contractors performance will be measured based on the following Performance Requirements: (1) Quality of Performance; (2) Shift Coverage; (3) Documentation of Medical Records; and (4) Customer Service. The Performance Requirements will be measured against the following Government Performance Standards: (1) Provide Physician Services as specified in the Performance Work Statement; (2) Must be available for shift coverage; (3) Complete medical records in accordance with JCAHO requirements and Fort Belknap Service Unit medical staff by-laws, rules and regulations; and (4) 5 or more customer complaints. The Method of Government Surveillance to determine compliance with the Performance Requirements are as follows: (1) Peer reviews (i.e., written evaluations) and periodic conferences between the contractor and project officer; (2) Random Sampling by the project officer or her designee; (3) Random Sampling by the project officer or her designee; and (4) Validated Complaints. Deduction Schedule: A 5% deduction shall be assigned to each Performance Requirement. Deductions shall be assessed against individual invoices when services are not performed or do not meet contract requirements. PERIOD OF PERFORMANCE: Base year with four 12 month options. GOVERNMENT FURNISHED PROPERTY: The IHS shall provide all medical equipment and supplies. The Fort Belknap Service Unit will be responsible for getting the Contractor access and clearance to all pertinent ARMS; intranet, internet, and computer services necessary to carry out his/her duties. The IHS shall provide the contractor with a room for the physician staffing the ED containing the usual and customary amenities. The contractor will be authorized to use all areas of the facility made available to them and should only utilize them for official business activities relating to job performance. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. PROJECT OFFICER: The project officer shall be responsible for: (1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Project Officer at the Fort Belknap Service Unit, PHS Indian Health Center, P.O. Box 67, Harlem, Montana 59526. The Contractor agrees to include the following information on each invoice: (1) Contractors name, address; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service including the number of hours worked; and (6) Remit to address. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. REPORTING REQUIREMENTS: The Contractor shall provide the Contracting Officer with evidence that payment of employment taxes have been paid 15 days after each quarter. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where Federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Fort Belknap Service Unit. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor must not have unsupervised contact with Indian children. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. FEDERAL TORT COVERAGE: The Federal Tort Claims Act coverage for medical related claims is extended to the contract physicians providing services pursuant to this contract. However, the services performed must have been within the scope of the personal services contract. SAFETY: The contract physicians must comply with all IHS facility infection control and safety procedures, practices, and standards. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION ?COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers and are included in the relative order of importance: (1) Unrestricted State License (Offerors must submit current unrestricted State license) = 35 POINTS; (2) Resume or Curriculum Vitae (Offerors must submit copy of resume or curriculum vitae) = 35 POINTS; and (3) Past Performance Information. The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable; and (8) Administrative Contracting Officer and telephone number, if applicable = 30 POINTS. Technical and past performance, when combined, are approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.229-3, 52.232-3, 52.232-18, 52.237-2, 52.237-3, 52.242-15, 52.242-17, 52.245-1, 52.245-2, 52.249-12, 352.202-1, 352.215-1, 352.215-70, 352.223-70, 352.232-9, 352.270-2, 352.270-3, 352.270-4, 352.270-6, and 352.270-7. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.219-6, 52.219-8, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at http://www.arnet.gov and http://www.hhs.gov/ogam/oam/procurement/hhsar.html. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. Contractors intending to conduct business with the Federal Government must register with the Department of Defense Central Contractor Registration (CCR) database prior to award. The CCR is the primary Government repository, which retains information on Government contractors. You may register via the Internet at http://www.ccr.gov or by calling (888) 227-2423 or (269) 961-5757. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on April 22, 2005. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your companys name and address. Offers will also be accepted by e-mail at RLangager@mail.ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.
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