SOLICITATION NOTICE
Q -- Mobile Dental Services
- Notice Date
- 2/16/2007
- Notice Type
- Solicitation Notice
- NAICS
- 621210
— Offices of Dentists
- Contracting Office
- USPFO for Missouri, 7101 Military Circle, Jefferson City, MO 65101-1200
- ZIP Code
- 65101-1200
- Solicitation Number
- W912NS07R0006
- Response Due
- 3/5/2007
- Archive Date
- 5/4/2007
- Small Business Set-Aside
- N/A
- Description
- This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; propos als are being requested and a written solicitation will not be issued. The request for proposal is being issued in accordance with FAC 015-15 under NAICS 621210.DESCRIPTION OF SERVICES. The contractor shall provide all management, labor, material, equipmen t, certifications and supplies necessary to provide mobile dental services at designated locations for the Missouri Army National Guard. These services will be delivered at various armories and training locations throughout the state. These services wi ll provide mandated dental examinations necessary to meet Department of the Army standards to meet medical readiness and deploy ability standards to ensure mission capability of the Army National Guard. 1.1. BASIC SERVICES. The contractor shall provide customized comprehensive dental readiness services to include: annual dental examinations (ADA Code 0120), clinically indicated radiological studies (to include panorex), and oral health education. The se services will be completed by using contractor provided mobile dental equipment. Upon completion of services, medical information will be documented in accordance with Department of the Army Policy and be updated into DENCLASS/MEDPROS system. Monthl y and annual reports will be generated and provided to the Office of the Chief Surgeon of the Army National Guard. The contractor shall also ensure the requirements of Occupational Safety and Health Administration (OSHA) and applicable Federal regulations are met. The contractor shall develop and maintain record files within the State Medical Command that documents serviced performed, examination results, and names of soldiers referred to dental specialists. a. The contractor provided mobile system shall include the following: (1) Fully digital operation. (2) Lead Lined Walls around the operatory. (3) Regulated individual operatory temperature control. (4) Professional quality sterilization equipment including Bio-sonic cleaners and Satim sterilizers. (5) Ventilation system on-board to minimize airborne pathogens. (6) Waste management for bio-hazardous waste. (7) Designated clean area for sterilization. (8) Must have emergency kit, eye wash kits, 02 tanks, and allergic reaction kits. (9) Must be ADA compliant and wheel chair access and an onboard wheel chair lift. (10) OSHA/HIPAA compliant sterilization and dental laboratory. 1.2. Exam. A periodic oral evaluation shall assess the current state of oral health, risk for future dental disease as well as assessing general health factors that relate to the treatment of the patient. The following measures are required for each p eriodic oral evaluation: a. Caries risk assessment - Classify Soldiers as low, moderate or high risk for caries as described by the American Dental Associations 1995 Special Supplement. This assessment will allow the ADCS to identify those at high risk for future disease and a ppropriately manages their care. b. Periodontal assessment - Periodontal Screening and Recording (PSR), a screening procedure endorsed by the American Dental Association and the American Academy of Periodontology, should be utilized to determine the need for periodontal treatment. c. Tobacco risk assessment - Classify Soldiers as a smoker, user of smokeless tobacco or as both. d. Oral cancer screening - Perform a thorough oral cancer screening on all beneficiaries as part of all annual examinations. e. Radiographs should be taken only for clinical reasons according to FDA guidelines as determined by the patients dentist. Radiographs should be of diagnosti c quality, properly identified and dated. A panograph is required to be present in dental record and that it is of adequate quality for diagnostic/identification purposes. There is no time requirement on updating panographic radiographs. Howeve r, the panographic radiograph will adequately represent the current oral condition of the Soldier. 1.3. Documentation. All Soldiers must have a complete military dental record. No dental record is considered complete unless the documentation is complete and in the proper order as outlined in TB MED 250. Contractor is responsible to provide all forms. Th e contractor shall provide electronic documentation (to include radiographs) in the ARNG approved system and a paper copy as outlined below.A complete record includes the following: a. Military dental record jacket, DA Form 8005 through 8005-9 b. The automated Health History Form or DA Form 5570 (signed), Health Questionnaire envelope c. DD Form 2005 (signed), Privacy Act Statement d. SF 603/603A, Record of Dental Exam e. Supporting radiographs (panograph and four bitewings reflecting existing) (1) All radiographs will be uploaded into the ARNG automated system. (2) A diagnostic quality copy of all radiographs must be placed in the Dental Record. f. The entries on the SF 603/603A should include the following: date, location, periodic oral examination, indication/date of x-rays taken, indication/date of x-rays consulted, oral cancer screening, caries risk assessment (based upon caries incidence), Pe riodontal Screening and Reporting (PSR), charting of current oral condition class 2 issues identified and a listing of class 3 treatment needs, printed name of examining dental officer and dental officers signature/initials. These required dental docum entation elements will be made in the DENCLASS/MEDPROS system and printed and placed into the dental record. 2. GENERAL INFORMATION. 2.1. QUALITY CONTROL. The contractor shall adopt a quality assurance program that monitors all service activities and ensures the highest quality customizable dental services available. 2.2. QUALITY ASSURANCE. The government will periodically evaluate the contractors performance in accordance with the Quality Assurance Surveillance Plan. 2.3. GOVERNMENT REMEDIES. The contracting officer shall follow the requirements of FAR 52.212-4, Contract Terms and Conditions for Commercial Items (May 1997), for contractors failure to correct nonconforming services. 2.4. HOURS OF OPERATION. The contractor shall have the capability of providing dental services seven days a week. 2.5. SECURITY REQUIREMENTS. Security will be in accordance with DD Form 254 (Department of Defense Contract Security Classification Specification). 2.6. SPECIAL QUALIFICATIONS. Contractor must maintain appropriate credentialing files on all employees. 2.7. Contractors will ensure compliance with the following requirements prior to utilizing any x-ray producing device on Soldiers; a. Have established written policies and procedures to assure compliance with applicable Federal, State, DOD, and Army radiation safety regulations and directives. These documents include staff emergency reaction plans, as necessary, and procedures for r i nvestigating and reporting radiation accidents or incidents, possible radiation overexposures to Soldier patients or contractor staff, and provisions to ensure the safe use of x-ray producing devices on humans. b. Upon request by the Contracting Officer's Representative (COR), provide documentation regarding the Contractor's employee radiation safety training commensurate with potential radiation hazards with the x-ray producing devices they are using. c. Upon request by the Contracting Officer's Representative (COR), provide copies of a Qualified Health Physics Expert's acceptance test and most recent health physics survey of each diagn ostic x-ray machine. The acceptance test and the most recent su rvey include tests of electrical, mechanical, image quality and radiation output) dose tests or measurements. This also includes verification of the adequacy of radiation protection shield ing in and around the x-ray machine and x-ray facility (e.g., mobi le van). Regulations and directives include the applicable State Radiation Control Regulation, U.S. Food and Drug Administration requirements for certification of x-ray producing devices, a nd Army requirements for radiation safety and health: State Radiation Control Regulation Applicable State regulations or NGB Directives (e.g., CECOM Radiation Safety Program) U.S. Food and Drug Administration TITLE 21, Code of Federal Regulations (FOO D AND DRUGS), CHAPTER I , (FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES ), SUBCHAPTER H--MEDICAL DEVICES , PART 872, DENTAL DEVICES. TITLE 21, Code of Federal Regulations (FOOD AND DRUGS), CHAPTER I , (FOOD AND DRUG ADMINISTRATION , DEPARTMENT OF HEALTH AND HUMAN SERVICE), SUBCHAPTER J Certain radiation emitting products require the submission of product reports to FDA and the retention of records as included in 21 CFR Part 1002 All manufacturers of electronic products are subject to the reporting of accidental radiation occurrences, as required by 21 CFR 1002.20. http://www.fda.gov/cdrh/radhlth/xraystandard.html Army AR 11-9, The Army Radiation Safety Program, 28 May 1999. http://www.army.mil/usapa/epubs/pdf/r11_9.pdf AR 40-5, P reventive Medicine, 22 July 2005. http://www.army.mil/usapa/epubs/pdf/r40_5.pdf TB MED 52, Occupational and Environmental Health, Management and Control of Diagnostic, Therapeutic, and Medical Research X-Ray Systems and Facilities, 26 February 2002. htt p://www.army.mil/usapa/med/DR_pubs/dr_a/pdf/tbmed521.pdf 3.1 ESTIMATED WORKLOAD DATA. The following data elements will be reported at the end of an event: Date Location List of contract employees (providers, dental technicians and administrative staff) Total number of patients scheduled Total number of pat ients examined Total number of Soldiers by dental classification: 1, 2, 3 Total number of bitewing x-rays (sets of 4 per patient) taken Total number of panograph x-rays taken Verification of entry into DA or ARNG automated systems A by name listing of all Soldiers examined and the dental classification of the Soldier. 3.2 Department of Defense Oral Health and Readiness Classification System. The oral health status of uniformed personnel shall be classified as follows: a. Class 1 (Oral Health): Patients with a current dental examination, who do not require dental treatment or reevaluation. Class 1 patients are worldwide deployable. b. Class 2: Patients with a current dental examination, which require non-urgent dental treatment or reevaluation for oral conditions, which are unlikely to result in dental emergencies within 12 months. Class 2 patients are worldwide deployable. Patients in dental class 2 may exhibit the following: (1) Treatment or follow-up indicated for dental caries or minor defective restorations that can be maintained by the patient. (2) Interim restorations or prosthesis that can be maintained for a 12 month period. This includes teeth that have been restored with permanent restorative materials for which protective cuspal coverage is indicated. (3)Edentulous areas requiring prostheses but not on an immediate basis. (4)Periodotium that: (a) requires oral prophylaxis (b)requires maintenance therapy (c) requires treatment for slight to moderate periodontitis and stable cases of more advanced periodontitis (5) Unerupted partially erupted or malposed teeth that are without historical, clinical or radiographic signs or symptoms of pathosis, but which are recommended for prophylactic removal. (6) Active orthodontic treatment. The provider should consider placing the patient in passive appliances for deployment up to six months. For longer periods of deployment, the provider should consider removing active appliances and placing the patient in passive retention. (7) Temporomandibular disorder patients in remission. The provider anticipates the patient can perform duties while deployed without ongoing care and any medications or appliances required for maintenance will not interfere with duties. c. Class 3: Patients who require urgent or emergent dental treatment. Class 3 patients normally are not considered to be worldwide deployable. (1) Treatment or follow-up indicated for dental caries, symptomatic tooth fracture or def ective restorations that cannot be maintained by the patient. (2) Interim restorations or prostheses that cannot be maintained for a 12 month period. (3) Patients requiring treatment for the following periodontal conditions that may result in dental emergencies within the next 12 months. (a) Edentulous areas or teeth requiring immediate prosthodontic treatment for adequate mastication or communication or acceptable esthetics. (b) Active progressive moderate or advanced periodontitis. (c) Periodontontal abscess (d) Progressive mucogingival condition (e) Periodontal manifestations of systemic disease or hor monal disturbances (f) Heavy subgingival calculus (4) Edentulous areas or teeth requiring immediate prosthodontic treatment for adequate mastication or communication or acceptable esthetics. (5) Unerupted, partially erupted or malposed teeth with historical, clinical or radiographic signs or symptoms of pathosis that are recommended for removal. (6) Chronic oral infections or other pathologic lesions including: (a) Pulpal, periapical or resorptive pathology requiring treatment. (b) Lesions requiring biopsy or awaiting biopsy report. (7) Emergency situations requiring therapy to relieve pain, treat trauma, treat acute oral infections or provide timely follow-up care (e.g., drain or suture removal until resolved. (8) Acute Temporomandibular disorders requiring active treatment that may interfere with duties. d. Class 4. Patients who require periodic dental examinations or patients with unknown dental classifications. Class 4 patients normally are not considered to be worldwide deployable. 4.0 AUTHORIZED DENTAL TREATMENT 1. The following dental procedures are authorized: D0120-Periodic Oral Evaluation D0150-Comprehensive Oral Evaluation D0330-Panoramic Film D0272-Bitewings-Two Films D0274-Bitewings-Four Films D0220/D0230- Periapical (limited) -End of Statement of Work The following provisions and clauses are applicable to the RFQ - 52.212-1, Instructions to Offerors-Commercial Items; 52.217-5, Evaluation of Options; 52.252-2 Clauses Incoporated by Reference; 252.201-7000, Contracting Officer's Representative; 52.212-3 O fferor Representations and Certifications; 52.212-4 Contract Terms and Conditions; 52.212-5 Contract Terms and Conditions required to Implement Statutes or Executive Orders; (a) (b)(3)(5)(10)(14)(15)(16)(17)(18)(19)(20)(32)(33)(c)(1)(2)(3)(d)(e); 52.217-8 Option to Extend Services; 52.217-9 Option to Extend the Term of the Contract; 252.212-7001 Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items (a) (b)(4)(c); 52.212--2 Eva luation-Commercial Items (a) The Government shall award a contract to the offeror that is capable of providing the required service and so states within a 7 day notification. Provide resumes of company key personnel and individual(s) which may provide the service. Provide a minimum of three (3) past performance references to include company/agency name and address with the name and telephone number of an individual that has knowledge of your past performance. Price schedule for the various services requested, i.e. exam, x-rays, treatment. Pricing for Option years. Technical capability of dental and administrative staff and past performance , when combined, are equal to price in determining the source selected. The govenment intends to award without discussion unless it is determined by the contracting officer to be necessary. Proposals shall be accepted by e-mail or facsimile to (573) 638-9619.
- Place of Performance
- Address: USPFO for Missouri 7101 Military Circle, Jefferson City MO
- Zip Code: 65101-1200
- Country: US
- Zip Code: 65101-1200
- Record
- SN01233992-W 20070218/070216222944 (fbodaily.com)
- Source
-
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