SOLICITATION NOTICE
Q -- Pediatric Intensivists- Naval Medical Center San Diego
- Notice Date
- 6/14/2007
- Notice Type
- Solicitation Notice
- NAICS
- 622110
— General Medical and Surgical Hospitals
- Contracting Office
- Department of the Navy, Bureau of Medicine and Surgery, NMLC, 1681 Nelson St, FT Detrick, MD, 21702-9203, UNITED STATES
- ZIP Code
- 00000
- Solicitation Number
- 07-RFI-0003
- Response Due
- 7/6/2007
- Archive Date
- 7/21/2007
- Description
- Request for Information or Solicitation for Planning Purposes (Oct 1997) (a) The Government does not intend to award a contract on the basis of this solicitation or to otherwise pay for the information solicited except as an allowable cost under other contracts as provided in subsection 31.205-18, Bid and proposal costs, of the Federal Acquisition Regulation. (b) Although proposal and offeror are used in this Request for Information, your response will be treated as information only. It shall not be used as a proposal. (c) This solicitation is issued for the purpose of: 1. Determine industry interest in this acquisition. 2. Establish a potential bidders list. 3. Solicit comments on the statement of work. When responding to this RFI please include your name/company POC with email address and note if your organization is a Small Business or similar designation. Although proposed pricing is not required if it is provided it will be considered informational and no way obligate the contractor nor the government. //BEGIN// 1. STATEMENT OF WORK 1.1. The health care worker shall provide, in accordance with this statement of work, pediatric intensivist services for the Naval Medical Center, San Diego, CA. Services shall be provided in any of the areas under the Naval Medical Center, San Diego Pediatric Chairman?s purview. 1.2. The contractor shall provide the health care personnel in accordance with the terms and conditions of this contract. 1.3. During the term of this contract the health care worker agrees to provide, on behalf of the Government, pediatric intensivist services for treatment of active duty military personnel, their dependents, eligible Navy civilian employees, and other eligible beneficiaries, in accordance with the terms and conditions of this contract. C.2. SUITS ARISING OUT OF MEDICAL MALPRACTICE 2.1. The health care worker is serving at the military treatment facility under a personal services contract entered into under the authority of section 1091 of Title 10, United States Code. Accordingly, Section 1089 of Title 10, United States Code shall apply to personal injury lawsuits filed against the health care worker based on negligent or wrongful acts or omissions incident to performance within the scope of this contract. 2.2. The health care worker is not required to maintain medical malpractice liability insurance. In the event of a claim or lawsuit relating to the health care worker's performance of duties under this contract, the parties shall follow the procedures established in SECNAVINST 6300.3A, a copy of which can be viewed at http://doni.daps.dla.mil/. 2.3. The health care worker providing services under this contract shall be rendering personal services to the Government and shall be subject to day-to-day supervision and control by Government personnel. Supervision and control is the process by which the individual health care worker receives technical guidance, direction, and approval with regard to a task(s) within the requirements of this contract. 3. SCHEDULES, ABSENCES AND LEAVE. 3.1. Schedule. 3.1.1. The contractor shall provide one pediatric intensivist 14 times annually (prorated for option periods less than 12 months in duration) to provide 8 or 9 consecutive calendar days of service, inclusive of federally observed holidays. The number of days of service required depends on whether a federally observed holiday is on a Monday. The anticipated schedule for services is as follows; however, changes may be made by the Government based the demand for patient care. The instances where 9 consecutive calendar days of service are required are designated with an asterisk. PROPOSED DATES- ? 11 ? 19 Feb 2008* ? 31 Mar ? 7 Apr 2008 ? 19 ? 27 May 2008* ? 27 May ? 2 Jun 2008 ? 30 Jun ? 7 Jul 2008 ? 25 Aug ? 1 Sep 2008 The schedule for the out years will be provided, in writing, if the option period is exercised. 3.1.2. Service begin at 0700 on Monday and end at 0729 eight calendar days later, except when a federally observed holiday is on a Monday. In this instance, the HCW will provide services for nine calendar days until 0730 on Tuesday. When a federally observed holiday falls during the time the HCW is scheduled to provide services, the contractor shall provide services. If services are provided on a federally observed holiday, the HCW will not receive another day off and the contractor will invoice at the firm fixed price in Section B. 3.1.3. Services shall normally be provided on-site Monday through Friday between the hours of 0700 and 1700 and Sat, Sun and federally observed holidays holidays from 0730 - 1100 for a 9-hour period. Each shift will be extended 1 hour for an uncompensated meal break to cover a full 9 hours of service when the on-site services/shift is greater than 5 hours in duration. Remaining hours will be beeper/on-call watch. The physician will be expected to return to work within 30 minutes of receiving a page. Past experience has shown on an average the physician has had to return to the MTF to provide less than 10 hours per week. 3.1.4. Contractor employees may receive one compensated work break in the morning and one in the afternoon, workload permitting, at the discretion of the Government during a 9 hour work day. Neither break shall exceed 15 minutes and cannot be combined with lunch breaks. 3.1.5. On-call Rotation. As part of the HCW?s normal tour of duty, on-call rotation is assumed with other providers. The on-call will be performed at the HCW?s residence for after hours coverage. The on-call period mirrors the dates in paragraph C.3.1. The current rotation is: ?X Monday through Friday between the hours of 1700 and 0700 the next calendar day ?X Sat, Sun and federally observed holidays between the hours of 1700 and 0700 the next calendar day. When paged, the HCW shall respond to that page within 5 minutes or per department policy. The Government will provide a paging device to facilitate the provision of on-call. If required to return to the MTF, the HCW shall arrive at the MTF based upon the acuity of the patient, but never later than 30 minutes after the request. It is estimated that the HCW will return to the MTF on an average of 1-2 times during the 8 or 9 day timeframe of providing services. 3.1.6. The contractor shall prepare the schedule for services specified in paragraph C.3.1. The specific schedule for of the required services shall be provided to the COR 1 month in advance. The schedule shall be complete and include the name of the specific individual who will provide the required services. The HCW shall arrive for each scheduled shift in a well-rested condition. 3.1.7. The Commanding Officer will privilege a maximum of four pediatric intensivists to provide services during the lifetime of this contract. The contractor shall maintain, at all times during the lifetime of this contract, four credentialed pediatric intensivists who have received the government provided training and orientation. At least one provider must be credentialed, trained on the Government?s equipment and policies/procedures, and oriented prior to first day of clinical services and this is not separately priced. The other three providers must be credentialed and have completed the government provided training and orientation within 60 days after start of services. The cost for credentialing, training and orienting the three providers within 60 days after start of services is separately priced. The contractor shall invoice for this separately priced CLIN when the provider has been granted privileges and has completed the training and orientation provided by the Government. The contractor is responsible for ensuring all credential files are current throughout the life of the contract. The intent of this language is to ensure a sufficient number of providers are privileged, trained and oriented for the duration of this contract should the Government purchase additional services, and to avoid the need to credential, train and orient a provider in a limited amount of time. Any costs associated with credentialing, training and orienting another provider to maintain four credentialed providers ? beyond the first four credentialed, trained and oriented providers - shall be borne by the contractor. 3.1.8. Additional Services. The Government may have the need for additional services up to 10 ten times annually (prorated for options periods less than 12 months) and normally the Government will notify the contractor 30-60 days in advance. These additional services are required to cover seasonal variations in patient demands, personnel shortages and other unanticipated demands for additional services. The additional services are separately priced and the contractor shall invoice at the firm fixed rate stated in Section B. The contractor shall not perform these services until a modification has been issued by the Contracting Officer authorizing the contractor to provide these services. 3.2. Absences and Leave. 3.2.1. The contractor shall have sufficient qualified reserve personnel so that all services are provided in the event a HCW scheduled to work becomes ill, resigns, is terminated, or is otherwise unavailable to work. Contract requirements are not mitigated by inclement weather. 3.2.2. If a HCW becomes ill or is otherwise unable to fulfill his/her obligation to work, they shall notify the contractor who in turn shall notify the COR. 3.2.2.1. The contractor shall provide replacement coverage by a HCW who meets the minimum HCW contract qualifications and is approved for work (i.e., has been credentialed and privileged as appropriate and has satisfactorily completed orientation). 3.2.3. Personnel shall not accrue leave under this contract. 3.2.4. Administrative Leave. For unusual and compelling circumstances (e.g., weather emergencies) in which the Commanding Officer either excuses all facility personnel from reporting to work or dismisses all personnel early, the Commanding Officer is authorized to grant administrative leave to the health care worker. This administrative leave may be compensated leave. 3.2.5. Furlough. Unless otherwise authorized by a defense appropriations bill, contractors shall not be reimbursed by the Government for services not rendered during a Government furlough. In the event of a Government furlough, the Commanding Officer will determine which contract employees are considered critical and therefore must report to work. Contract employees deemed critical shall be compensated for services rendered during a furlough. All other contract employees shall be furloughed until the Government shutdown ends or they are notified by the COR that they have become critical employees. 3.2.6. A HCW with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the MTF. 3.2.7. In the instance where the Government directs the HCW to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the health care worker shall remain on duty. The health care worker will be given an equal amount of compensatory time during the 8 or 9 day tour of duty to be scheduled upon mutual agreement of the HCW and the Commanding Officer. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the shift. 4. DUTIES AND RESPONSIBILITIES. The HCW shall perform a full range of direct patient care services, consultation, on-call services, and participation in Graduate Medical education programs, within the scope of clinical privileges granted by the Commanding Officer, on site using government furnished supplies, facilities and equipment. The HCW shall also contribute to the environment of care through maintenance of a safe and supportive environment for patients, staff, and other individuals served by or providing services within the organization. In addition, the HCW shall follow all standard operating procedures and will participate in educational and quality improvement programs within their assigned clinical area. The HCW?s actual clinical performance will be a function of the Commanding Officer's credentialing process and the overall demand for care to include the following: 4.1. Clinical Responsibilities. 4.1.1. Attendance in the Pediatric Intensive Care Unit (PICU), providing comprehensive medical management to a critically ill pediatric population, providing pediatric critical care consults, planning medical follow-up, and coordinating diagnostic tests and medical care. 4.1.2. The HCW shall make daily rounds; be available to the PICU or ward team at all hours for telephone consultation, and return to the PICU or ward when patients? acuity warrants their presence. 4.1.3 Provide fellow, resident, nurse and other staff education. 4.1.4. Provide conscious light and deep sedation to the pediatric population admitted to the Pediatric Sedation Center. Additional duties in the Pediatric Sedation Center may include chest tube, lumbar puncture, PICC lines, thorocentesis, and central lines. 4.1.5. Comply with command infection control guidelines; practice universal precautions. 4.1.6. Demonstrate awareness and sensitivity to patient/significant others' rights, as identified within the institution. 4.1.7. Demonstrate effective and professional communication methods and skills, using lines of authority appropriately. 4.2. Administrative Responsibilities. 4.2.1. Promote community outreach, assist in the administration of the PICU, participate in performance improvement activities, and serve on multi-disciplinary health care teams. 4.2.2. Attend monthly PICU Advisory Group Meeting and participate in Quality Improvement Initiatives. If not in attendance at the meeting, all credentialed providers are required to review and become familiar with minutes from monthly PICU Advisory Group Meeting and Quality Improvement Initiatives. 4.2.3. Participate in unit and Command Improvement (CI) activities. Assist with the development of programs that comply with all regulatory agencies and JCAHO requirements with a focus on CI, professional practice, and patient care/teaching. 4.2.4. Comply with the standards of the Joint Commission, applicable provisions of law and the rules and regulations of any and all governmental authorities. 4.2.5. Perform necessary administrative duties that include maintaining statistical records of healthcare provider workload. Operate and manipulate automated systems such as Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA) and the Ambulatory Data Module (ADM). 4.2.6. The health care worker shall comply with the standards of the Joint Commission, applicable provisions of law and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the hospital's medical staff. Adhere to and comply with all Department of Defense, Department of the Navy, Bureau of Medicine and Surgery and local clinic instructions, notices and standard operating procedures that may be in effect during the term of the contract. 4.2.7. When providing services, the HCW will participate in scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. Participate in clinical staff quality assurance and Risk Management (RM) functions and Process Action Teams, as prescribed by the MTF Commander or designee. Participate in peer review and performance improvement activities. If not present at meetings all credentialed providers are required to review and become familiar with minutes and outcomes from the meetings. 4.2.8. Perform technical duties including, but not limited to, aiding in the evaluation and procurement of equipment and software 4.2.9. HIPAA Compliance. The health care worker shall comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility. The health care worker shall obtain/maintain a National Provider Identifier (NPI) in accordance with DoD and MTF policy/instruction. 4.3. Training/Education. 4.3.1. Participate in all Department of Pediatrics activities including resident, nurse and medical student education. 4.3.2. Serve as a patient advocate, maintain patient?s right to confidentiality and, provide effective patient education. 4.3.3. Provide training and/or direction as applicable to supporting Government employees (i.e. hospital corpsmen, technicians, students) assigned to the PICU during the performance of clinical procedures. Such direction and interaction will adhere to Government and professional clinical standards and accepted clinical protocol. 4.3.4. Attend annual renewal of the following Annual Training Requirements: family advocacy, disaster training, Sexual Harassment, and other courses as directed. 4.3.5. Participate in the implementation of the Family Advocacy Program as directed. 4.3.6. By fulfillment of this position, the HCW will have access to Department of Navy (DON) IT systems and/or perform IT-related duties with varying degrees of independence, privilege and/or ability to access and/or impact sensitive data and information. Additionally the HCW may have contact with patients under the age of 18. Therefore, the HCW shall be subject to Information Technology (IT)/Sensitive Information (SI) security requirements which include national and local background checks and a credit check in accordance with Secretary of Navy (SECNAV) Manual 5510.30, as well as a criminal background check in accordance with the Crime Control Act of 1990. It should be noted that in order to receive access to the DON IT system(s) and the sensitive data necessary to perform the duties for this position, the HCW must be a U.S. citizen. The HCW shall be required to complete the paperwork necessary for the Government to complete the background investigations. 4.3.7. Contractor staff shall participate in executing the Emergency Preparedness Plan (drills and actual emergencies) as scheduled by the MTF (typically semiannually). A MTF personnel re-call list with personal contact information for all military, civil service and contractor staff is required to prepare in advance for an actual emergency. Upon commencement of performance, the contractor shall provide the COR with a list of personal contact information for a designated contractor representative as well as all contractor staff performing services. The contractor shall provide an updated list to the COR bimonthly. Should an emergency occur that will affect the HCWs? shifts, the designated contractor representative and the HCWs will be contacted. //END//
- Place of Performance
- Address: San Diego- Naval Medical Center, California
- Zip Code: 92134
- Country: UNITED STATES
- Zip Code: 92134
- Record
- SN01319208-W 20070616/070614221557 (fbodaily.com)
- Source
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