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FBO DAILY ISSUE OF JULY 12, 2009 FBO #2785
MODIFICATION

Q -- Cardiology Clinics

Notice Date
7/10/2009
 
Notice Type
Modification/Amendment
 
NAICS
621111 — Offices of Physicians (except Mental Health Specialists)
 
Contracting Office
Department of Veterans Affairs, VA Northern California Health Care System, Department of Veterans Affairs No. California Health Care System System, VA Northern California HealthCare System;5342 Dudley Blvd. Bldg 98;McClellan Business Park CA 95652
 
ZIP Code
95652
 
Solicitation Number
VA-261-09-RP-0148
 
Response Due
7/17/2009
 
Archive Date
9/15/2009
 
Point of Contact
Joel BurgessContracting Officer<br />
 
E-Mail Address
Contracting Officer
(joel.burgess@va.gov)
 
Small Business Set-Aside
N/A
 
Description
This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in FAR 12.6, with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. Solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-32 as corrected. This solicitation is unrestricted. The NAICS code is 621111, with a size standard of $10.0 million. The delivery, acceptance, and FOB point is the VASNHCS in Reno, NV. The contract will include a six-month period from August 01, 2009 to January 31, 2010, with a six month pre-priced option through July 31, 2010. Only electronic offers will be accepted. Offers are due to jason.krupp@va.gov by NLT 3:00 p.m. on July 17, 2009. For information regarding the solicitation you can e-mail me at the above address or phone at (916) 923-4517. The Statement of Work and Price Schedule are as follows: 1. Scope of Work: The contactor shall provide board certified or board eligible physicians within the specialty of Cardiology to the VA Sierra Nevada Healthcare System (VASNHCS). The services required will be a full range of cardiology services for outpatient VA beneficiaries including consultation, diagnosis, therapy and treatment, and prognosis of patients with cardiology disorders. Services will be performed at VASNHCS. Services will include a minimum of eight half-day outpatient clinics per week equal to 80% of one full time equivalent (.8 FTE) employee. 2. Specific Contractor tasks include: 2.1. The Contractor shall provide a minimum of eight half day cardiology clinics at VASNHCS each week. Patients will be scheduled by VASNHCS. The clinics will include stress testing, reading and interpretation of echocardiograms, Holters, and electrocardiograms. 2.1.1 The Contractor will be responsible for interpretation and reporting of approximately 250 echocardiograms for six months. 2.1.2. The Contractor will be responsible for interpretation and reporting of approximately 208 Holter tests for six months. 2.1.3. The Contractor will be responsible for interpretation and reporting of approximately 2,850 electrocardiograms for six months. 2.1.4 The day and time of each clinic will be set a minimum of 45 days prior to the scheduled clinic to allow time for scheduling patients. The dates and times for clinics will be approved by the Chief, Medical Service or designee after reviewing the Contractor's recommended schedule submission. The Contractor's schedule shall include the date, time, and assigned provider for each clinic. A full explanation will be provided to the Contractor for any date or time that has been disapproved. An alternate date and time will be mutually agreed upon. 2.15. In the event that a procedure clinic is cancelled for any reason, the Contracting Officer's Technical Representative (COTR) or designee shall be notified immediately and the clinic will be rescheduled after a new date and time has been approved. The Contractor shall be responsible for contacting each patient to reschedule their appointments for the new procedure clinic when cancellations occur less than 45 days of the scheduled procedure clinic. In the event the contractor cannot reschedule a clinic the VA reserves the right to reduce the amount equivalent to the reduced service. 2.2. Normal Work Hours. The normal work hours for VASNHCS are 8:00 am to 5:00 pm Monday through Friday. All on-station clinics will be scheduled in four hour increments per week within the normal work hours. See Paragraph 2.1.4. above; regarding scheduling. 2.3. Standards: Comply with all applicable VA guidelines; medical center medical staff by laws, rules and regulations; hospital polices/procedures; and in accordance with current Joint Commission standards. The Contractor shall document evaluation and treatment recommendations in the VA electronic medical record in accordance with VASNHCS Directive MOIC-003-08. All progress notes, consults, discharge summaries, and/or clinical and surgical procedure reports, etc. must be completed (including signature) within 24 hours. 2.4. Quality: Contractor physicians shall participate in facility Quality Improvement and Safety Programs, as well as peer reviews when required by the Chief, Medical Service or designated representative. Additionally the contractor physician shall participate in continuous performance improvement activities as required. 2.4.1. To enhance patient care and satisfaction, performance measures will be established by VASNHCS or implemented as mandated by the Veterans Health Administration (VHA) and/or the Sierra Pacific Network (VISN 21) as goals. The Contractor shall adjust their work effort to meet these goals. 2.4.2. Performance measures include VA interest items such as timely appointments for new and follow-up patients, quantity of patients seen per day, clinical practice guidelines, preventive medicine, and Undersecretary monitors. Performance measures and monitors may change as patient needs arise. The contractor will be provided with the table of measures and monitors annually or as changes occur. 2.4.3. Participate in regularly scheduled meetings to discuss improvements to meet performance measures and other quality assurance issues when standards are not met. Meetings will be scheduled at the discretion of the Chief, Medical Service during on-station clinics. 3. Normal Duty Hours. VA normal duty hours are Monday through Friday, 8:00 am through 5:00 pm. The Contractor will work during non-duty hours as follows: 3.1. Standby Call Coverage. Contractor physicians will be responsible for providing standby call coverage to VASNHCS for consultation and/or emergency services once every three weekends from 5:00 pm on Friday until 8:00 am on Monday. Contractor physician shall respond within 30 minutes via telephone to calls and/or pages from VASNHCS for consultation. Contactor physicians shall respond on site within 60 minutes to VASNHCS when clinically indicated. 3.1.1. On-Call weekend and holidays shall be Saturday, Sunday, and Holidays from 8:00 am to the following day at 8:00 am. Weeknight Call Coverage will not be required except when the call schedule falls on a holiday weekend including Mondays or Fridays. Generally there are four calls per 24 hour period. 3.1.2. Call backs may be required when clinically indicated. The Contractor will be paid at the hourly rate stipulated in the Price Schedule for call back requirements. Urgent call backs occur on average one time per weekend. Most calls require reviewing clinical situation with an attending physician (from general ward, ICU or ED) and making a recommendation and to review an EKG. The EKG can be faxed to the on-call cardiologist. 3.2. Rounds require the Contractor physician to come to VASNHCS at approximately 8:00 am to review with the medical wards and ICU ward-clerks and residents new consults for the cardiology section, see the specific patients and make recommendations in CPRS. They will be given sign-off on Friday around 5:00 pm by the VA-cardiologist about any follow up needed to be provided to any in-patients. The Contractor physician shall also see these patients to provide cardiology follow up. The Contractor physician may be assisted by a resident but this is not a consistent source of help. The average number of follow ups required over a weekend is 2-3 patients and new consults are 3-4 per weekend. On most days, the rounding takes 2-3 hours per day. 3.3. National Holidays: The 10 holidays observed by the Federal Government are: New Years DayLabor Day Martin Luther King's BirthdayColumbus Day Presidents DayVeterans Day Memorial Day Thanksgiving Independence DayChristmas 4. Invoicing: 4.1. On-Station Invoicing: At the end of each month, the Contractor shall provide the COTR a spread-sheet that includes the name of each patient, full social security number, dates treated, and diagnostic and/or procedural codes. [last sentence deleted] 4.2 Invoices must be forwarded by the contractor electronically directly to the COTR for Medical Service E-mail address will be provided to the Contractor by the COTR after award of the contract. 5. Qualifications. 5.1 The Contractor will be responsible for ensuring that each physician providing services under this contract is fully trained and completely competent to perform the required services covered by this contract. Contractor physicians shall be at a minimum: 5.2 Licensed in a State, Territory, or Commonwealth of the United States or the District of Columbia, 5.3 Board Certified or eligible in the practice of Cardiology, 5.4 Hold a current, unrestricted Medical License, 5.5 Must be registered in VETPRO, and 5.6. Must meet medical staff criteria for initial appointment and reappraisal in accordance with VHA Handbook 1100.19, entitled Credentialing and Privileging to practice medicine at VASNHCS prior to beginning work. This handbook also describes the process for reappraisal and reprivileging, as well as, reduction and revocation of privileges. CLINDescriptionEstimated QuantitiesUnitUnit PriceExtended Price Base Period: August 1, 2009 through January 31, 2010 0001Half Day Cardiology Clinics (8/week)208Clinic$$ 0002Weekend/Holiday Rounds 70Hour$$ Option Period One: February 1 through July 31, 2010 1001Half Day Cardiology Clinics (8/week)208Clinic$$ 1002Weekend/Holiday Rounds70Hour$$ CONTRACT CLAUSES: FAR 52.204-7Central Contractor Registration (Apr 2008) FAR 52.204-9Personal Identity Verification of Contractor Personnel (Sep 2007) FAR 52.212-4 Contract Terms and Conditions -- Commercial Items (Mar 2009). FAR 52.212-5 Contract Terms and Conditions Required To Implement Statutes Or Executive Orders -- Commercial Items (May 2009) For the purposes of this clause, items (b) 17, 19, 20, 21, 22, 23, 25, 33, and 37 and (c) 7 are considered checked and apply. FAR 52-216-19Order Limitations (Oct 1995) For the purpose of this clause, the blanks are filled in as one clinic, 208 clinics, 208 clinics, and three days respectively. FAR 52.216-22 Indefinite Quantity (Oct 1995) For the purposes of this clause insert (October 31) FAR 52.217-8 Option to Extend Services (Nov 1999) (Insert 30 days) FAR 52.224-1Privacy Act Notification (Apr 1984) FAR 52.224-2Privacy Act (Apr 1984) FAR 52.233-3Protest after Award (Aug 1996) FAR 52.233-1Disputes (July 2002) FAR 52.233-4Applicable Law for Breach Of Contract Claim (Oct 2004) FAR 52.237-2Protection of Government Building, Equipment, and Vegetation (Apr 1984) FAR 52.237-3Continuity of Services (Jan 1991) FAR 52.252-2Clauses Incorporated By Reference (Feb 1998) For the purposes of this clause, the blanks are filled in as http://www.acquisition.gov/far/index.html and http://www.va.gov/oamm/oa/ars/policyreg/vaar/index.cfm respectively. VAAR852.203-70 Commercial Advertising (Jan 2008) VAAR 852.216-70Estimated Quantities (Apr 1984) VAAR 852.237-7Indemnification and Medical Liability Insurance (Jan 2008) For the purpose of this clause, insert $1,000,000.00. VAAR852.237-70 Contractor Responsibilities (Apr 1984) VAAR 852.271-70Nondiscrimination in Services Provided to Beneficiaries (Jan 2008) VAAR 852.273-75Security Requirements for Unclassified Information Technology Resources (Interim - Oct 2008) VAAR 852.273-76Electronic Invoice Submission (Interim - Oct 2008) SOLICITATION PROVISIONS: FAR 52.212-1 Instructions to Offerors - Commercial Items (Jun 2008). FAR 52.212-3Offeror Representations and Certifications -- Commercial Items (Feb 2009): Offerors must include a completed copy of the provision with its offer. FAR 52.216-1Type of Contract (Apr 1984) For the purpose of this clause, the blank is filled in as Firm Fixed Price, Indefinite Quantity. FAR 52.252-1Solicitation Provisions Incorporated by Reference (Feb 1998) For the purpose of this provision, the blanks are filled in as http://www.acquisition.gov/far/index.html and http://www.va.gov/oamm/oa/ars/policyreg/vaar/index.cfm respectively. VAAR 852.270-1Representatives of Contracting Officers (Jan 2008) VAAR 852.273-70Late Offers (Jan 2003) VAAR 852.273-74Award Without Exchanges (Jan 2003)
 
Web Link
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VANCHCS/VANCHCS/VA-261-09-RP-0148/listing.html)
 
Record
SN01871059-W 20090712/090710235059-902c8e4327c13c8347fa146b41f0d24e (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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