SOLICITATION NOTICE
Q -- Medical Services - Attending Physician - Fresno
- Notice Date
- 9/25/2009
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- VA Northern California Health Care System - Department of Veterans Affairs No. California Health Care System System
- ZIP Code
- 00000
- Solicitation Number
- VA-261-09-RP-0417
- Response Due
- 9/30/2009
- Archive Date
- 10/10/2009
- Point of Contact
- eric.toliver@va.gov
- E-Mail Address
-
Contracting Specialist
(eric.toliver@va.gov)
- Small Business Set-Aside
- Total Small Business
- 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 2005-36 as corrected. This solicitation is set aside for Small Businesses. The NAICS code is 621111, with a size standard of $7.0 million. The Contractor will provide these services at the VA Central California Health Care System in Fresno, CA. The contract performance period will be for one year starting on or about October 1, 2009 through September 30, 2010. Electronic, hand-delivered or properly mailed offers will be accepted. Faxed offers will not be accepted. Offers are due to eric.toliver@va.gov by NLT 3:00 p.m. on September 28, 2009. Offers must include a completed price schedule, curriculum vitae for each physician and a maximum of three contract references (with correct contact information). Price must include rate for one half (1/2) day service. Curriculum vitae will be used for technical evaluation based on skill sets and experience. Contract references will be used for past performance and must be within the last three years (September 25, 2006). For information regarding the solicitation you can e-mail me at the above e-mail address or phone at (916) 923-4528. 1. Scope of Work: The contractor shall provide Physician services in Medical Service in the Infectious Disease Program. This includes supervision and teaching of residents, medical students, fellows and academic consultation by any of the staff providers at the VA Central California Health Care System (VACCHCS) Fresno and the Community Based Outpatient Clinics (CBOC). The consultation services in the CBOCs will be through telephone or electronic communications with the requesting provider. The need for the services is for one physician only at the facility. The services will be normally performed during regular working days and hours. 1.1 Background: The Internist Physician will generally be working independently and will consult with the Chief of Medical Service when unusual circumstances arise. 2. Specific Contractor Tasks include: 2.1. Provide Internal Medicine with specialty in Infectious Disease care to patients along with teaching and supervision to all fellows, residents, and medical students who are on rotation at VACCHCS Fresno. 2.1.1. Provide direct patient care in the clinic, inpatient consulting, and consulting in any other clinical areas of the medical center, including the CBOCs. The Infectious Disease Clinic is held on Monday and Tuesday afternoons (1:00PM - 4:30). The attending physician is not required to be physically present at the CBOCs to provide consultations to providers in the CBOCs. The patient care shall include direct face-to-face patient contact, telephone contact, and any discussion of the patient's care with other providers. Since there is only need for one physician to be at this facility to provide Infectious Disease care services, the physician assigned to see patients during the clinic days should provide all other services including supervision to fellows, residents, and medical students, and responding to consultation requests. 2.1.2. Conduct teaching activities for Fellows and Residents as appropriate in accordance with the requirements of the affiliated Medical Education Program, UCSF Fresno. This may be either during direct patient care contact, physically present with the patient, or with discussion of the patient's case with the Fellow and/or Resident, without the presence of the patient. Conduct Internal Medicine evaluations to all Residents and Fellows. Submit completed evaluations to the Residency and Fellows Coordinators in Medical Service. 2.1.3. Document all patient care and supervision/training provided to all residents, medical students, fellows, and academic consultations to providers through the VA Computerized Patient Medical Records (CPRS). All documentations shall be completed 100 percent all of the time. See Paragraphs 7, 8, and 9 below. 2.1.4.The services shall include academic consultations to healthcare providers and provide Lectures/Grandrounds in a formal classroom setting that is available to all the faculty, fellows, residents, and medical students at this facility. 2.1.5.Assist Fellows and Residents in Infectious Disease research activities at this facility as appropriate. 2.1.6 The attending physician providing services under this agreement will, at all times, be considered as a contractor and not an employee of the VACCHCS. 2.1.7 The faculty shall comply with the by-laws of VACCHCS Fresno. 2.1.8 Must meet medical staff criteria pertaining to the supervision of fellows and residents in accordance with VHA Handbook 1400.1, to practice medicine at VACCHCS prior to beginning work. This Handbook is available upon request." 2.1.9 The contractor shall provide only one attending physician at this facility to provide the services as described above at the given time described in paragraph 3 below. If there is a need for additional physician, the contractor will be notified of the need for additional attending physician. 2.1.10Must meet medical staff criteria for initial appointment and reappraisal in accordance with VHA Handbook 1100.19, entitled Credentialing and Privileging (see Appendix 2) to practice medicine at VACCHCS prior to beginning work. Available upon request. 2.1.11Any conflicts that may arise regarding patient care shall be coordinated with the Chief of Medical Service. 2.1.12The COTR shall monitor performance through a list of patients that the physician cared for and will verify this through the records indicated in CPRS. The Chief of Medical Service will verify quality of patient care through the Protected Peer Review process and the On-going Provider Practice Evaluation (OPPE). 3. Normal Duty Hours. Typically the contractor will work during the Federal Government's regular work days and hours. The attending physician shall be on station one-half day (four hours) each day of the regular work days to provide the necessary services. The attending physician shall be on station during specific days and times for the Infectious Disease Clinic, currently held on Mondays and Tuesdays from 1:00PM - 5:00PM. The contractor shall provide a monthly schedule indicating who will be at this facility during the regular work days. This will also include the name of the physician who will be on call after the regular work hours, weekends, and holidays. A time sheet indicating the dates, name of the physician, and the hours that the physician who was actually at the VA site shall be provided at the end of each month. The contract physician is not required to be on station when on-call and will only be physically present when explicitly requested by the consulting provider. 3.1. The VA observes the following Federal Holidays: New Years Day, Martin Luther King Jr. Day, Presidents Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day and any other day specifically declared by the President of the United States to be a national holiday. No services shall be requested during any of these holidays. 3.2. VACCHCS does not provide any normal benefits to the contractor afforded to an employee. The contractor shall notify the Office of Medical Service of any days that the physician cannot be available through the monthly schedule. 4. Qualifications. 4.1. The Contractor will be responsible for ensuring that the physician providing services under this contract is fully trained and completely competent to perform the required services covered by this contract. American Board Certifications in Internal Medicine and Infectious Disease are required. 4.1.1 The Contractor will be responsible for any license and certification required by the state of California to perform Internal Medicine services. The physician must also be have Basic Life Support (BLS) certification and Advance Certification for Life Support (ACLS). 4.1.2 The Contractor is responsible for providing the necessary credentials for appointment as a faculty of UCSF Fresno. 5. Invoicing and Payment: 5.1. A record-keeping system of the contract physician's services performed shall be established by VACCHCS. Payment made during all periods of performance of this agreement shall constitute the total cost for services rendered by the contractor, and shall not exceed the amounts specified in the "Schedule of Supplies and Services" without written request and the written approval from the Contracting Officer. 5.2. Invoices rendered by the contractor to VACCHCS for services furnished under this agreement, will be invoiced in full for each month in which services were performed. All payments made under this contract will be made monthly in arrears in accordance with FAR Clause 52.212-4. No advance payments will be authorized. Invoices shall be e-mailed to the COTR Efren Hernandez, Administrative Officer for Medical Service. Physical mailing address is VACCHCS, 2615 E. Clinton Ave, Fresno, CA 93703. 5.3. Invoices submitted will show the dates of the services provided. All invoices applicable to this agreement must be submitted no later than thirty (30) days after the end of the contract period. Any problems regarding unpaid invoices should be directed to the COTR. 5.4. At a minimum, each invoice must contain the following: Dates and hours of services provided, unit price, and total cost of services provided, contract number, and remittance address. All invoices must include the name, title and phone number of person to be notified in the event of defective invoicing. 5.5. All invoices must be submitted for actual services performed by the physician. Invoices shall be submitted in accordance with, and at the prices specified in the continuation of SF Form 1449, Schedule of Supplies and Services of this agreement. 6. Terms of the Agreement: 6.1. This agreement is effective for the period identified in the "Schedule of Supplies and Service" and is subject to the availability of VA funds. Services wil1 not be performed by the contractor beyond the expiration date, unless specifically authorized to do so (in writing) by the Contracting Officer. 6.2. Contractor personnel performing services under this agreement will not be considered VACCHCS employees for any purpose. VA will not make payment for any holidays or leave including sick leave or any other benefits financial or other. In addition, the contractor shall be required to provide their own worker's compensation, liability insurance, health examinations, income tax withholdings and social security payments. 6.3. The contractor shall provide the applicable worker's compensation, professional liability insurance, income tax withholding and social security payments. 7. Estimated Quantities: The quantities of services and cost specified in this agreement are estimates, based upon the projected workload during the period of performance. VACCHCS will not be obligated to reimburse the contractor for any specified amount of services, but will be obligated to make payment for any services received in the quality and quantity as requested. SCHEDULE OF PRICE AND SERVICES CLINDescriptionsEstimated QuantitiesUnitUnit PriceExtended Price Base Period: October 1, 2009 through September 30, 2010 0001Estimated Number of (1/2) Days of Service250YR$$ 8. VACCHCS Responsibilities: 8.1. After award, the Contracting Officer will designate a VA employee as the Contracting Officer's Technical Representative (COTR). The COTR will be responsible for overseeing and directing the services to be performed by under this agreement. 8.2. Other necessary personnel for performance of the services at the VACCHCS, Medical Service, will be provided by the VACCHCS at levels mutually agreed upon which are compatible with the safety of patients and personnel and with quality medical care programming. Adequate and appropriate support staff will be available to assist the contract physician with VA Medical Service. In addition, VACCHCS will provide all supplies, equipment and support personnel during tours of duty. 8.3. Other personnel and equipment necessary for the operation of the services provided will be provided by the VA at levels compatible with the safety of patients, staff, and quality medical care programming. In the event that the contractor deems that the staffing, facilities, equipment, supplies and/or ancillary services at the VACCHCS site are materially inadequate for the satisfactory performance of services, the contract physician will so notify VACCHCS Medical Service and the COTR in writing. 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 (Aug 2009) For the purpose of this clause, items (b) 6, 10, 19, 21, 22, 23, 24, 27, and 40 are considered checked and apply. FAR 52.216-18Ordering (Oct 1995) for the purpose of this clause insert: (October 1, 2009 through September 30, 2010) FAR 52-216-19Order Limitations (Oct 1995) For the purpose of this clause, the blanks are filled in as: (a) $100.00, (b)(1) $60,000.00, (b)(2) $60,000.00 (b)(3) 365 days, (d) five days. FAR 52.216-22 Indefinite Quantity (Oct 1995) for the purposes of this clause insert (September 30, 2010) FAR 52.217-8 Option to Extend Services (Nov 1999) (Insert 30 days) FAR 52.217-9Option to Extend the Term of the Contract (Mar 2000) (Insert 30 days and 60 days) FAR 52.224-1Privacy Act Notification (Apr 1984) FAR 52.224-2Privacy Act (Apr 1984) 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 852.203-71Display of Department of Veterans Affairs Hotline Poster (Dec 1992) 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 52.212-2Evaluation-Commercial Items (Jan 1999) For the purpose of this clause, the blanks are filled in as: (a) Technical, Past Performance, and Price, and Technical and Past Performance when combined are considered significantly more important than Price FAR 52.212-3Offeror Representations and Certifications -- Commercial Items (Aug 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)
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