MODIFICATION
R -- JACHO SURVEYS (VISN-18)
- Notice Date
- 4/30/2010
- Notice Type
- Modification/Amendment
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- Contracting Office
- VA El Paso Health Care Center - Department of Veterans Affairs Health Care Center
- ZIP Code
- 00000
- Solicitation Number
- VA-258-10-RP-0068
- Response Due
- 5/21/2010
- Archive Date
- 6/20/2010
- Point of Contact
- Carlos LeonContracting Officer
- E-Mail Address
-
Contracting Officer
(Carlos.Leon@va.gov)
- Small Business Set-Aside
- Service-Disabled Veteran-Owned Small Business
- Description
- STATEMENT OF WORK Background: A Mock Joint Commission Survey shall be conducted at each Veterans Integrated Service Network 18 (VISN) facility to assist in the continuous readiness for unannounced Joint Commission Surveys. The Mock Survey process shall focus on the National Patient Safety Goals, frequently cited requirements for improvement, survey process, human resource readiness, and tracer methodology. The Contractor shall possess knowledge of Joint Commission (JC) standards and VHA regulations which apply to accreditation bodies. An educational session shall be provided for each VISN facility focusing on, but not limited to: the National Patient Safety Goals, frequently cited requirements for improvement, survey process, and human resource readiness. The educational session date and content shall be negotiated between the facility and the consulting firm. Specific Requirements: 1.Conduct a Mock Joint Commission Survey at each of the VISN 18 facilities. Each survey shall last three days per facility. Each consultant team shall have three members consisting of a physician consultant surveyor, nurse consultant surveyor, and a nurse administrative consultant surveyor. Each consultant shall have a minimum of three years of surveying experience. Each of the consultants shall have experience, education, and knowledge of infection control processes. 2.At the Albuquerque, New Mexico facility, services shall include a review of the Hospital, Community Living Center, Outpatient, Domiciliary, Psychiatric Residential Rehabilitation Treatment, and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will be a contract clinic, and as well will include the most distant clinic from the Albuquerque, New Mexico facility. 3.At the Amarillo, Texas facility, services shall include a review of the Hospital, Community Living Center, Outpatient, Substance Abuse Residential Rehabilitation Treatment, and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will be a contract clinic, and as well will include the most distant clinic from the Amarillo, Texas facility. 4.At the Big Spring, Texas (West Texas) facility, services shall include a review of the Hospital, Community Living Center, Outpatient, Domiciliary, and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will include the most distant clinic from the Big Spring, Texas facility. 5.At the El Paso, Texas facility, services shall include a review of the Outpatient and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will include the most distant clinic from the El Paso, Texas facility. 6.At the Phoenix, Arizona facility, services shall include a review of the Hospital, Community Living Center, Outpatient, Substance Abuse Residential Rehabilitation Treatment, and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will be a contract clinic, and as well will include the most distant clinic from the Phoenix, Arizona facility. 7.At the Prescott, Arizona facility, services shall include a review of the Hospital, Community Living Center, Outpatient, Residential Rehabilitation Treatment, Domiciliary, and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will include the most distant clinic from the Phoenix, Arizona facility. 8.At the Tucson, Arizona facility, services shall include a review of the Hospital, Community Living Center, Outpatient, Psychiatric Residential Rehabilitation Treatment and Community Based Outpatient Clinic programs. This review will be a three-day review. Review of the Community Based Outpatient Clinics will include a minimum of two clinics, one of which will include the most distant clinic from the Phoenix, Arizona facility. 9.Dates of the surveys to be negotiated with each facility. However, all onsite surveys shall be completed no later than December 31, 2010. After each facility survey is completed, the surveyor shall schedule an exit conference with the Facility Director and other leadership staff to discuss findings and trends. 10.Consultants shall use the Joint Commission Standards published in the Comprehensive Accreditation Manual for Hospitals: The Official Handbook (CAMH) and other appropriate standards for Long Term Care, Ambulatory Care, Behavioral Health, and Homecare. 11.Each facility shall supply the surveyor with accurate information describing the scope of services provided. The facility shall provide access to those staff members who shall normally be involved in Joint Commission Survey to allow adequate assessment of standards compliance. 12.The hospital surveys shall be coordinated with the local Quality Management or Accreditation Staff at each site. All of the surveys shall be completed by December 31, 2010. Each survey shall include an opening conference; patient tracer activities, leadership conference, exit briefing and standards based report. 13.The consultants shall conduct a facility-specific educational session at each VISN facility focusing on, but not limited to: the National Patient Safety Goals, frequently cited requirements for improvement, survey process, and human resource readiness. Each educational session shall accommodate approximately 40 VA Employees; the VA shall provide a facility to conduct the session. The educational session date and content shall be negotiated between the facility and the consulting firm. One team member must be at least a Masters prepared nurse (doctorally prepared nurse preferred) to design educational programs to enhance staff knowledge of standards and successful implementation. Experience in developing on-going educational programs both at The Joint Commission and at the collegiate level required. 14.The consultants shall possess the appropriate qualifications and credentials for conducting the surveys. They shall have surveyor and consultant experience and be knowledgeable of the unique challenges faced by VA Medical Centers. The surveyors shall have in-depth knowledge of VAs Computerized Patient Record System (CPRS) and history of data security compliance with VA medical records. Additionally, they shall have extensive VA Medical Center consulting experience including SARTPs, PTSD, Polytrauma, and psychosocial rehabilitation programs in addition to hospital, behavioral health and long term care programs. VISN 18 facility knowledge preferred, military experience preferred. Must guarantee consistent team membership unless for an approved emergency. This requirement must be completed by 12/31/2010. 14.Consultants must possess track record of experience assisting Medical Centers with successfully demonstrating evidence of standards compliance after Joint Commission survey findings. They shall have participated on Central Office-Joint Commission Task Force(s) during tenure as surveyor. Previous Joint Commission consultation with no adverse decisions, resulting in full accreditation award(s). 15.Three member team comprised of a combination of medical doctor, a Masters prepared (doctorally prepared nurse preferred) registered nurse, and a Masters prepared registered nurse with combined experience in Hospital, Life Safety, Ambulatory, Behavioral Health, and Long Term Care Joint Commission Standards. Members must possess previous experience as Joint Commission certified surveyors. The surveyors shall have expertise in Infection Control Practices. 16.Team members shall have experience with Special Survey Unit (SSU) at the Joint Commission preferably conducting for-cause announced and unannounced surveys and preparing root cause analyses. 17.All costs, including travel, lodging and materials furnished to the facilities/VISN must be included in the quote submitted. Payments shall be made monthly, based on the successful completion and acceptance of onsite work for each medical center. 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: Technical Evaluation, Past Performance, Price Technical and past performance, when combined, weight substantially more than price. In order for each quote to be properly evaluated, it is necessary that each Offeror address the below technical evaluation criteria and be specific and complete in every detail. Offers shall be organized with sections appropriately identified. Offerors are to propose how they intend to fulfill the requirements of this solicitation and how their total offer shall meet the minimum specifications as set forth herein. The Technical Proposal determines the qualifications and capability of the Offeror to furnish the services called for by the solicitation. 1. Technical Capability Subfactors are equal in importance. a. Demonstrate how you intend to meet specified time frames Mock Surveys must be completed no later than December 31, 2010. b. Provide documentation indicating experience conducting mock surveys and effective interviewing skills c. Provide resumes of qualified staff (Physician, Registered Nurses) that meet the solicitation requirements. d. Demonstrate expertise on the latest Joint Commission standards and the Comprehensive Accreditation Manual for Hospitals: The Official Handbook (CAMH). e. Explain your experience conducting Joint Commission surveys to VA medical centers that demonstrates your ability to meet the requirements considering VAs unique issues. f. Describe your mock survey process; please include any unique tools or systems utilized g. Provide examples of survey tools you use to conduct surveys h. Provide documentation of educational sessions your firm has conducted including the contents (subject matter) of the educational sessions. Provide summaries of educational session evaluations and samples of handout materials. 2. Past Performance: This factor shall indicate successful performance and ability to fulfill the requirements of the solicitation. Offerors are required to furnish the following information: a.Identify three (3) VA or other Federal, State or Local Government customers for whom the offeror has provided mock surveys as described in this solicitation at any time. b. Provide information relating to your federal or commercial contracts by completing the tables below. The listed contactl will be contacted to provide performance evaluations such as the compliance with schedules, training and skill levels of personnel accomplishing the work, responsiveness to customer requirements, effectiveness at identifying and correcting problems and overall satisfaction with service performance. c.In addition to references identified by the offeror, the Government may use other sources in evaluating the offerors overall past performance record. d.In the case of an Offeror without a record of relevant past performance or for whom information on past performance is not available, the Offeror may not be evaluated favorably or unfavorably on past performance. Customer Name_________________________________________________ Address_______________________________________________________ Contact Name__________________________________________________ Contact Telephone_______________________________________________ Contact Fax____________________________________________________ Contact Email___________________________________________________ Service/Product Provided__________________________________________ Service Period__________________________________________________ Information Comments____________________________________________ 3. Cost/Price: The cost/price stated in the Section entitled Schedule of Supplies or Services and Price/Costs is to be inclusive of all required services for the period of the contract. SCHEDULE OF SERVICES Line items must include all costs including contractor travel, materials furnished to facilities, educational session, mock survey and exit report. Item NumberService SiteQuantityUnit of ServiceUnit Price 1Albuquerque, NM1JOB$ 2Amarillo, TX1JOB$ 3Big Springs, TX1JOB$ 4El Paso, TX1JOB$ 5Prescott, AZ1JOB$ 6Tucson, AZ1JOB$ 7Phoenix, AZ1JOB$
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