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FBO DAILY ISSUE OF SEPTEMBER 24, 2010 FBO #3226
SOLICITATION NOTICE

Q -- Dermatiology Physician - Fresno

Notice Date

9/22/2010
 

Notice Type

Combined Synopsis/Solicitation
 

NAICS

621111 — Offices of Physicians (except Mental Health Specialists)
 

Contracting Office

5342 Dudley Blvd., Bldg. 209;McClellan Park, CA 95652
 

ZIP Code

95652
 

Solicitation Number

VA26110RP0478
 

Response Due

10/8/2010
 

Archive Date

11/7/2010
 

Point of Contact

Eric Toliver
 

E-Mail Address

cting
 

Small Business Set-Aside

N/A
 

Description

1. 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 2005-43. 2. The Department of Veterans Affairs is seeking a Service Disabled Veteran Owned Small Business (SDVOSB), Veteran Owned Small Business (VOSB), HUB Zone, Small Disadvantaged Business (8a), Woman Owned Small Business, Small Business, or other that is able to provide Dermatology services to the Central California Healthcare System (VACCHS), Fresno, CA. Offers from all capable and responsible sources will be considered. Electronic, hand-delivered or properly mailed offers will be accepted. Faxed offers will not be accepted. Contractors responding to this notice need to provide the below information to eric.toliver@va.gov no later than October 8, 2010 3pm PST. Offers must include a completed price schedule, curriculum vitae for each incumbent and a maximum of three contract references (with correct contact information). 3. The contract period performance will be on or about November 1, 2010 to September 30, 2011. 4. Firms offering a response to this notice should ensure that they are registered in the Central Contractor Registration Database http://www.ccr.gov/ and ensure that the NAICS code 621111 is included in the CCR profile prior to submission of bids; is verified for ownership and control, and is so listed in the Vendor Information Pages database, http://www.VetBiz.gov, if applicable. 5. Proposals will be considered only from offerors who are regularly established in the business called for; and who are financially responsible. Offerors must have the necessary equipment and personnel to furnish services in the volume required, for all items specified under this contract. 6. Successful offeror(s) shall meet all requirements of Federal, State and City codes regarding operation of this type of service or establishment. The contract personnel shall provide services in accordance with the terms, conditions and prices contained herein. Contract costs shall be all-inclusive, including but not limited to salaries, fringe benefits, vacation pay and malpractice expenses. ? A.2 CONTRACT ADMINISTRATION DATA (continuation from Standard Form 1449, block 18A.) 1. Contract Administration: All contract administration matters will be handled by the following individuals: a. CONTRACTOR: b. GOVERNMENT: Eric Toliver/CO Jerry Piekut (90C) VA Northern California Healthcare System 5462 Dudley Blvd., Bldg 209 McClellan Business Park CA 95652 2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address: ________________________________________ ________________________________________ ________________________________________ 3. INVOICES: Invoices shall be submitted in arrears: a. Quarterly[] b. Semi-Annually[] c. Other[Monthly] 4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be mailed to the following address: Department of Veterans Affairs FMS-VA-2(101) Financial Services Center PO Box 149971 Austin TX 78714-8971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows: AMENDMENT NO DATE ______________________________ _____________ ______________________________ _____________ ______________________________ _____________ A.3 SPECIAL CONTRACT REQUIREMENTS Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Medical Center, VACCHCS, the services and prices specified in the Section entitled Schedule of Supplies/Services of this contract. 1. SERVICES: a. The services specified in the Sections entitled Schedule of Supplies/Services and Special Contract Requirements may be changed by written modification to this contract. b. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. c. The services to be performed by the contractor will be performed in accordance with VA policies and procedures and the regulations of the medical staff by laws of the VA facility. 2. TERM OF CONTRACT: This contract is effective one year from date of award. The contract is subject to the availability of funds. The contractor shall perform no services after October 31 of any year until the Contracting Officer authorizes such services in writing. 3. QUALIFICATIONS: Personnel assigned by the Contractor to perform the services covered by this contract shall be licensed in a State, Territory, or Commonwealth of the United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA Facility Director. Each person assigned to work under this contract shall be licensed by (State of California). 4. WORK HOURS: a. The services covered by this contract shall be furnished by the contractor as defined herein. The contractor will not be required, except in case of emergency, to furnish such services during off-duty hours as described below. b. The following terms have the following meanings: (1) Work hours: Monday through Friday, 8:00 a.m. - 4:30 p.m. (2) National Holidays: The 10 holidays observed by the Federal Government are: New Years DayMartin Luther King's BirthdayPresidents DayMemorial DayIndependence Day Labor DayColumbus DayVeterans DayThanksgivingChristmas (AND) any other day specifically declared by the President of the United States to be a national holiday. (3) Off-Duty hours: Friday through Monday, 4:30 p.m. - 8:00 a.m. 5. PERSONNEL POLICY: The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel: - workers compensation - professional liability insurance - health examinations - income tax withholding, and - social security payments. The parties agree that the contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose. 6. RECORD KEEPING: The VA Medical Center, VACCHCS shall establish and maintain a record keeping system that will record the hours worked by the contractor employee(s). Contractor's employee(s) shall report to Medical Services Administrative Officer, or designee upon arrival at the VACCHCS. Contractor will provide health care to patients seeking such care from or through VA. As such, contractor is considered part of the Department health activity for purposes of the following statutes and the VA regulations implementing these statutes: the Privacy Act, 5.U.S.C. § 552a, and 38 U.S.C. §s 5701, 5705 and 7332. Contractor and its employees may have access to VA patient medical records to the extent necessary for the contract or to perform this contract. Notwithstanding any other provision of this contract, contractor and its employees may disclose patient treatment records only pursuant to explicit disclosure authority from VA. Contractor and its employees are subject to the penalties and liabilities provided statutes and regulations for unauthorized disclosures of such records and their contents." "Records created by the contractor in the course of treating VA patients under this agreement are the property of the VA and shall not be accessed, released, transferred or destroyed except in accordance with applicable federal law and regulations." Upon the expiration of this contract or termination of the contract, the contractor will promptly provide the VA with the individually identified VA patient treatment records. 7. CONTRACT PERFORMANCE MONITORING: Monitoring of contractors time shall be demonstrated through sign-in/ sign-out sheets. The contractor shall be required to sign an attendance log upon reporting to work and departing from work. The COTR, Efren Hernandez, Administrative Officer, shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. 8. KEY PERSONNEL AND TEMPORARY EMERGENCY SUBSTITUTIONS: The Contractor shall assign to this contract the following key personnel: a. During the first ninety (90) days of performance, the Contractor shall list all key personnel and any changes which require VA approval in FAR Addendum 52.212-1, additionally, make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the Contracting Officer, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions. b. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel. c. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive work days or more, the Contractor will provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above. ? STATEMENT OF WORK DERMATOLOGY PHYSICIAN SERVICES 1. Scope of Work: The contractor shall provide a Physician to provide Dermatological care services to patients at VA Central California Health Care System (VACCHCS). All services will be performed on-site at the VA Central California Health Care System (VACCHCS) Fresno. In addition to patient care, the Physician shall provide Dermatology teaching and supervision of residents, medical students, fellows and academic consultation by any of the staff providers at VACCHCS. The physician shall have an appointment as a faculty at the University of California San Francisco (UCSF Fresno) Medical Education Training Program, affiliated with VACCHCS. The contractor physician will also participate as appropriate, in VA research programs along with residents, medical students, fellows, or with other staff physicians. The services will be performed during regular working days and hours unless a predetermined service and arranged ahead of time is requested outside of regular working days and hours. The contractor will not be required to be on-call. The need for the services will be two one-half days per week. One-half day is equivalent to four hours. The payment of services shall be based on the number of one-half days worked in patient care in the Dermatology Clinic including teaching and supervision of resident activity. All patient care activities shall be documented in the Computerized Patient Record System (CPRS). The Physician Dermatologist 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 high quality Dermatological care to patients presenting at VACCHCS Fresno. 2.1.1. Conduct Dermatological clinical services that include examination, diagnosis, treatment, follow-up, consultations, laboratory, imaging and all necessary and acceptable standard of Dermatological care services. Patients scheduled will be approximately 12-14 patients per one-half day. 2.1.2. Dermatology care services will be scheduled and/or coordinated with the contractor through Medical Service. 2.1.3. Document all Dermatology care services in the VA Computerized Patient Records System (CPRS). See Paragraphs 7, 8, and 9 below. 2.1.4.The physician shall absolutely act in a professional manner at all times. Tact and courtesy are mandatory when interacting with patients and staff. 2.1.5.The physician providing services under this agreement will, at all times, be considered as a contractor and not an employee of the VACCHCS. 2.2 Provide Dermatology teachings and supervision to all residents, medical students, and fellows who are providing care at VACCHCS Fresno. The majority of the teaching and supervision activity is in conjunction with the patients receiving care in the Dermatology clinic. 2.2.1. Provide hands-on training to all residents, medical students, fellows, and other providers in all aspects of Dermatology which may be conducted in the Dermatology Clinic or in some other patient or academic area of the VA facility. The training of residents includes supervision in all aspects of dermatological care. 2.2.2. Conduct Dermatology Clinic evaluations to all residents, medical students, and fellows. Submit completed evaluations to the Residency Coordinator in Medical Service. 2.2.3. Document all Dermatology supervision/training provided to all residents, medical students, fellows, NPs/PAs 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. 2.2.4.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, residents, fellows and medical students at this facility. 2.2.5.Conduct Dermatology research along with residents, medical students, and fellows as appropriate. Provide assistance to providers in the area of Dermatology as part of the provider's overall research in Medicine or Surgery. 2.2.6 The physician providing services under this agreement will, at all times, be considered as a contractor and not an employee of the VACCHCS. 3. Normal Duty Hours. Typically the contractor will work during the Federal Government's regular work days and hours specifically the physician will be at the facility two - one-half days per week for at least four hours per one-half day of patient work or until all documentation, teaching, and discharge of patients from clinic for that particular day. 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. 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. Appropriate American Board Certification is required. 4.1.1 The Contractor will be responsible for any license and certification required by the state of California to perform Dermatological services. This includes Basic Life Support (BLS) certification. 4.1.2 The Contractor is responsible for providing the necessary credentials for appointment as a faculty of UCSF Fresno. 5. Contractor Personnel Security Requirements - Information Systems Access All Contractor employees, who require access to VA computer systems and will work more than six (6) months (180 days) under this contract, shall be the subject of a background investigation and must receive a favorable adjudication from the VA SIC. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA. Contractor personnel who previously received a favorable adjudication as a result of a Government background investigation may be exempt from this contract requirement provided that they can provide documentation to support the previous adjudication. Proof of previous adjudication must be submitted by the Contractor to VA SIC through the VA Contracting Officer. Proof of previous adjudication is subject to verification by the VA SIC. Some positions maybe subject to periodic re-investigation. For those Contractor employees who will work less than six (6) months (180 days) under this contract, a background investigation is not required; however, such employees will be required to initiate a SAC for Fingerprint Only prior to providing services under this contract. 5.1 Position Sensitivity - The position sensitivity has been designated as: Low Risk 5.2 Background Investigation - The level of background investigation commensurate with the required level of access is: NACI 5.3 Contractor Responsibilities. In order to conduct a background investigation the Contractor shall submit the following required forms to the COTR. The COTR will arrange a time for contract personnel to complete fingerprint verification. 5.3.1. Standard Form 85, Questionnaire for Non-Sensitive Positions 5.3.2. Standard Form 86A, Continuation Sheet for Questionnaires 5.3.3. Optional Form 306, Declaration for Federal Employment 5.3.4. Electronic Fingerprint Verification OR FD 258, U.S. Department of Justice Fingerprint Applicant Chart 6. Access to and Safeguard of VA Information/Computer Systems 6.1. VA may provide contract personnel with access to Computerized Patient Records System (CPRS) and/or other general files maintained on VA computer systems via personalized VA access codes. These access codes are confidential and are to be protected by the end user. Sharing of these access codes or misuse of VA information/computer systems is a Federal crime and may result in criminal penalties. When contract personnel no longer provides services to VA under the contract or no longer needs access to VA information systems, the Contractor shall immediately inform the COTR so that the appropriate contract person's access codes can be deactivated. The COTR will be responsible for ensuring that such access codes are deactivated. 6.2. All contract personnel accessing CPRS, or any other VA information/computer system, will be required to complete VA Cyber Security Awareness Training annually and sign all applicable computer user agreements prior to accessing VA systems. The COTR will be responsible for ensuring and documenting that this requirement is satisfied. Contract personnel shall maintain, access, release, and otherwise manage the information contained on VA information/computer systems in accordance with all VA/VHA security policies, applicable VA confidentiality statutes (Title 38 U.S.C. Section 5701 and Title 38 U.S.C Section 7332) and the respective regulations implementing these statutes, and Federal statutes and/or regulations applicable to Federal agency records. Copies of this information discussed in the aforementioned paragraphs can be provided to the Contractor and contract personnel upon request. 6.3. Contract personnel with access to VA information/computer systems shall take reasonable safeguards, both physical and electronic, to safeguard the information and prevent unauthorized disclosures. Should contract personnel know, or suspect, that VA information/computer security was compromised or that VA information was, or could possibly be, disclosed to an unauthorized party, contract personnel must immediately report such knowledge or suspicion to the COTR, who will then immediately notify the appropriate VA officials. 6.4. If contract personnel are authorized by VA to access VA information/computer systems remotely via non-VA issued computers, the Contractor will ensure that such computers are consistent with VA requirements, and will upgrade those computers (hardware and/or software) if instructed to do so by VA in order to ensure compatibility and security when VA information/computer systems are accessed by the end user. Individually identifiable health information will not reside on the contractor's computer hard drives. After contract award, VA reserves the right to inspect the contractor's facilities, installations, operations, documentation, records, databases, and computers to ensure these requirements are met. 6.5. The Contractor shall make its internal policies and practices regarding the safeguarding of medical and/or electronic information available to VA, and any other Federal agencies with enforcement authority over the maintenance and safeguard of such records, upon request. 6.6. The Contractor shall follow all of the previously mentioned statutes and respective regulations implementing these statutes as well as VA Directive 6504 - Restrictions on Transmission, Transportation and Use of, and Access to VA Data Outside a VA Facility, VA Directive 6601 - Removable Storage Media, and any other VA/VHA policies and procedures governing the information discussed in this section of the contract. Copies of the information discussed in the aforementioned paragraphs may be viewed by contract personnel in the Office of Information Security (see the Information Security Officer). 6.7. Any changes in the laws, regulations, or VA/VHA policies or procedures governing the information covered by this section of the contract, during the term of this contract, shall be deemed to be incorporated into this contract. 7. CPRS - COMPUTERIZED PATIENT RECORD SYSTEM Contract personnel are required to enter all patient care information into CPRS in accordance with Health Care System Memorandum No. 11-07-039 - Ordering Procedures Using the CPRS (see the COTR to obtain a copy of this document) and any other VHA/medical center policies, procedures, or memorandums that address this topic. The COTR will be responsible for ensuring and documenting that these requirements are satisfied. If patient records are not properly documented within CPRS, VA reserves the right to withhold payment to the Contractor until such records are properly documented. 8. Handling of Records 8.1. By performing services under this contract, the Contractor is considered part of the VA healthcare activity for purposes of the following statutes and respective regulations implementing these statutes: Title 5 U.S.C Section 552a (Privacy Act), Title 38 U.S.C. Section 5701, Title 38 U.S.C. Section 5705, Title 38 U.S.C Section 7332, and Public Law 104-191 (HIPAA). Contract personnel shall have access to patient medical records and general files only to the extent necessary to perform their contractual duties. Contract personnel shall only release medical information obtained during the course of this contract to those VA medical staff members involved in the necessary care and treatment of the individual patient in which the information pertains. Notwithstanding any other clause and/or provision of this contract, if a request for release or disclosure of information is not necessary for the care and treatment of an individual patient, the Contractor and contract personnel shall not disclose any information contained in general files, patient records, and/or any other individually identifiable health information, including information and records generated by the Contractor in performance of this contract, except pursuant to explicit instruction and written approval from VA. For the purposes of this paragraph, instruction to disclose or copy such records and/or information may only be provided by the following: VA Regional Counsel and Chief, Health Information Management Service/Privacy Officer through the VA Contracting Officer. Violation of the aforementioned statutes may result in criminal and/or civil penalties. 8.2. Contract personnel who obtain access to hardware or media which may manipulate or store drug or alcohol abuse data, sickle cell anemia treatment records, records or tests or treatment for or infection with HIV, medical quality assurance records, or any other sensitive information protected under the statues and implementing regulations previously mentioned in paragraph 6, above, shall not have access to the records unless absolutely necessary to perform their contractual duties. Any contract person who has access to the previously mentioned data and/or information must not disclose it to anyone, including other contract personnel not involved in the performance of the particular contractual duty for which access to this data and/or information was obtained. 8.3. Information or records accessed and/or created by the Contractor in the course of performing services under this contract are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable federal law, regulations, and/or VA/VHA policy. The Contractor will not copy information contained in VA information systems, either by printing to paper or by copying to another digital format, without the explicit instruction and written approval from of the VA officials, except as is necessary to make single copies in the ordinary course of providing patient care. The Contractor will not commingle the data from VA information systems with information from other sources. Contractor shall report any unauthorized disclosure of VA information to the VA officials. 8.4. If this contract is terminated for any reason, the Contractor will provide VA with all individually identifiable VA patient treatment records or other information in its possession, as well as any copies made pursuant to paragraph 6 above, within seven (7) calendar days of the termination of this contract. 8.5. The Contractor shall follow all VA policies regarding the retention of records. As an alternative, the Contractor may deliver the records to VA for retention. 8.6. The Contractor shall follow all of the previously mentioned statutes and respective regulations implementing these statutes as well as VHA Handbook 1605.1 - Privacy and Release of Information and any other VA/VHA policies and procedures governing the information discussed in this section of the contract. Copies of the information discussed in the aforementioned paragraphs may be viewed by contract personnel in the Office of Health Information Management (see the Privacy Officer). All contract personnel with access to any of the previously mentioned records (electronic or paper) will be required to complete VHA Privacy Policy Training before accessing such record systems. This training must also be completed annually. The COTR will be responsible for ensuring and documenting that this requirement is satisfied. 8.7. Any changes in the laws, regulations, or VA/VHA policies or procedures governing the information covered by this section of the contract, during the term of this contract, shall be deemed to be incorporated into this contract. 8.8. VA has unrestricted access to the records generated by the contractor pursuant to this contract. 9. HIPAA Compliance Under HIPAA Privacy and Security Rules, the Contractor providing services under this contract is considered to be a "covered entity," and thus is not required to enter into a Business Associate Agreement with VA. However, the Contractor must observe Public Law 104-191 and all respective regulations implementing this law while providing services under this contract. 10. Invoicing and Payment: 10.1. 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. 10.2.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, Administrative Officer for Medical Service. Physical mailing address is VACCHCS, 2615 E. Clinton Ave, Fresno, CA 93703. 10.3.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. 10.5.At a minimum, each invoice must contain the following: Dates and initial of each patient who received the services, 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. 10.6.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. 11. Quality Assurance and Contract Performance Monitoring: 11.1.In accordance with VA regulations, a record-keeping system will be established and maintained by the COTR to ensure contract compliance. 11.2.Upon verification of services, payment will be authorized by the COTR. 11.3.Contractor agrees to provide services which meet or exceed the standards as established by the Joint Commission Accreditation of Hospital Organizations (JCAHO), the Department of Veterans Affairs and VACCHCS accepted standard services. 11.4.The services specified herein may be changed by mutual written agreement of the parties, in accordance with the terms and conditions set forth herein. 12. Orientation: Contractors who have not received an orientation shall be oriented to the VACCHCS, Fresno, Medical Service, prior to providing services. Orientation will be properly documented and VA Staff will assess the competency of the contract physician(s). 13. Terms of the Agreement: 13.1.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. 13.2. 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. 13.3.The contractor shall provide the applicable worker's compensation, professional liability insurance, income tax withholding and social security payments. 14.Estimated Quantities: The quantities of patients and cost specified in this agreement are estimates, based upon the projected workload during the period of performance. VACCHCS does not imply or guarantee that any fixed number of patients will be required during the contract period. 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. 15. VACCHCS Responsibilities: 15.1.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. 15.2.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. 15.3.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. 16. Emergency Health Services: The VA will render emergency health services for an incapacitating injury or otherwise serious illness occurring while on duty. All services, to include wages earned during the period of initial medical evaluation provided by the VA, shall be reimbursed by the contractor. The contractor shall furnish the VA with the necessary injury/illness form(s) for reporting purposes. The VA for statistical and/or billing purposes will retain a copy of the complete form(s). 17. Infection Control Requirements: Health Tests - Contractor attests that he has fulfilled all testing and screening requirements as described below prior to providing services at first duty shift. Evaluations and tests shall be current within the past year, except as noted. At VA's request, the contractor shall provide proof that all requirements are current and fully met as described, within 2 days of request. 18. Tuberculosis Screening and Testing - 18.1 For those with previous documented positive purified protein derivative (PPD) test results: All contractor personnel shall provide a note from their physician, dated within the past three months stating they are free of any signs and symptoms of tuberculosis. This evaluation will be renewed annually. 18.2. For those with previously negative PPD skin test results: personnel shall provide proof of a negative reaction to PPD testing, performed in accordance with the latest CDC standards and CDHS/California Tuberculosis Controllers Association guidelines, with the past six (6) months. This test shall be renewed annually. 18.3. For PPD skin converters (a change from a previously negative skin test to positive; defined as an increase in duration of 10mm or more within 2 years): An evaluation from their physician within 30 days of the positive test stating they are free from signs/symptoms of TB and indicating whether prophylactic treatment is indicated. If treatment is indicated, a note from the physician stating it was satisfactorily completed. 18.3. Rubella Testing - All contractor personnel shall provide proof of immunization for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation provided to the COTR. 18.4. Varicella (chicken pox) testing -. Provide a history' of varicella or, if unknown, results of a varicella antibody test; and if non-immune, vaccination with varivax. 18.5. Hepatitis B (Hepatitis B-Surface Antibody Titer). 18.6 The contractor will provide documentation of all their employees Hepatitis B vaccinations records. 18.7. Unvaccinated contractor will be offered Hepatitis B vaccine at no cost to the contractor. A signed consent or declination forms is required in the employee refuses vaccination. 18.8.The contractor shall have completed basic life support (BLS) training. 19. OSHA Regulations - Occupational Exposure to Blood Borne Pathogens: 19.1 Health Tests - Contractor personnel shall provide, upon VACCHCS' request to review, proof of the following tests within five (5) days prior to providing services. Tests shall be current within the past year. 19.2 Tuberculosis Testing - All Contractor personnel shall provide proof of a negative reaction to purified protein derivative (PPD) testing. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. 19.3 Rubella Testing - All contractor personnel shall provide proof of immunization for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization must be administered with follow-up documentation to the COTR. 19.4. OSHA regulation concerning occupational exposure to blood-borne pathogens - The contractor shall provide a generic self study training module to its personnel; provide Hepatitis B vaccination series at no cost to its personnel who elect to receive it; maintain and distribute an exposure determination and control plan to its personnel; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. 19.5. Contracted physician shall receive training in universal precautions and blood borne pathogens, TB education, hazardous material management and life safety management (fire preparedness). Training will be provided prior to initial assignment, at annually thereafter and as needed. 19.6 VA will notify the contractor of any significant communicable disease exposures as appropriate. The contractor's occupational health provider shall adhere to current CDC/HICPAC Guideline for "infection control" in health care personnel (AJIC 1998; 26:289-354) for disease control. The contracting agency shall provide follow up documentation of employee's clearance to return to the workplace prior to their return. 20. Identification, Parking, Smoking and VA Regulations: 20.1. Contractor personnel shall wear visible identification at all times while on the premises of any VA facility. 20.2. It is the responsibility of contractor personnel to park in the appropriate designated parking areas. Information on parking is available from VA Police. VA will not invalidate or make reimbursement for parking violations under any conditions. 20.3. Smoking is prohibited inside any VA building. Outside smoking areas are identified at each facility. 20.4. Intoxication, debilitation resulting from drug use, insubordination, theft, patient abuse, dereliction or negligence in performing directed tasks and possession of weapons is prohibited and grounds for immediate removal from VA facility. Enclosed containers, of any nature, are subject to search. 20.5. Violations of VA regulations may result in a citation answerable in the U.S. Federal District Court, not a local district, state or municipal court. (End of Statement) Period of Performance November 1 2010 through October 30, 2011 Item NumberDescriptionUnitEstimated QuantityUnit PriceTotal Price 0001Dermatology ServicesHours400$$ Period of Performance November 1 2011 through October 30, 2012 Item NumberDescriptionUnitEstimated QuantityUnit PriceTotal Price 0001Dermatology ServicesHours400$$ (End of Schedule)
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VANCHCS/VANCHCS/VA26110RP0478/listing.html)
 

Record

SN02292858-W 20100924/100922235743-0861fda1d0b1ddf83e028780cee6b748 (fbodaily.com)
 

Source

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