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FBO DAILY - FEDBIZOPPS ISSUE OF OCTOBER 11, 2013 FBO #4339
DOCUMENT

Q -- Vascular Surgeons - Attachment

Notice Date

10/9/2013
 

Notice Type

Attachment
 

NAICS

621111 — Offices of Physicians (except Mental Health Specialists)
 

Contracting Office

Department of Veterans Affairs;Network Contracting Office 9;1639 Medical Center Parkway;Suite 400;Murfreesboro TN 37129
 

ZIP Code

37129
 

Solicitation Number

VA24914I0019
 

Response Due

10/16/2013
 

Archive Date

11/15/2013
 

Point of Contact

Christina (Tina) B Smith
 

E-Mail Address

5-6557<br
 

Small Business Set-Aside

N/A
 

Description

DESCRIPTION OF PERFORMANCE WORK STATEMENT 1.GENERAL DESCRIPTION: The VA Medical Center located in Memphis, Tennessee has a requirement to provide veteran beneficiaries the services of board eligible/certified Vascular Surgeons to provide vascular surgery care. It is the Department of Veterans Affairs (VA) intention to solicit proposals in accordance with all terms, conditions, provisions, specifications, and schedules of this solicitation and award a contract on a competitive basis under the authority of 38 U.S.C. 8153. Under Authority of Public Law 104-262 and 38 U.S.C. 8153, the Contractor shall provide Health Care Resources in accordance with the terms and conditions stated herein, and to furnish to and at the Department of Veterans Affairs Medical Center, Memphis, Tennessee the services and processes specified in the section entitled DESCRIPTION/REQUIREMENTS/WORK STATEMENT of this contract. A board eligible/certified cardiovascular surgeon, or vascular surgeon certified by their respective boards, shall serve as attending surgeon on all vascular surgery operations. The scheduling and staffing will be considered and requested by the Chief, Surgical Service to the Department of Veterans Affairs Medical Center Memphis. b.The Debarred List must be queried prior to recommending surgeons to provide these services and these queries must be negative. c.Contracting surgeons will be required to establish and maintain collaborative working relationship with vascular surgeons who are or may become a part-time or full time salaried VA staff. d.The National Practitioner Database will also be queried for any entries reported at the time a surgeon is recommended. 2.SCOPE: The VA anticipates the award of a single contract to be paid on an hourly rate based on need: for weeknight on call, weekend on call and holiday on call, on an indefinite delivery/indefinite quantity basis from this solicitation. The solicitation will be conducted in accordance with Department of Veterans Affairs Acquisition Regulation (VAAR) Part 873 with the procurement conducted using FAR parts 12 and 15. 3.SERVICES PROVIDED: a.The Contractor shall furnish the services of Vascular Surgeon. In addition, the Contractor's employee must be present at the VA facility and must perform the required services as specified in the contract. The Contractor must reside within a thirty (30) mile radius of the Memphis VAMC, located at 1030 Jefferson Avenue, Memphis, TN, in order to ensure appropriate response time for on-call and emergency services as stated herein. b.The working hours of the facility are primarily between the hours of 8:00 AM and 4:30 PM, Monday through Friday. The Contractor shall be available to perform emergency or urgent specialized procedures, and provide follow-up to patients and new consults after normal working hours, weeknight, weekend, and holiday "on-call" services. The Contractor shall be responsible for providing replacement staff at all time to ensure complete coverage. c. The Contractor's employee shall not supervise any VA employees and will perform only authorized contract work at the VA Medical Center in strict accordance with the Schedule of Costs shown in the contract. Contractor may work with current VA full or part time surgeons that are not provided by the contractor. d.Upon request of the VA the Contractor shall be responsible for providing any or all of the following services: "Contractor shall assign a physician to perform Compensation and Pension (C&P) examinations for vascular surgery patients requiring C&P examinations. Contractor shall ensure that physicians provide educational training sessions for vascular surgery section house staff, nurses, health techs, and vascular surgery physician assistants. "Contractor shall provide vascular surgeon(s) to support the Vascular Surgery Clinic Monday through Wednesday and Vascular Surgery Lab when the VA's vascular surgeon(s) are on leave. Vascular surgery clinic hours will be designated by the VA. The contracted vascular surgeon will be required to operate the clinic, examine patients, and interpret reports as required by the VA. The contractor's employees will be required to work with VA staff. Should additional clinic hours be needed to meet veterans' needs or the days themselves need to change, then all effort will be made to have mutually beneficial days and times. However, needed change to accommodate veterans' needs will be in place as early as possible but notification of change in clinic hours will be made no later than sixty (60) day advanced notice of requested change. "If contract surgeons are involved in resident education the surgical service chief shall designate a Resident Review Program Coordinator to evaluate house staff performance on the Vascular Surgery Sections. All problems are to be reported to the VA Chief, Surgical Service. "Contractor shall prepare monthly call schedules for coverage of vascular surgery emergencies. A draft schedule shall be submitted to the office of the VA Chief, Surgical Service/Administrative Officer within five (5) working days prior to the end of each month. "Contractor shall staff the Operating Room (OR) Thursday, Friday, and on call. OR days subject to change in concurrence with the Chief of Surgery and Chief of Anesthesia. Contractor shall coordinate with inpatient attendings to effect timely completion of medically necessary surgery. "Contractor shall ensure that contract physicians contribute to the ongoing quality improvement programs in the organization as described in Medical Center Memorandum No. 00-12, Quality Management System may be accessed at the following URL: http://vaww.memphis.va.gov/docs/memo.aspx. "In addition, the services to be performed by the Contractor will be done so in accordance with compliance with VA mandates, policies and procedures, The Joint Commission, Federal and State laws, and regulations of the Medical Staff by-laws of the VA Medical Center. d.All surgeons will be required to work in collaboration with surgeons who are part-time or full time salaried by the VA including but not limited to sharing call, seeing patients and operating when on call and collaborating physician's patients. In general the responsibilities for inpatient care include, but are not limited to: e.GENERAL PRIVILEGES: 1.Vascular surgery ward patients: "Admit "Diagnose "Develop treatment plan "Manage "Discharge "Including all needed medical documentation 2.Surgical Intensive Care Unit patients: "Admit "Diagnose "Develop treatment plan "Manage "Discharge/transfer "Including all needed medical documentation 3.Perform inpatient and outpatient consultation 4.Provide clinical guidance and teach: "Senior house staff "Junior house staff "Intern "Medical students "Vascular Fellow f.SPECIAL VASCULAR PROCEDURES: "Abdominal aortic aneurysms " Aorto-bi-femoral bypass " Femoral-popliteal bypass " Femoral-femoral bypass " Axillary-femoral bypass " Groin reconstruction " Infected grafts " Pseudoaneurysms " Visceral arterial procedures " Hemo-Access " Thrombectomy " Amputation procedures of lower extremities " Carotid endarterectomy " Thrombo-embolectomies " Insulin pump " Varicose vein operations " Sympathectomy, dorsal " Aneurysmectomy " Embolectomy " Vascular grafts " Renal Shunt " Non-invasive vascular procedures " Fluoroscopic procedures performed in Operating Room* Endovascular procedures - AAA repair Lower and upper extremity intervention Visceral and mesenteric interventions "Dialysis access procedures f.Vascular surgery operations are to be performed either by the attending physician alone or if the contract surgeons are involved in resident education, the attending physician providing professional direction and supervision must be performed to the house staff at levels defined in the Veterans Healthcare Administration (VHA) Handbook, 1400.1, Resident Supervision Handbook, paragraph 7c(5)(c)1-6. VHA Handbook is available for viewing in the Department of Veterans Affairs Medical Center, Chief, and Surgical Service's Office or upon request from the Contracting Officer. g.If contract surgeons are involved in resident education professional supervision to the house staff, must be provided with documentation in compliance with VA mandate, regulations and policies. h.Pre-operative Note: This note can be written by the attending physician or by the resident, if the contract surgeons are involved in resident education. A resident note must reference attending surgeon's name, reflect his/her agreement with the procedure, and then be co-signed by the attending physician. i.Written Operative Note: In addition to the Operative dictation, a written operative must be documented in the Progress Notes. This note shall include: Date and Time Preoperative Diagnosis Postoperative Diagnosis Procedure Surgeons (must include attending) Anesthesia Administered Findings (including pertinent normal findings) Fluids (Both intake and output of all fluids and secretions given or taken from the patient. These include: colloids, blood, coagulation factors, NG, etc., and such things as urinary output.) Complications Condition of the patient upon leaving the operating room Any tubes or lines that were placed into the patient (i.e., drains, central lines, Swan-Ganz catheter, etc.). The contract surgeon must indicate his presence by signature. k.Operative Report: This report will be dictated by the surgeon immediately after the procedure. Operative reports are signed by the attending physician following transcription. Temporary suspension of the vascular surgery team's operating room privileges will occur when dictations are delinquent by twenty-four (24) hours. Results of fluoroscopic procedures performed in the operating room by vascular surgeons must be included in the operative report. l.Post-operative Note: If contract surgeons are involved with resident training, at a minimum, prior to discharge, the attending physician will evaluate the patient's response to the procedure and discuss with the patient the consequence or outcome of the procedure. Evidence of such a conversation shall be documented in a progress note, or countersignature of, or reflected within, the resident's note. m.Provide professional direction to support personnel employed by the VAMC, Memphis, TN. n.The Contractor shall provide Vascular Surgeons with vascular surgery expertise for peer review of selected cases. This shall include, but not be limited to: tort claims, patient family complaints, peer review, surgical case reviews, and benefit appeals. o.The Contractor shall be responsible for the administration and management of all aspects of this contract and the health care plan covered hereunder. This includes responsibility for all Contractor employees, subcontracts, agents, and any action for or on behalf of the Contractor. QUALIFICATIONS: a. Personnel assigned by the Contractor to perform the services covered by this contract shall have a full and unrestricted license in a State, Territory, or Commonwealth of the United States or the District of Columbia. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and must undergo credentialing and privileges in accordance with the VA Credentialing and Privileges Committee and approved by the VA Medical Center Director. b. Personnel assigned by the Contractor to perform the services covered by this contract shall be proficient in written and spoken English (38 U.S.C. 7402). c. Contractor's assigned personnel must be computer literate as patient documentation is directly input in the patient's electronic medical record and must undergo training at the VA. WORK HOURS: a. Contractor's employee must be present at the VA facility and must be actually performing the required services for the period specified within the contract or the contract cost will be decreased accordingly, during each billing cycle. Need to meet timelines standards for clinic appointments, e.g. if they are on holiday, need to have "make up clinics." The contractor is responsible for planning and coverage during periods of leave. The payment for any leave, to include sick leave, annual leave, administrative leave, and holidays are to be the responsibility of the Contractor. b.The following terms have the following meanings: (1)Work Hours: Scheduled Office Hours are Monday through Friday, between 8:00 a.m. to 4:30 p.m. (a)Operating Room: Monday through Friday. (b)Attending Duties: Hours are flexible depending on the needs of the patients. (2)After hours, 4:30 p.m. to 8:00 a.m., Monday through Friday (3)Weekends - 4:30 p.m. Friday through 8:00 a.m. Monday PERIOD OF PERFORMANCE: BASE: One year and 2 option periods of one year each. The point of contact for this Sources Sought Notice is: Christina Smith, Contracting Officer, christina.smith7@va.gov All correspondence is to be via e-mail. Telephone calls and messages will not be returned.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/VA/NaVAMC/VAMCCO80220/VA24914I0019/listing.html)
 

Document(s)

Attachment
 

File Name: VA249-14-I-0019 VA249-14-I-0019 SOURCES SOUGHT.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1044731&FileName=VA249-14-I-0019-000.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1044731&FileName=VA249-14-I-0019-000.docx

 

Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
 

Place of Performance

Address: VAMC Memphis;1030 Jefferson Ave.;Memphis, TN

Zip Code: 38104
 

Record

SN03213755-W 20131011/131009233842-05ac9884888af1306a109bdd277b8d75 (fbodaily.com)
 

Source

FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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