Loren Data's SAM Daily™

FBO DAILY - FEDBIZOPPS ISSUE OF JUNE 05, 2016 FBO #5308
DOCUMENT

Q -- Anesthesiology Services Lebanon PA - Attachment

Notice Date

6/3/2016
 

Notice Type

Attachment
 

NAICS

621111 — Offices of Physicians (except Mental Health Specialists)
 

Contracting Office

Department of Veterans Affairs;Network Contracting Office 4
 

Solicitation Number

VA24416N1164
 

Response Due

6/24/2016
 

Archive Date

7/24/2016
 

Point of Contact

Kevin Balser
 

Small Business Set-Aside

Total Small Business
 

Description

Sources Sought Only Lebanon VA Medical center is currently seeking sources that are capable of providing on sight Anesthesiology Services to its patients. This is a sources sought notice and will be used for planning purposes. When responding please send a capability statement, Socio-economic status, and POC information to include Name, telephone number, and email addresses. Information provided will be used to create a solicitation to meet a current need within the VA. Responses can be sent directly to kevin.balser@va.gov. Below is a description of the services and requirements for this acquisition. Description of Services The Contractor shall furnish all personnel to provide services necessary to perform onsite Anesthesiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, Lebanon, PA (hereinafter referred to as VAMC). The contract physician (s)' care shall cover the range of Anesthesiology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by: American Society of Anesthesiolgist (ASA) Guidelines: http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx Place of Performance: Services shall be provided on site, Lebanon VA Medical Center, 1700 South Lincoln Avenue, Lebanon, PA 17042 CLIN No.SUB-CLIN DescriptionQty.Unit 0001NoneBoard Certified Anesthesiology Physician Services (1.Contractor will supply one Anesthesiologist to provide full Anesthesia Services in OR/Clinic from 7am to 3:30pm, M-F or until case(s) is/are completed. (2.Contractor will supply one Anesthesiologist to provide Pain Management procedures from 8am to 4:30pm, M-F or until cases(s) are completed. (3.Contractor will supply one additional Anesthesiologist to provide full Anesthesia Services in OR/Clinic from 7am to 3:30pm, M-F or until case(s) is/are completed, if needed not to exceed 120 hours per year.2080Hours Performance Work Statement for Onsite Anesthesiology Physician Services 1.GENERAL: 1.1.Services Provided: The Contractor shall provide Board Certified Anesthesiology Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the LEBANON VA MMedical Center ("VAMC"). 1.2.Place of Performance - Contractor shall furnish services at the (Lebanon VAMC, 1700 S. Lincoln Ave, Lebanon Pa 17042). 1.3.Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. 1.4.Policy/Handbooks- the contractor shall be subject to the following policies, including any subsequent updates during the period of performance: 1.4.1.- VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347 1.4.2.VHA Directive 2006-041 "Veterans' Health Care Service Standards" (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 1.4.3. - VHA Handbook 1100.17: National Practitioner Data Bank Reports - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 1.4.4. - VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 1.4.5.- VHA Handbook 1100.19 Credentialing and Privileging - http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 1.4.6.- VHA Handbook 1400.01 Resident Supervision http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2847 1.4.7.VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 1.4.8.- Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm 1.5. Definitions/Acronyms- Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern. 1.5.1.ABU: American Board of Anesthesiology http://www.theaba.org/ 1.5.2.ACGME: Accreditation Council for Graduate Medical Education 1.5.3.ACLS: Advanced Cardiac Life Support 1.5.4.AOD: Admitting Officer of the Day 1.5.5.ASA: American Society of Anesthesiologists 1.5.6.BLS: Basic Life Support 1.5.7.CCNE:Commission on Collegiate Nursing Education: www.aacn.nche.edu/accreditation 1.5.8.CDC: Centers for Disease Control and Prevention 1.5.9.CDR: Contract Discrepancy Report 1.5.10.CEU: Certified Education Unit 1.5.11.CME: Continuing Medical Education 1.5.12.CMS: Centers for Medicare and Medicaid Services 1.5.13.Contracting Officer (CO) - The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings. 1.5.14.Contracting Officer's Representative (COR) - A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken. 1.5.15.COS: Chief of Staff 1.5.16.CPARS: Contractor Performance Assessment Reporting System 1.5.17.CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA. 1.5.18.Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status. 1.5.19.DEA: Drug Enforcement Agency 1.5.20.ED: Emergency Department 1.5.21.FSMB: Federation of State Medical Boards 1.5.22.HHS: Department of Health and Human Services 1.5.23.HIPAA: Health Insurance Portability and Accountability Act 1.5.24.HR: Human Resources 1.5.25.ISO: Information Security Officer 1.5.26.Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part. 1.5.27.MOD: Medical Officer of the Day 1.5.28.National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). 1.5.29.NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org 1.5.30.Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors 1.5.31.NP: Nurse Practitioner 1.5.32.NPPES: National Plan and Provider Enumeration System 1.5.33.PA: Physician Assistant 1.5.34.PALS: Pediatric Advanced Life Support 1.5.35.POP: Period of Performance 1.5.36.PPD: Purified Protein Derivative 1.5.37.PWS: Performance Work Statement 1.5.38.Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual's license, based upon the individual's clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific. 1.5.39.QASP: Quality Assurance Surveillance Plan 1.5.40.Veterans Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C. 1.5.41.Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Michigan and Indiana. 1.5.42.VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient's medical record and with the hospital information system. 1.5.43.VetPro: a federal web-based credentialing program for healthcare providers. 1.5.44.Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Lebanon VAMC. 2.QUALIFICATIONS: 2.1.Staff/Facility 2.1.1.License - Contract physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia. This contract requires a Drug Enforcement Agency (DEA) registration. As such, all contract providers must have a medical license and be individually registered with the DEA in the state where they will provide services under the contract. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contract physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract. 2.1.2.Board Certification - All contract physician(s) shall be board certified by the American Board of Anesthesiology (ABA), and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance. 2.1.3.Credentialing and Privileging -Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract physician(s) prior to obtaining approval by the Lebanon VAMC Professional Standards Board, Medical Executive Board and Medical Center Director. 2.1.3.1.If a contract physician(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government. 2.1.4.Technical Proficiency - Contract physician(s) shall be technically proficient in the skills necessary to fulfill the government's requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract physician(s) and contract physician (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. 2.1.5.Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contract physician (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contract physician(s). 2.1.6.Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contract physician (s) as required by the VA. 2.1.7.Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year. 2.1.7.1.TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all contract physician (s). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. 2.1.7.2.RUBELLA TESTING: Contractor shall provide proof of immunization for all contract physician (s) 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 to the COR. 2.1.7.3.OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contract physician (s); provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return. 2.1.8.National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal. 2.1.9.DEA (as required) - Contractor shall provide copy of current DEA certificate registered in the state in which services are provided. 2.1.10. Conflict of Interest: The Contractor and all contract physician (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it's organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document. 2.1.11. Citizenship related Requirements: 2.1.11.1.The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals; 2.1.11.2.While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all "E-Verify" requirements consistent with "Executive Order 12989" and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations. 2.1.11.3.If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor's place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach. 2.1.11.4.This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001. 2.1.11.5.The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.. 2.1.12. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs. 2.1.12.1.Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract physician (s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP's may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries. 2.1.12.2.By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed. 2.2.Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional direction of all clinical personnel covered by this contract will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract. 2.3.Non Personal Healthcare Services: The parties agree that the Contractor and all contract physician (s) shall not be considered VA employees for any purpose. 2.4.Inherent Government Functions: Contractor and Contract physician (s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy. 2.5.No Employee status: The Contractor shall be responsible for protecting Contract physician (s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract: 2.5.1.Workers' compensation 2.5.2.Professional liability insurance 2.5.3.Health examinations 2.5.4.Income tax withholding, and 2.5.5.Social security payments. 2.6.Tort Liability: The Federal Tort Claims Act does not cover Contractor or contract physician(s). When a Contractor or contract physician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor's (or contract physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier. 2.7.Key Personnel: 2.7.1.The VA Full Time Equivalency (FTE) for the services required is 2.0. An FTE is defined by the VA as a minimum of 80 hours every two weeks and does not include holidays 2.7.2.The number of Board Certified Anesthesiology physicians required to be on site on a daily basis is as follows: 1.0 (80 hrs. per pay to perform the anesthesiology scope of work), and 1.0 (80 hrs. per pay to perform the pain management scope of work) as defined in paragraph Hours of Operation in this section. 2.8.Emergency Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions. 2.8.1.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 CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO 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. 2.8.2.For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive work days or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above. 2.8.3.The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any contract physician (s), s/he may request, without cause, immediate replacement of said contract physician (s). 2.8.4.The CO and COR shall deal with issues raised concerning Contract physician (s) conduct. The final arbiter on questions of acceptability is the CO. 2.9.Contingency Plan: Because continuity of care is an essential part of VAMC's medical services, The Contractor shall have a contingency plan in place to be utilized if the contract physician (s) leaves Contractor's employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract. 3.HOURS OF OPERATION 3.1.VA Business Hours: Monday thru Friday, 7:00 AM - 3:30 PM a. Work Schedule: Furnish 1.0 FTE Anesthesiologist daily 7:00 AM - 3:30 PM weekdays, and 1.0 FTE Anesthesiologist to provide Pain Procedures as described herein. 3.2. 3.2.1.Patients must be seen by a contract physician (s) on-site at Lebanon VAMC in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure. 3.2.2.Contract Physicians shall be available and present in clinic during normal Lebanon VAMC clinic hours which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are M-F 7:00 AM to 3:30 PM. 3.2.3.Off-hours Coverage: There are no On-Call requirements for this contract. 3.3.Federal Holidays: The following holidays are observed by the Department of Veterans Affairs: "New Year's Day "President's Day "Martin Luther King's Birthday "Memorial Day "Independence Day "Labor Day "Columbus Day "Veterans Day "Thanksgiving "Christmas "Any day specifically declared by the President of the United States to be a national holiday. 3.4.Cancellations: Cancellations should be communicated 90 days prior. There can be no more than one occurance of non-compliance per quarter to avoid a 5% reduction in payment of hourly rate, for a minimum of 3 months. In the event that the cancellation standard is not met, the Lebanon VA Medical Center shall have the right to determine such failure as non-compliance and can use such non-compliance as grounds for termination of the service of the contract. 3.4.1.Unless a state of emergency has been declared, the Contractor shall be responsible for providing services. 4.CONTRACTOR RESPONSIBILITIES 4.1.Clinical Personnel Required: The Contractor shall provide contract physician (s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties. 4.1.1.Contract physician (s)shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor's invoices. 4.2.Standards of Care: The contract physician (s)' care shall cover the range of Anesthesiology services as would be provided in a state-of-the-art health care facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by: 4.2.1.American Society of Anesthesiology (ASA) Guidelines: http://www.asahq.org/For-Members/Standards-Guidelines-and-Statements.aspx 4.2.2.VA Standards: VHA Directive 2006-041 "Veterans' Health Care Service Standards" (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 4.2.3.The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/standards.aspx 4.2.4.The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8 and; 4.2.5.The requirements contained in this PWS 4.3.MEDICAL RECORDS 4.3.1.Authorities: Contract physician (s) providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA). 4.3.2.HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment. Based on this exception, a BAA is not required for this contract. Treatment and administrative patient records generated by this contract or provided to the Contractors by the VA are covered by the VA system of records entitled 'Patient Medical Records-VA' (24VA19). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract expiration date. 4.3.3.Disclosure: Contract physician(s) may have access to patient medical records: however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA 's records, at VA's place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor. 4.3.4.Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAMC. 4.3.5.Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual's Records, to process "Release of Information Requests." In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility. The VA's Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient's consent form. Completed Release of Information requests will be forwarded to the VA Privacy Officer at the following address: Lebanon VAMC, 1700 S. Lincoln Ave. Lebanon, Pa 17042. 4.4.Direct Patient Care: 95% of the time involved in direct patient care. 4.4.1.Per the qualification section of this PWS, the Contractor shall provide the following staff: 4.4.1.1.2 Board Certified Anesthesiologists (Rotating Staff) (NOTE: MUST TAILOR TO THE RESPONSIBILITIES REQUIRED: 4.4.2.Scope of Care: Contract physician(s) (as appropriate and within scope of practice/privileging) shall be responsible for providing Anesthesiology care, including, but not limited to : 4.4.2.1.Clinic and Surgical Care: Contractor physician(s) shall provide clinical Anesthesiology services. Contractor physician(s) shall be present on time for any scheduled clinics/surgeries as documented by physical presence in the clinic or operating room at the scheduled start time. 4.4.2.1.1.Operative Services: Contractor physician(s) shall provide comprehensive clinical anesthesiology services including patients undergoing general surgery, orthopedic, including joint replacement, plastic, ENT, urologic, podiatric, minor vascular, dental/oral and ophthalmologic operations. 4.4.2.1.2.Contractor physician(s) shall provide clinical care of patients undergoing diagnostic and therapeutic procedures electrophysiology, gastrointestinal and radiological suites. 4.4.2.1.3.Contractor physician(s) shall provide primary coverage for all patients in the surgical intensive care, short stay unit, acute and chronic pain management services (procedures listed below), diagnostic trans esophageal echocardiography for medical and surgical patients, and emergency airway management. "Occipital Nerve Block "Brachial Plexus Block "Axillary Nerve Block - Single/Multiple "Ilioninguinal/Iliohypogastric "Cervical/thoracic-single level and additional levels "Lumbar Sympathetic Block "Trigger point injection "Costochondrial joint injection "Sacroiliac Injection "CESI Inject Spine C/T "LESI Inject Spine L/S (CD) "Caudal epidural steroid "Cont. epi cath insert-cervical/thoracic "Cont. epi cath insert - lumbar/sacral "Post occipital nerve block "Intercostal nerve block-single/multiple "Inguinal nerve block "Diagnostic block-other peripheral nerve "Coccyx inj-other peripheral nerve "Neuroma inj-plantar/common digital "Facet joint injection - multiple levels "Facet joint injection - lumbar/sacral - multiple levels "Sub Q local anesh. & steroid "Therapeutic peripheral nerve blocks "Neuroma (non-plantar) injection "Celiac Plexus Block "Botox for spasm "Botox for migraines 4.4.2.1.4.Contractor physician(s) shall provide consultative services at the patient's bedside if the patient is not ambulatory and in the clinic setting if the patient is able to report to the outpatient clinic. 4.4.2.2.Medications: Contractor physician(s) shall follow all established medication policies and procedures. No sample medications shall be provided to patients. 4.4.2.3.Discharge education: Contractor physician(s) shall provide discharge education and follow up instructions that are coordinated with the next care setting for all Anesthesiology clinical or surgical patients. 4.4.3.ADMINISTRATIVE: 5% of time not involved in direct patient care care. 4.4.3.1.Quality Improvement Meetings: The contract physician (s) shall participate in continuous quality improvement activities and meetings with committee participation as required by the VAMC Chief of Service, Chief of Staff, or designee. "Surgical Case Committee - monthly - 1.5 hrs "Morbidity and Mortality Conf. - monthly - 1.5 hrs. 4.4.3.2.Staff Meetings: The contract physician (s) shall attend staff meetings as required by the VAMC Chief of Service, Chief of Staff, or designee. Contractor to communicate with COR on this requirement and report any conflicts that may interfere with compliance with this requirement. "Anesthesia Staff Meeting weekly - 1 hr. 4.4.3.3.QA/QI documentation: The contract physician (s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations. "Dictate or keyboard for entry into the electronic medical record a patient's chief complaints, observations and findings, assessment and plan/recommendations in a clear and understandable manner at the end of each patient encounter. "Electronically enter all doctor's orders, consultation referrals, and requests for x-rays and lab work using CPRS. "Telephone significant positive reports, at the time identified, to the referring provider. "Informed Consent: Contract anesthesiologist shall explain procedure and risks/benefits to the patient/guardian and obtain informed consent from patient/guardian in accordance with VAMC polices. Complete IMED consent in CPRS for documentation of informed consent discussion and electronically sign. "Immediately before starting any procedure, the anesthesiologist will accurately identify the patient and the procedure to be performed as per the relevant SOPs and MCMs and complete the "Anesthesia - Day of Surgery" evaluation in CPRS. "Encounter Forms: Properly complete the electronic VA encounter form on each patient seen; listing diagnosis for the visit and all procedures performed based on the current VA requirements along with identification of service-connection for treatment rendered. 4.4.3.4.Patient Safety Compliance and Reporting: Contract physician (s) shall follow all established patient safety and infection control standards of care. Contract physician (s) shall make every effort to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety shall be reported to the COR VA Safety Policy. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested. 4.5.PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI) 4.5.1.Quality Management/Quality Assurance Surveillance: Contractor physician(s) shall be subject to Quality Management measures, such as patient satisfaction surveys, timely completion of medical records, and Peer Reviews. Methods of Surveillance: Focused Provider Practice Evaluation (FPPE) and Ongoing Provider Practice Evaluation (OPPE). Contractor performance will be monitored by the government using the standards as outlined in this Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (QASP). The QASP shall be attached to the resultant contract and shall define the methods and frequency of surveillance conducted. 4.5.2.Patient Complaints: The CO will resolve complaints concerning Contractor relations with the Government employees or patients. The CO is final authority on validating complaints. In the event that The Contractor is involved and named in a validated patient complaint, the Government reserves the right to refuse acceptance of the services of such personnel. This does not preclude refusal in the event of incidents involving physical or verbal abuse. 4.5.3.The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. The CO and COR shall deal with issues raised concerning Contractor's conduct. The final arbiter on questions of acceptability is the CO. 4.5.4.Performance Standards: 4.5.4.1.Measure: Provider Quality Performance Performance Requirement: Standard: OPPE documentation for all (100%) staff providing services under the contract. All staff (100%) meet Standards. Acceptable Quality Level: ____meet Standards Surveillance Method: Ongoing Provider Performance Evaluation (OPPE) data pertinent to care performed for each provider working under this contract. OPPE data will review the following elements: A. Patient Care Performance B. Medical/Clinical knowledge C. Practiced Based Learning and Improvement D. Interpersonal and Communication Skills E. Professionalism F. System Based Practice Frequency: Quarterly Incentive: Positive Past Performance Disincentive: Negative Past Performance 4.5.4.2.Measure: Qualifications of Key Personnel Performance Requirement: All contract physician (s) shall be board certified in accordance with American Board of Anesthesiology Standards. Standard: All (100%) contract physicians are board certified. Acceptable Quality Level: 100% No deviations accepted. Surveillance Method: Random Inspection of qualification documents Frequency: Prior to documented Expiration Date Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Deduction: Termination 4.5.4.3.Measure: Scope of Practice/Privileging Performance Requirement: Contract physician (s) perform within their individual scopes of practice/privileging. Standard: All (100%) contract physician (s) perform within their scope of practice/privileges 100% of the time. Acceptable Quality Level: All (100%) contract physician (s) perform within their scope of practice/privileges 100% of the time. No deviations accepted. Surveillance Method: Random Inspection of records. Frequency: Quarterly Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the contract physician (s) meet qualification standard. Deduction: Possible Termination 4.5.4.4.Measure: Patient Access Performance Requirement: The Contractor shall provide contract physician(s) in accordance with the operating hours and VA clinical schedule outlined in this PWS. Standard: All (100%) contract physician (s) are on time and available to perform services. Acceptable Quality Level: Contract physician (s) is on-time and available to perform services 95% of the time Surveillance Method: Periodic Sampling of Time and Attendance Sheets Frequency: Monthly Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation, Deduction: 5% of hourly rate for minimum of 3 months 4.5.4.5.Measure: Patient Safety Performance Requirement: Patient safety incidents shall be reported using Patient Safety Report. All incidents reported immediately (within 24 hours.) Standard: All (100%) of patient safety incidents are reported using Patient Safety Report within 24 hours of incident. Acceptable Quality Level: All (100%) of patient safety incidents are reported using Patient Safety Report within 24 hours of incident. No acceptable deviation. Surveillance Method: Direct Observation Frequency: Daily Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation, 5% Deduction on Monthly Invoice 4.5.4.6.Measure: Maintains licensing, registration, and certification Performance Requirement: Updated Licensing, registration and certification shall be provided as they are renewed. Licensing and registration information kept current. Standard: All (100%) licensing, registration(s) and certification(s) for contract physician (s) shall be provided as they are renewed. Licensing and registration information kept current. Acceptable Quality Level: All (100%) licensing, registration(s) and certification(s) for contract physician (s) shall be provided as they are renewed. Licensing and registration information kept current. No acceptable deviation. Surveillance Method: Periodic Sampling and Random Sampling Frequency: Prior to documented expiration date. Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation, Deduction: Termination 4.5.4.7.Measure: Mandatory Training Performance Requirement: Contractor shall complete all required training on time per VAMC policy Standard: All (100%) of required training is complete on time by contract physician (s). Acceptable Quality Level: 100% completions, no deviations. Surveillance Method: Periodic Sampling Frequency: Per TMS Monitor of Expiration Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation, Suspension or termination of all physical and/or electronic access privileges and removal from contract until such time as the training is complete Deduction: Loss of Computer privileges; $500.00 deduction on Monthly Invoice 4.5.4.8.Measure: Privacy, Confidentiality and HIPAA Performance Requirement: Standard: All (100%) contractor physician (s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA Acceptable Quality Level: 100% compliance; no deviations. Surveillance Method: Periodic Sampling; Contractor shall provide evidence of annual training required by VAMC, reports violations per VA Directive 6500.6. Frequency: Via TMS documented expiration, and monthly documentation. Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contactor performance evaluation. Immediate removal from contract.Deduction: 5% Deduction per incident. 4.5.5.Registration with Contractor Performance Assessment Reporting System 4.5.5.1.As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates Contractor past performance on all contracts that exceed $150,000, and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the Contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Seal Logistics Center in Portsmouth, New Hampshire. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardee performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for Contractor responsibility determination information. 4.5.5.2.For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the Contractor's performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the Contractor's designated representative for comment. The Contractor representative will have sixty (60) days to submit any comments and re-assign the report to the CO. 4.5.5.3.Failure for the Contractor's representative to respond to the evaluation within those sixty (60) days, will result in the Government's evaluation being placed on file in the database with a statement that the Contractor failed to respond; the Contractor's representative will be "locked out" of the evaluation and may no longer send comments. 5.SPECIAL CONTRACT REQUIREMENTS 5.1.Reports/Deliverables: The Contractor shall be responsible for complying with all reporting requirements established by the Contract. Contractor shall be responsible for assuring the accuracy and completeness of all reports and other documents as well as the timely submission of each. Contractor shall comply with contract requirements regarding the appropriate reporting formats, instructions, submission timetables, and technical assistance as required. 5.1.1.The following are brief descriptions of required documents that must be submitted by Contractor: upon award; weekly; monthly; quarterly'; annually, etc. identified throughout the PWS and is provided here as a guide for Contractor convenience. If an item is within the PWS and not listed here, the Contractor remains responsible for the delivery of the item. WhatSubmit as noted Submit To Quality Control Plan: Description and reporting reflecting the contractor's plan for meeting of contract requirements and performance standardsUpon proposal and as frequently as indicated in the performance standards.Contracting Officer Copies of any and all licenses, board certifications, NPI, to include primary source verification of all licensed and certified staff Upon proposal and upon renewal of licenses and upon renewal of option periods or change of key personnel.Contracting Officer Certification that staff list have been compared to OIG listUpon proposal and upon new hires.Contracting Officer Proof of Indemnification and Medical Liability Insurance Upon proposal and upon renewals.Contracting Officer Certificates of Completion for Cyber Security and Patient Privacy Training Courses Before receiving an account on VA Network and annual training and new hires.Contracting Officer ACLS/BLS CertificationUpon award and every two years after award.COR Contingency plan Upon proposal and as updatedCOR
 

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Document(s)

Attachment
 

File Name: VA244-16-N-1164 VA244-16-N-1164_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=2774569&FileName=VA244-16-N-1164-000.docx)

Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=2774569&FileName=VA244-16-N-1164-000.docx

 

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Place of Performance

Address: Lebanon VA Medical Center;1700 S. Lincoln Ave.;Lebanon PA

Zip Code: 17042
 

Record

SN04138498-W 20160605/160603234854-ae97776fac510b35518e79b20a3a049e (fbodaily.com)
 

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