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FBO DAILY - FEDBIZOPPS ISSUE OF JUNE 10, 2016 FBO #5313
DOCUMENT

Q -- Intraoperative Neuro Monitoring - Attachment

Notice Date: 6/8/2016
Notice Type: Attachment
NAICS: 621399 — Offices of All Other Miscellaneous Health Practitioners
Contracting Office: Department of Veterans Affairs;Network Contracting Office 20;5115 NE 82nd Ave, Suite 102;Vancouver WA 98662
ZIP Code: 98662
Solicitation Number: VA26016Q0566
Response Due: 6/24/2016
Archive Date: 10/1/2016
Point of Contact: Philip Cyphers
E-Mail Address: 6-2752<br
Small Business Set-Aside: N/A
Description: This is a SOURCES SOUGHT NOTICE for market research purposes only to determine the availability of potential businesses with capabilities to provide the services described below. Potential offerors are invited to provide feedback via e-mail to Philip Cyphers at philip.cyphers@va.gov. Responses will be used to determine the appropriate acquisition strategy for a potential future acquisition. 0001 - INTRAOPERATIVE NEURO MONITORING. CONTRACTOR TO PROVIDE THE ENTIRE RANGE OF ON-SITE INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING (IONM) SERVICES AS WOULD BE PROVIDED IN A STATE-OF-THE-ART CIVILIAN MEDICAL TREATMENT FACILITY. CONTRACTOR WILL PROVIDE CREDENTIALED TECHNOLOGISTS, A NEUROPHYSIOLOGIST FOR REAL-TIME INTERPRETATION OF RESULTS, ALL SUPPLIES AND EQUIPMENT NECESSARY FOR IONM PROCEDURES IN ACCORDANCE WITH THE PERFORMANCE WORK STATEMENT ON AN AS-NEEDED BASIS. The intended contract period is a one-year base period plus (4) four one-year option periods. Potential contractors shall provide, at a minimum, the following information to Philip Cyphers at philip.cyphers@va.gov: 1) Company name, address, point of contact name, phone number, e-mail address, and DUNS. 2) Is your firm eligible for participation in one of the following small business programs? If so, please indicate the program. Anticipated North American Industry Classification System (NAICS) code is 623220 Residential Mental Health and Substance Abuse Facilities; the largest a firm can be and still qualify as a small business for Federal Government programs is no larger than $15.0 Million under NAICS code 623220. [ ] yes [ ] no Small Business (SB) [ ] yes [ ] no HUBZone [ ] yes [ ] no Small Business 8(a) [ ] yes [ ] no Small Disadvantaged Business (SDB) [ ] yes [ ] no Women-Owned (WO) Small Business [ ] yes [ ] no Service Disabled Veteran Owned Small Business (SDVOSB) [ ] yes [ ] no Veteran Owned Small Business (VOSB) [ ] yes [ ] no Other (please specify) 3) How far away from Department of Veterans Affairs, VA Puget Sound Healthcare System, 1660 South Columbian Way, Seattle WA 98108, is your business located? 4)How is BEHAVIORAL HEALTH CARE service as described in the draft PWS typically priced (flat fee, by the reserved bed, by the meal, by the services offered, etc.)? How could it be priced for a Government contract? 5) Provide a brief capability statement (less than 5 pages) with enough information to determine if your company can meet the requirement. The Capabilities Statement for this sources sought is not expected to be a Request for Quotations, Request for Proposals or Invitation for Bids, nor does it restrict the Government to an ultimate acquisition approach, but rather the Government is requesting a short statement regarding the company's ability to provide BEHAVIORAL HEALTH CARE services near Department of Veterans Affairs, VA Puget Sound Healthcare System, 1660 South Columbian Way, Seattle WA 98108. Any commercial brochures or currently existing marketing material may also be submitted with the capabilities statement. Submission of capabilities statement will assist our office in tailoring the requirement to be consistent with industry standards. The capabilities will be evaluated solely for the purpose of determining to Set-Aside for the Small Business (SB) Community or to conduct as an Unrestricted Procurement. Other than small businesses may respond to this notice in the event the market does not indicate SB interest. This synopsis is for information and planning purposes only and is not to be construed as a commitment by the Government. The Government will not pay for information solicited. Respondents will not be notified of the results of the evaluation. All interested contractors should notify this office via email by 4:00 PM Pacific Standard Time on June 24, 2016. Submit response and information to: Philip Cyphers, Department of Veterans Affairs, Puget Sound Health Care System, philip.cyphers@va.gov. The DRAFT Performance Work Statement follows. Thank you for your participation. ? Draft Performance Work Statement for Onsite Intraoperative Neuromonitoring Services 1.GENERAL: Services Provided: The Contractor shall provide credentialed providers for Intraoperative Neurophysiologic Monitoring to include on-call coverage - actual services performed. 1.1.on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Puget Sound Healthcare System - Seattle VA Medical Center (SVAMC) 1.2.Place of Performance - Contractor shall furnish services at the SVAMC 1660 S. Columbian Way, Seattle, WA 98108. 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 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 1.4.7.- 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.ABRET: American Board of Registration of Electroencephalographic and Evoked Potential Technologists. http://www.abret.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.BLS: Basic Life Support 1.5.6.CCNE:Commission on Collegiate Nursing Education: www.aacn.nche.edu/accreditation 1.5.7.CDC: Centers for Disease Control and Prevention 1.5.8.CDR: Contract Discrepancy Report 1.5.9.CEU: Certified Education Unit 1.5.10.CME: Continuing Medical Education 1.5.11.CMS: Centers for Medicare and Medicaid Services 1.5.12.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. 1.5.13.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. 1.5.14.COS: Chief of Staff 1.5.15.CPARS: Contractor Performance Assessment Reporting System 1.5.16.CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA. 1.5.17.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. 1.5.18.DEA: Drug Enforcement Agency 1.5.19.ED: Emergency Department 1.5.20.FSMB: Federation of State Medical Boards 1.5.21.HHS: Department of Health and Human Services 1.5.22.HIPAA: Health Insurance Portability and Accountability Act 1.5.23.HR: Human Resources 1.5.24.ISO: Information Security Officer 1.5.25.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. 1.5.26.MOD: Medical Officer of the Day 1.5.27.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). 1.5.28.NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org 1.5.29.Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors 1.5.30.NP: Nurse Practitioner 1.5.31.NPPES: National Plan and Provider Enumeration System 1.5.32.PA: Provider Assistant 1.5.33.PALS: Pediatric Advanced Life Support 1.5.34.POP: Period of Performance 1.5.35.PPD: Purified Protein Derivative 1.5.36.PWS: Performance Work Statement 1.5.37.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. 1.5.38.QA/QI: Quality Assurance/Quality Improvement 1.5.39.QM/PI: Quality Management/Performance Improvement 1.5.40.QASP: Quality Assurance Surveillance Plan 1.5.41.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. 1.5.42.Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Michigan and Indiana. 1.5.43.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. 1.5.44.VetPro: a federal web-based credentialing program for healthcare providers. 1.5.45.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 Puget Sound Health Care System - Seattle VA Medical Center. 2.QUALIFICATIONS: 2.1.Staff/Facility 2.1.1.Board Certification - Contractor's provider(s) shall be certified/credentialed by ABRET, and be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification by ABRET or otherwise 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. 2.1.2.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 provider(s) possesses the requisite credentials enabling the granting of privileges as a technologist to provide electrophysiological (EP) monitoring and electro-diagnostic monitoring and interpretation for patients undergoing spinal surgery. No services shall be provided by any Contractor's provider(s) prior to obtaining approval by the SVAMC Professional Standards Board, Medical Executive Board and Medical Center Director. 2.1.2.1.If a Contractor's provider(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. 2.1.3.Technical Proficiency - Contractor's provider(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 Contractor's provider(s) and Contractor's provider(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. 2.1.4.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. Contractor's provider(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 Contractor's provider(s). 2.1.5.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 Contractor's provider(s) as required by the VA. TrainingFrequency (once a year, etc)Annual Hours Contractor Rules of BehaviorAnnual1 VA Privacy TrainingAnnual1 Cyber SecurityAnnual1 VA Compliance Business & Integrity TrainingAnnual1 Code Blue TrainingAs needed - not to exceed once per year1 Fire & Safety TrainingAs needed - not to exceed once per year1 Infection Control policy and ProceduresAs needed - not to exceed once per year1 Emergency Preparedness/Disaster Policy & ProceduresAs needed - not to exceed once per year1 Initial Competence Assessment/Employee CompetenciesUpon start of service1 Area/Program/Unit Specific OrientationAs needed1 2.1.6.Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for providers 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. 2.1.6.1.TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all Contractor's provider(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. 2.1.6.2.RUBELLA TESTING: Contractor shall provide proof of immunization for all Contractor's provider(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. 2.1.6.3.OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all Contractor's provider(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. 2.1.7.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. 2.1.8.DEA (as required) - Contractor shall provide copy of current DEA certificate. 2.1.9. Conflict of Interest: The Contractor and all Contractor's provider(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. 2.1.10. Citizenship related Requirements: 2.1.10.1.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; 2.1.10.2.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. 2.1.10.3.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. 2.1.10.4.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. 2.1.10.5.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.. 2.1.11. 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. 2.1.11.1.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 Contractor's provider(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. 2.1.11.2.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 Performance: 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 performance monitoring and review of all clinical personnel covered by this contract for quality purposes 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 Contractor's provider(s) shall not be considered VA employees for any purpose. 2.4.Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees. 2.5.Prohibition Against Self-Referral: Contractor's providers are prohibited from referring VA patients to contractor's or their own practice(s) 2.6.Inherent Government Functions: Contractor and Contractor's provider(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. 2.7.No Employee status: The Contractor shall be responsible for protecting Contractor's provider(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: 2.7.1.Workers' compensation 2.7.2.Professional liability insurance 2.7.3.Health examinations 2.7.4.Income tax withholding, and 2.7.5.Social security payments. 2.8.Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor's provider(s). When a Contractor or Contractor's provider(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 Contractor's provider(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier. 2.9.Key Personnel: 2.9.1.The VA Full Time Equivalency (FTE) for the services required is _____ (enter number of VA FTE that the resultant contract will provide hours of service coverage for example 2080 hours= 1.0 VA FTE). FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. 2.9.2.The number of credentialed technologist providers required to be on site on a daily basis is _enter number of providers to be on site at the same time____as defined in paragraph Hours of Operation in this section. 2.9.3.The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor's personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled provider is unable to complete an assigned shift, the contractor shall provide replacement provider coverage within 2 hours and notify the Contracting Office Representative (COR) at the SVAMC immediately of the schedule change. 2.9.4.Personnel 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 day (s) 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. 2.9.4.1.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. 2.9.4.2.For temporary substitutions where the key person shall not be reporting to work for three 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. 2.9.4.3.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 Contractor's provider(s), s/he may request, without cause, immediate replacement of said Contractor's provider(s).The CO and COR shall deal with issues raised concerning Contractor's provider(s) conduct. The final arbiter on questions of acceptability is the CO. 2.9.4.4.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 Contractor's provider(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: OR Schedule: 6:30 AM TO 4:30 PM 3.1.1.Patients must be seen by a Contractor's provider(s) on-site at SVAMC 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. 3.1.2.Contractor's provider(s) s shall be available and present in Operating suite during normal SVAMC OR 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 6:30 am to 4:30 pm. 3.1.3.Off-hours Coverage: Contractor must make the Contractor's provider(s) available on-call during all hours when the SVAMC OR is closed, including evenings, weekends and holidays. 3.1.3.1.On-call contractor's provider(s) must be available at all times for phone consultations with VA residents and providers. 3.1.3.2.Patients must be seen within 60 minutes of the page when medically indicated. 3.2.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. 3.2.1.Cancellations: 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 Contractor's provider(s) who are competent, qualified per this performance work statement and adequately trained to perform assigned duties. 4.1.1.Contractor's provider(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 Contractor's provider(s)' care shall cover the range of Intraoperative Neuromonitoring 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 Board of Registration of Electroencephalographic and Evoked Potential Technologists: http://abret.org/about/ethics-professional-conduct/ 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: Contractor's provider(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: Contractor's provider(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: Jeffery Swanberg - Privacy Officer Seatllte VA Medical Center 1660 S., Columbian Way Seattle, WA 98108 4.4.Direct Patient Care: 100% 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.Credentialed Intraopearative Neuromonitoring Technician and Neurophysiologist Services To provide Intraoperative Surgical Neurophysiologic Monitoring Services to SVAMC in accordance with 10 U.S.C. 2304, 41 U.S.C. 253 and under FAR 6.100 for full & open competition. The provided care shall include but not be limied to evoked potentials and electromyography services normally provided to civilian health care facilities for similar casese, in accordance with the specifications and requirements contained herein. Both Technologist and Neurophysiologist services are required. Offerors may submit pricing for either or both of the skills needed; however, they must provide an explanation of how they intend to provide coverage for both the technologist and neurophysiologist if they are submitting an offer for only one of the skills needed. The Contractor is to provide supplies and equipment necessary to complete this testing. This support will be required on an as needed basis for a base period from award through September 30, 2017 with the option to extend the contract for an additional four (4) one year periods. 4.4.2.Scope of Care: Contractor's provider(s) (as appropriate and within scope of practice/privileging) shall be responsible for providing Intraoperative Neuromonitoring care, including, but not limited to : 4.4.2.1.The Contractor shall provide credentialed Technologists to provide electrophysiological (EP) monitoring of patients undergoing spinal surgery at SVAMC. EP monitoring includes, standard lower and upper limb somatosensory evoked potential (SSEP), motor evoked potential (MEP), electromyography (EMG) and brainstem evoked potential (BSEP) for medically indicated neurosurgical cases, such as cervical and lumbar spinal stenosis, cervical myelopathy, and cervical and lumbar disc herniations associated with radiculopathy. 4.4.2.2.The Contractor shall provide credentialed Neurophysiologists to provide real-time electro-diagnostic monitoring and interpretation for patients undergoing spinal surgery at the SVAMC. The individual must be certified in clinical Neurophysiology by the American Board of Neurophysiologic Monitoring. This service will begin when the administration of anesthesia commences and continue until the end of the case. 4.4.2.3.The monitoring services provided by the Technologist are subject to overall technical direction by a Neurophysiologist, who will provide on-site or remote real-time intra-operative electrodiagnosis during the entire monitored neurosurgical procedure. 4.4.2.4.The neuro-monitoring services described in this contract are subject to the overall technical direction of the VA Chief of Neurosurgery (or delegate)> 4.4.2.5.The Contractor shall provide Intraoperative Surgical Neurophysiologicf Monitoring Services for VA patients for an estimated once per week, at an estimated five (5) hours of time for each case. The operating room schedule will be established the week prior and normally be a set day each week with the cases typically between the hours of 7 AM and 5 PM. 4.4.2.6.Notification for a procedure cancellation will be given at least 24 hours prior. 4.4.2.7.Although most cases will be schedule during normal working hours (7 AM to 5 PM), the Contractor shall be available to provide service seven days a week, 24 hours per day. Contractor must provide personnel and equipment for any emergency procedure withing 2 hours of notification by VA. 4.4.2.8.Clinic and Surgical Care: Contractor's provider(s)shall provide surgical Neuromonitoring Technician services. Contractor's provider(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. 4.4.2.8.1.Operative Services: Contractor's provider(s)shall provide comprehensive Neuromonitoring services including but not be limited to evoked potentials and electromyography services normally provided to civilian health care facilities for similar cases in accordance with the specifications and requirements contained herein. Both Technologists and Neurophysiologist services are required. Offeres may submit pricing for either or both of the skills needed: however, they must provide an explanation of how they intend to provide coverage for both the technologist and neurophysiologist if they are submitting an offer for only one of the skills needed. 4.4.2.8.2.Contractor's provider(s)shall provide credentialed Technologists to provide electrophysiological (EP) monitoring of patients undergoing spinal surgery at the SVAMC. Electrophysiological (EP) monitoring includes, standard lower and upper limb somatosensory evoked potential (SSEP), motor evoked potential (MEP) electromyography (EMG) and brainstem evoked potential (BSEP) for medically indicated neurosurgical cases, such as cervical and lumbar spinal stenosis, cervical myelopathy, and cervical and lumbar disc herniations associated with radiculopathy. 4.4.2.8.3.The contractor shall provide credentialed Neurophysiologists to provide real-time electro-diagnostic monitoring and interpretation for patients undergoing spinal surgery at the Seattle Division of VAPSHCS. The individual must be certified in clinical Neurophysiology by the American Board of Neurophysiologic Monitoring. This service will begin when the administration of anesthesia commences and continue until the end of the case. 4.4.2.9.The monitoring services provided by the Technologist are subject to overall technical direction by a Neurophysiologist, who will provide on-site or remote real-time intra-operative electrodiagnosis during the entire monitored neurosurgical procedure. 4.4.2.10.Medications: Contractor's provider(s)shall follow all established medication policies and procedures. No sample medications shall be provided to patients. 4.4.3. ADMINISTRATIVE: 0% of time not involved in direct patient care care. 4.4.3.1.Staff Meetings: The Contractor's provider(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. QA/QI documentation: The Contractor's provider(s) shall complete the appropriate QM/PI documentation pertaining to all procedures, complications and outcome of examinations during patient care time. 4.4.3.2.Patient Safety Compliance and Reporting: Contractor's provider(s) shall follow all established patient safety and infection control standards of care. Contractor's provider(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's provider(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: Qualifications of Key Personnel Performance Requirement: All Contractor's provider(s) shall be credentialed in accordance with American Board of Registration of Electroencephalographic and Evoked Potential Technologists. Standard: All (100%) Contractor's provider(s) are credentialed. Acceptable Quality Level: 100% Surveillance Method: Periodic Inspection of qualification documents Frequency: Annually Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until such time the Contractor's provider(s) meet qualification standard. 4.5.4.2.Measure: Scope of Practice/Privileging Performance Requirement: Contractor's provider(s) perform within their individual scopes of practice/privileging. Standard: All (100%) Contractor's provider(s) perform within their scope of practice/privileges 100% of the time. Acceptable Quality Level: 100% Contractor's provider(s) perform within their scope of practice/privileges 100%of the time. Surveillance Method: Direct observation Frequency: Continuous Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. Removal from contract until appropriate training can be completed and recorded. 4.5.4.3.Measure: Patient Access Performance Requirement: The Contractor shall provide Contractor's provider(s)in accordance with the operating hours and VA clinical schedule outlined in this PWS. Standard: All (100%) Contractor's provider(s) are on time and available to perform services. Acceptable Quality Level: Contractor's provider(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: Billing shall reflect correct hours/procedures for clearance to be paid. 4.5.4.4.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: 100%of patient safety incidents are reported using Patient Safety Report within 24 hours of incident. Surveillance Method: Direct Observation Frequency: Continuous Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation. 4.5.4.5.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 Contractor's provider(s) shall be provided as they are renewed. Licensing and registration information kept current. Acceptable Quality Level: 100% licensing, registration(s) and certification(s) for Contractor's provider(s) shall be provided as they are renewed. Licensing and registration information kept current. Surveillance Method: Periodic Sampling and Random Sampling Frequency: Annual Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation, provider will be removed from contract until such time as credentialing can be renewed and registration information made available. 4.5.4.6.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 Contractor's provider(s). Acceptable Quality Level: 100% completions Surveillance Method: Periodic Sampling Frequency: Quarterly Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contractor performance evaluation, 4.5.4.7.Measure: Privacy, Confidentiality and HIPAA Performance Requirement: Standard: All (100%) Contractor's provider(s) comply with all laws, regulations, policies and procedures relating to Privacy, Confidentiality and HIPAA Acceptable Quality Level: 100% compliance Surveillance Method: Periodic Sampling; Contractor shall provide evidence of annual training required by VAMC, reports violations per VA Directive 6500.6. Frequency: Annually Incentive: Favorable contactor performance evaluation. Disincentive: Unfavorable contactor performance evaluation 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.Each Contractor whose contract award is estimated to exceed $150,000 requires a CPARS evaluation. A government Focal Point will register your contract within thirty days after contract award and, at that time, you will receive an email message with a User ID (to be used when reviewing evaluations). Additional information regarding the evaluation process can be found at www.cpars.gov or if you have any questions, you may contact the Customer Support Desk @ DSN: 684-1690 or COMM: 207-438-1690. 4.5.5.3.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. 4.5.5.4.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.GOVERNMENT RESPONSIBILITIES 5.1.VA Support Personnel, Services or Equipment: The Contractor shall acquire, maintain and provide in good working order the dedicated equipment, technology and software required for the Technicians and Physicians to provide Monitoring Services. The costs of repair and/or replacement of such equipment, technology or software will be the sole responsibility of the Contractor. The Contractor agrees to abide by SVAMC's policies and procedures regarding maintenance, use and safety of any clinical equipment utilized by Technicians on-site at SVAMC. Additionally, any equipment that the vendor brings onto VA property for the purposes of this contract will need to undergo a safety inspection by Seattle VA Biomedical prior to being put into service. Biomedical will need to be contacted at least 24 hours in advance to arrange inspection. Please contact Biomedical Department directly at 206-764-5067 or 206-764-5070. The Contractor agree to provide desposable routine supplies required for the Monitoring Services and will also provide specialized supplies if requested by SVAMC. The Contractor makes no warranty whatsoever, whether express or implied, as to the condition, fitness ofr use or merchantability of any disposable supplies preovded under this Agreement. The parties hereby expressly agree that the only warranty of any kind applicable to said disposable supplies is that of the manufacturer. SVAMC shall, at no cost to the Contractor, provide all utilities and other services, including laundry, linen, janitorial services, and computer networking assistance, at SVAMC as shall be reasonably necessary for the Contractor to perform the Monitoring Services. 5.2.Contract Administration/Performance Monitoring: After award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to: (enter contract administration if not already listed in another area- list the title (not name) and contact information for COR, Clinical point of contact, and any other relevant personnel involved). 5.2.1.CO RESPONSIBILITIES: CO - Name/Address/Phone/email 5.2.1.1.The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue any modification to include (but not limited to) terms affecting price, quantity or quality of performance of this contract. 5.2.1.2.The Contracting Officer shall resolve complaints concerning Contractor relations with the Government employees or patients. The Contracting Officer is final authority on validating complaints. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof. 5.2.1.3.In the event that contracted services do not meet quality and/or safety expectations, the best remedy will be implemented, to include but not limited to a targeted and time limited performance improvement plan; increased monitoring of the contracted services; consultation or training for Contractor personnel to be provided by the VA; replacement of the contract personnel and/or renegotiation of the contract terms or termination of the contract. 5.2.2.COR Responsibilities: The COR for this contract is: Title/Address/Phone/email 5.2.2.1.The COR 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. 5.2.2.2.The COR will be responsible for monitoring the Contractor's performance to ensure all specifications and requirements are fulfilled. Quality Improvement data that will be collected for ongoing monitoring includes but is not limited to: enter data that may be collected. 5.2.2.3.The COR will maintain a record-keeping system of services electronically. The COR will review this data monthly when invoices are received and certify all invoices for payment by comparing the hours documented on the VA record-keeping system and those on the invoices. Any evidence of the Contractor's non-compliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. 5.2.2.4.The COR will review and certify monthly invoices for payment. If in the event the Contractor fails to provide the services in this contract, payments will be adjusted to compensate the Government for the difference. 5.2.2.5.All contract administration functions will be retained by the VA. 6.SPECIAL CONTRACT REQUIREMENTS 6.1.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. 6.1.1.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 Copy of Sub Contracting Plan (as required) Copy of Contractor Certification Statement if non-subcontracting possibilities exist.Upon proposal and as updatedContracting 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 with proposal; renewal submitted to VETPRO system. 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 for replacing key personnel to maintain services as required under the terms of the contractUpon proposal and as updatedCOR 6.2.Billing: 6.2.1.Invoice requirements and supporting documentation: Supporting documentation and invoice must be submitted no later than the 20th workday of the month. Subsequent changes or corrections shall be submitted by separate invoice. In addition to information required for submission of a "proper" invoice in accordance with FAR 52.212-4 (g), all invoices must include: 6.2.1.1.Name and Address of Contractor 6.2.1.2.Invoice Date and Invoice Number 6.2.1.3.Contract Number and Purchase/Task Order Number 6.2.1.4.Date of Service 6.2.1.5.Contractor's provider(s) (Name of Contractor's employee) 6.2.1.6.Hourly Rate 6.2.1.7.Quantity of hours worked 6.2.1.8.Total price 6.3.Vendor Electronic Invoice Submission Methods Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below: 6.3.1.VA's Electronic Invoice Presentment and Payment System - The FSC uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. Please go to this website: http://ob10.com/us/en/veterans-affairs-us/ to begin submitting electronic invoices, free of charge. 6.3.2.A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI).The X12 EDI Web site (http://www.x12.org). 6.3.3.The Contract may contact FSC at the phone number or email address listed below with any questions about the e-invoicing program or OB10: 6.3.3.1.OB10 e-Invoice Setup Information: 1-877-489-6135 6.3.3.2.OB10 e-Invoice email: VA.Registration@ob10.com 6.3.3.3.FSC e-Invoice Contact Information: 1-877-353-9791 6.3.3.4.FSC e-invoice email: vafsccshd@va.gov 6.4.Payment Adjustments/Performance Related Payment Deductions: 6.4.1. Invoices will be for actual procedures performed/hours worked. The contractor shall be paid only for actual work performed onsite. Contract providers shall be responsible for reporting time worked accurately. The Contract shall be paid for actual procedures performed. 6.4.1.1.The contract shall be adjusted in accordance with actual performance. 6.5.Performance Deductions: If the contractor fails to meet the Acceptable Quality Level on any performance measure that references a deduction as a disincentive, the following method for calculating and applying the deduction shall be employed: This deduction does not apply to this request for contract action. 6.6.Payments in full/no billing VA beneficiaries: The Contractor shall accept payment for services rendered under this contract as payment in full. VA beneficiaries shall not under any circumstances be charged nor their insurance companies charged for services rendered by the Contractor, even if VA does not pay for those services. This provision shall survive the termination or ending of the contract. 6.6.1.To the extent that the Veteran desires services which are not a VA benefit or covered under the terms of this contract, the Contractor must notify the Veteran that there will be a charge for such service and that the VA will not be responsible for payment. 6.6.2.The Contractor shall not bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against, any person or entity other than VA for services provided pursuant to this contract. It shall be considered fraudulent for the Contractor to bill other third party insurance sources (including Medicare) for services rendered to Veteran enrollees under this contract. 6.7.Contractor Security Requirements (Handbook 6500.6)
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