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FBO DAILY - FEDBIZOPPS ISSUE OF AUGUST 26, 2018 FBO #6120
SOLICITATION NOTICE

Q -- PHYSICIANS AND MID-LEVEL PROVIDERS

Notice Date

8/24/2018
 

Notice Type

Combined Synopsis/Solicitation
 

NAICS

561320 — Temporary Help Services
 

Contracting Office

Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North, PO Box 36600, Billings, Montana, 59107
 

ZIP Code

59107
 

Solicitation Number

RFQ-10-18-035-REL
 

Archive Date

9/19/2018
 

Point of Contact

Rita E Langager, Phone: 406.247.7293
 

E-Mail Address

rita.langager@ihs.gov
(rita.langager@ihs.gov)
 

Small Business Set-Aside

Total Small Business
 

Description

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Simplified Procedures for Certain Commercial Items (41 U.S.C. 3305, 3306, and Chapter 37); FAR Part 12, Acquisition of Commercial Items (41 U.S.C. 1906, 1907 and 3307)); and FAR 37.4, Non Personal Health Care Services Contract (41 U.S.C. Chapter 33). This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The Indian Health Service (IHS) intends to award multiple Indefinite Delivery - Indefinite Quantity (IDIQ) contracts in response to Request for Quotation (RFQ)-10-18-035-REL. The quantities specified below are estimates only. The services shall be furnished only when authorized by task orders issued against the contract and in accordance with the Ordering clause. The IHS shall order at least the minimum quantities and the Contractors shall furnish services up to the maximum quantities. Except for the limitations on the quantities, there is no limit on the number of task orders that may be issued. Potential offerors may submit an offer for one, two or all of the contract line items for the base year and each option year. The all-inclusive hourly rate must include travel, lodging, per diem, insurance, taxes, et cetera. The solicitation is a Total Small Business Set-Aside. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-100. The associated North American Industry Classification System code is 561320 and the small business size standard is $27.5 million. PRICE SCHEDULE: PHYSICIANS AND MID-LEVEL PROVIDERS URGENT CARE SERVICES: 1. Board Certified Physician: Base Year: $__________ per hour Option Year: $____________ per hour Option Year Two: $____________ per hour Option Year Three: $____________ per hour Option Year Four: $____________ per hour Minimum: 500 hours; Maximum: 2,080 hours 2. Board Eligible Physician with ER Experience: Base Year: $__________ per hour Option Year: $____________ per hour Option Year Two: $____________ per hour Option Year Three: $____________ per hour Option Year Four: $____________ per hour Minimum: 500 hours; Maximum: 2,080 hours 3. Board Certified Mid-Level Provider: (Physician Assistant or Nurse Practitioner Base Year: $__________ per hour Option Year: $____________ per hour Option Year Two: $____________ per hour Option Year Three: $____________ per hour Option Year Four: $____________ per hour Minimum: 500 hours; Maximum: 2,080 hours OUTPATIENT SERVICES: 4. Board Certified Physician: Base Year: $__________ per hour Option Year: $____________ per hour Option Year Two: $____________ per hour Option Year Three: $____________ per hour Option Year Four: $____________ per hour Minimum: 500 hours; Maximum: 2,080 hours 5. Board Eligible Physician with Outpatient Experience: Base Year: $__________ per hour Option Year: $____________ per hour Option Year Two: $____________ per hour Option Year Three: $____________ per hour Option Year Four: $____________ per hour Minimum: 500 hours; Maximum: 2,080 hours 6. Board Certified Mid-Level Provider: (Physician Assistant or Nurse Practitioner) Base Year: $__________ per hour Option Year: $____________ per hour Option Year Two: $____________ per hour Option Year Three: $____________ per hour Option Year Four: $____________ per hour Minimum: 500 hours; Maximum: 2,080 hours PERIOD OF PERFORMANCE: October 1, 2018, through September 30, 2019, with four 12 month options. WORK SCHEDULE: Weekdays: Monday through Friday, 8:00 a.m. - 4:30 p.m. Weeknights: Monday through Friday, 4:00 p.m. - 8:00 a.m. Weekends: Friday through Monday: 4:00 p.m. - 4:00 p.m. Work hours will be determined based on the vacancy rate and the needs of the facility. LOCATION OF THE CONTRACT: The Locum Services are located at the Northern Cheyenne Service Unit, 420 North Cheyenne Avenue, Lame Deer, Montana. The Northern Cheyenne Service Unit is located in southeastern Montana and provides services through an average of 1,500 outpatient visits and 600 urgent care visits per month. Upon approval of a rental agreement, the providers will be authorized to stay in temporary housing located across the street from the facility. STATEMENT OF WORK: The purpose of the services is to provide comprehensive clinical medical care (education, prevention, curative, rehabilitative and emergency) at primary and secondary levels in the Outpatient and Urgent Care Clinics. MAJOR DUTIES: Examines and diagnoses health related conditions of individuals presenting themselves for care; refers individuals for consultation when appropriate; prescribes and carries out therapy in conformance with approved clinical privileges and Billings Area/Indian Health Service policy. Educates individuals on the nature of health related conditions, recommended therapy, and the general promotion of health and prevention of illness/disease. Assists, as able, in the teaching of primary care medicine to medical students, physician assistants, and other health professionals. The provider must be available for unpredictable shift coverage and inconsistent working hours. Primary work functions cover Urgent Care and Outpatient Services but may include walk-in clinic coverage during low Urgent Care clinic utilization. Provider may also be required to provide medical evaluation and treatment of emergencies, which arise on the outpatient floor, when the primary or backup providers are not immediately available. Conducts initial and periodic health examinations for finding physical defects in need of correction, and prescribes and implements remedial treatments required to correct these defects. Makes necessary arrangements and authorizes the transfer of patients to the appropriate hospital. This includes authorization for admission to contract facilities for emergency medical care and surgery. Informs appropriate personnel of Purchased/Referred Care (PRC) admissions as it pertains to emergency medical services. Records patient-provider transactions in the problem oriented medical record format and completes required data collection instruments, referrals, third party billing and medical records as required. Refers patients and their families to Community Health Services personnel, as appropriate, for their continued care and follow-up. Provides medical control over the radio to EMT-Intermediate and EMT-Paramedics who provide advanced pre-hospital emergency medical services to Indian and non-Indian patients on the Northern Cheyenne Indian Reservation in Big Horn and Rosebud Counties. Provides back up medical services/assistance for walk-in clinic during slow times in the Urgent Care department. The work requires continued efforts to establish programs to resolve chronic medical problems among the population served. The Contractor shall prepare and complete all medical and other required reporting documents as required by IHS procedural guidelines and policies. CREDENTIALING REQUIREMENTS: Requirements for Credentialing/Privileging for Initial Appointment and Reappointment: 1. Current Licensure: Proof of a current unrestricted license, certification, or registration to practice in a professional discipline in at least one US jurisdiction. 2. Photographic Identification: Current driver's license, passport or other government issued ID. 3. Relevant Training and/or Experience: Transcripts and documents from professional schools, letters from program directors if just completing residency, and board eligibility/board certification to support the requested privileges. 4. Current Competence: CMO/CD, Program Supervisor, or peers knowledgeable about the applicant's professional performance verify current competence, at the time of appointment to MS membership and privileging, in writing. The documentation describes the clinical performance, experience, professional obligations and ethical conduct. Documentation of current competence must support the requested privileges. When licensure or certification requires continuing medical or discipline-specific education, maintenance of licensure or certification constitutes proof of continuing education. When no licensure or certification requirements are applicable, the provider will complete no less than 40 hours in two years. 5. Ability to work cooperatively: The applicant shall demonstrate good citizenship, an ability and/or willingness to work cooperatively with peers, collaboratively providers, and other team members which may include Native American healers that may be involved in patient care. 6. Physical and Behavioral Health: The applicant shall be free of, or in control of any physical or behavioral impairment that could negatively impact ability to provide patient care. 7. Disclosure: The applicant shall disclose current and previous professional affiliations, professional liability claims, any current or pending challenges to licensure or registration, voluntary or involuntary relinquishment of such licensure or registration, voluntary or involuntary reduction or limitation or loss of clinical privileges at another institution, and past or present involvement in any professional liability action, which includes a National Provider Databank query. 8. Legal Disclosure: The applicant should be free of any felony conviction or current felony charge. Misdemeanor and felony convictions will be evaluated, and may be grounds for not granting MS membership and/or clinical privileges. Applicant Responsibilities for Credentialing and Privileging: 1. Each applicant requesting appointment to MS membership must submit completed appointment application, the required supportive documents, and a request for privileges. 2. Each applicant for MS membership and/or privileges is responsible for providing evidence that demonstrates, in the sole discretion of the service unit, that he or she meets the service unit's established criteria for membership and privileges. 3. Each applicant is responsible for producing any information requested by the institution or its authorized representatives that is reasonably necessary, in the sole discretion of the service unit, to evaluate if the practitioner meets the criteria for MS membership and privileges. 4.In the event that there is undue delay in obtaining such required information, or if the institution requires clarification of such information, the CMO/CD's office will request the applicant's assistance. Under these circumstances, the MS may modify its usual and customary time periods for processing the application. The service unit has the sole discretion for determining what an adequate response is. 5. If, during the process of initial application, the applicant fails to adequately respond within 30 days to a request for information or assistance, the MS will deem the application as being voluntarily withdrawn. Prior to considering the application voluntarily withdrawn, applications will be reported to the MEC for review. The result of the withdrawal is automatic termination of the application. The institution will not consider this termination an adverse action. Therefore, the applicant is not entitled to a fair hearing or appeal consistent with MS bylaws. The medical staff will not report the action to any external agency. KNOWLEDGE REQUIRED BY THE POSITION: Knowledge of effective patient/family teaching. Knowledge of patient care services provided. Ability to communicate to and interact with persons (staff, health care professionals, community) with different functions, levels of knowledge and requirements to provide optimal health care. Ability to plan and direct the work of others. Knowledge of accreditation standards and safety standards. Knowledge of, and ability to implement, universal precautions and other principles of infection control and aseptic technique. Knowledge of culture, customs, and health problems of the Native American population, with more specific knowledge of the Northern Cheyenne culture. Board Certified or Board Eligible in Emergency Medicine; or Board Certified in Emergency Medicine, Family Practice, Internal Medicine, or Internal Medicine/Pediatrics. Midlevel providers require board certification with ER/Urgent Care experience. Medical practice experience of at least four years (residency included), with two years of ER experience. Current ACLS, ATLS, PALS and BLS certification required for Urgent Care staff. Current BLS, ACLS, PALS required for Outpatient staff. The providers must possess a thorough knowledge of the general primary care fields of internal medicine, obstetrics and gynecology, and pediatrics in order to treat a majority of the patients. He/she must possess a specialized knowledge of the concepts, principles and practices of emergency medical obtained through the successful completion of a course of study leading to a degree of Doctor of Medicine or Osteopathy and Family Nurse Practitioner or Physician Assistant at an approved school, and the successful completion of post graduate training in an approved residency program. All providers must possess a license to practice medicine in the United States. GUIDELINES: Guidelines available include PHS/IHS, Billings Area, Service Unit and Medical Staff regulations, policies, procedures and by-laws. In addition, traditional and currently accepted medical practices are available in the form of specialty consultation, medical journals, and textbooks. In nearly all cases, however, the provider's judgment is the key factor in determining whether guidelines are to be adhered to, or deviated from, or whether guidelines need to be developed to protect the interests of the patient. COMPLEXITY: The work consists of a broad practice of emergency and general medicine, involving diagnosis and treatment of patients with an extremely wide variety of physical and emotional problems. Assignments are characterized by breadth and intensity of effort and generally involve the simultaneous application of multiple distinct skills, knowledge and abilities in the care of one or more patients. The work is often difficult and further complicated by the fear and skepticism of the patients, undefined or ill-defined problems presented in advanced stages, and conflicting data. Cases may be critical and require immediate decisions and/or complicated because patients may be unconscious, intoxicated, unable or unwilling to respond. SCOPE AND EFFECT: The work of this position affects the health and well being of individuals on an immediate basis and impacts the health status of the community on a broad basis. PERSONAL CONTACTS: Personal contacts are with patients, patient's family, visitors, other staff physicians, nurses, EMS and ancillary service personnel as well as physicians and nurses from the private sector. May also have contact with representatives of federal, state and tribal health organizations as well as hospital administrators from the private sector. These contacts are made with individuals and occasionally groups in moderately unstructured settings. PURPOSE OF CONTACTS: The purpose of the contacts is to diagnose and treat ill and/or injured patients, to exchange information, resolve problems, educate, influence and motivate individuals and groups to understand and accept recommended medical information, diagnosis and treatments. PHYSICAL DEMANDS: The work requires mild to moderate physical exertion, a high degree of stamina, extensive walking, standing, bending and similar activities. Patients may be required to be lifted from time to time. The provider may be required to remain awake on duty for periods up to 24-hours in duration. WORK ENVIRONMENT: The work is performed in a Outpatient Clinic and Urgent Care setting with continual exposure to patients having a variety of illnesses, injuries and communicable diseases. Occasionally, the contract provider may be subjected to adverse weather and hostile patients and/or families. Outpatient provider works on a regular assigned rotation to provide continuity of medical services during the week. Urgent Care provider will work a rotation schedule of days, nights, weekends and holidays. GOVERNMENT FURNISHED PROPERTY: The IHS shall provide all necessary equipment and supplies. The Northern Cheyenne Service Unit will be responsible for getting the Contractor access and clearance to all computer services necessary to carry out his/her duties. COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors" and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. Access/clearance to all pertinent computer systems, including completing the Security Checklist, Rules of Behavior form, Security training; and if necessary, a Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Northern Cheyenne Service Unit. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. CONTRACTING OFFICER'S REPRESENTATIVE (COR): The Contracting Officer's Representative (COR) shall be responsible for: (1) Monitoring the Contractor's technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoices to the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107, with a courtesy copy to the Contracting Officer's Representative (COR). The Contractor agrees to include the following information on each invoice: (1) Contractor's name and address; (2) Contact name, title, and telephone number; (3) Contract Number; (4) Invoice number and date; (5) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed; (6) Remit to Address; (7) Taxpayer Identification Number (Employer Identification Number or Social Security Number); and (8) Data Universal Numbering System (DUNS) number (to ensure payment is made to the correct bank account) and vendor mailing address, as provided in the System for Award Management (SAM), formerly known as the Central Contractor Registration (CCR) database. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, requires the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Northern Cheyenne Service Unit. Fingerprints must also be taken as part of the pre-employment process and must be completed before the providers are allowed to work. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Contractor shall comply with all IHS facility infection control and safety procedures, practices and standards. The Contractor must maintain and demonstrate knowledge of, and adhere to, hospital and departmental safety regulations. The Contractor shall comply with the following requirements: infection control, hazardous materials, safety, security, emergency preparedness, life safety, medical equipment and utilities in accordance with established management plans. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention of knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. IHS shall provide training on the Freedom of Information Act and the Privacy Act. All IHS regulations and policies applicable to these Acts shall be enforced. During the performance of the contract, the Contractor shall provide for the consistent performance of patient care processes according to the standards of the Accreditation Association for Ambulatory Health Care (AAAHC), who supplies accreditation to the Northern Cheyenne Service Unit. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1, Instructions to Offerors Commercial Items; and 52.212-3, Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2, Evaluation - Commercial Items (OCT 2014): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: FACTOR 1 - Unrestricted State License: Offerors must submit current unrestricted State licenses. FACTOR 2 - Resume or Curriculum Vitae. Offerors must submit copies of resumes or curriculum vitae. FACTOR 3 - Company Past Performance. Offerors must demonstrate experience through Government and/or commercial contracts by furnishing a minimum of three (3) references. FACTOR 4 - Cost/Price: The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of the offers. The price proposal should adhere to the pricing structure established in the "Price Schedule". The offeror's price proposal must be based on the offeror's technical proposal and the Government's statement of work. The "Price Schedule" shall be completed by the offeror in accordance with the following: (1) All prices contained in the price schedule must reflect an all-inclusive hourly rate. Price is not assigned an adjectival rating or scored. It will be evaluated to determine whether it is reasonable and if the quotation reflects an understanding of the requirement. This factor will be evaluated utilizing price analysis techniques identified in FAR Part 15.404-1. Analysis will include review of price reasonableness and balanced pricing. Offerors are cautioned that "materially unbalanced" prices and/or unreasonably high or low prices may cause your quotation to be deemed unacceptable and rejected. Technical and past performance, when combined, are considered approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. EVALUATION APPROACH: The content of the written quotations, as well as information derived from discussions/negotiations, if discussions are held, will be evaluated to determine the degree and extent to which the requirements and objectives set forth in the solicitation are satisfied. No assumption will be made by Government evaluators regarding areas not defined in the offeror's written material/information provided to the Government for evaluation. EVAULATION METHODOLOGY: A team of Government personnel will evaluate the quotations. The quotations will be evaluated in accordance with the aforementioned factors. Any quotation that is unrealistic, in terms of technical approach, schedule commitments, and or costs (high or low) will be deemed unacceptable. BASIS FOR AWARD: Selection of the successful offerors will be made based on the evaluation criteria. The quotations will be evaluated and a contract awarded under the Best Value Continuum approach to permit tradeoffs among cost or price and non-cost factors. This will allow the Government to consider award to other than the lowest priced offeror or other than the highest technically rated offeror who meets or exceeds the technical acceptability standards established in the factors referenced above. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-7, 52.204-9, 52.204-13, 52.204-16, 52.204-17, 52.204-18, 52.204-19, 52.212-4, 52.212-5, 52.215-5, 52.216-18, 52.216-19, 52.216-22, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.225-25, 52.227-14, 52.227-17, 52.228-5, 52.232-18, 52.232-39, 52.232-40, 52.237-2, 52.237-3, 52.237-7, 52.242-15, 52.242-17, 352.203-70, 352.215-70, 352.222-70, 352.223-70, 352.224-70, 352.224-71, 352.226-3, 352.227-70, 352.237-70, 352.237-71, 352.237-72, 352.237-73, 352.237-74, 352.239-73 and 352.239-74. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.204-10, 52.209-6, 52.209-9, 52.209-10, 52.219-6, 52.219-8, 52.219-28, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-50, 52.222-54, 52.223-18, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at https://www.acquisition.gov/ and http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&sid=3524d214210697effd2fd5c77848a806&rgn=div5&view=text&node=48:4.0.1.8.33&idno=48. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer, if the electronic Representations and Certifications section of the System for Award Management (SAM) is not completed. Contractors intending to conduct business with the Federal Government must register with the System for Award Management (SAM). SAM replaces the Department of Defense's Central Contractor Registration (CCR) database. SAM is now the primary Government repository, which retains information on Government contractors. You may register via the Internet at www.sam.gov. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 403, Billings, Montana 59101, no later than 6:00 p.m. on September 4, 2018. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your name and address. Offers will also be accepted by e-mail at Rita.Langager@ihs.gov or by fax at (406) 247-7108.
 

Web Link

FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/IHS/IHS-BILLINGS/RFQ-10-18-035-REL/listing.html)
 

Place of Performance

Address: Northern Cheyenne Service Unit, 420 North Cheyenne Avenue, Lame Deer, Montana, 59043, United States

Zip Code: 59043
 

Record

SN05054630-W 20180826/180824230754-32905542d8ca32e7bf803a874de4c541 (fbodaily.com)
 

Source

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

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