VA Medical Center, 4801 8th St N, St Cloud, MN 56303-2099

Q -- INTERNAL MEDICINE PHYSICIAN, CBOC SOL 656-22-99 DUE 051199 POC Wendy Walter, (320)255-6307 E-MAIL: Wendy Walter, VA Medical Center, St. Cloud MN, walter.wendy@st-cloud.va.gov. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format FAR subpart 12.6 as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. Solicitation No. RFQ 656-22-99. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 97-10. SIC code 8011 applies. SectionC -- DESCRIPTION/SPECS./WORK STATEMENT 1. Responsibilities and duties: a. Contractor to provide a board certified Internal Medicine Physician to provide medical primary care services in the St. Cloud VAMC Community Based Brainerd Outpatient Clinic (Brainerd Regional Human Service Center, State of Minnesota, 1777 Highway 18 East, Brainerd MN 56401). Initial coverage will be provided at 20 40 hours per week while permanent physician recruitment is completed. Once permanent VA Staff are assigned, the contractor will provide ongoing flexible coverage for sick leave and annual leave by the staff physician or physician extender. Clinic hours of operation are 8:00 am 4:30 pm Monday through Friday except on Federal Holidays. The ten holidays observed by the Federal Government are: New Year's Day, Martin Luther King's Birthday, Washington's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving, Christmas or any other day specifically declared by the President of the United States to be a national holiday. b. The Contractor will provide consultative medical services to the physician extenders working in the clinic. c. The Contractor will answer emergency calls within 30 minutes. d. The services to be performed by the contractor will be performed within the VA policies and procedures and the regulations of the medical center staff bylaws of the VA facility. e. The St. Cloud VAMC will provide equipment for the routine care provided. f. The Contractor will provide timely, electronic documentation and signature for all visits. g. The physician will cooperate and participate in quality improvement activities. The results of all Quality Improvement activities performed by the contractor involving VA patients will be shared with the VA. This will include but not be limited to quality improvement plans, indicator data reports, report of findings, conclusions, recommendations and written plans for action taken in response to such conclusions and recommendations. h. The Contractor will use managed care principles to assist Medicine Primary Care in identification of areas to improve access and ensure appropriate utilization of services within the VA system. i. The Contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the Contractor, shall provide the following for these personnel: Worker's compensation, professional liability insurance, health examinations, income tax withholding, and social security payments. The parties agree that such personnel shall not be considered VA employees for any purpose and shall be considered employees of the Contractor. j. The services specified may be changed by written modification to this contract. Upon agreement with the Contractor, the modifications will be prepared by the VA Under Secretary for Health or designee. k. Other necessary Personnel for the operation of the services contracted for at the Brainerd Community Based Outpatient Clinic will be provided by the St. Cloud VA Medical Center at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. l. The services to be performed by the contractor will be under the direction of the Chief of Staff or his designee, VA Medical Center, 4801 8th Street North, St. Cloud, Minnesota 56303. 2. Internal Medicine Qualifications: a. Documentation shall be provided to prove the individual(s) is Board Certified to perform procedures outlined in this section under item 3. b. The provider shall have an unrestricted license to practice medicine in one of the states or territories of the United States or District of Columbia. c. The provider will be Code Blue ACLS trained. d. The individuals performing under this contract shall meet all requirements for appointment to the Medical Staff, VA Medical Center, St. Cloud, MN as outlined by the Medical Staff Bylaws. e. The Physicians assigned by the contractor to perform procedures in the VA must go through the VA Credentialing process for delineation of clinical privileges. f. The individual(s) performing services must possess basic proficiency in spoken and written English in accordance with Public Law 95-201. 3. Procedures: a. The physician will provide office based medical primary care model which focuses on preventive health and chronic disease management. b. The physician will be responsible to stabilize and treat active illness and facilitate hospital admission when necessary. c. Hospitalizations and specialty referrals will be directed to the appropriate VA facility whenever medically possible. Emergent care will be coordinated within the community through fee basis services. d. The physician will be responsible to maintain follow-up after admission and specialty clinic referrals to provide continuity of care. e. The physician will cooperate and participate in quality improvement activities. f. The physician will participate in clinic meetings and cooperate with processes concerning access, quality, cost and productivity. g. The physician will work with other clinic staff to provide a team approach to offer complete and comprehensive care to each veteran. h. Diagnostic codes will be assigned according to the guidelines outlined in the ICD-9-CM coding system. i. Procedure codes will be assigned according to the guidelines outlined in the American Medical Association Physician's Current Procedural Terminology, as updated annually. j. A typical clinic day (8:00 4:30 pm) will allow for approximately 18 20 patients to be scheduled in 20 minute appointment slots. There will be time set aside in the schedule to accommodate walk-in/urgent appointments needing services same day. 4. Point of Contact: a. A VAMC technical representative of the Contracting Officer will be designated to represent the contracting officer in furnishing technical guidance and advice or generally supervise the work being performed under this contract. The foregoing is not to be construed as authorization to interpret or furnish advice and information to the contractor relative to the financial or legal aspects of the contract. Those matters are the responsibility of the contracting officer and shall not be delegated. 5. Monitoring of Contractor's Performance a. The contractor is paid on a monthly basis visit for hourly services performed in accordance with the prices/costs of the contract. Hours of service will be documented on a clinic schedule and verified by the clinic manager. b. Every procedure performed is entered into a computer database. The Veteran's identification number, source of referral, diagnosis, and line items performed by the contractor are entered into the database software. The invoice certifying official shall ensure review of the database that the contractor has performed the visits required. c. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical or professional aspects of services rendered (e.g., professional judgements, diagnosis for a specific medical condition). 6. Payment a. The VA agrees to reimburse the contractor on an hourly basis for services furnished at the price listed the Schedule of Supplies/Services of this contract. b. Sums due the contractor will be paid monthly in arrears upon receipt of a properly prepared invoice submitted by the contractor. c. Bills rendered by the contractor to the VA for services furnished a VA beneficiary under the terms of this contract shall be in full. Neither the beneficiary, his insurer, nor any other third party shall be billed by the contractor. 7. Terms of Contract a. This contract is effective for one year from date of award with two pre-priced option years. The contract is subject to the availability of VA funds. M -- EVALUATION FACTORS FOR AWARD Award will be made to the offer whose proposal is most advantageous to the Government, price, and other factors considered. The evaluation factors, listed in descending priority are as follows: 1. Personnel Qualifications: Provide licensure, ACLS certification, Quality Assurance Indicators, and personal references. 2. Cost: The cost proposal will be furnished on section B (Supplies or Services and Prices/Costs). 3. Past Performance: Provide references where similar services have been provided. 4. Availability of Service: Describe your flexibility of hours and providing additional services if the need arises. The following provisions apply to this solicitation; 52-212.1 Instructions to Offerors- Commercial Items; 52-212.3 Offeror Representations and Certifications-Commercial Items (must be returned with proposal). The following clauses apply to the acquisition: 52-212.4 Contract Terms and Conditions- Commercial Items; 52-212.2 Evaluation- Commercial Items. Proposals are due by close of business (4:30 p.m. CST) May 11, 1999. Direct all questions to Wendy Walter (320)255-6307, fax (320)255-6341. SCHEULE OF SUPPLIES/SERVICES INTERNAL MEDICINE PRIMARY CARE SERVICES TO BE FURNISHED AT THE VA MEDICAL CENTER BRAINERD COMMUNITY BASED OUTPATIENT CLINIC. FEES TO BE PAID IN ACCORDANCE WITH SECTION C DESCRIPTION/SPECS./WORK STATEMENT. DESCRIPTION QUANTITY UNIT COST TOTAL COST Primary Care Services BASE YEAR (From date of award for one year) 1. Hourly Rate 960 hours Primary Care Services FIRST OPTION YEAR 2. Hourly Rate 240 hours Primary Care Services SECOND OPTION YEAR 3. Hourly Rate 240 hours Posted 04/21/99 (W-SN322807). (0111)

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