National Institutes of Health, Office of Purchasing and Contracts, OPM/OD, 6011 Executive Blvd., Suite 501, Rockville, MD 20892-7058

Q -- FURNISH PEDIATRIC CONSULTATIVE SERVICES POC Ann Argaman, Contracting Officer, (301) 594-5919 This is a sole source commercial services acquisition. The Clinical Center of the National Institutes of Health under the authority of 41 USC 253(c)(1) as set forth in FAR 6.302-1, intends to negotiate and award a sole source services contract to the Children's National Medical Center to provide complete pediatric consultative services to Clinical Center patients. All consultations are to be completed at the Clinical Center unless otherwise agreed to. Telephone consultative services are to be provided as appropriate.The contractor shall make available physicians and other medical personnel with expertise in the following areas: Adolescent Medicine,allergy,anesthesiology, cardiology,cardiovascular surgery, endocrinology, gastroenterology,genetics,hearing and speech, hematology,immunology,infectious disease,neonatology,nephrology,neurology,neurosurgery,oncology,opthamo logy,orthpedics,otorrhinolaryngology,pediatrics,general,plastic surgery,psychiatry,psychology,pulmonary,radiology,rehabilitation,rheum atology, surgery,urology. The NIH Clinical Center attending physician shall coordinate the patient's care with the consulting physician who shall perform, or direct other medical/technical staff to perform, all invasive and/or non-invasive procedures and/or examinations on patients at the NIH Clinical Center, or consulting physician's facility only when the equipment, materials, or professional resources cannot under reasonable circumstances be brought to the NIH Bethesda campus. Services shall be available and provided, upon request, twenty-four hours per day, seven days a week, 365 days per year. Services requested will be identified as either emergency or routine.All medical staff consultants providing services to the NIH under this contract shall be credentialed and privileged under a process that meets the accreditation standards of the JCAHO. In addition, the contractor shall provide proof that all consultants comply with all applicable federa, state and NIH requirements regarding the control of infectious diseases in health care facilities.The timeframes for communication to establish a consult, provision of care and reporting requirements are: EMERGENCY CONSULT-Within one hour of placing the initial call for consult, the contractor shall respond by telephone to the NIH requesting physician. When the consult has been determined to be emergent the contractor shall respond in person within two hours to the Bethesda campus after the telephone contact with the NIH physician. Alternatively, if appropriate resources are not available at NIH,the contractor and the NIH requesting physician will jointly coordinate the completion of the emergency consult off-site. Within two hours after completion of an on-site or off-site emergency consult, the contractor shall verbally inform the NIH requesting physician of consult results. When consult is performed at the NIH Clinical Center, the written results shall be on Progress Note paper and completed within four hours. For off-site emergency consults written results must be faxed within 4 hours with hard copy to follow in 7 days after completion. Results of clinical,laboratory and pathological tests collected on NIH patients by the consulting physician must be communicated verbally as soon as available but no later than 24 hours after completion of the consult.Fax transmission of results is acceptable but hard copy must follow within 7 days. ROUTINE CONSULT-Requirements are the same as for emergency consult, except that if the consult is routine, the contractor has 24 hours to respond in person to the Bethesda campus.All responses to this requirement must be written and received within 45 calendar days from the published date of this notice. THIS IS A SOLE SOURCE COMMERCIAL SERVICES ACQUISITION. ORAL COMMUNICATIONS ARE NOT ACCEPTABLE AND WILL NOT BE HONORED.A Statement of Work is available upon request. Responses requesting the solicitation without providing the required documentation shall not be considered. There is no solicitation document. Concerns that respond to this notice will be considered only if furnishing clear and convincing documentation demonstrating their ability to meet, at a minimum the stated requirements. Written responses should contain sufficient technical information and a description as to how the organization intends to supply the services which will meet the Government requirements,in order to permit agency analysis to establish a bonafide capability to meet the stated requirements and should be directed to Ann Argaman at the address above. A determination by the Government to open the requirement to competition based upon responses to this notice is solely within the discretion of the Government. The Government will not pay for preparation or submission of any information submitted in response to this synopsis. See Numbered Note 22. Posted 03/24/00 (W-SN437875). (0084)

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