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FOH Clinical Chest X-rays and Stress Tests in support of Clinical Health Services I. Introductory This is a Sources Sought. This is NOT a solicitation for proposals, proposal abstracts, or quotations.... FOH Clinical Chest X-rays and Stress Tests in support of Clinical Health Services I. Introductory This is a Sources Sought. This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this Sources Sought is to obtain a knowledge and information on potential vendor interest for project planning purposes. II. Project Description Background Federal Occupational Health (FOH) is a non-appropriated agency within the Program Support Center (PSC) of the Department of Health and Human Services (HHS). FOH works in partnership with federal organizations nationally and internationally to design and deliver comprehensive occupational health solutions exclusively to federal employees. FOH’s mission is to improve the health, safety, and productivity of federal employees. FOH is the largest provider of occupational health services in the federal government, serving more than 360 federal agencies and reaching 1.8 million federal employees. Created in 1946 by an amendment to the Public Health Service Act (42 U.S.C.), FOH has more than 77 years of experience providing services exclusively to Federal agencies. In 1984, FOH became fully reimbursable, operating free of congressional appropriations. This means that FOH operates like a business within the government and charges government agencies for the services it provides them. Clinical services, including emergency response; physical exams; immunizations; vision and health screenings; and health risk appraisals are available at FOH’s approximately 200 Wellness Centers located in federal buildings throughout the United States and through a large network of approximately 15,000 private-provider physicians and nurses. FOH provides Wellness/Fitness services to federal agencies nationwide. FOH Wellness/Fitness services provide numerous benefits that improve organizational effectiveness such as reduced absenteeism and healthcare costs; greater job satisfaction; and improved morale. FOH’s EAP services are provided by staff counselors located in 75 counseling offices in federal buildings as well as through a vast network of affiliate counselors in approximately 17,000 locations across the country and overseas. FOH’s Environmental Health and Safety program helps agencies identify and resolve environmental health issues by addressing them early through assessments, abatement programs, and on-going monitoring, as well as specialized training for employees and managers. Purpose and Objectives The objective of this Sources Sought - is to provide U.S. Department of Health and Human Services (HHS), Program Support Center (PSC), Federal Occupational Health Service (FOH), Clinical Health Services (CHS) with cardiac testing services support in multiple locations throughout the United States. Cardiac testing services support will include the scheduling of cardiovascular examinations for federal employees, assurance that the quality of the examinations and reporting of findings meet FOH requirements, provision of accurate and complete reports to the respective location(s) while maintaining confidentiality, and the orientation and training of service providers on the FOH requirements of the cardiac testing services. This will provide support to agencies nationwide supporting cardio services for approximately 200 FOH facilities located in 49 contiguous United States to include Alaska and Puerto Rico. In addition, these services are also required for the private provider network sites that complete exams for FOH in geographic areas where FOH does not have an Occupational Health Clinic (OHC). This Sources Sought will provide FOH with a clinical referral source for use as the mandatory first option to fulfill the majority of the FOH’s cardiovascular services scheduled from the FOH OHC. For the purposes of this Sources Sought, all testing and services shall meet the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines as well as the Joint Commission (TJC) standards for ambulatory care. Although non-inclusive, additional regulations may be added during the life of this contract such as Occupational Safety and Health Administration (OSHA) 29 CFR.1910.141 Cleanliness of Health Care Facilities, Occupational Safety and Health Administration (OSHA) 29 CFR.1910.1030 Blood-borne Pathogens, American National Standards Association (ANSI) Prevention and Calibration of Medical Equipment, Health Insurance Portability and Accountability Act (HIPPA), National Committee for Quality Assurance (NCQA) Wellness and Health Promotion and the Privacy Act. FOH provides Cardiac Testing services to federal agencies in multiple locations across the US. The Contractor will locate cardiac testing facilities that meet the FOH requirements, schedule the cardiovascular examinations, assure the quality of the examinations and reporting of findings, provide accurate and complete reports of clinical findings which contain all required information, and provide the reports to the respective location(s) while maintaining confidentiality. The Contractor can use subcontract facilities that meet security and contract requirements of FOH and its customer federal agencies. FOH may request certain facilities be used due to FOH customer mandate. The Contractor shall train providers regarding the cardiac testing services and ensure that there is an adequacy of testing and accuracy of services. Results of all requested cardiac testing services shall be reviewed and validated (signed off) by a Board-Certified Cardiologist within the required timeframe. The Contractor will only be reimbursed for those services specifically listed in the contract and only if it has the cardiologist signature. An approved electronic signature format by the Contracting Officer Representative (COR) is acceptable. Anticipated Period of Performance The anticipated start date of the period of performance is FY24 Q2. The anticipated Period Performance of the contract is five (5) years from award (Base (12 months) + (4) four (12 mounts) options). Project Requirements Please provide a capability statement that provides your experience, knowledge, and ability to the following draft of project requirements. 1. The Contractor shall provide the following cardiac testing services to FOH and federal agency clients (patients): Cardiovascular Stress Test, Maximum (EST): Bruce or Balke Protocol: The test must be performed by a board-certified cardiologist or a licensed physician who holds a current Advanced Cardiac Life Support (ACLS) certification and possesses training, experience, and competency in cardiac stress testing. Test results must be interpreted and signed off by a board-certified cardiologist. Full EKG tracings must be included with the report. Non-Stress Echocardiogram: Sonogram of the heart. Test will be interpreted by a board-certified cardiologist. Exercise Treadmill ECG with Nuclear Imaging: Test will include exercise stress test with Cardiolyte, thallium or other approved radioisotope imaging. Tests shall be performed by a board-certified cardiologist. The nuclear stress test images and full EKG tracings must be included with the report. Cardiac Stress Test - Treadmill Echo (aka Stress Echocardiogram): Test will include exercise stress test with echocardiogram test before and after exercise. Test and interpretation of all stress echo test results shall be performed by a board-certified cardiologist. Full EKG tracings must be included with the report. Missed Appointment: A missed appointment fee can be charged for failure of the Federal employee to cancel any cardiac test appointment within twenty-four (24) hours. The Contractor shall notify the FOH point of contact (POC) within 24 to 48 hours of the missed appointment. Abnormal Stress Tests: Equivocal or Non-Emergent - Contractor shall IMMEDIATELY notify the Federal Occupational Health Clinical Service Manager or COR Designee. In addition, written interpretation and EKG tracings MUST BE forwarded to the Federal Occupational Health Clinical Service Manager/Service Delivery Lead Assistant within 24 hours of the abnormal test. 2. The Contractor shall not require use of personable identifying information, such as Social Security number and/or date of birth, or home address to schedule appointments. 3. The Contractors shall provide a same sex observer, if requested, by any Federal employee receiving cardiac testing services from the Contractor. 4. The Contractor shall schedule the cardiac testing services within two (2) business days of FOH referral date. The Contractor shall perform a quality inspection of the test results report to ensure all required criteria are included and send a complete and accurate report to the FOH OHC Nurse Coordinator or designee via U.S. Mail, Courier, Secure Facsimile, United Parcel Service (UPS), or other approved method within five (5) days of scheduled exam date. The contractor shall be responsible for clerical costs for necessary printing, copying, faxing, and collating of any documents related to this contract. 5. Maintaining the security of documents associated with clients (patients): The Contractor shall maintain all medical documents related to personnel receiving services under this contract either on paper or electronically. Paper documents shall be maintained in a secure, locked filing cabinet (i.e., desk with locking drawer, locking file cabinet, GSA-approved security container or equivalent) or locked room, separate from other medical files and with access restricted to individuals with a need to know in accordance with federal medical confidentiality laws. Electronic files shall be password protected to ensure controlled access by only those authorized to view the documents. At all times, medical records under this contract remain the property of FOH and the Contractor is prohibited from independently publicizing or disseminating any information without the prior written approval from the CO. Additionally: a. Controls shall be implemented and maintained to prevent the information from physically or electronically leaving the Contractor’s approved space or becoming known to persons without a need-to-know or an unexecuted non-disclosure agreement (NDA). b. Buildings, or individual offices, where information is processed must have entrance doors that lock and that show evidence of unauthorized entry. c. At the end of the contract, Contractor shall destroy or delete any individually identifiable cardiac test information from all information systems using approved methods. The Contractor shall maintain in his/her possession only sufficient information regarding cardiac test(s) to allow for payment or proper conduct of business. 6. The Contractor shall ensure that all employees, physicians, and the clinic staff that generate, access, or handle documents containing health or personal information of federal agency clients (patients): a. Follow HIPAA http://www.hhs.gov/ocr/privacy/ and medical confidentiality of all records and services to FOH clients. b. Ensure that the Federal agency client (patient) provides the completed Health Services Referral Ticket form (FOH 74) during his/her scheduled cardiac test(s) appointment. 7. The Contractor shall ensure that the service locations are within an acceptable radius for the client and each referring FOH OHC. When service locations cannot be found within an acceptable radius, the Contractor will seek approval from the COR to utilize a site that does not meet the distance requirement. When possible, it is preferred that service locations are convenient to public transportation (metro/train stations or bus stops) where applicable. It is preferred that the Contractor provide all required services at one location and at the same visit, when possible, to reduce the number of visits and the amount of time a federal employee must spend to have all cardiac test(s) completed. 8. The Contractor and all parent companies, subsidiaries and subcontractors shall maintain strict confidentiality of information that is provided by the Government during the performance of the contract. Information provided to and received from the Contractor is considered the government’s property. The Contractor shall not use such information for any private purpose unless the information has been released or otherwise made available to the public. The Contractor agrees that to the extent it receives or is given access to proprietary data, data protected by the Privacy Act of 1974 (5 U.S.C. 522a), or other confidential or privileged technical, business, or financial information under this contract, it shall treat such information in accordance with any restrictions imposed on such information. Unauthorized disclosure of government information, to include information maintained on any billing system, may constitute a security incident; this includes the loss of computer hardware whether encrypted or not. The Contractor shall notify the COR of any unauthorized disclosures, in writing, within twenty-four (24) hours and in the event of a privacy breach verbally within two (2) hours of discovery. 9. The Contractor shall ensure, that at a minimum, all employees performing under this contract have current and active state or commonwealth licenses (without restrictions), in their profession, registration, and any required certifications to practice in the State where the services are provided. Information Submission Instructions Interested companies should review and then submit a response that provides feedback, if any, that addresses all of the information listed under “Project Requirements”. Capability statements and responses shall be submitted via email to angeleana.torres@psc.hhs.gov no later than 2:00pm EST, August 18, 2023. The subject line for the email heading shall be “FOH Clinical Chest X-rays and Stress Tests in support of Clinical Health Services”– (enter the Source Sought reference number PSC315564). Please provide succinct detail and depth to enable Government review and assessment. Please limit responses to ten (10) pages (8 ½ x 11, single-spaced, Times New Roman, 12-point font, ¾ inch margins). Please add a cover letter to your response with the following information: Company Name Company Unique Entity ID (UEI) number Company point of contact, email address, mailing address, telephone and website address Business Size relative to NAICS code 621111 – Offices of Physicians (except Mental Health Specialists (size standard $16.0 Million) Any Governmentwide Acquisition Contract (GWAC), General Services Administration (GSA) Schedule vehicle, other available procurement vehicles your company maintains that could meet this requirement. Type of Company (e.g., large business, small business, 8(a), woman owned, veteran owned, etc.) as registered in the System for Award Management (SAM). Identify any/all teaming arrangements III. Disclaimer and Important Notes This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by the respondents for any purpose deemed necessary and legally appropriate. Any organization responding to this notice should ensure that its response is complete and sufficiently detailed. Information provided will be used to assess tradeoffs and alternatives available for the potential requirement and may lead to the development of a solicitation. Respondent are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. Any solicitation resulting from the analysis of information obtained will be announced to the public in System of Award Management SAM.gov in accordance with FAR Part 5. However, responses to this notice will not be considered adequate to responses to a solicitation. Confidentiality No proprietary, classified, confidential, or sensitive information should be included in your response. The Government reserves the right to use any non-proprietary technical information in any resultant solicitation(s).