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36C24822Q0576 0001 Page 3 of 5 CONTINUATION PAGE SOLICTATION NUMBER 36C24822Q0576 AMENDMENT 0001 The purpose of this amendment is to make the following changes to the RFQ: The due date for receipt of ... 36C24822Q0576 0001 Page 3 of 5 CONTINUATION PAGE SOLICTATION NUMBER 36C24822Q0576 AMENDMENT 0001 The purpose of this amendment is to make the following changes to the RFQ: The due date for receipt of Request for Quotes is hereby changed from 04-01-2022 at 4:00PM EST. to 04-04-2022 at 4:00PM EST. B.2 SCHEDULE OF SERVICES, Period of Performance is hereby deleted and replace with Period of Performance: BASE PERIOD: 04/20/2022 to 04/19/2023. Section 2.1.6 of the Performance Work Statement (PWS) is hereby deleted herein. Section 4.5.1.3 of the Performance Work Statement (PWS) is hereby deleted herein. Section 4.6: of the PWS is hereby deleted herein and replaced with the following: 4.6: Quality Management/Quality Assurance Surveillance: Contract personnel shall be subject to Quality Management measures, including 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. 6) SECTION C CONTRACT CLAUSES C.6 The Indemnification and Medical Liability Insurance was left blank on solicitation the following changes has been made to include per occurrence $250,000.00 and aggregate amount $750,000.00. Vendor Questions Question 1. B.2.4: Work Hours. Need to clarify that the MDs will be interpreting ECGs on their own time and not according to the specified work hours. Answer #1. The ECGS can read whenever the vendor prefers it does not need to be done during VA working hours. The business hours information is to ensure contractor is aware when VA staff will be available. Q.2. Page 12, section2.1.6 (Qualifications): Need to clarify that this agreement seems to require ACLS, BLS, Etc training to interpret ECGs. This seems a bit excessive. Answer #2. See response to number 3 above. Q.3 Section 4: Contractor responsibilities: 4.1.1: the way this is written leads me to think that all MDs need an ID for the purposes of accessing MUSE at a VA site. Why else would an ID be required? Fingerprints/background screening? Answer #3. Yes, each provider is required to get a PIV badge to access the VA s network. To receive a PIV requires background check/fingerprinting. Q.4 RE: 4.5.1.2: QA/QI documentation needs to be specified. Is there more documentation required beyond an ECG interpretation? Answer #4.  Documentation will only be the interpretation of the ECG, the physician will need to verify if the computer-generated interpretation differs from their interpretation. Q.5 4.5.1.3: Is this really relevant? Answer #5. See response to number 4 above. Q.6 Section 4.6: How are performance standards and QA/QI improvements going to be specific to interpreting ECGs? This section refers to patient satisfaction surveys, completion of medical records, etc.  Answer #6. See response to number 4 above. Q.7 4.6.4.5 refers to being required to complete all training per VAMC policy. Need to know what this refers to. Answer #7. The VA requires completion of yearly computer training (Privacy, HIPAA, Ethics, etc.) Q.8 Section C6: Need to know what the minimum liability insurance per occurrence amount is. This is left blank on page 70. Answer #8. $250K/$750K. See changes to this clause included to number 6 above. Q.9 Need to have a clear understanding of C.6.c with regards to the endorsement language. Answer #9. The requirement is that prior to the commencement of services, the Contractor provide all the required insurance/polices. At that time (so prior to commencement of services) the policies must include an endorsement that says, any cancellation or material change will not be effective for at least 30 days from when the Gov t gets notice . Q.10 Section E.2: Factor 1: Technical quality subfactor D: Need to have a better understanding of what constitutes productivity data related to ECG readings over the past year. Do they want to know how may ECGs were interpreted? How many were done in a 24-hour period? How many the MD can do per hour? Needless to say, this is quite vague. Answer #10. The Contractor shall provide productivity data over the past one (1) year for any of the physicians that the Contractor is proposing. How many ECGs they can read per hour is preferred, or the number of ECGs the provider has read over the last year. This information will be used to figure out approximately how long it would take the providers to read each ECG and provide some information regarding the experience of the provider related to reading ECGs . Any data the Contractor has related to this is needed for evaluation purposes. Q.11 Factor 2: Past Performance: The contractor is required to provide 3 past performance questionnaires. What is this???  Answer #11. Past performance information is one indicator of an offeror s ability to perform the contract successfully. The currency and relevance of the information, source of the information, context of the data, and general trends in contractor s performance shall be considered. Please see attachment  five (5) under section D. Q.12 The past performance evaluation attachment had phlebotomy on listed on the top - we changed to send to our client references ( attached updated) and wanted to confirm who the forms should be sent to at the VA, if the individual on the form is correct, and /or should we provide with the submission of the RFP? Answer #12. See Attachment five (5) Past Performance Questionnaire Q.13 Could you confirm and provide the instructions for the submission of the RFP response? We see it is due Friday, April 1st at 4 EST.  Is that able to be sent electronically and to whom?  Apologies if that was included, we could not locate that information. Answer #13. Yes, you can submit electronically to Rosettta.quinn@va.gov and Cyrouse.houshyani@va.gov, Due date on Monday, April 4, 2022 at 4 EST. based on this amendment - refer to changes section. Q.14 RFQ states 515,000 ECG are to be read in a 12-month period. Will there actually be that many readings to be interpreted?? Answer #14. Yes, a total of 515,000 ECG s Q.15 Do we bid on interpretation service fee for each ECG reading or a global cost?            Answer #15. The cost for each ECG reading. Q.16 On pg 7 of RFQ states during the first 90 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 Contracting Officer, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) [for temporary substitution]; however, are contractors allowed to add in personnel to aid in interpretation service if panel has yet reached 10.  Answer #16. Preferably not, as we d like to credential all the providers at the same time in bulk as our Credentialing process can sometimes take a very long time. Q.17 Pricing - can we submit price per ECG vs hourly rate?  We noticed one area asked about ECG rate and the form to fill in for pricing indicated hourly -  our preference is per ECG since that is the best to provide for our highest quality and timeliness with delivery  Answer #17. The cost for each ECG reading Q.18 Do we need to submit the individual cardiologists now with their signatures, or can that come if when the contract is awarded?   Answer #18. Yes. We d prefer to have the individual cardiologists listed along with their productivity to verify that they re experienced and qualified to read ECGs before awarding the contract. Q.19  It looks like we might be missing the VA Information and Information System Security/Privacy document that s referenced in the Addendum. Answer #19. The addendum to 52.212-1 line 8 is hereby deleted herein. Q.20  The below documents are referenced however not attached.  Could you confirm they are not needed?  Copy of Subcontracting Plan (as required) d Copy of Contractor Certification Statement if non-subcontracting possibilities exist Answer #20.  The Subcontracting Plan and Copy of Contractor Certification Statement if non-subcontracting possibilities exist is not required because the solicitation is set aside for small business Q.21.  Appreciate your response ( immediately below)  with the question on the providers today we will provide the cardiologist qualification information. Would you mind confirming we don t need their signatures for the RFP submission? Answer #21. The Government cannot tell contractors how to submit their quotes.

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Presolicitation Notice Presolicitation Notice Page 4 of 4 Presolicitation Notice *=Required Field Presolicitation Notice Page 1 of 4 SUBJECT* Medicine Cardio ECG Reading Services GENERAL INFORMATION C... Presolicitation Notice Presolicitation Notice Page 4 of 4 Presolicitation Notice *=Required Field Presolicitation Notice Page 1 of 4 SUBJECT* Medicine Cardio ECG Reading Services GENERAL INFORMATION CONTRACTING OFFICE S ZIP CODE* 33637 SOLICITATION NUMBER* 36C24822Q0576 RESPONSE DATE/TIME/ZONE 03-24-2022 11:00am EASTERN TIME, NEW YORK, USA ARCHIVE 60 DAYS AFTER THE RESPONSE DATE SET-ASIDE PRODUCT SERVICE CODE* Q999 NAICS CODE* 621111 PLACE OF PERFORMANCE Department of Veteran Affairs Bay Pines VA Healthcare System 10000 Bay Pines Blvd Bay Pines FL POSTAL CODE 33744 COUNTRY USA CONTACT INFORMATION CONTRACTING OFFICE ADDRESS Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637 POINT OF CONTACT* Contracting Officer Rosetta Quinn Rosetta.quinn@va.gov 813-972-2000 x2428 ADDITIONAL INFORMATION AGENCY S URL URL DESCRIPTION AGENCY CONTACT S EMAIL ADDRESS EMAIL DESCRIPTION DESCRIPTION The Department of Veterans Affairs, Bay Pines VA Healthcare System (BPVAHCS) located at 10000 Bay Pines Boulevard Bay Pines, FL 33744-8200 intends to solicit a request for quote (RFQ) from contractors for Electrocardiogram (ECG) Reading Services. The Contractor shall furnish all personnel to provide services necessary to perform reading of Electrocardiogram (ECG) procedures of patients of the Department of Veterans Affairs Medical Center, Bay Pines VA Healthcare System. Contractor shall explain their capability of providing adequate personnel, not to exceed ten (10) credentialed physicians, to be credentialed and be available to work remotely to read a quantity of 515,000 ECGs within one (1) year or less to meet the requirements of the contract. The Contractor s physician(s) care shall be of a quality, meeting or exceedingly currently recognized national standards as established by The American College of Cardiology (ACC). . The services shall be in support of eligible beneficiaries of the BPVAHCS under a Firm Fixed Price (FFP), contract type. The authority of for this procurement is Title 38 USC 8153 Health Care Resources, Federal Acquisition Regulation (FAR) 12, Acquisition of Commercial Items and FAR 13 Simplified Acquisition Procedures. The VA anticipated issuing a 100% small business set aside solicitation for this requirement on or about March 24, 2022. Interested contractors will be responsible for downloading copies of the solicitation, attachments, and any subsequent amendments from this website. No hard copies will be made available. Period of Performance: The anticipated period of performance for this contract will be from 04-08-2022 through 04-07-2023 for one year. The solicitation will provide instructions to contractors about the responses to the RFQ submission process. Prospective quoters are encouraged to register their interest in the solicitation on the Beta.Sam.gov website (https://beta.sam.gov/) so that they are notified of the issuance of the solicitation and any amendments. In accordance with FAR 52.204-7, System for Award Management, prospective contractors must be registered in System for Award Management (SAM) under the applicable North American Industry Classification system (NAICS) Code. Contractors may obtain SAM information at https://sam.gov. To be eligible for award, contractors must be registered in the SAM database and have an active contract of the Federal Supply Schedules (FSS). Registration in SAM is free and potential Offerors are encouraged to visit the SAM website as no contract can be awarded to any Offeror not registered in Beta.SAM.gov. The NAICS Code for this procurement is 621111, Offices of Physicians (except Mental Health Specialists) with a Small Business Size Standard of $12.0 million. The classification code is Q999 Medical Other . The solicitation will be issued SB Set-Aside. Questions concerning this announcement should be directed to the Contracting Officer, Rosetta Quinn, using the email provided. Telephone requests for information or questions will be accepted; however, must be followed up by an email to Rosetta.quinn@va.gov. Ensure that the subject line includes the solicitation number (i.e., RFQ no. 36C24822Q0576). Contracting Office Address: Department of Veterans Affairs, Network Contracting Office (NCO 8), 8875 Hidden River Parkway, Tampa, FL 33637.