Q510--Locum - Neurology Services - 621 Base + 4 one year options
SCHEDULE OF SERVICES The Contractor shall furnish all 1.187 FTE personnel to provide services necessary to perform onsite Neurology Physician Services to eligible beneficiaries of the Department of Ve... SCHEDULE OF SERVICES The Contractor shall furnish all 1.187 FTE personnel to provide services necessary to perform onsite Neurology Physician Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, James H. Quillen VA Medical Center (hereinafter referred to as VAMC). The Contractor s physician (s) care shall cover the range of Neurology services as would be provided in a state-of-the-art health care medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American College of Physicians- Internal Medicine http://www.acponline.org/clinical_information/guidelines/ and American College of Neurology Guidelines: http://gi.org/clinical-guidelines/. Place of Performance: Services shall be provided on site, James H. Quillen VA Medical Center, Mountain Home, TN 37684 Pricing Instructions: The offeror is instructed to edit the number of sub-clins to correspond with the number of key personnel submitted for the contract line-item number (CLIN). Affiliate Offerors shall include the title of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-CLINs if adding or removing Key Personnel. The offeror is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits. The Contractor shall propose a minimum of four (4) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. One FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. Period of Performance: BASE YEAR: February 1, 2024 to January 31, 2025 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 1 None 1.0 FTE Board Certified /Board Eligible Neurology Physician Services 2470 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL     None 0001a Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001b Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ None 0001c Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001d Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ 2 None Board Certified /Board Eligible Neurology Physician Services Weeknight On-Call Rate (Mon through Thu) 16:00-07:00 3120 Hours $_________hr. $__________ 3 None Board Certified /Board Eligible Neurology Physician Services Weekend On-Call Rate (Sat-Sun) 16:00-07:00 2496 Hours $_________hr. $__________ 4 None Board Certified /Board Eligible Neurology Weekend Inpatient rounding 8:00-10:00 daily As needed Hours $_________hr. $__________ OPTION YEAR 1: February 1, 2025 to January 31, 2026 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 1 None 1.0 FTE Board Certified /Board Eligible Neurology Physician Services 2470 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL     None 0001a Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001b Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ None 0001c Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001d Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ 2 None Board Certified /Board Eligible Neurology Physician Services Weeknight On-Call Rate (Mon through Thu) 16:00-07:00 3120 Hours $_________hr. $__________ 3 None Board Certified /Board Eligible Neurology Physician Services Weekend On-Call Rate (Sat-Sun) 16:00-07:00 2496 Hours $_________hr. $__________ 4 None Board Certified /Board Eligible Neurology Weekend Inpatient rounding 8:00-12:00 daily As needed Hours $_________hr. $__________ OPTION YEAR 2: February 1, 2026 to January 31, 2027 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 1 None 1.0 FTE Board Certified /Board Eligible Neurology Physician Services 2470 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL     None 0001a Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001b Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ None 0001c Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001d Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ 2 None Board Certified /Board Eligible Neurology Physician Services Weeknight On-Call Rate (Mon through Thu) 16:00-07:00 3120 Hours $_________hr. $__________ 3 None Board Certified /Board Eligible Neurology Physician Services Weekend On-Call Rate (Sat-Sun) 16:00-07:00 2496 Hours $_________hr. $__________ 4 None Board Certified /Board Eligible Neurology Weekend Inpatient rounding 8:00-12:00 daily As needed Hours $_________hr. $__________ OPTION YEAR 3: February 1, 2027 to January 31, 2028 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 1 None 1.0 FTE Board Certified /Board Eligible Neurology Physician Services 2470 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL     None 0001a Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001b Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ None 0001c Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001d Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ 2 None Board Certified /Board Eligible Neurology Physician Services Weeknight On-Call Rate (Mon through Thu) 16:00-07:00 3120 Hours $_________hr. $__________ 3 None Board Certified /Board Eligible Neurology Physician Services Weekend On-Call Rate (Sat-Sun) 16:00-07:00 2496 Hours $_________hr. $__________ 4 None Board Certified /Board Eligible Neurology Weekend Inpatient rounding 8:00-12:00 daily As needed Hours $_________hr. $__________ OPTION YEAR 4: February 1, 2028 to January 31, 2029 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 1 None 1.0 FTE Board Certified /Board Eligible Neurology Physician Services 2470 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL     None 0001a Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001b Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ None 0001c Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 618 Hours $_________hr. $__________ None 0001d Board Certified /Board Eligible Neurology Physician Services NAME____________________________ TITLE/LEVEL OF EXPERIENCE_______________________ 617 Hours $_________hr. $__________ 2 None Board Certified /Board Eligible Neurology Physician Services Weeknight On-Call Rate (Mon through Thu) 16:00-07:00 3120 Hours $_________hr. $__________ 3 None Board Certified /Board Eligible Neurology Physician Services Weekend On-Call Rate (Sat-Sun) 16:00-07:00 2496 Hours $_________hr. $__________ 4 None Board Certified /Board Eligible Neurology Weekend Inpatient rounding 8:00-12:00 daily As needed Hours $_________hr. $__________ Total for base performance period and all option years: $_________________________ PERFORMANCE WORK STATEMENT GENERAL SERVICES REQUIRED: This is a non-personal services contract to provide comprehensive professional services of board certified or board eligible physicians in accordance with the terms and condition contained herein. The contractor will provide 1.0 FTE qualified Neurology Physicians who are board certified or board eligible for certification by the American Board of Internal Medicine (ABIM) in Neurology necessary to perform inpatient and outpatient Neurological services as well as On-Call Services to eligible beneficiaries of the Department of Veterans Affairs, James H. Quillen VA Medical Center (herein after referred to as JHQVAMC). The contract physician must be on call and available during the scheduled time period. The contract physician must be available within 15 minutes by phone and be physically on-site within 60 minutes of notification. The contract physicians will complete all VAMC credentialing requirements prior to performing contract services. If the VA has already entered into contracts or other provider agreements in the service area(s) for the same services, those contracts will take precedence over this contract. PLACE OF PERFORMANCE: Onsite and Telephonically James H. Quillen VA Medical Center Corner of Lamont and Veterans Way Mountain Home, TN 37684 AUTHORITY: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. POLICY AND REGULATIONS: Contractor shall comply with all applicable policy and regulations, including, but not limited to, the following: VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347 VHA Directive 2006-041 Veterans Health Care Service Standards (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub ID+1443 VHA Handbook 1100.17: National Practitioner Data Bank Reports - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 VHA Handbook 1100.19 Credentialing and Privileging - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806 Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub ID=2791 1.4.9.VHA Handbook 1220.01 Operative Complexity DEFINITIONS/Acronym: ADP: Automatic Data Processing ACGME: Accreditation Council for Graduate Medical Education ACO: Administrative Contracting Officer BAA : Business Associate Agreement CDC: Centers for Disease Control and Prevention CEU: Certified Education Unit CME: Continuing Medical Education CMS: Centers for Medicare and Medicaid Services CO: Contracting Officer COR: Contracting Officer s Representative COS: Chief of Staff CPARS: Contractor Performance Assessment Reporting System CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA. FSMB: Federation of State Medical Boards Full Time Equivalent (FTE): Contractor working the equivalent of 80 hours every two weeks, 693.3 hours per four-month period. In calculating FTE, any hours not worked on national holidays shall not be included. HHS: Department of Health and Human Services HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities. HIPPA: Health Insurance Portability and Accountability Act ISO: Information Security Officer POP: Period of Performance PWS: Performance Work Statement RCA: Root Cause Analysis is a process for identifying the basic or contributing causal factors that underlie variations in performance associated with adverse events or close calls. QASP: Quality Assurance Surveillance Plan QMP: Quality Management Program TJC: The Joint Commission VA: Department of Veterans Affairs VAMC: Veterans Affairs Medical Center VetPro: a federal web-based credentialing program for healthcare providers. VHA: Veterans Health Administration QUALIFICATIONS: LICENSE: Personnel assigned by the Contractor to perform the services covered by this contract shall be licensed in a State, Territory or Commonwealth of the United States or District of Columbia. Contractor staff must submit evidence of at least one full, active, current and unrestricted licensure, registration, certification, and/or other relevant credentials, for verification prior to appointment and throughout the employment process, as requested by the COR. Contractor is responsible for keeping the VA COR apprised of anything that would adversely affect or otherwise limit their clinical privileges. Note: Failure to keep VA fully informed on these matters may result in administrative or disciplinary action. Physicians shall speak and write English proficiently. BOARD CERTIFICATION /ELIGIBILITY: Contractors Neurology physicians must be board certified or eligible for certification by The American Board of Internal Medicine in Neurology. All continuing education required for maintaining certification must be kept up to date at all times. Documentation verifying current certification must be provided by the Contractor to the COR on an annual basis. CREDENTIALING AND PRIVILEGING: Credentialing and privileging will be done in accordance with the provisions of VHA Handbook 1100.19. This VHA Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; the Expedited Medical Staff Appointment Process; credentialing during activation of the facility Disaster Plan; requirements for querying the FSMB; credentialing and privileging requirements for Telemedicine and remote health care; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights; and the credentialing requirements for other required providers. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any contract physician(s) prior to obtaining approval by the VA JHQVAMC Professional Standards Board, Medical Executive Board and Medical Center Director. TECHNICAL PROFICIENCY: Contractors shall be technically proficient in the skills necessary to fulfill the government s requirements, including the ability to speak, understand, read and write English fluently. Contractor will provide documents as needed to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.  CONTINUING CME/CEU REQUIREMENTS: Contractor will provide the COR copies of current CMEs as required or requested by the VAMC. Contractors registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME hours shall be reported to the credential s office for tracking. These documents are required for both privileging and re privileging. Failure to provide will result in loss of privileges. TRAINING (VA MANDATORY): Contractors shall meet all VA educational requirements. All mandatory courses must be completed by the Contractor staff as required by the VA. STANDARD PERSONNEL TESTING/INFECTION CONTROL Contractor shall provide proof of the following tests for their staff within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all Contractor staff. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. RUBELLA TESTING: Contractor shall provide proof of immunization for all Contractor staff for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractors shall provide generic self-study training for all Contractor staff; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractors shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractors shall provide follow up documentation of clearance to return to the workplace prior to their return. CONFLICT OF INTEREST: the Contractor and all Contractor staff are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided.  The Contractor must also provide relevant facts that show how it s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. Citizenship related Requirements: While performing services for the VA, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. The Contractor must return a signed certification at the time of proposal that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to the VA. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001 and is applicable to the entire POP. ANNUAL OFFICE OF INSPECTOR GENERAL (OIG) STATEMENT: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the VA OIG has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs. Therefore, all Contractors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed Contractors and/or firm(s) are not listed. Contractors should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person or entity was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP s may also be imposed against the Contractors and entities that employ or enter into contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries. By submitting their proposal, the Contractor certifies that the OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed. CLINICAL/PROFESSIONAL PERFORMANCE: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request during the administration of the resultant contract. NON-PERSONAL SERVICES: The parties agree that The Contractor, all Contractor staff, agents and sub-Contractors shall not be considered VA employees for any purpose. Government Inherent Functions: Contractor and Contractor staff shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees, selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy. No Employee status: The Contractor shall be responsible for protecting the Contractor s staff furnishing services. To carry out this responsibility, The Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract: Workers compensation Professional liability insurance Health examinations Income tax withholding, and Social security payments. TORT: The Federal Tort Claims Act does not cover Contractors or Contractor s staff. When a Contractor or a member of their staff has been identified as a provider in a tort claim, The Contractor is responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor s (or Contractor s staff) action or non-action is the responsibility of The Contractor and/or insurance carrier. KEY PERSONNEL AND EMERGENCY SUBSTITUTIONS During the first ninety (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 CO, in writing, within 15 calendar days after the occurrence of any of these events and provided the information required by paragraph (c) below. After the initial 90-day period of the contract the Contractor shall submit the information required by paragraph (c) to the CO at least 15 days prior to making any permanent substitutions. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive workdays or more, the Contractor will provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above. VA HOURS OF OPERATION: BUSINESS HOURS: Monday through Friday, 8:00am 4:30pm. NON-BUSINESS HOURS: Monday through Friday, 4:31 p.m. to 7:59 a.m. Weekends 4:31 p.m. Friday to 7:59 a.m. the following Monday morning, unless that Monday happens to fall on a Federal Holiday Federal Holidays. See 3.3 WORK SCHEDULE: -The Contractor shall furnish contract Neurology Physician coverage when the VA staff is on leave or unavailable. This shall ensure coverage 24 hours per day 7 days per week, 365 days a year. FEDERAL HOLIDAYS The following holidays are observed by the Department of Veterans Affairs: New Year s Day Washington s Birthday Martin Luther King s Birthday Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Any day specifically declared by the President of the United States to be a national holiday. CONTRACTOR RESPONSIBILITIES SERVICES REQUIRED: Contractor shall provide comprehensive professional services of physicians who are board certified or eligible for certification by respective certification bodies as outlined in Section 2.1.2 to provide Neurology Physician services at JHQVAMC. These services shall include contract physician coverage when the VA employed Neurologist, is on leave or unavailable. These services shall ensure 24 hours per day, 7 days per week, 365 days coverage. The Contractor is responsible for recording and reporting the hours/day Physician(s) are in attendance or on call on a monthly basis. Call schedules will be used by the COR to confirm hours/day and services provided against the contractor s invoices. Major duties shall include, but are not restricted to the following: 4.1.1 The contractor shall involve the patient in care decisions by keeping him/her fully informed about the diagnosis, plan of care, treatment goals, risks, benefits of proposed treatments and prognosis. Shared decision making shall be pursued. Care provided will respect and integrate the patient's beliefs, values, cultural influences and special needs. Care will reflect the VA Medical Center's mission, vision, and values. In addition, the patient's Advanced Directives should be reviewed and honored. 4.1.2 The contractor ensures that medical record documentation contains at a minimum or exceeds HCFA/CMS Medicare guidelines, which supports patient care and the VAMC medical cost care recovery initiatives. 4.1.3 As requested, the contractor will coordinate monthly reports to the Chief(s), Neurology, regarding workload and quality assurance data as prescribed in a format approved by the Chief of Staff or designated representative of this facility. The contractor shall continually assess for, and act upon, clinical and administrative improvement opportunities. Performance Improvement/Quality Assurance activities are dynamic and subject to change, as driven by current priorities and resources. 4.1.4 Contractor is responsible for ensuring appropriate professional Neurology coverage in the inpatient and Emergency Department settings when VA staff Neurologist, is unavailable. The contractor shall be responsible for coordinating evaluation, treatment and overall medical management of eligible Veterans enrolled in these settings. The contracted physician is required to review the Patient Rights Handbook and follow the standard of care, which includes always maintaining patient privacy and confidentially. 4.1.5 The VAMC shall inform the contractor of all applicable Sentinel Events or other Patient Safety Alerts by the VAMC. Any action plans that result from a Root Cause Analysis that pertain to contractor's service must be implemented with dissemination to other staff. Every effort shall be made by the contractor to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breeches of patient safety will be reported to the Chief of the service and the Risk Manager via the VAMC Incident Report. 4.1.6 Contractor is responsible for ensuring that documentation of all patient care relating to Neurology Section is in accordance with The Joint Commission (TJC) hospital standards, HCFA guidelines, and JHQVAMC policies. STANDARDS OF PRACTICE: Contractors shall cover the range of Neurology On-Call Services that meet the standards as established by the Joint Commission hospital standards, the Department of Veterans Affairs and any other organization having review authority over operations of Neurology Physician On-Call Services of the JHQVAMC, Mountain Home, Tennessee. Performance shall be according to the requirements contained in this PWS and equal to that of the professional standards of the TJC. The contract neurological physicians will provide outpatient procedure and clinic services through the scheduled clinics. The contract neurological physicians provide consultations and follow-ups in a timeframe as required by the patient s medical condition. The provider will be responsible for follow-up and communicating test results ordered by provider. The contract neurologist will perform rounds and participate in resident teaching at the James H. Quillen VA Medical Center. The contract neurological will perform duties including, but not limited to, staffing fellow s clinic, physician assistant clinic, attending clinic, E-Consults and procedures and services congruent with the respective provider s credentials and abilities. The patient s medical record will be annotated immediately after face-to-face consultation. All resident consultations and follow-ups will be documented with an appropriate attending note. To meet national guidelines, consults must be co-signed by the attending physician within 24 hours of seeing the patient. Not doing so results in the record being out of compliance with VHA policy regarding consultations. All medical records noted to be incomplete are to be completed within 10 days after notification. All outpatient encounter forms are to be correctly completed on the day of the patient s visit to the clinic and/or services rendered. The contract Neurological Physician(s) shall provide on call emergency Neurology services as assigned by the Chief of Neurology. This will include coverage 24 hours per day 7 days per week (weekends and holidays) during coverag...
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