Q526--TeleStroke Consultation
1. The Department of Veterans Affairs intends to solicit quotes for On-Call 24 Hour Stroke Phone Hotline for the Department of Veterans Affairs, Puget Sound Healthcare System, Seattle, Washington. A P... 1. The Department of Veterans Affairs intends to solicit quotes for On-Call 24 Hour Stroke Phone Hotline for the Department of Veterans Affairs, Puget Sound Healthcare System, Seattle, Washington. A Performance Work Statement (PWS) will be included in the solicitation. The Request for Quotations number is 36C26020Q0077. 2. The solicitation will result in the award of a single Firm Fixed Price contract. The applicable NAICS code is 622110, General Medical and Surgical Hospitals, and the small business size standard is $41.5 Million. This procurement is Unrestricted (both large and small businesses may submit quotations.) 3. The intended contract period is 5 years, plus five (5) one-year option years. 4. Telephonic requests for the solicitation will not be honored. When issued, the solicitation will be available via the Contract Opportunities website, https://beta.SAM.gov . The tentative solicitation issue date is March 11, 2020, and the anticipated closing date is April 1, 2020. Interested offerors are advised to consult the actual solicitation for final dates and times. 5. Offers from all capable and responsible business sources will be considered. Firms offering a response to this notice should ensure that their registration in the System for Award Management (SAM) database https://sam.gov/ is current and should ensure that the applicable NAICS code (622110) is included in the SAM profile prior to submission of quotation. (end)
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Q--TeleStroke Consultation
Performance Work Statement On-Call 24 Hour Stroke Phone Hotline VA Puget Sound Healthcare System Seattle, Washington 1.0. GENERAL: 1.1. Authority: Public Law 104-262 and 38 USC 8153 and Part 873, the ... Performance Work Statement On-Call 24 Hour Stroke Phone Hotline VA Puget Sound Healthcare System Seattle, Washington 1.0. GENERAL: 1.1. Authority: Public Law 104-262 and 38 USC 8153 and Part 873, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and for the Department of Veterans Affairs (VA) Puget Sound Health Care System (VAPSHCS), 1660 S. Columbian Way, Seattle, WA 98108-1597.. 1.2. Services Required: This acquisition is to provide Stroke hotline on-call phone coverage to provide expert consultation to the VA physician on urgent and emergent issues related to the appropriate care of patients for assistance and consultation in prevention, diagnosis and treatment of neurological stroke patients at time of admit or for inpatient consult. The contractor s stroke attending will advise the VA physician on the best course of treatment for that particular patient with cerebrovascular disease, stroke and/or transient ischemic attack. 1.3. Place of Performance: Off-Site at awarded contract location TBD when awarded 1.4. Definitions: In providing support under this contract, the Contractor shall provide a Stroke Service hotline with that will run 24 hours per day and seven days per week providing expert consultation to physicians on urgent and emergent issues related to the appropriate care of patients treated in a variety of hospital and community settings for acute stroke and neuro-vascular incidents. 2.0. PERSONNEL: 2.1. Qualifications: Degree of doctor of medicine or an equivalent degree resulting from a course of education in medicine or osteopathic medicine. Must be Fellowship trained in Vascular Neurology or board eligible. 2.1.1. License: Current, full and unrestricted license to practice medicine or surgery in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. 2.1.2. Board Certification/Eligibility: By the American Board of Psychiatry and Neurology. 2.1.3. Credentialing and Privileging. For Credentialing and Privileging purposes neither Party or its personnel engaged in activities under this contract shall be considered to be employees of the other Party. Physicians who answer Telestroke Consultations shall be fully credentialed and privilaged to provide services at their employer s facility and not are entitled to any of the rights and privileges established for Veterans Affair physicians. 2.1.4. Technical Proficiency: Fellowship trained in Vascular Neurology and Proof of current Advanced Cardiac Life Support (ACLS) training. 2.1.5. Continuing Medical Education (CME)/Certified Education Unit (CEU) Requirements: Neither Party or its personnel engaged in activities under this contract shall be considered to be employees of the other Party. However, the training requirements for all clinicians (MDs, PAs, RNs, NPs) who are stroke team members include eight or more (category 1 for physicians) CME/CEU credits in the first year, with four credits annually in subsequent years, specific to the area of cerebrovascular disease which will be monitored by Contractor. 2.1.6. Conflict of Interest: It is in the best interest of the Government to avoid situations, which might create an organizational conflict of interest or where the offeror's performance of work under the contract may provide the contractor with an unfair competitive advantage (VA Acquisition Regulation (VAAR) 852.209-70). Neither Party nor its personnel engaged in activities under this contract shall be considered employees of the other Party and should not have conflict of interest per Veterans Health Administration (VHA) Handbook 1660.03 regarding Scarce Medical Specialist Service (SMSS). 2.1.7. Citizenship related Requirements: The Contractor certifies 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 Department of Veterans Affairs patient referrals. 2.1.8. Contractor employees must be proficient in spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d) 3.0. HOURS OF OPERATION: 3.1. Business Hours: 24 hours per day 3.1.1. Definitions: Need 365 days 24 hours for providing expert consultation to physicians on urgent and emergent issues related to the appropriate care of patients treated in a variety of hospital and community settings for acute stroke and neuro-vascular incidents. 3.1.2. Work Schedule: Seven days per week 3.1.3. Federal Holidays: Services under this contract are required to be available during federal holidays. 3.1.4. Cancellation Policy: Services under this contract cannot be canceled and are to be available 24 hours a day, 365 days per year. 4.0. CONTRACTOR RESPONSIBILITIES: 4.1. Services Required: This contract supports the 24/7 Telestroke Phone on-call consultation services of a neurologist Physician specializing in vascular diseases of the central nervous system. This support contract is to increase efficiency and improve patient safety. In providing support under this contract, the Contractor shall provide a Stroke Service hotline that will run 24 hours per day and seven days per week providing expert consultation to physicians on urgent and emergent issues related to the appropriate care of patients treated in a variety of hospital and community settings for acute stroke and neuro-vascular incidents. 4.2. Standards of Practice: Contractor shall be responsible for meeting or exceeding VA and Joint Commission (or equivalent) standards. Physicians performing such consultations will maintain licensure as a physician in a State, Territory, or Commonwealth of the United States, or in the District of Columbia. and board-certification (or board-eligibility) in vascular neurology 4.3. Notification of Certain Actions: The Contractor agrees to promptly notify the VA whenever it becomes aware of (a) any action against any of its licenses, or if applicable, against its accreditation by Joint Commission or other appropriate accrediting organization, (b) any changes in the Party s ownership or business addresses, or (c) any other problem or situation that will impair the ability of the Party to carry out its duties and obligations under this contract. Contracted personnel shall not be entitled to any of the rights and privileges established for employees of the Seattle VAMC. 4.4. Medical Records: The contractor will not access the VA Hospital s Electronic Health Record (EHR) and will maintain notes of consultations using their electronic medical record which will require a minimum level of patient demographic information. The VA attending who calls will be responsible to document the encounter in the VA Hospital EHR. 4.4.1. Compliance with Law The contractor will comply with all laws, regulations and requirements applicable to physicians, hospitals, Medicare and Medicaid participants, and healthcare providers in general. The contract shall be construed in a manner consistent with compliance with such statutes and regulations. If at any time either Party has reasonable grounds to believe that the contract may not conform to evolving requirements or interpretations relevant to such matters, the parties shall immediately notify the VA Contracting Officer in good faith to bring it into compliance through Contract Modification. 4.4.2. Exclusions or Debarment. Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor s physician(s) are not listed. By submitting their proposal, the Contractor certifies that the HHS 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. 4.4.3. Resident Supervision and Teaching: _0_% of the time. (if applicable) (Disclosure) 5.0. DIRECT PATIENT CARE: _0_% of the time involved in direct patient care. 5.1. Organized Health Care Arrangement Contractor will not serve in a direct patient care capacity. Contractor s personnel shall have access to confidential information, including individually identifiable healthcare information, through performance of services pursuant to this Contract. In accordance with Health Insurance Portability and Accountability Act of 1996 ( HIPAA ), Tthe contractor and the VA Hospital are in an organized health care arrangement and may share protected health information with each other to carry out treatment, payment, or health care operations relating to the organized health care arrangement. To the extent the contractor is carrying out activities that are on behalf of the VA Hospital, the contractor is be a business associate of Hospital and will not use or disclose PHI received from Covered Entity in any manner that would constitute a violation of federal law, including but not limited to the Health Insurance Portability and Accountability Act of 1996 and any regulations enacted pursuant to its provisions ( HIPAA Standards ), or applicable provisions of Washington state law.. 5.2. Prohibition Against Self-Referral: The Contractors physicians are prohibited from referring VA patients to the contractors or their own practice(s). 6.0. ADMINISTRATIVE: _100_% of time is administrative in nature and does not involve in direct patient care. Contractor s Physicians provide care recomendations directly to VA attending physicians via telephone. 6.1. Contractor shall be responsible for providing appropriate Stroke Care to the patient in the VA Hospital through the Telestroke Consultations described above in Part 1. 6.1.1. Task 1: Provide on-call telephone consultation services ( Telestroke Consultations ) to Hospital to aid in the diagnosis and therapy of patients with acute or sub acute stroke 6.1.2. Task 2: Telestroke Consultations include 24/7 telephone availability of a neurologist specializing in vascular diseases of the central nervous system. 6.1.3. Task 3: When feasible, the contractor s physician will also provide review of appropriate radiology images through established virtual private network. 7.0. GOVERNMENT RESPONSIBILITIES: 7.1. Oversight of Service/Performance Monitoring: Services shall be performed under the clinical oversight of the Director of the VA Puget Sound Health Care System ( VAPSHCS ) Director of Neurology Services. 7.1.1 Government surveillance of the contractor s performance will be presented biannually by the Neurology Technical Representative (TBD) who will present the QASP review/update to the Hospital and Specialty Medicine Section Chief and designated COR. The following personnel shall oversee and coordinate government surveillance of the contractor s performance: a. Contracting Officer (CO) ________________ - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receive impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor s performance. b. Contracting Officer s Representative (COR) _______________. The COR confers with the Neurology technical representative of the contract and together shall ensure proper government surveillance of the contractor s performance. 1. The COR is not empowered to make any contractual commitments or to authorize and contractual changes on the government s behalf. 2. The COR shall keep a quality assurance file. 7.1.2. VA Support Personnel, Services or Equipment: Will not be provided. Neither Party nor its personnel engaged in activities under this contract shall be considered employees of the other Party. The services of the contractor, shall be those of an independent contractor and is not intended to create, and shall not be interpreted as creating, a partnership or joint venture between the parties. No contract personnel shall be entitled to any of the rights and privileges established for employees of VA Hospital. No VA Hospital personnel shall be entitled to the rights and privileges established for employees of contractor. Party shall neither have nor exercise any control over the professional judgment or methods used by the other Party. Neither Party shall have the right to bind the other to any agreement or undertaking, or to transact any business in the name of the other, nor to make any promises or representations on behalf of the other except as expressly agreed to herein. 7.1.3. Indemnification and Medical Liability Insurance (VAAR 852.237-7) 8.0. PERFORMANCE STANDARDS, QUALITY ASSURANCE AND QUALITY IMPROVEMENT: 8.1. Methods of Surveillance: Acceptable Quality Level (AQL) on a bi-annual basis using a Performance Requirements Summary Matrix. 8.2. Performance Standards: Contract personnel shall be subject to the following standards and acceptable quality levels: 8.2.1. Standard 1- AQL: Timeliness 8.2.2. Standard 2- AQL: Physician Satisfaction 8.2.3. Evaluating Factors: Task ID Indicator Standard Acceptable Quality Level Method of Surveillance Met AQL/DID NOT MEET AQL- CPAR RATING/ADD COMMENTS Quality 1 Timeliness The stroke phone will be answered within 30 minutes. 80% Call log review bi-annually. Satisfaction 2 Physician Satisfaction Physician complaints will be reported to the COR immediately (within 24 hours) 80% COR reviews all complaints bi-annually 8.3. Methods of QA Surveillance: The COR shall use the surveillance methods listed below in the administration of this QASP: 8.3.1 Periodic Inspection: Evaluates outcomes on a bi-annual basis. 8.4. Ratings: Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. 8.4.1. The following ratings shall be used: Timeliness: 86-100% Exceeds Standard 80-85% Meets Standard Below 85% does not meet standard. Satisfaction: 86-100% Exceeds Standard 80-85% Meets Standard Below 85% does not meet standard. 8.5. Documenting Performance 8.5.1. Acceptable Performance: The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action. 8.5.2. Unacceptable Performance: When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file. 8.5.2.1. When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager. 8.5.2.2. The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The Government shall review the contractor's corrective action plan to determine acceptability. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment. The CO is ultimately responsible for the final determination of the adequacy of the contractor s performance and the acceptability of the Contractor s corrective action plan. 8.5.2.3. Any CDRs may become part of the supporting documentation for any contractual action deemed necessary by the CO. 8.6. Frequency of Measurement: During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed. 8.6.1. Frequency of Performance Reporting: The COR shall communicate with the Contractor and will provide written reports to the Contracting Officer quarterly (or as outlined in the contract or COR delegation) to review Contractor performance. 9.0. SPECIAL CONTRACT REQUIREMENTS: 9.1. Contractor Security Requirements: The C&A requirements do not apply, and a Security Accreditation Package is not required. 9.1.1. VAAR 852.273-75 SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION TECHNOLOGY RESOURCES (Interim - October 2008) The contractor and their personnel shall be subject to the same Federal laws, regulations, standards and VA policies as VA personnel, regarding information and information system security. These include, but are not limited to Federal Information Security Management Act (FISMA), Appendix III of OMB Circular A-130, and guidance and standards, available from the Department of Commerce's National Institute of Standards and Technology (NIST). This also includes the use of common security configurations available from NIST's Web site at: http://checklists.nist.gov
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