Medicine Tenders

Purchaser Name: the right of economic management Veterinary service of the Department of Agriculture and Veterinary Medicine | Purchase of Goods in Accordance with Technical Specifications

Purchaser Name: FEDERAL STATE BUDGETARY INSTITUTION FEDERAL SCIENTIFIC AND CLINICAL CENTER OF PHYSICOCHEMICAL MEDICINE | Поставка Лекарственных Препаратов Для Медицинского Применения (олокизумаб) В 2025 Году (на Сумму 5 019 300 ₽ )

Purchaser Name: Republican State Enterprise on the Right of Economic Management National Coordination Center for Emergency Medicine | Purchasing Liquid Medical Oxygen

Purchaser Name: Republican State Enterprise on the Right of Economic Management National Coordination Center for Emergency Medicine | Purchasing Software (Operating System)

Purchaser Name: 170340003910 State Municipal Enterprise " Family Medicine Center" On The Right Of Economic Management | Internet Access Services and Local Area Network Maintenance (LAN) in accordance with the Technical Specifications

Details: This Is A Sources Sought Announcement Only. It Is Neither A Solicitation Announcement Nor A Request For Proposals Or Quotes And Does Not Obligate The Government To Award A Contract. Requests For A Solicitation Will Not Receive A Response. Responses To This-- Sources Sought Announcement Must Be In Writing. The Purpose Of This Sources Sought Announcement Is For Market Research To Make Appropriate Acquisition Decisions And To Gain Knowledge Of Potential Qualified Service-disabled Veteran Owned Small Businesses, Veteran Owned Small Businesses, 8(a), Hubzone And Other Small Businesses Interested And Capable Of Providing The Services Described Below. Documentation Of Technical Expertise Must Be Presented In Sufficient Detail For The Government To Determine That Your Company Possesses The Necessary Functional Area Expertise And Experience To Compete For This Acquisition. Responses To This Notice Shall Include The Following: (a) Company Name (b) Address (c) Point Of Contact (d) Phone, Fax, And Email (e) Unique Entity Id (f) Cage Code (g) Tax Id Number (h) Type Of Small Business, E.g. Services Disabled Veteran Owned Small Business, Veteran-owned Small Business, 8(a), Hubzone, Women Owned Small Business, Small Disadvantaged Business, Or Small Business Hubzone Business And (i) Must Provide A Capability Statement That Addresses The Organizations Qualifications And Ability To Perform As A Contractor For The Work Described Below In Italics. the Southern Arizona Va Healthcare System (savahcs) Located At 3601 South 6th Avenue Tucson, Az 85723 Is Seeking A Potential Qualified Contractor That Can Provide: Medical Courier Transportation Services important Information: The Government Is Not Obligated To/nor Will It Pay For Or Reimburse Any Costs Associated With Responding To This Sources-sought Synopsis Request. This Notice Shall Not Be Construed As A Commitment By The Government To Issue A Solicitation Or Ultimately Award A Contract, Nor Does It Restrict The Government To A Particular Acquisition Approach. The Government Will In No Way Be Bound To This Information If Any Solicitation Is Issued. The Va Is Mandated By Public Law 109-461 To Consider A Total Set-aside For Service-disabled Veteran Owned Small Business Set Aside. However, If Response By Service-disabled Veteran Owned Small Business Firms Proves Inadequate, An Alternate Set-aside Or Full And Open Competition May Be Determined. No Sub-contracting Opportunity Is Anticipated. The North American Classification System (naics) Code For This Acquisition Is 492110. notice To Potential Offerors: All Offerors Who Provide Goods Or Services To The United States Federal Government Must Be Registered In The System For Award Management (sam) At Www.sam.gov. Additionally, All Service-disabled Veteran Owned Businesses Or Veteran Owned Businesses Who Respond To A Solicitation On This Project Must Be Certified By The Small Business Administration; Veteran Small Business Certification, (vetcert) Https://veterans.certify.sba.gov/. All Interested Offerors Should Submit Information By E-mail To: Catherine.fernandezpedernera@va.gov all Interested Offerors Should Submit Information By E-mail: Catherine.fernandezpedernera@va.gov . All Information Submissions To Be Marked Attn: Catherine Fernandez, Contract Specialist And Should Be Received No Later Than 15:00 Pm Pst On February 07, 2025. *******draft*******draft******draft*******draft******* statement Of Work medical Courier Transportation Servicesfor Tucson Va Health Care Systems, Arizona 1. Medical Courier Transportation Services: 1.1 The Department Of Veteran Affairs (va) Requires Medical Courier Transportation Services For The Southern Arizona Va Health Care System (savahcs) In Tucson, Az. The Contractor Shall Provide All Labor, Personnel, Supervision (except As Specified), Equipment, Materials, Facilities, Transportation, And All Other Related Elements Necessary To Accomplish Same Day, On-time Scheduled And Non-schedule Pickup And/or Delivery To Multiple Az Locations (one And Two-way Trips), As Well As Regularly Scheduled Pickups. Normally The Deliveries Would Fit Easily Into A Small Van, Utility Vehicle Or Station Wagon. 1.2 It Is Expected That The Contractor Shall Provide These Requirements As Specified Below 2. Items To Be Transported: 2.1 The Items As Listed Below To Be Transported May Include But Are Not Limited To The Following: specimen Containers, Either An Igloo Style Ice-chest Or Styrofoam Containers Approximately 15x14x14 In Size Or Smaller. They Will Be Marked Bio-hazard And Tagged For Identification. developed X-ray Film Measuring Approximately 14 Inches By 17 Inches (heat Sensitive Do Not Fold) And Cd S. office Or Medical Supplies, Pharmaceuticals And/or Equipment Weighing Less Than 60 Pounds Per Box. oxygen Cylinders (1-2 Small Tanks Per Month, Weighing Approximately 10-15pounds). other Items As Needed For Pickup/delivery To Commercial Locations, Weighing Less Than 60 Pounds Per Box. ekg Media Not Limited To Floppy Disc(s). medical Records occasional Items Weighing Over 60 Pounds, For Example: centrifuge dorm-sized Refrigerators medication/supply Carts wheelchairs shredding dirty Linen Bags occasional Deliveries Requiring The Supplying Of Ice/dry Ice laboratory Specimens, I.e., Body Fluids (blood, Urine, And Stool), Will Be Properly Packaged By Government Personnel For Transportation And Will Be Placed Into Appropriate Containers. any Or All Items Less Than 60 Lbs. protected Patient Information Not Limited To The Gray Locked Shredder Bins. various Medical Prosthesis, I.e., Not Limited To Wheelchair, Blood Pressure Monitors, And Various Medical Devices. 2.1.1 All Items Must Be Transported In Accordance With All Local, State, And Federal Regulations. Including Any Specified Regulations For Oxygen Cylinders Or Bio-hazardous Materials. All Efforts Shall Be Made To Assure That All Items Are Delivered Without Spoilage/damage From Temperature Conditions, Rough Handling And/or Negligence. 2.1.2 Some Of The Items Delivered To Locations Are Boxed In Large Plastic Reusable Containers That Shall Be Returned To Va. Some Boxes May Be Of Odd Dimensions, For Example, Those Containing Crutches, Canes, Fluorescent Light Bulbs, And Paper Supplies. 2.1.3 Laboratory Specimens, I.e., Body Fluids (blood, Urine, And Stool), Will Be Properly Packaged By Government Personnel For Transportation And Will Be Placed In The Container. When Dry Ice Is Required, The Contractor Shall Be Notified, And The Courier Shall Arrive With A Supply Of Dry Ice For Each Container. Va Shall Package The Container(s) For Shipment Using The Dry Ice. The Contractor Shall Provide Installation Transport Containers (as Required) To Maintain The Specimens At The Proper Temperature. 2.1.4 All Items Must Be Transported In Accordance With All Local, State, And Federal Regulations. Including Any Specified Regulations For Oxygen Cylinders Or Bio-hazardous Materials. All Efforts Shall Be Made To Assure That All Items Are Delivered Without Spoilage/damage From Temperature Conditions, Rough Handling And/or Negligence. 2.2 Pickup And Delivery Locations: delivery Is To Be Made To: savahcs (tucson Coverage Area) pick Up Location: 3601 S. 6th Ave., Tucson Az 85723. The Following Six Locations Are On Site: radiology room 188, First Floor Building 57 laboratory pathology And Laboratory Medicine Service room Ob-125, Basement, Building 57 mailroom bldg. 14, Room 100 material Management/distribution room 181, 1st Floor, Building 57 outpatient Pharmacy room1704 Bldg. 80 inpatient Pharmacy room Oba081 Building 57 Basement delivery Locations: savahcs Clinics address city st zip casa Grande Va Clinic 1876 East Sabin Drive casa Grande az 85122-5476 pinal County Va Clinic 1179 East Cottonwood Lane casa Grande az 85122-2969 green Valley Va Clinic 380 West Vista Hermosa Drive, Suite 140 green Valley az 85614-1901 safford Va Clinic 355 North 8th Avenue safford az 85546-2694 cochise County Va Clinic 157 North Coronado Drive sierra Vista az 85635-6360 sierra Vista Va Clinic 101 North Coronado Drive, Suite A sierra Vista az 85635 northwest Tucson Va Clinic 3920 West Linda Vista Boulevard tucson az 85742-9565 southeast Tucson Va Clinic 7395 South Houghton Road, Suite 129 tucson az 85747-3305 yuma Va Clinic 3111 South 4th Avenue yuma az 85364 visn And Local Medical Facilities address st various various az 2.3.2. Reserved 2.3.3. Specifications va Medical Centers In Tucson Az Will Provide A List Of Staff Authorized To Request Services Under This Contract In A Formal Delegation Letter, Which Will Be Provided With The Formal Signed Contract Or Notice Of Award Document. Normally The Staff Members From The Pathology And Lab Offices, Pharmacy, The S&d Business Manager, And The Contracting Officer Will Be Chiefly Responsible For Requesting Services. If Doubtful About The Authority Of The Person Placing The Call, The Contractor Should Accept The Call, Complete The Pickup/delivery, And Report The Event To The Contracting Officer. Only The Contracting Officer Can Make Changes To The Terms And Conditions Described Herein. All Such Changes Shall Be Completed In Writing. 2.3.4 Scheduled Deliveries: 2.3.4.1. Pick Up And Deliveries Will Be Made From Each Clinic Every Weekday (monday-friday) Except For Federal Holidays (as Observed). government Observed Holidays During The Year Are As Follows: new Year S Day martin Luther King S Birthday thanksgiving Day christmas Day veteran S Day president S Day memorial Day independence Day labor Day columbus Day juneteenth the Following Schedule Must Be Met To Allow The Outpatient Clinics Time To Gather And Package Lab Specimens For Shipment: note: All Times Are Us/arizona Time savahcs Locations - These Are On The Savahcs Campus pickup Net* pickup Nlt** delivery Nlt all Are Mon-fri radiology 9:00 Am 10:00 Am 3:30 Pm laboratory 8:00am 10:00 Am 3:30 Pm mailroom 9:00 Am 10:00 Am 3:30 Pm outpatient Pharmacy 8:30 Am 10:00 Am 3:30 Pm all Other Areas: These Include, But Are Not Limited To; Dental, Equipment, Acquisitions, Facility Secretary And Pharmacy (ip) on-call on-call 3:30 Pm * Net: No Earlier Than ** Nlt: No Later Than savahcs Clinics These Are Off The Savahcs Campus distance To Savahcs Campus pickup/delivery Window Times Are Plus Or Minus 1 Hour all Are Mon-fri casa Grande Va Clinic 68.0 Miles 2:00pm 5:00pm pinal County Va Clinic* 70.7 Mile as Needed/on Demand green Valley Va Clinic 24.5 Miles 12:30pm 5:00pm safford Va Clinic 127 Miles 12:00pm 5:00pm cochise County Va Clinic* 72.8 Miles as Needed/on Demand sierra Vista Va Clinic 72.9 Miles 1:30pm 5:00pm northwest Tucson Va Clinic 15.9 Miles 1:45pm 5:00pm southeast Tucson Va Clinic 14.7 Miles 2:30pm 5:00pm yuma Va Clinic 241 Miles 2:30pm 7:00pm visn And Local Medical Facilities distance pickup/delivery Window various charge Per Mileage as Needed/on Demand delivery For Lab Specimens And Deliveries To Ancillary Departments Must Be Made On The Same Day Not Later Than The Times Listed In The Table Above At The Respective Pathology And Laboratory Departments. Stat Deliveries Will Be To And From Designated Locations With No Stops In Between. These Deadlines Are Extremely Critical To The Integrity Of The Specimens And Will Be Closely Monitored For Compliance. Transport By Ground Or Air Is Also Critical To The Appropriate Packing Of Specimens And The Contractor Shall Notify The Lab Of Any Changes In Type Of Transport Used That May Differ From The Original Offer Or Change At Any Time. **in The Event Of An Emergency Or Weather Conditions The Driver Is To Make Arrangements With Clinics For Late Pick-ups Or The Trip May Be Cancelled At No Cost To Us. This Should Be A Rare Event. ** if The Pathology And Lab Department Personnel Or Ancillary Services Have Not Received The Delivery By The Times Listed In The Table Above, They Will Call The Courier Point Of Contact (poc) And Ask Why The Delivery Is Late. The Poc Will Let The Requestor Or Designee Know The Reason For The Delay, Or They Will Call The Path And Lab Within Thirty (30) Minutes With Cause Of Delay And What Is Being Done To Resolve The Situation. This Information Will Be Sent Via Email To All Concerned Personnel, Including The Contracting Officer. The Courier Will Provide A Poc That May Be Reached When No Response Has Been Received After The 30 Minutes Has Expired. laboratory Specimens Shall Be Delivered To Path And Lab Department Employee Only, Signing In As Required. Couriers Will Check In And Out At The Lab And Respective Clinics By Filling Out The Various Delivery Sign-in Sheets Available At Each Site, With Their Initials/date/time. Specimens Will Not Be Left Without Ensuring That A Path And Lab Department Employee Has Acknowledged Receipt Of The Container(s). 2.3.4.2. Coolers: 2.3.4.2.1. Contractor Shall Be Responsible For All Containers/coolers, And Other Items Provided By The Various Delivery Sites And Return Them To The Specified Clinic Location At The Next Scheduled Pick-up Date/time. 2.3.4.2.2. Specimen Coolers Will Be Provided By The Hospital And Will Be Liable For Replacement Of Any Cooler That Was Lost Or Damaged While In Their Care. Prior To Pick-up, Courier Will Visually Inspect The Cooler(s) For Damage. 2.3.4.2.3. Each Cooler Will Be Marked With Required Dot Labels, Biohazard Labels, And Deliver To Address And Clinic Name. 2.3.4.2.4. All Coolers Shall Be Transported In A Manner That Will Ensure That All Specimens Are Delivered In The Same Condition In Which They Were Received By The Courier Service. Couriers Are Not To Open Cooler(s) Without Va Employee Authorization. 2.3.5. Unscheduled Deliveries: although There Is No History Of Unscheduled Deliveries At The Various Sites At This Point, The Government Reserves The Right To Call Upon The Contractor Should The Need Arise. The Contractor Shall Submit Any Claims Of Anything Other Than The Contract Daily Rate To The Contracting Officer, If Necessary, Within 48 Hours Of Performance Of The Unscheduled Delivery. Untimely Claims Will Not Be Considered. 2.3.6. Temperature Requirements: Contractor Must Maintain Proper Temperature In Vehicles And Climate Control For All Containers To Preserve Medical Supplies, Pharmaceuticals, Specimens, Films Etc. Insulated Transport Containers Will Be Provided By The Va Medical Centers For Pickup/delivery Of Specimens. All Contractor Vehicles Shall Have Heating And Air Conditioning To Maintain A Temperature Between 65- And 77-degrees Fahrenheit. During Transport Of Specimens From The Clinic, The Courier Service Will In All Aspects, Try To Prevent Any/all Extreme Temperature Changes To The Coolers Causing The Ice Inside To Melt. If The Temperature Inside The Cooler(s) Exceeds 77 Degrees Fahrenheit, The Specimens Will Become Unacceptable For Testing. If Supplies Are Not Delivered The Same Day, They Must Be Maintained At 39-77 Degrees Fahrenheit. Damages That Occur Due To Improper Temperature Controls Will Be Levied Against The Contractor. 2.3.7. Contractor S Duties And Responsibilities: contractor Must Be A Courier Company With A State License And Carry A Minimum Of $1,000,000 Liability Insurance. All Couriers Transporting Specimens Under This Contract Must Have Two-way Radios, Cellular Phones, Or Pagers For Communication Purposes. Any Delays In Any Deliveries Are To Be Reported To: appropriate Va Personnel - Points Of Contact: The Contractor Must Give Prior Notification To Each Clinic If The Scheduled Pick-up Time Cannot Be Met For Any Reason. Names May Change, But The Positions And Phone Number Will Not Change. no Specimens Or Medications Shall Be Kept In The Possession Of The Contractor Overnight. In Case Of Failure To Arrive At Directed Facility By The Times Annotated In The Delivery Schedule, The Courier Shall Still Deliver All Items To The Path And Lab Service Employee Only, Signing In As Required. Couriers Will Check In And Out At The Lab By Filling Out The Delivery Sign-in Sheet (sample Included As Attachment) With Their Initials. Specimens Will Not Be Left Without Ensuring That A Laboratory Service Employee Has Acknowledged Receipt Of The Container(s). The Facility Labs Do Not Close, Although A Staff Member Would Need To Be Called In After 12am. the Contractor Shall Provide All Couriers And Vehicles Needed To Perform The Services Described In This Contract. Each Vehicle Used In The Performance Of This Contract Shall Be Adequately Stocked With At Least One Up-to-date Complete Spill Kit For A Bio-hazardous Cleanup In Case Of Leakage Or Accidental Discharge From Controlled Containers. (d) Privacy And Hippa Protections: The Contractor Shall Ensure The Confidentiality Of All Patient Information And Records Being Transported And Will Be Held Liable In The Event Of A Breach Of Confidentiality. The Contractor Shall Comply With The Provisions Of The Federal Privacy Act Of 1974 (public Law 93-579). the Contractor Shall Maintain Their Motor Carrier Permit, Hazardous Material License Number, Certificate Of Training Of Couriers (employees), State Of Arizona Driver S Licenses, Vehicle Insurance, And Registration. The Service Contract Act Does Apply To This Contract. The Current Service Contract Act Wage Determination For This Area Is Attached For Each Facility. Employees Performing Under This Contract Must Be Paid At Least The Pay And Fringe Benefits Described Therein. training: Contractor S Couriers Transporting Lab Specimens Must Be Trained In Universal Precautions In The Handling Of Biohazard Materials (specimens). Training Must Include Using Clinical Procedures In Case Of Biohazard Spills And Accidents. They Shall Also Be Trained In The Handling Of Oxygen Cylinders. Contractor Must Complete Facility Privacy And Security Training Annually. Proof Of Training Shall Be Provided Within 30 Days After Award Of This Contract To The Respective Facilities Pathology And Laboratory Medical Service And The Contracting Officer. training Records Must Include And All Necessary Applications For Arizona: hazmat Employee's Name; completion Date Of Most Recent Training; training Materials (copy, Description, Or Location); name And Address Of Hazmat Trainer; And certification That The Hazmat Employee Has Been Trained And Tested. note: This Training Information Shall Be Included With Your Offer In Order To Be Determined Qualified For This Contract. If They Are Not Included, Your Offer May Not Be Considered For Award. Background Records checks Are Now Required Before Getting A Hazardous Materials Endorsement In Arizona - The Requirement Is A Result Of The Us Patriot Act (public Law 107-56 Section 1012), And The Safe Explosives Act (public Law 107-296, Section 1121-1123), Ars § 28-3103(a)(2), And 49 Cfr 1572. See http://www.azdot.gov/mvd For More Information On The Requirements For The State Of Arizona. drivers: All Drivers Must Maintain A Valid Driver S License For The Type Of Vehicle Operated As Required By The State Of Arizona. A Record Of Each Driver As To Character And Physical Capabilities Of Performing The Duties As A Courier Must Be Maintained And Made Available To The Contracting Officer For Inspection Upon Request. speed Limit On The Campus Of Northern Arizona Medical Center Is 15 Miles Per Hour And Must Be Observed At All Times. key Personnel: The Contract Manager, Drivers, And Alternates, Must Be Able To Read, Write, Speak, And Understand English. The Name Of This Person, And An Alternate, Or Alternates, Who Shall Act For The Contractor When The Manager Is Absent, Shall Be Designated In Writing To The Contracting Officer. An Updated Listing Will Be Provided As Changes In Personnel Occur. the Contractor S Personnel Shall Present A Neat Appearance And Be Easily Recognized As A Contract Employee. The Contractors Employee Shall Wear An Identification Tag That Includes The Company S Name/logo And Employee Name And Photograph. Contractor S Vehicle Shall Have The Company Name/logo Prominently Displayed. the Contractor Shall Direct All Questions And Problems Regarding This Contract, To The Contracting Officer. The Contracting Officer Is The Sole Authority To Amend The Terms And Conditions Of This Requirement. All Changes Will Be Issued Via Amendment And/or Modifications In Writing From The Contracting Officer To The Contractor. the Contracting Officer Shall Be Notified At The Earliest Time Available, But No Later Than The Next Business Day, Via Phone Of Contractor S Knowledge Of Any Conditions Which May Adversely Affect The Contractor S Ability To Perform Under The Terms And Conditions As Stated In The Specifications Of This Requirement. For Example, Union Strikes, Vehicle Problems, Licenses, Or Anything That Might Jeopardize The Terms And Conditions Of This Contract Should Be Reported To The Contracting Officer. should Any Items Be Lost, Damaged Or Broken, The Contractor Shall Be Required To Submit A Written Report To The Contracting Officer Within Twenty-four (24) Hours Explaining The Circumstances. Failure To Provide The Report With The Specific Time Frame Will Cause Further Review By The Government To Determine If The Infraction Warrants Suspension/termination Of The Contract. the Contractor Shall Be Required To Maintain A Record Log Of Courier Pickups And Deliveries, Indicating Time And Date Of Pickups, Number, And Description Of Items From Each Location, Along With Signatures. If The Contractor S Proposal Includes An Electronic/facsimile/automated System Of Courier Tracking, It Must Also Demonstrate How The Record Log Can Be Accessed When Needed. There May Be An Occasion Where The Exact Time Of Delivery And Name Of The Person Receiving The Item Is Imperative For An Investigation Into Patient Services. The Contractor Shall Provide Any Such Information Upon Request By The Contracting Officer (contracting Officer) Or Cor (contracting Officers Representative). 2.3.8. Quality Control: The Contractor Shall Develop And Maintain A Quality Control Program That Ensures Courier Services Are Performed In Accordance With These Specifications. The Contractor Shall Develop And Implement Procedures To Track, Identify Prevent, Remedy, And Ensure Non-recurrence Of Defective Services. The Contractor Shall Provide A Method To Accept And Resolve Customer Complaints And Notify The Customer Of The Resolution. The Contractor Shall Immediately Notify The Contracting Officer Upon Receipt Of A Customer Complaint So Joint Validation May Be Accomplished. The Contractor Is Responsible For Quality Control And Specification Compliance. 2.3.9. Quality Assurance: The Government Will Evaluate The Contractor S Performance Using Customer Complaint, Periodic On-site Inspection, And May At The Government S Discretion, Inspect Each Task To Verify Conformance And Acceptance Prior To Payment. 2.3.10. Evidence Of Responsibility: To Determine Responsibility, An Offeror Must Possess A Minimum Of Three Years Experience, Along With All Necessary Equipment, Personnel And Who Are Financially Responsible To Perform Courier Service As Required Under This Contract. Offerors Must Submit With Their Proposal The Following: proof Of Liability And Worker S Compensation Insurance Motor Carrier Permit all Applicable National, State, And Local Hazardous Material License S (if Required) And Training Of Drivers Oxygen Transport License (if Required) oxygen Transport Training Of Drivers Hazmat Training proof Of Vehicle Insurance three Commercial Or Government References the References May Be Contacted To Verify The Past Performance. Please Verify The Accuracy Of Their Addresses, Phone Numbers, And Contact Points. If No Response Is Received From Your References, Your Past Performance Will Be More Difficult To Determine. the Government Reserves The Right To Thoroughly Inspect And Investigate The Establishment S Vehicles, Facilities, Business Reputation And Other Qualifications Of Any Offeror And To Reject Any Offer Irrespective Of Price If It Shall Be Administratively Determined Lacking In Any Of The Essentials Necessary To Assure Acceptable Standard Of Performance.

Details: Performance Work Statement For Anatomic Pathology Services western Colorado Health Care System (wchcs) grand Junction Va Medical Center 2121 North Avenue grand Junction, Co. 81501 background the Purpose Of This Statement Of Work (sow) Is To Procure Anatomic Pathology Services From A Qualified Reference Laboratory (hereafter Contractor) For The Western Colorado Health Care System (wchcs), Pathology And Laboratory Medicine Services (p&lms). The Period Of Service Is October 1, 2025, To September 30, 2026, With Four Consecutive Option Years. Services Will Be Provided By The Contractor At Both The Contractor S Facility And On-site At Wchcs. wchcs Does Not Have An Anatomic Pathology Department And Needs A Service That Will Provide A Licensed Consulting Pathologist For Surgical Specimen Processing With Interpretation, Cytological Specimen Processing With Interpretation, And Autopsy Services. the Contractor Shall Provide All Labor, Supplies, Equipment, Maintenance, Information Technology, And Supervision Necessary To Provide Reference Laboratory Services To The Wchcs Described Herein. Contractor Shall Also Have An Existing Vista Connection. Reference Laboratory Services Include, But Are Not Limited To: specimen Preparation And Storage. transportation Of Clinical Laboratory Specimens, Microbiology Cultures, And Stocks; performance Of Analytical Testing; reporting Of Analytical Test Results; consultative Services. quality Control Activities. all Contractor S Testing Shall Be Executed In Accordance With Standard Industry Practices. It Is Preferred That Test Methods Are Fda Approved. Any Non-fda Approved Method Being Performed Shall Have A Disclaimer And Documented Validation Plan. Upon Request, The Validation Plan And Validation Results Shall Be Made Available To The Cor Or Designee. the Contractor Shall Ensure The Accurate And Timely Performance Of Laboratory Testing Services On All Biomedical Materials. specimen Testing the Contractor Shall Pick Up, Process, Embed, Stain, Cut, And Coverslip The Specimens, Provide Pathological Analysis, And Report Findings In A Reasonable Time Frame, As Noted Below. surgical Specimens Shall Be Reported In Less Than Or Equal To Two (2) Days. Procedures Include, But Are Not Limited To, The Following (by Cpt Code) Performed At The Contractor S Laboratory: 85060: Blood Smear, Peripheral, Interpretation By Physician 85097: Bone Marrow, Smear Interpretation 87624: Infectious Agent Detection By Nucleic Acid (dna Or Rna) 88164: Cytopathology, Slides, Cervical Or Vaginal 88300: Level 1 Tissue Exam By Pathologist 88302: Level 2 Tissue Exam By Pathologist 88304: Level 3 Tissue Exam By Pathologist 88305: Level 4 Tissue Exam By Pathologist 88307: Level 5 Tissue Exam By Pathologist 88309: Level 6 Tissue Exam By Pathologist 88311: Decalcification Procedure 88312: Special Stains Group 1, Including Interpretation And Report 88313: Special Stains Group 2, Including Interpretation And Report 88321: Consultation And Report On Referred Slides Prepared 88323: Consultation And Report On Referred Material 88341: Immunohistochemistry Or Immunocytochemistry, Per Specimen 88342: Immunohistochemistry Or Immunocytochemistry + Immunoperoxidase Stain 89060: Crystal Identification By Light Microscopy non-gyn Cytology Specimens. Shall Be Reported In Less Than Two (2) Business Days. Procedures Include, But Are Not Limited To, The Following (by Cpt Code) Performed At The Contractors Laboratory: 88108: Cytopathology Concentration Technique 88112: Cytopathology, Selective Cellular Enhancement Technique gyn Cytology Specimens. Shall Be Reported In Less Than Two (2) Days. Procedures Include, But Are Not Limited To, The Following (by Cpt Code) Performed At The Contractors Laboratory: 88141: Cytopathology, Cervical Or Vaginal, Gyn Physician Interpretation 88142: Cytopathology, Cervical Or Vaginal, Gyn Auto frozen Sections. Shall Be Processed And The Initial Report Received At Wchcs Within 20 Minutes Or Less From The Time The Specimen Is Received At The Contractor S Place Of Business. Procedures Include, But Are Not Limited To, The Following (by Cpt Code) Performed At The Contractors Laboratory: 88331: Pathology Consultation During Surgery, Frozen Section 88332: Pathology Consultation During Surgery, Frozen Section Add Rush Block fine Needle Aspirates. Immediate Evaluations Are Performed At Bedside At Wchcs For Fine Needle Aspirates And Core Biopsies To Determine If The Specimens Are Adequate And To Provide A Preliminary Report. Specimens Are Then Treated As Surgical And Non-gyn Cytology Specimens. Procedures Include, But Are Not Limited To The Following (by Cpt Code): 88172: Cytopathology, Evaluation Of Fine Needle Aspirate + Fine Needle Consult 88173: Cytopathology, Evaluation Of Fine Needle Aspirate 88333: Pathology Consultation During Surgery, Cytologic Examination + Misc. Ap Test autopsies. Shall Be Processed And Completed Within Sixty (60) Days. A Provisional Diagnosis Shall Be Received Within Two (2) Business Days. A Post-mortem Quality Assurance Survey Must Be Completed Within Thirty (30) Days. Procedures Include, But Are Not Limited To, The Following (by Cpt Code) Performed At The Contractors Laboratory: 88020: Necropsy (autopsy), Limited, Gross And/or Microscopic, Without Cns 88025: Necropsy (autopsy), Gross And Microscopic, With Brain 88036: Necropsy (autopsy), Limited, Gross And/or Microscopic histology. The Contractor Shall Embed, Stain, Cut, And Coverslip To The Specimens And Then Return The Specimen To Wchcs. This Could Be Called A Block And Stain Service For Anatomic Pathology Specimens Should A Special Circumstance Arise. staining. Upon Receipt Of Tissue Specimens, The Contractor Shall Embed, Perform A Hematoxylin & Eosin (h&e) Stain, Perform A Single Cut Of The Specimen, And Affix It So A Slide With Coverslip. staining. Upon Receipt Of Tissue Specimens, The Contractor Shall Embed, Perform A Hematoxylin & Eosin (h&e) Stain, Perform A Single Cut Of The Specimen, And Affix It So A Slide With Coverslip. note: The Contractor Must Offer The Technical Component Separately Form The Professional Component On Both Their Test Menu And The Bill Of Charges. note: New Tests Not Listed Must Be Added To The Contract Though Modification By The Contracting Officer Prior To The Specimen Being Tested. The Contractor Shall Notify The Contracting Officer And The Contracting Officer S Representative (cor) Or Designee Of Any Test Information Modifications No Earlier Than Two Weeks Prior To The Desired Implementation Date Of The Test Change. specimen Preparation, Storage, And Retention For Reference Testing Specimens the Contractor Shall Provide All Materials Necessary To Collect And Preserve Specimens That Are Destined To The Commercial Reference Laboratory For Testing. These Materials Include Those Items That Are Dictated By And In Compliance With The Collection Requirements Of The Commercial Reference Laboratory. the Contractor Shall Be Responsible For Storing Specimens In Such A Manner To Ensure The Integrity Of The Specimen. all Anatomic Pathology Materials (e.g., Histology Blocks, Slides Or Other Diagnostic Material) Generated By The Va Shall Be Returned Within 2 Days After Final Diagnosis Is Reported. the Contractor Shall Be Responsible For Storing Specimens In Such A Manner To Insure The Integrity Of The Specimen. transportation Services For Reference Testing Specimens the Contractor Shall Provide Transportation Of Primarily Biomedical Materials That Include Patient Specimens, Originating From The Wchchs And Destined To Their Contracted Reference Laboratory Facility. These Items Are Classified As Hazard Materials Class 6, Division 6.2 And Are Defined In 49 Cfr Part 173.134 As Those Materials That Contain Or Could Contain Etiologic Agents. Transportation Shall Be Done In Such A Manner That The Safety And Integrity Of The Biomedical Material Is Maintained. note: The Wchchs Will Not Employ The Use Of Their Own Courier Services For This Contract. routine Transportation Services Shall Occur A Minimum Of Once Per Day: new Specimens Shall Be Picked Up From The Wchchs No Later Than 5:30 Pm Each Business Day, Monday Through Friday, Not Including Government Holidays. emergency Transportation Arrangements Shall Be Made By Wchchs. contractor Shall Provide All Necessary Supplies For Biomedical Materials To Be Transported From The Originating Facility To The Contractor S Laboratory. These Supplies Shall Include, But May Not Be Limited To: shipping And Packaging Containers. Packing Material Must Be Capable Of Maintaining Temperature Requirements For Specimens Until They Reach The Contractor S Laboratory. required Labels And Packaging Materials For Shipping Specimens Via Courier That Are Infectious, Or Etiologic Agents, In Accordance With Appropriate Requirements Of 42 Cfr Part 72, 49 Cfr Parts 171 And 173, And The Dangerous Goods Regulations Of The International Air Transport Association (iata) Consistent With Current Regulatory Updates. test Request Forms. Specimen Retention all Anatomic Pathology Materials (e.g., Histology Blocks, Slides Or Other Diagnostic Material) Generated By The Va Shall Be Returned Within 2 Days After Final Diagnosis Is Reported. reporting Of Results the Results Of Testing Shall Be Reported Within The Prescribed Turnaround Times Provided By Wchcs As Part Of The Test Information. the Anatomic Pathology Report Must Be Issued As An Electronic Final Copy. The Contractor Shall Deliver Reports Electronically Preferably Though The Veterans Administration Vista Hl7 Interface. Contractor Must Provide It Support For Current And/or Future Connectivity To Vista. accessibility To Wchchs Reports Must Be Available Via Web-based Programs At Any Time. each Test Report Shall, At Minimum, Include The Following Information: patient's Full Name patient S Identification Number, E.g. Social Security Number (ssn) physician S Name (if Supplied) government Laboratory Accession Number (if Supplied) submitting Facility Name submitting Facility Account Number test(s) Ordered date/time Of Specimen Collection collection Site brief Patient History That Is Provided date/time Test Completed test Result cpt Code snomed Code reference Laboratory Accession Number If Applicable name And Address Of Testing Laboratory any Other Information The Laboratory Has That May Indicate A Questionable Validity Of Test Results. specimen Inadequacy Shall Be Reported With Documentation Supporting Its Unsuitability For Testing. customer Service the Contractor Shall Provide Customer Service That Is Accessible By Telephone Service Monday Through Friday, 8:00 Am 4:00 Pm Mountain Time, In Order To Assist Government Staff For Tracking And Resolving Related Issues/problems That May Arise In The Performance Under This Contract. upon Award, The Contractor Shall Provide The Name(s) And Telephone Number(s) Of Contractor Employees Who Will Address The Following Customer Services Throughout The Contract Performance Period: telephone Inquiries Telephone Inquiries Are Divided Into Four Major Categories With Additional Subcategories Defining The Type Of Inquiry And The Government S Minimum Time Expectation For Meeting This Service. specimen Collection routine Inquiries, Questions And Clarifications Regarding Collection Requirements Shall Be Addressed At The Time Of The Initial Call. esoteric Inquiries, Questions And Clarifications Regarding Collection Requirements That Require Further Research Shall Be Addressed Within ½ Hour Of The Initial Call. testing inquiries Regarding The Status Of Pending Orders Shall Be Addressed At The Time Of The Initial Call. esoteric Inquiries When Information Is Requested Regarding Methodology, Correlation, Interferences, Reflex Tests, Etc. Shall Be Addressed Within Two Hours Of The Initial Call. technical Expertise test Utilization Inquiries Where Information Is Required As To The Most Appropriate Test To Be Ordered Shall Be Addressed Within Two Business Hours Of Initial Call. result Interpretation Inquiries Shall Be Addressed Within Four Business Hours Of Initial Call. consultative Services Where Information Is Required Regarding The Clinical Significance Of Tests Shall Be Addressed Within Twenty-four Business Hours Of The Initial Call. account Follow-up information General In Nature Yet Specific To The Account, E.g. Test Pricing, Equipment Repair, Supply Ordering, Etc. Shall Be Addressed Within Four Hours Of The Initial Call. the Contractor Shall Notify The Originating Laboratory By Telephone Of Specimens Cancelled Due To Unacceptability For Reasons Relating To Volume, Specimen Container, Identification, Loss Of Specimen, Etc. consultative Services/utilization Reports contractor Shall Prove Consultative Services That Are Consistent With The Services Offered To Other Contracted Customers Without Compensation. These Services May Include Consultations By Laboratory Professionals Or Experienced Physicians On Test Or Methodology Selection Or Test Result Interpretation. contractor Shall Provide A Statistical Analysis Of The Government Facilities Workload Testing Volumes To Assist In The Monitoring Of Ordering Trends And Utilization Patterns And Will Make Recommendations To The Facilities On Mechanisms To Reduce Their Costs. contractor Shall Provide A Cumulative Workload Summary Report Of Tests Performed. The Summary Must Include The Test Name/description, Monthly Test Volume, Year-to-date Test Volume, Unit Test Cost, Monthly Test Expenditures And Year-to Date Test Expenditures. the Report Shall Be Delivered Electronically To The Cor Or Designee By The 10th Of The Month Following The Close Of The Reporting Month. all Reports Shall Be Submitted In Electronic Spreadsheet Format. 9.0 Special Contract Requirements services monitoring Of Contractor S Performance Shall Be Demonstrated Through Clinical And Administrative Record Reviews. The Cor Will Be Responsible For Verifying Contract Compliance. The Cor Will Monitor Services Through One Or A Combination Of The Following Mechanisms: the Cor Will Monitor Contractor Performance To Ensure That Services Called For In The Pws Have Been Received By Va In A Timely Manner. Any Incidents Of Contractor Noncompliance As Evidenced By The Monitoring Procedures Will Be Forwarded Immediately To The Contracting Officer. documentation Of Services Performed Will Be Reviewed Prior To Certifying Payment. The Cor Will Perform Periodic Spot Checks On All Documents And Record All Findings. Va Will Pay Only For Services Actually Provided. Contract Monitoring And Recordkeeping Procedures Will Be Sufficient To Ensure Proper Payment And Allow Audit Verification That Services Were Provided. the Cor Will Provide A Written Statement Annually To The Contracting Officer To Include A Summary Of Contractor Actions And A Statement That All Requirements Of The Contract Have Been Fulfilled As Agreed. This Summary Evaluation Will Be Submitted 45 Days Prior To Expiration Of Contract (and/or Prior To Election Of Option Year Renewals, If Applicable). the Contractor Shall Not, Under Any Circumstances, Furnish Reports Directly To Patients. the Contractor Shall Be Clia Certified And Confirm That They Are A Covered Entity. the Contractor Must Comply With All Joint Commission, College Of American Pathologists, And Vha Handbook 1106.01 Requirements. federal Holidays the Contractor Is Not Required To Provide Transportation Of Specimens On Federal Holidays. The 10 Holidays Observed By The Federal Government Are: new Year S Day martin Luther King S Birthday presidents Day memorial Day juneteenth Day independence Day labor Day columbus Day veterans Day thanksgiving Day christmas Day *and Any Other Day Specifically Declared By The President Of The United States To Be A National Holiday. qualifications/requirements Of Laboratory & Contractor Personnel laboratory in Accordance With Va Directive And Handbook 6500.6, Appendix A, A Business Associate Agreement Is Required. the Contractor Must Comply With All Joint Commission, College Of American Pathologists, And Vha Handbook 1106 Requirements. the Contractor Shall Continuously Hold A Certificate Of Compliance Or Certificate Of Accreditation From The Centers For Medicare & Medicaid Services As Meeting The Requirements Of The Clinical Laboratory Improvement Amendments Of 1988 Or Must Demonstrate Accreditation By A Regulatory Agency(s) With Deemed Status From The Centers For Medicare & Medicaid Services, E.g. The College Of American Pathologists, And/or Other State Regulatory Agencies, As Appropriate, And As Mandated By Federal And State Statutes. The Contractor Must Maintain Valid Certifications During The Entire Performance Period Of This Contract. the Contractor Shall Maintain Safety And Health Standards Consistent With The Requirements Set Forth By The Occupational, Health, And Safety Administration (osha), And The Center For Disease Control (cdc) And Prevention. personnel the Contractor Shall Ensure All Testing And Supervisory Personnel At The Reference Laboratory Assigned To Work Under This Contract Meet And Maintain The Applicable Personnel Qualifications Set Forth Under The Clinical Laboratory Improvement Amendments (clia) Of 1988 Regulations, The College Of American Pathology (cap) Accreditation Standards, Or Other Accrediting Organizations And State Standards. the Contractor Shall Ensure Its Employees Have The Ability To Perform The Applicable Duties Consistent With Their License And Certification. any New Requirements For Mandatory Education And/or Competency Reassessment, Which Occur During The Contract Period, Must Be Completed By The Individual Contractor Employee(s) Within Va Established Timeframes. the Contractor Couriers Entering Any Government Facility Shall Prominently Display A Contractor-issued Identification Badge. the Work Will Be Performed At The Contractor S Location Of Business, Excluding Any Specialized Testing Requiring Specimens To Be Sent Out. hipaa Compliance contractor Shall Adhere To The Provisions Of Public Law 104-191, Health Insurance Portability And Accountability Act (hipaa) Of 1996 And The National Standards To Protect The Privacy And Security Of Protected Health Information (phi). As Required By Hipaa, The Department Of Health And Human Services (hhs) Has Promulgated Rules Governing The Security And Use And Disclosure Of Protected Health Information By Covered Entities, Including The Department Of Veterans Affairs (va). The Contractor Shall Prove To The Gjvamc That They Are Identified As Healthcare Providers, And That The Phi Is Being Disclosed And/or Used For Treatment. contract Performance Monitoring monitoring Of Contractor S Performance Shall Be Demonstrated Through Clinical And Administrative Record Reviews. The Cor Will Be Responsible For Verifying Contract Compliance. The Cor Will Monitor Services Through One Or A Combination Of The Following Mechanisms: the Cor Will Monitor Contractor Performance To Ensure That Services Called For In The Pws Have Been Received By Va In A Timely Manner. Any Incidents Of Contractor Noncompliance As Evidenced By The Monitoring Procedures Will Be Forwarded Immediately To The Contracting Officer. documentation Of Services Performed Will Be Reviewed Prior To Certifying Payment. The Cor Will Perform Periodic Spot Checks On All Documents And Record All Findings. Va Will Pay Only For Services Actually Provided. Contract Monitoring And Recordkeeping Procedures Will Be Sufficient To Ensure Proper Payment And Allow Audit Verification That Services Were Provided. the Cor Will Provide A Written Statement Annually To The Contracting Officer To Include A Summary Of Contractor Actions And A Statement That All Requirements Of The Contract Have Been Fulfilled As Agreed. This Summary Evaluation Will Be Submitted 45 Days Prior To Expiration Of Contract (and/or Prior To Election Of Option Year Renewals, If Applicable). quality Control Program the Contractor Shall Maintain A Quality Control Program Related To Reference Laboratory Services Covered Under This Contract. This Program Must Minimally Address The Quality Aspects Representative To The Testing Process, I.e. Pre-analytical, Analytical And Post-analytical Variables And Include A Description Of Monitoring And Evaluation Activities. The Contractor Will Meet Or Communicate With The Wchcs Staff For Process Review And Improvement Of Contract Performance On An As Needed Basis. the Contractor Will Notify The Performing Provider And Wchcs Laboratory Leadership For All New Malignancies Within 2 Business Days. The New Malignancy Report Will Contain All Required Snomed And P Codes In Accordance With Va Handbook 1106. the Contractor Will Provide Monthly Quality Assurance Reports. the Contractor Will Provide An Annual Evaluation Of Statistical Data To Include: cytology Cases Examined. specimens Processed By Specimen Type. patient Cases Reported By Diagnosis. gynecologic Cases Where Cytology And Histology Are Discrepant. security Requirements contractor Shall Adhere To The Provisions Of Public Law 104-191, Health Insurance Portability And Accountability Act (hipaa) Of 1996 And The National Standards To Protect The Privacy And Security Of Protected Health Information (phi). As Required By Hipaa, The Department Of Health And Human Services (hhs) Has Promulgated Rules Governing The Security And Use And Disclosure Of Protected Health Information By Covered Entities, Including The Department Of Veterans Affairs (va). The Contractor Shall Prove To The Gjvamc That They Are Identified As Healthcare Providers And That The Phi Is Being Disclosed And/or Used For Treatment. government-furnished Equipment (gfe)/government-furnished Information (gfi). va Wchcs Will Provide The Electronic Health Record For Issuing Pathology Reports. other Pertinent Information Or Special Considerations. specimens May Require Additional Specialized Staining. identification Of Possible Follow-on Work: community Hospital Pathologists May Encounter The Need To Order Follow-on Testing And Have Tissue Blocks And/or Slides Sent To Another Reference Laboratory For Additional Analysis. identification Of Potential Conflicts Of Interest (coi). none Identified identification Of Non-disclosure Requirements. all Correspondence Must Be Encrypted. The Contractor Must Not Disclose Pricing To Other Vendors Or Entities Outside Of The Wchcs Contracting And Laboratory Departments. packaging, Packing And Shipping Instructions. the Contractor Shall Provide Transportation Of Primarily Biomedical Materials That Include Patient Specimens, Originating From The Gjvamc And Destined To Their Contracted Reference Laboratory Facility. These Items Are Classified As Hazard Materials Class 6, Division 6.2 And Are Defined In 49 Cfr Part 173.134 As Those Materials That Contain Or Could Contain Etiologic Agents. Transportation Shall Be Done In Such A Manner That The Safety And Integrity Of The Biomedical Material Is Maintained. Note: The Gjvamc Will Not Employ The Use Of Their Own Courier Services For This Contract. routine Transportation Services Shall Occur A Minimum Of Once Per Day: new Specimens Shall Be Picked Up From The Gjvamc No Later Than 5:30 Pm Each Business Day, Monday Through Friday, Not Including Government Holidays. emergency Transportation Arrangements Shall Be Made By Gjvamc. contractor Shall Provide All Necessary Supplies For Biomedical Materials To Be Transported From The Originating Facility To The Contractor S Laboratory. These Supplies Shall Include, But May Not Be Limited To: shipping And Packaging Containers. Packing Material Must Be Capable Of Maintaining Temperature Requirements For Specimens Until They Reach The Contractor S Laboratory. required Labels And Packaging Materials For Shipping Specimens Via Courier That Are Infectious, Or Etiologic Agents, In Accordance With Appropriate Requirements Of 42 Cfr Part 72, 49 Cfr Parts 171 And 173, And The Dangerous Goods Regulations Of The International Air Transport Association (iata) Consistent With Current Regulatory Updates. test Request Forms. inspection And Acceptance Criteria. the Cor Is Responsible For Certifying That The Work Done Under The Contract Is Performed To Time And Standard. They Are Also Responsible To Assure The Inspection And Acceptance Of Products Provided Incidental To Services. A Demo Period Or Trial Is Not Inspection Of A Product. rick Control the Contractor May Be Exposed To Hazardous Chemicals. The Contractor Is Responsible For Keeping Up To Date On Safety Data Sheets And Procedures For Mitigation Of Exposure. place Of Performance. 10/01/2025 Through 09/31/2026. This Will Be A Base Plus Four Option Years Firm Fixed Price Contract. delivery Schedule. task 1: Surgical Specimens. Shall Be Reported In Less Than Or Equal To Two (2) Days. task 2: Non-gyn Cytology Specimens. Shall Be Reported In Less Than Two (2) Business Days. task 3: Gyn Cytology Specimens. Shall Be Reported In Less Than Two (2) Days. task 4: Frozen Sections. Shall Be Processed And The Initial Report Received At Wchcs Within 20 Minutes Or Less From The Time The Specimen Is Received At The Contractor S Place Of Business. task 5: Fine Needle Aspirates. Immediate Evaluations Are Performed At Bedside At Wchcs For Fine Needle Aspirates And Core Biopsies To Determine If The Specimens Are Adequate And To Provide A Preliminary Report. (end Of Statement Of Work) In Response To This Announcement, Please Provide The Information Below. If This Information Is Not Provided, Then It Will Be Assumed The Entire Requirement Cannot Be Met: naics Code: 621511 company Name: address: uei (unique Entity Id) Number: contact Name: phone No.: email: business Size Information - Select All That Applies: small Business emerging Small Business small Disadvantaged Business certified Under Section 8(a) Of The Small Business Act hubzone woman Owned certified Service-disabled Veteran Owned Small veteran Owned Small Business large Business fss/gsa Contract Holder: yes No fss/gsa Contract Number: effective Date/ Expiration Date: proposed Solution Is Listed And Available On The Above Fss/gsa Contract: yes No available Pricing Structure Of Proposed Solution (select All That Are Applicable Below): pricing Model please Indicate Availability Below: (yes / No / Na) all On Fss open Market Only mix Of Fss & Open Market (cprr) Cost Per Reportable Result cost Per Test(cpt) reagent Rental Agreement equipment Rental With Reagent Purchase fixed Monthly Charge other: (please Explain) federal Acquisition Regulation (far) Market Rearch Questions: buy American Act (far 52.225) What Percentage Of The Proposed Product (including Leases) Is A: domestic End Product? _____________ (%) foreign End Product? _______________ (%) questions For Small Businesses Only: limitations On Subcontracting (far 52.219-14) What Percentage Of The Work Would Be Subcontracted To Another Company? ________ If > 0, What Is Company S Business Size: __________ if Subcontracting, What Added Value Do You Offer (far 52.215-23): _______________________________ nonmanufacturer Rule (far 52.219-33): does Your Company Manufacturer These Proposed Items? [â  ] Yes [â  ] No does Your Company Exceed 500 Employees? [â  ] Yes [â  ] No If Yes, List # Of Employees: _________ does Your Company Primarily Engaged In The Retail Or Wholesale Trade And Normally Sells The Type Of Item Being Supplied? [â  ] Yes [â  ] No does Your Company Take Ownership Or Possession Of The Item(s) With Its Personnel, Equipment Or Facilities In A Manner Consistent With Industry Practice? [â  ] Yes [â  ] No does Your Company Supply The End Item Of A Small Business Manufacturer, Processor Or Producer Made In The United States, Or Obtains A Waiver Of Such Requirement Pursuant To Paragraph (b)(5) Cfr 121.406. [â  ] Yes [â  ] No If Yes, What Is The Manufacturer S Name? ________________ the Information Submitted Shall Contain The Company S Business Size Status. This Is A Request For Information And Sources Only, Which May Or May Not Lead To A Future Solicitation. This Is Not A Request For Quote (rfq). No Questions Will Be Answered. The Va Will Not Pay For Any Information Received Resulting From This Sources Sought Notice. Requests For Copies Of A Solicitation Shall Not Be Honored Or Acknowledged. Information Should Be Forwarded To The Contracting Officer. If Your Organization Can Provide All Services Of This Potential Requirement And Is Interested In This Opportunity, Please Respond To Lindsey Zwaagstra, Lindsey.zwaagstra@va.gov, Contracting Officer, Department Of Veterans Affairs, Nco 19, 6162 S. Willow Drive, Suite 300, Greenwood Village, Colorado 80111 And Nco19lab@va.gov  with A Statement Describing Your Capabilities And Completed Table Above. The Capability Statement Shall Include A Point Of Contact, Complete Mailing Address, Telephone Number, Email Address And State The Company S Business Size Status. The Deadline For This Information To Be Received Is 16:00 Pm Mountain Time, 02/14/2024.

Details: ?.## Performance Work Statement veterans Integrated Service Network (visn) 10 battle Creek & Wyoming Cboc Reference Laboratory Testing Services overview the Contractor Shall Enter Into An Indefinite-delivery Indefinite Quantity Contract (idiq) With The Battle Creek Vamc And Wyoming Cboc In Michigan To Provide Reference Laboratory Testing For The Patients Enrolled In The Participating Facilities. Contractor Shall Provide All Necessary Supplies To Provide Reference Laboratory Testing Services For The Participating Facilities Below And All Support Facilities Of The Bcvamc. The Idiq Term Shall Be Five (5) Years. This Is A Firm-fixed Price Idiq. The Estimated Quantities Are For Each Test Per Year. background department Of Veterans Affairs, Veterans Health Administration (vha), Visn 10, Battle Creek Vamc And Wyoming Cboc, Requires The Services Of A Contractor For Reference Laboratory Testing Services. The Contractor Shall Provide Reference Laboratory Testing For The Patients Enrolled In The Participating Facilities. Contractor Shall Provide All Necessary Supplies To Provide Reference Laboratory Testing Services For Both The Participating Facilities Below And All Support Facilities. reference Laboratory Services Include At Minimum Specimen Preparation And Storage; Transportation Of Clinical Laboratory Specimens; Microbiology Cultures And Stocks; Performance Of Analytical Testing; Reporting Of Analytical Test Results; Consultative Services; And Reports As Required By This Document. places Of Performance battle Creek Va Medical Center 5500 Armstrong Road battle Creek, Mi 49037 usa and wyoming Va Cboc 5838 Metro Way Sw wyoming, Mi 49519 usa supporting Facilities contractor Shall Ensure That Supplies Are Provided As Required By The Veterans Affairs Medical Center (vamc). a Va Courier Will Collect Specimens From Support Facilities And Those Specimens Will Be Collected By The Contractor Courier From Their Assigned Participating Facility On The Dates And Times Listed In Section 5 Below. government Reserves The Right To Add Or Remove Supporting Facilities As Necessary. contractor Responsibilities overview the Contractor Shall Provide At Minimum: all Necessary Supplies For Specialized Specimen Collection, Testing, Transport, And Packaging, Shipping Kits supplies Shall Be Provided As The Medical Centers Require Additional Supplies To Support Patient Testing Needs. (government Will Provide Serum 2 Supplies) courier (not Shipping) And Flight Services For The Transportation Of The Specimens flights To Be Made Out Of An Airport That Provides The Best Efficiency In Getting The Specimens To The Contractor While Maintaining Specimen Integrity. Contractor Is Responsible For Specimen Integrity Once Specimen Leaves The Va Facility. courier Service For Pick-up Of Patient Samples From Facility S Laboratory, Shall Be Provided Monday Saturday And Pick-up Times Required By The Site Are Identified Below: battle Creek Vamc 1 Pickup Mon-sat Between 6:00pm And 7:00pm wyoming Cboc Vamc 1 Pickup Mon-sat Between 6:00pm And 7:00pm dry Ice (if Required) chain Of Custody Forms (if Required) specimen Transport Request Forms reference Laboratory Testing And Reporting With Current Reference Ranges. secured Web-based Portal System, Intranet Laboratory Electronic Data Interchange (ledi) System, And Printer Equipment Including Compatible Oracle Ehrm Equipment. contractor Must Have Interchange With The Va Ehr Computer System Which Will Be Installed During This Contract At The Time Of Award. contractor Shall Have A Single National Coding System. contractor Shall Utilize One Test Code Per Test Nationally. contractor Shall Utilize Approved Patient Identifiers customer Telephone Service 24/7 365 Days A Year contractor Shall Have An Electronic Test Menu Submission System As The Preferred Test Submission Avenue With Limited Specialty Tests To Be Submitted On Paper Test Submission Forms. shipping Manifest monthly Report To The Vamc To Include, At A Minimum, Through An Appropriate Electronic Format: (no Pii/phi Can Be Included) tests Ordered. number Of Unsatisfactory Specimens number Of Tests Performed In Current Month; And calendar Year-to-date With Current Procedural Terminology (cpt) Code And Cost. Reports To Include All Testing Ordered For The Calendar Year. this Report Shall Include Pricing Per Account Number For Each Participating Site. provide And Maintain A User-friendly Public Website Which Allows Easy Reference For Researching Test Information (test Number/cpt Coding, Patient Preparation, Test Utility, Result Interpretive Guidelines. For Tests Not Listed On Public Website Contractor Shall Provide Access To Their Database For Client Research Test Information; And routine Test Results To The Participating Ordering Facility Within Twenty-four (24) Hours Following Test Completion, Except When Specimens Are Picked Up The Day Before A Weekend Or Holiday (in Which Case The Results Shall Be Provided The Following Business Day). The Contractor Shall Notify The Facility Within Two (2) Hours Of Any Critical Values Or Results. contractor S Billing And Utilization Reports Shall Run From The First Day Of Each Month Through The Last Day Of Each Month. For Example: January 1 January 31, February 1 28 Or 29(if Leap Year), And June 1 June 30. qualifications licensing And Accreditation only Fully Licensed/accredited Laboratories Actively Engaged In Providing The Specific Services And Laboratory Testing Outlined In This Solicitation Shall Be Considered. The Contractor/subcontractor Shall Have All Licenses, Permits, Accreditation And Certificates Required By Law And Be Provided To The Co/cor At The Time Of Award. The Reference Laboratory Shall Be Licensed/accredited By The College Of American Pathologists (cap) Or The Joint Commission (tjc), Or Any Other Licensing And/or Accreditation In Order To Perform The Required Testing Listed In This Pws. In Addition, The Laboratory Must Be Certified As Meeting The Requirements Of The Department Of Health And Human Services Clinical Laboratory Improvement Act Of 1988 (clia). the Contractor Shall Provide A Copy Of All Relevant Permits/licenses And Certifications Inclusive Of All Sanctions Current Or Pending Throughout The United States Of America Prior To Contract Award. In Addition, The Contractor Shall Be Responsible For Providing Written Guarantee Or Evidence That All Subcontractors Have Appropriate Licensure And Accreditation To Perform Tests That The Primary Contractor Cannot Perform Prior To Contract Award And As Requested By The Contracting Officer (co). All Proposed Subcontractor Changes During The Contract Performance Period Must Have Prior Approval By The Co. Changes To The Requirements Shall Be Addressed By Bilateral Modification. contractor Personnel Assigned By The Contractor To Perform The Services Covered By This Contract Shall Be Eligible To Provide The Services Of This Contract And Licensed In A State, Territory, Or Commonwealth Of The United States Or The District Of Columbia. All Licenses Held By Contractor Personnel Working On This Contract Shall Be Full And Unrestricted Licenses. Contractor Personnel Assigned By The Contractor To Work Under This Contract Shall Be Licensed By The Governing Or Cognizant Licensing Board. contractor Policies And Procedures Shall Comply With Health Insurance Portability And Accountability Act (hippa) the Contractor Shall Notify The Contracting Officer In Writing Of All Malpractice Investigation Or Licensure Or Certification Suspension That Concerns The Contractor Or Contractor Personnel, Or Any Discovery Of Any Disciplinary Action Taken Against Laboratory(ies) Performing Under The Contract Within 24 Hours Of Notification Of An Investigation Or Suspension. contractor Personnel the Contractor Shall Maintain Current Accreditation And Notify The Contracting Officer Of All Lapses In State License, Clinical Laboratory Improvement Amendments (clia) Certification, Or Clinical Pathology Certification. The Contractor Shall Provide Access Via Website Or Email Upon Request A Copy Of The Renewed Licenses/certificates Before Expiration. laboratory Director Shall Be A Licensed American Board Of Pathology Certified Pathologist Or Appropriately Certified Bio-analyst. the Contractor Must Have At Least Three Years Of Experience Providing Laboratory Services And Must Have At Least One-year Experience In Transporting Biomedical Materials. clia Certifications Shall Include Approval For Testing For The Following Disciplines/subdisciplines And Effective Dates Of Approval For Each Disciplines/subdisciplines histocompatibility (010) bacteriology (110) mycobacteriology (115) mycology (120) parasitology virology (140) syphilis Serology (210) general Immunology (220) routine Chemistry (310) urinalysis (320) endocrinology (330) toxicology (340) hematology (400) immunohematology Abo Group & Rh Type (510) immunohematology Antibody Detection (transfusion) (520) immunohematology Antibody Detection (non-transfusion) (530) immunohematology Antibody Identification (540) immunohematology Compatibility Testing (550) histopathology (610) oral Pathology (620) surgical Pathology molecular Biology cytology (630) radiobioassay (800) cytogenetics (900) any Changes To The Clia Certifications Should Be Communicated To The Facility Within 24 Hours. This Also Applies To The Subcontractors. the Contractor Is Required To Provide All Technical Advisory/recalls/alerts, Prior To Or Simultaneously With Field Alerts, Should Be Forwarded To The Designated Individuals Determined At Contract Award. the Government Reserves The Right To Refuse The Use Of A Subcontractor Who Fails To Comply With Evidence Of Accreditation(s) Or Licensures(s) specimen Preparation contractor Shall Supply Each Government Facility With Its Commercial Laboratory Reference Test Manual To Ensure That The Collection And Storage Of Specimens Are In Accordance With Contractor S Requirements. contractor Shall Provide All Materials Necessary To Collect And Preserve Specimens That Are Destined To The Commercial Reference Laboratory For Testing. These Materials Include Those Items That Are Dictated By And In Compliance With The Collection Requirements Of The Commercial Reference Laboratory. if A Medicolegal Specimen Is Submitted, The Contractor Shall Provide Its Own Special Forms And Special Handling Procedures To Maintain A Valid Chain-of-custody Possession And Develop The Formal Documentation Necessary For That Purpose. Contractor S Testing Personnel Who Performed The Analysis May Be Required To Provide Court Testimony. Contractor Testimony Shall Be Provided As Required At No Additional Expense To The Government. contractor Shall Be Responsible For Storing Specimens In Such A Manner To Ensure The Integrity Of The Specimen. specimen Transporation contractor Shall Provide Transportation Of Primarily Biomedical Materials That Include Patient Specimens, Cultures, And Stocks, Originating From Government Facilities And Destined To The Contracted Commercial Reference Laboratory. these Specimens Are Classified As Hazard Materials Class 6, Division 6.2 And Are Defined In 49 Cfr Part 173.134 As Those Materials That Contain Or Could Contain Etiologic Agents. Transportation Shall Be Done In Such A Manner That The Safety And Integrity Of The Biomedical Material Is Maintained. transportation/courier Services For Pick-up Of Patient Samples From The Government Facilities Listed In This Document Shall Be Provided By The Contractor. the Government Reserves The Right To Adjust The Courier Pick-up Days And Times As Necessary, Provided A Two-week Notice Has Been Provided And Acknowledged By The Contractor At No Additional Charge To The Government. the Government Reserves The Right To Add Or Remove Courier Pick-up Locations Provided A Two-week Notice Has Been Provided And Acknowledged By The Contractor At No Additional Charge To The Government. processing Shall Begin Immediately Upon Receipt At The Testing Site And Results Provided Within The Laboratory Established Turnaround Times. courier Services Shall Be Available Seven (7) Days A Week, Including Federal Holidays As Required. A List Of Federal Holidays Can Be Found In The Following Link: Federal Holidays (opm.gov) contractor Shall Provide All Necessary Supplies For Biomedical Materials To Be Transported From The Va Medical Facility To The Performing Laboratory. These Supplies Shall Include At Minimum: shipping And Packaging Containers. Packing Material Must Be Capable Of Maintaining Temperature Requirements For Specimens Until They Reach The Contractor S Laboratory. required Labels And Packaging Materials For Shipping Specimens Via Courier That Are Infectious, Or Etiologic Agents, In Accordance With Appropriate Requirements Of 42 Cfr Part 72, 49 Cfr Parts 171 And 173, And The Dangerous Goods Regulations Of The International Air Transport Association (iata) Consistent With Current Regulatory Updates. test Request Forms, Preprinted With The Appropriate Shipping Section Details And Account Information. test Request Forms For Specialized Testing (i.e., Cytogenetics, Tissue, Etc.). printer And Printer Supplies Including Paper, Labels, And Toner/ Ink Cartridges, In Sufficient Quantities To Perform Work Under This Contract. specimen Testing contractor Shall Ensure Test Sample Integrity Is Maintained At All Times From The Time They Are Picked Up From The Participating Facility And Delivered To The Processing Laboratory. contractor Shall Provide The Full Range Of Laboratory Testing Capabilities To Execute All Required Test Orders As Annotated In This Agreement. all The Testing Should Be Performed On The Contractors Premises Or Within The Contractor S Network Labs (as Official Or Qualified Subcontractor). Under No Circumstance Should The Contractor Allow Any Patient Information To Cross The Us Borders. Contractor Referral To The Secondary Laboratory Or Subcontractor Should Be Kept To A Minimum For Control And Uniformity Purpose. Subcontractor Should Be Held To The Same Quality Standard As Specified In The Contract. contractor Shall Make Available The Following Test Information: requisition Form Requirements alphabetized Test Name List test Order Code specimen Collection And Preservation Requirements test Method Employed (indicate If Testing Performed In Duplicate) And Interpretations test Reference Intervals Adjusted For Age, Sex, Or Race, When Required test Specific Sensitivity, Specificity, And Interferences, When Required result Code test Critical Values If Any policy For Critical Value Notification cpt Coding test Turnaround Times (minimum And Maximum Times Indicated); Where The Turnaround Time Is Defined As The Time Between Receipt Of Specimen By The Contractor And Receipt Of Results By A Government Facility. schedule Of Test Performance (specific Days Of Week Indicated) location Of Test Performance By Test Name (i.e., Name Of Primary Laboratory, Name Of Separate Branch/division Of Primary Lab, Name, And Address Of Secondary (sub-contracted) Laboratory Must Be Cited) contractor Shall Notify The Site Contracting Officer Representative (cor) For Each Participating Facility Of Any Test Submitted To Be Processed That Does Not Match This Agreement Prior To Being Tested So That The Appropriate Process Can Be Followed To Process The Test. all Reference Laboratory Testing Is Preferred To Be Tested Using Test Methods That Are Fda Approved. any Non-fda Approved Method Being Performed Shall Have A Disclaimer And Documented Validation Plan. upon Request, The Validation Plan And Validation Results Shall Be Made Available To The Cor Or Designee. contractor Shall Ensure The Accurate And Timely Performance Of Laboratory Testing Services On All Tests Within This Agreement. specimen Retention all Anatomic Pathology Materials (e.g., Histology Blocks, Slides, Or Other Diagnostic Material) Generated By The Va Shall Be Returned Within 7 Days After Final Diagnosis Is Reported. test Results & Reports test Results: if The Contractor Is Unable To Perform The Test Due To Issues With The Specimen Integrity, The Contractor Shall Inform The Va As Soon As Possible, Via Email To The Designated Cor, With A Maximum Time Of 24-hours Of Receipt Of The Specimen. once Testing Is Completed, The Laboratory Results Shall Be Transmitted Via Secured Web-based Portal System Or The Ledi System To Each Participating Facility Via Vamc Vista/cerner Computer System And Printer Equipment Provided By The Contractor That Will Be Located At Each Participating Facility. alternate Methods Of Reporting Results In The Event Of Electronic System Failure May Include: electronic Delivery Of All Reports Is Preferred. faxed, Please Verify Fax Number Prior To Sending Patient Results As Fax Numbers Are Subject To Change: 269-966-5483 all Test Results Provided By The Contractor/subcontractor Shall Contain At Minimum The Following: two (2) Full Patient Identifiers, One Of Which Is Patient S Full Name physician S Name testing Facility Name And Address clinical Laboratory Improvement Amendments Clia Number (if Requested) account Number date/time Specimen Was Collected date/time Specimen Was Received date/time Test Was Reported contractor Generated Laboratory Accession Number va Generated Laboratory Accession Number test Ordered test Result flagged Abnormal Results reference Ranges type Of Specimen any Additional Comments Related To Test Provided By Submitting Lab any Other Information The Laboratory Has That May Indicate A Questionable Validity Of Test Results; And unsatisfactory Specimens Shall Be Reported With Regard To Its Unsuitability For Testing. corrected Reports Shall Be Issued In Accordance With Accreditation Requirements. the Contractor Shall Return Representative Slides, Anatomic, Hematologic, Etc., For Quality Control Review When Requested. Quality Control Slides Shall Represent Duplicate Copies Of Original Slides Prepared By The Contractor From Permanent Tissue Blocks. The Contractor Shall Provide Quality Control Slides To The Facility Or Clinics At The Same Time The Contractor Submits The Final Reports. The Contractor Shall Prepare Additional Blocks And Slides, In Quantities Specified By The Facility For Review By Pathologists. For Malignant Cases, The Contractor Shall Call Results To The Submitting Facility, And Prepare Paraffin Blocks And Slides For Review By The Joint Pathology Center (jpc) Or Other Government Pathology Organization (gpo). For Benign Cases, The Contractor Shall Prepare Slides For Review By The Facility. Upon Provision Of Sample Slides By The Facility, The Contractor Shall Provide Interpretation Of Sample Slides. The Sample Shall Include, At A Minimum, Breast Biopsy, Thyroid Biopsy, Mastectomy With Nodes, Colon Resection, Lymph Node Biopsy, And Gynecology And Non-gynecology Cytology. the Contractor Shall Store All Blood And Fluid Specimens After All Testing Has Been Completed In The Event Repeat Or Add On Testing For One (1) Week At Conditions That Shall Maintain Sample Viability. Upon Request, Samples Shall Be Returned To The Collecting Va Facility Via Courier At Conditions That Shall Maintain Sample Viability, At No Additional Charge To The Va. All Anatomical Pathology Specimens (i.e., Slides, Blocks, Etc.) Shall Be Returned Within Two (2) Weeks Of Test Completion. reports: all Reports Shall Run From The 1st Day Of Each Month Through The Last Day Of Each Month. For Example: January 1 January 31, February 1 28 Or 29 (if Leap Year), And June 1 June 30. contractor Shall Prove Consultative Services That Are Consistent With The Services Offered To Other Contracted Customers Without Compensation. These Services May Include Consultations By Laboratory Professionals Or Experienced Physicians On Test Or Methodology Selection Or Test Result Interpretation. contractor Shall Provide Access To Online Statistical Analysis And Metrics Of The Government Facilities Test Utilization Reports To Assist In The Monitoring Of Ordering Trends And Utilization Patterns. The Contractor Shall Make Recommendations To The Facilities On Mechanisms To Reduce Their Costs And Provide Recommendations For Improvements In Testing And Results. test Utilization (number And Cost) trending Of Test Utilization (number And Cost) line Graph And total Number test Utilization By Provider contractor Shall Provide A Cumulative Workload Summary Report Of Tests Performed. The Summary Must Include The Facility Account Number, The Test Name, The Test Ordering Code, Monthly Test Volume, Year-to-date Test Volume, Unit Test Cost, Monthly Test Expenditures And Year-to Date Test Expenditures, The Va And Test Lab Generated Accession Numbers, And The Name And Address Of The Testing Laboratory (contractor And Subcontractor). a Copy Of The Report Shall Be Delivered Electronically To The Contracting Officer And Cor By The 10th Of The Month Following The Close Of The Reporting Month. all Reports Shall Be Submitted In Electronic Spreadsheet Format And Have The Capability To Sort By Four (4) Different Methods: facility Account Number test Names Listed Alphabetically test Names Listed In Order Of Year-to-date Test Frequency (highest To Lowest) test Names Listed In Order Of Year-to-date Total Test Cost (highest To Lowest) additional Administration Requirements / Reports the Contractor Shall Provide An Updated Copy Of The Excel Spreadsheet Reference Lab Invoice Summary To The Contracting Officer, Cor By The 10th Of The Month Following The Close Of The Reporting Month. The Contractor Shall Update The Quantities Of Tests Invoiced During The Prior Month In This Spreadsheet. contractor Shall Provide A Monthly Listing Of Any Tests Listed In Section D, Attachment 2 Entitled Price-cost Schedule - Battle Creek And Wyoming Cboc Reference Labs That 1) Are No Longer Performed By Contractor Or 2) The Test Name Is Updated. The Contractor Shall Highlight The Rows Red In The Excel Spreadsheet Declining Balances Monthly Test Tracker For Any Test Codes That Are No Longer Performed By The Contractor Or Have Updated Test Names And Make A Note In The Notes Column. These Tests Will Be Either Removed Or Updated Via A Supplemental Agreement In Accordance With 52.212-4. When Invoicing, Prior To The Test Name Being Updated Via Contract Modification, The Contractor Shall Reference The Previous Test Code Name And New Test Code Name On The Invoice. the Contractor Shall Make All Reasonable Effort To Notify The Va That A Test Ordered Against The Contract Is Not Listed In Section D, Attachment 2, In Order To Avoid An Unauthorized Commitment. for Tests That Are Ordered That Are Not Listed In Section D, Attachment 2, The Purchase Card Procedures In Section D, Attachment 7 Entitled Purchase Card Procedures For Va And Contractor Shall Be Utilized. These Procedures Include The Requirement That The Contractor Shall Provide An Updated Excel Spreadsheet, Purchase Card Transactions, That Tracks The Test Name And/or Test Ordering Code, Quantity Of Each Test Performed, And Proposed Pricing. quality Review contractor Shall Provide The Following: in Accordance With Vha Handbook 1106 A 10% Retrospective Quality Management Peer Review Shall Be Completed. This Review Shall Be Completed By A Second Pathologist On At Least A Quarterly Basis For A Minimum Of 10% Of All Surgical Pathology Cases, Fine Needle Aspirates, Cytopathology Cases And Gynecologic Cases. this 10% Review Shall Be Performed By A Pathologist Certified In Anatomic Pathology. Reviews Shall Meet These Review Requirements: under No Circumstances Shall A Resident Physician Act As A Second Reviewer For A Staff Pathologist. under No Circumstances Shall A Staff Pathologist Review A Resident Physician S Diagnosis As This Does Not Constitute A Second Review. individuals Performing A Second Review In Gyn Cytology Shall Have Achieved A Current Successful Gyn Cytology Competency Assessment. the Review Process Shall Be Random, Shall Include All Types Of Specimens And Shall Include A Review Of The Entire Case. at Least 10% Of The Cytotechnologist S Gynecologic Cases That Have Been Interpreted As Negative Are Routinely Rescreened And Are Diagnosed And Documented As Being Negative By A Qualified Pathologist. cases Subjected For Rescreening Shall Include Some Cases From High-risk Patients, As Well As Random Negative Cases, Based Upon Criteria Established By The Chief Or Director Of Pathology And Laboratory Medical Services. ability To Instantly Generate Reports Like Cost Management Report, Turn-around-time Report, Utilization Report And Any Other Quality Management Report Requested By The Site. purchase Card Transactions contractor Shall Follow The Purchase Card Transactions Procedures As Directed In Section D, Attachment 7 For Any Tests Ordered That Were Not Originally On The Contract. customer Service contractor Shall Provide Customer Service Including It Support That Is Accessible By Toll-free Telephone Service 24 Hours Per Day, 7 Days Per Week To Assist Government Staff For Tracking And Resolving Related Issues/problems That May Arise In The Performance Under This Agreement. upon Award, The Contractor Shall Provide The Name(s) And Telephone Number(s) Of Contractor Employees Who Will Address Customer Services Within 24 Hours Throughout The Agreement. environment Of Care: all Significant Problems Identified Shall Be Reported Verbally To The Cor Within 24 Hours. A Written Corrective Plan Of Action Shall Be Submitted To The Cor Within Five (5) Working Days. Va Timeframes And Priorities For Completion Of Action Plan Items Shall Be Mutually Agreed Upon By The Contractor And The Va Safety Officer. The Contractor Shall Successfully Pass The Participating Facility Safety And Infection Control Inspections Prior To The Provision Of Patient Care. va Strives To Ensure That The Patients Experience At Each Of The Medical Centers Provides For Convenience Of Obtaining All Possible Tests In One Visit leadership va Primary Care Services And Operational Activities Provided At The Participating Facility Shall Be Designed And Planned By Leadership Staff And Shall Reflect A Uniform Level Of Primary Care As Provided To Veterans. The Contractor Under The Supervision Of The Palms Pathologists Shall Effectively Manage And Direct Daily Operations, Information And Support Systems, And Conserve Physical And Financial Assets While Meeting The Mission Of The Vha. Palms Pathologists Shall Provide Leadership Oversight For Improvement Of Clinical And Administrative Outcomes. The Provision Of Contracted Services Shall Be Described In Writing The Nature And Scope Of Services Provided Through Contractual Agreement. Leaders Monitor Contracted Services By Establishing Expectations For The Performance Of The Contracted Services. Leaders Take Steps To Improve Contracted Services That Do Not Meet Expectations. personnel Security all Laboratory Directors Who Manage Contractor Personnel With Direct Access To The Specimens And Data Received From And Transmitted To The Va Are Required To Complete A Background Investigation And Receive A Favorable Adjudication From The Office Of Security And Law Enforcement. Anyone With Administrative Or Programmer Access To A Federal Computer System Shall Have A Background Investigation Commensurate With The Level Of Access Granted To The Va Computer System As Determined By The Information Security Officer In Concert With Human Resources Management Staff. These Staff Shall Be Operating Within The Borders Of The U.s.a. And Its Territories. continuing Education the Contractor Shall Provide Ongoing Continuing Education Material For Professional Acknowledgement For Continuing Education (pace), Continuing Medical Education (cme) And Continuing Education (ce). data Management & Connectivity Requirements data Management System contractor Shall Provide To The Government All Necessary Laboratory Test Parameters (parameters Are Required For Each Test Contained In A Panel) To Insure Accurate Test Result Transmission Between The Government And The Contractor S Database. They Shall Provide All The It Support Required For Transition Between Reference Labs, Namely Building Existing And New Test Codes, Test Description, Interface, Troubleshooting And Maintenance Through The Life Of The Contract. Required Test Parameters Include: ordering Code loinc Code cpt Code interface Code test Cost reference Ranges units Of Measurement test Result Interpretation Or Interpretive Remarks, If Appropriate testing Site (if Not Performed At The Vendor S Main Laboratory Facility test Methodology specimen Types specimen Collection And Handling Requirements indication Whether Test Is A Panel/profile Test, List Of Tests Included the Parameters For All Tests In The Contractor S Database Shall Be Kept Current And Be Available To The Government Sites Throughout The Performance Period Of The Contract. Updates To The Test Parameter Information Must Be Provided To Government Sites No Less Than 2 Weeks Prior To The Implementation Of Any Changes. The Contractor Shall Provide Telephone Access To A Contractor S Technical Representative To Respond To Any Question(s) Regarding The Laboratory Test Parameter Information. contractor Shall Be Approved To Be Interfaced With Oracle Ehrm And Be Built At The Enterprise Level At The Time Of Award. the Contractor Shall Provide A Data Management System That Meets The Following Requirements: test Ordering Shall Be Accomplished Through A Menu That Is Intuitive, Has Minimal Options, And Uses A Mouse Or Touch Screen. Upon Selection Of The Test, The Computer Shall Alert (flag) The User To The Type Of Specimen Required And The Storage Conditions. It Must Also Alert The User To The Location Of The Laboratory That Will Be Performing The Test. test Definition, Test Information, And Test Requirements Must Be Complete, Available And Easily Accessible. shipping Manifest Shall Be Generated That Identifies The Specimens Sent To The Commercial Reference Laboratory, Transportation Conditions, And Testing Ordered. the Status And The Results Of Testing Shall Be Available Within Published Timeframes And Easily Retrievable By The Use Of Varying Options. At A Minimum The Options Must Include: sort By Patient Name sort By Date; Sort By Test sort By Incomplete Test. incomplete Tests Must Have An Indication Of The Pending Time Until Completion. Alert Messages, Or Other Notification, Must Be Generated When Testing Is Delayed Beyond Published Timeframes. reports Of Test Results Must Be Immediately Available Upon Verification Of The Test Result. Contractor S Computer Located At The Government Site Must Be Able To Print Test Results Upon Request And Reprint Retrospective Test Results. equipment Security any Equipment Provided By The Contractor To Va Which Contains A Storage Device Such That When The Device Is Powered Down, Va Sensitive Data Remains On It Shall Be Sanitized Prior To Removal From The Va Premises, Shall Become The Property Of The Federal Government And Remain On Federal Property Or Shall Be Destroyed In Accordance With Department Of Veterans Affairs Regulations At The Time Of Removal (device Decommissioning). Data Required By The Hipaa To Remain On Equipment Located On Contractor's Property Shall Be Safeguarded In Accordance With Hipaa And This Information Shall Be Destroyed In Accordance With Va Requirements When No Longer Required By Hipaa To Be Held By The Vendor. va Connectivity Requirements the Contractor Shall Provide Each Participating Facility The Capacity To Order Lab Testing And Receive Results Through A Secure Web-based Portal. The Contractor Shall Show That This Portal Meets Va Requirements For Encryption Of Sensitive Patient Information. The Requirements That Va Utilizes For These Types Of Transmission Shall Be The Federal Information Processing Standard (fips) Publication 140-2. The Contractor Shall Be Responsible For Transmission Of Orders, Confirmation Of Orders, Test Results, And The Preventive Maintenance Of The System. Contractor Shall Be Available To Train The Facility S Staff On The Use Of The System At Each Facility. An Alternate Method Of Sending Orders And Receiving Results Shall Be In Place In The Event Of System Down Time. A Shipping Manifest Shall Be Generated That Identifies The Specimens Sent To The Reference Laboratory, Transportation Conditions, And Testing Ordered. cerner Is A New Va Computer System That Will Be Utilized. The Contractor Shall Ensure They Have The Ability To Interface With Cerner And Is Operational And Validation Is Complete With Full Menus Complete At The Time Of Contract Award. the Contractor Shall Have An Electronic Bi-directional Interface System. The Contractor Shall Meet All Cyber Security Requirements To Establish An Interconnection With The Va For Transfer Of Test Ordering Details And Laboratory Test Results Directly From And Into The Va Computer System Via The Appropriate Ledi Protocol. The Interface Shall Be Designed With A Single Data Interface For The Facility Which All Sites Shall Utilize. The Interface Shall Allow The Generation Of Manifests To Identify The Specimens To Be Sent To The Reference Lab. Upon Receipt Of Test Results, The Va Staff Shall Be Able To Review/validate Test Results Before Release. The Contractor Shall Be Responsible For The Purchase Of Any Licenses For Middleware Products (e.g., Data Innovations) And Hardware For Any Middleware Or Interface Structure. if The Contractor Does Not Have A Bi-directional Electronic Interface Already In Place, The Contractor Shall Have The Following Implemented Within Three (3) Months Of The Contract Award Date. Contractor Shall Assist Staff In The Updating Of The Test Database By Providing All Information Required To Create New Test Files For The Required Tests (i.e., Sample Requirements, Shipping Temperatures, Reference Ranges, Cpt Codes). Interface Portal Shall Be Connected And Approved, Including Any Required Hardware, Such As Dedicated Printers For Labels And Results. Interface Validation Shall Be Completed On The Tests That Have Been Updated In The Database. due To The Difficulties Encountered With Any Major Reference Laboratory Interfacing Change Or Upgrade, Contractor Shall Temporarily Provide A Single Knowledgeable Point Of Contact For Researching Correct Test Information, Point(s) Of Contact For Developing, Testing, And Implementing A Client/vendor Interface, And Then An Ongoing Point Of Contact For Troubleshooting Interface Problems. Temporary Service Shall Be In Effect Until Interfacing Change Or Upgrade Has Been Completed. the Contractor Shall Meet All Enterprise Cyber Security Infrastructure Project (ecsip) Requirements In Order To Establish An Interconnection With The Va For Transfer Of Laboratory Test Results Directly Into A Va Computer System Via The Appropriate Ledi Protocol. The Ecsip Team Shall Have The Ultimate Decision On Which Connection Type Is Appropriate. the Contractor Shall Provide The Following Interfacing Requirements: Laboratory Information Systems Lis Physical Connection And Translation (drivers) And Any Required (additional) Interface Connection License(s) And The Interface Shall Transmit Test Results To The Host Computer Via Automatic Upload. The Interface Connection Shall Be Tested And Verified Before Putting Into Use. the Reference Laboratory Shall Meet Va Information Security And Health Insurance Portability And Accountability Account Of 1996 (hipaa) Requirements And Shall Be Able To Interface With The Current Or Any New Interface Partner Of The Laboratory Information System. The Contractor Shall Have All Users With Va Access Complete The Vha Privacy Training Prior To Starting Services. cerner Is A New Computerized Electronic Health Record That Va Is In The Process Of Transiting To. The Contractor Shall Ensure They Have The Capability And Are Able To Interface With This System When It Is Implemented In Addition To Vista/cprs That Is Currently In Place. performance Improvement the Contractor Shall Comply With The Participating Facility Performance Improvement (pi) Program As Applicable To Pathology And Laboratory Medicine Service (palms). Palms Shall Monitor The Vendor S Test Assay Turn Around Times (tats) On A Quarterly Basis. Vendor Shall Provide A Quarterly Tat Report For All Patient Testing Requests Sent For Analysis. Quality Assurance Technologists Shall Provide A Quarterly Report To Participating Facility Management Teams For Review. Contractor Pi Activities May Be Directed By The Va Facility, Visn Or Vha, As Well As Accreditation Or Licensing Bodies. The Contractor Shall Abstract, Compile And Report Pi Data As Requested By The Va. Va Data Collection Methodology, Report Format, And Reporting Deadlines Shall Be Defined By The Participating Facility. Examples Of Required Pi Activities Include The Vha Performance Measures/clinical Practice Guidelines Program, And The Joint Commission Oryx Or Core Measurement Program. It Is Noted That Pi Activities Are Dynamic And Subject To Change, As Driven By Current Priorities And Resources. In All Cases, The Contractor Shall Continually Assess For, And Act Upon, Clinical And Administrative Improvement Opportunities. High Priority Shall Be Given By The Contractor To The Prevention Of Risk For The Patient. The Contractor Shall Implement Process-related Internal Controls To Prevent Risk To The Veteran. Va Monitoring For Continuous Compliance With Joint Commission Standards Shall Be Directed By Va Staff And Communicated To The Contractor Through The Cor. Va Aggregate And/or Practitioner-specific Data Collected By The Va Shall Be Provided To The Contractor In Accordance With Established Reporting Schedules. Va Measures Related To Contract Compliance Shall Be Identified By The Cor information And Records Management the Participating Facility Information Management Plan Shall Be Followed By The Contractor. Documentation And Record Keeping Shall Be In Accordance With The Facility Policies And Procedures. Strict Adherence To All Documentation Related To The Performance Of Invasive Procedures Shall Be Maintained. Identified Medical Record Delinquency Data Shall Be Forwarded To The Contractor By The Participating Facility automated Data Processing (adp) Security/hippa And Excluded Individuals the Va Shall Provide Access To The Veterans Health Information And Technology Architecture (vista) For Contractor Employees. All Contractor Employees Accessing The Vista System Shall Be Required To Sign And Abide By All Vaaahs Security Policies And Applicable Va Confidentiality Statutes, 38 U.s.c. §5701, 38 U.s.c. 7332, And The Privacy Act, 5 U.s.c. §552a. Background Security Investigations Shall Be Completed Before Access To Vista May Be Granted health And Human Service Office Of Inspector General (hhs/oig): To Ensure That The Individuals Providing Services Under The Contract Have Not Engaged In Fraud Or Abuse Regarding Sections 1128 And 1128a Of The Social Security Act Regarding Federal Health Care Programs, The Contractor Is Required To Check The Health And Human Service Office Of Inspector General List Of Excluded Individuals/entities On The Oig Website (www.hhs.gov/oig) For Each Person Providing Services Under This Contract. Further, The Contractor Is Required To Certify In Its Proposal That All Persons Listed In The Contractor S Proposal Have Been Compared Against The Oig List And Are Not Listed. During The Performance Of This Contract The Contractor Is Prohibited From Using Any Individual Or Business List On The List Of Excluded Individuals/entities telecommunication Interface Requirements in Order For Contract Performance To Begin Within The Shortest Time Possible After Contract Award, Contractor Must Already Possess A Current Va Nationally Approved Business Partner Gateway (bpg) Interconnection Security Agreement (isa) And Memorandum Of Understanding (mou) And Have An Integrated System Approach To Facilitate And Streamline All Aspects Of Specimen Ordering, Testing, And Reporting. As Such, The Contractor Shall Develop And Program An Interface Connection To Electronically Transmit Orders, Specimen Status, And Test Results Between The Contractor S Host Computer System And The Government S Host Computer System (vista). (note: A Subcontractor May Be Utilized To Outsource The Connectivity Solution.) the Vista Host Computer System Supports A Universal Interface (ui) And A Generic Instrument Manager (gim). The Gim Is A Commercial Hardware And Software Product That Provides Electronic Connection Between The Contractor S Host Computer And The Government S Host Computer. The Configuration Must Provide The Required Security Of The Government Host Computer System. The Actual Electronic Connection Between The Gim And The Contractor S Host System Is Of The Contractor S Choosing. The Initial And Continual Expense Of The Electronic Message Connectivity And Maintenance Shall Be Borne By The Contractor Throughout The Performance Of The Contract. contractor Shall Provide, Install, And If Necessary, Remove, All Required Telecommunication Equipment, Hardware, Software, And Related Consumable Supplies To Support The Transmission Of Electronic Data To All Sites Referred To Herein. This May Include, But Is Not Limited To: generic Instrument Manager (gim) For The Interface Connection shipping List Printers bar-code Printers back-up Result Printers Connected Directly To Contractor S Computer System any Required Communication Lines software To Receive And Send Orders, Display Status Of And/or Test Results consumable Supplies To Maintain The Operation Of The Equipment Listed Above, E.g., Toner, Etc. contractor Shall Be Responsible For All Annual Recurring Costs Associated With Support And Maintenance Of The Generic Instrument Manager (gim) System Including All Gim Equipment, Software, And Instrument Connections. The Generic Instrument Manager Will Be Located In A Government Secured Area. The Contractor Shall Coordinate With The Respective Government Information Technology Department To Access The Gim. the Contractor Shall Conduct Preventive Maintenance And Repair Of Contractor Furnished Hardware, Software, And Associated Communication Lines. In Addition, Throughout The Performance Period Of The Contract, The Contractor Shall Repair Or Replace Any Malfunctioning Hardware Or Software. all Electronic Messaging Between The Two (contractor And Government) Host Computer Systems Using The Gim Shall Utilize Vista Health Level Seven (hl7) V1.6 Technical Specifications. Health Level 7 (hl7) Is A Registered Trademark Of Health Level Seven, Inc, A Standards Developing Organization Accredited By The American National Standards Institute To Author Consensus-based Standards. Information Regarding Hl7 Transmission Protocols May Be Accessed Through The Health Level Seven, Inc Website, Www.hl7.org. vista Laboratory Electronic Data Interchange (ledi): Identifies Government-specific Content And Encoding Tables To Be Used With Hl7 Message Protocol Conventions. The Ledi Specification Follows Very Closely The Hl7 V2.3.1 Standard. Ledi Identifies Encoding Tables And Hl7 Message Protocol Conventions. ledi Also Identifies To The Commercial Reference Laboratory Contractor Shipping Lists Containing Required Specimen Demographics And Requested Tests To Be Performed. This List Will Be Provided In Printed Format During The Implementation Period. This Information Is Also Available In Electronic Hl7 Format If Required. (ledi) Software Will Provide A Hl7 Acknowledgement For The Receipt Of Tests Results From The Contractor. In The Event That Electronic Communication Is Disrupted, The Contractor Shall Provide Hard Copy Of Specimen Results Upon Demand. The Hard Copy Must Contain Government S Assigned Specimen Identification Where Specimen Identification Is Defined As A Unique Government-assigned Number That Is Associated With Each Specimen. This Specimen Identification Number Will Appear On The Test Order Form, On The Specimen Label And On The Shipping Manifest. the Contractor Shall Provide The Government With Specimen Status In Response To Electronic And Verbal Query. Upon Test Completion, A Formatted Hl7 Message Containing Specimen Test Results With Government S Assigned Specimen Identification Shall Be Returned To The Requesting Medical Center. contractor Shall Address Within Two Hours Of Initial Inquiry, Interface Connection Questions Where Information Is Required To Update, Maintain, And Support The Services Of The Host-to-host Linkage Between The Government And The Contractor. contractor Shall Provide In-service Training Required For The Routine Loading And Care Of Printers And Other Hardware Located On-site. The Training Will Ensure That Government Staff Is Capable Of Performing Routine Servicing Of Hardware. policies, Regulations, And Compliance Standards policies And Regulations policy/handbooks: vha Handbook 1100.17: National Practitioner Data Bank Reports - Https://www.va.gov/vhapublications/viewpublication.asp?pub_id=2135 vha Handbook 1100.19 Credentialing And Privileging - Https://www.va.gov/vhapublications/viewpublication.asp?pub_id=2910 vha Handbook 1907.01 Health Information Management And Health Records: Https://www.va.gov/vhapublications/viewpublication.asp?pub_id=3088 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 1106.01: Pathology And Laboratory Medicine Service (p&lms) Procedures: Https://www.va.gov/vhapublications/viewpublication.asp?pub_id=3169 conformance Standards contractor Shall Maintain Full Compliance With Applicable Federal And State Regulations. All Services Provided Under This Contract Shall Be Performed In Conformance With The National Fire Protection Agency (nfpa) 99- Health Care Facility Code, Occupational Safety And Health Administration (osha), Hipaa, And Other Applicable National, State, And Local Regulatory Agencies. Contractor Shall Maintain Clinical Laboratory Improvement Act (clia) Certificate Of Accreditation, And The Joint Commission (jc) And The College Of American Pathology (cap, If Required) Accreditations. A Copy Of The Clia Certificate Shall Be Provided To The Participating Facility When Requested contractor S Laboratory Director Shall Be A Licensed American Board Of Pathology Certified Pathologist. The Contractor Shall Make Sure Employees Have Current And Valid Professional Certifications Before Starting Work Under This Contract. All Contractor Personnel Shall Meet The Performance Characteristics For Accuracy And Precision As Defined By The 1988 Clinical Laboratory Improvement Act (clia) And The Clinical And Laboratory Standards Institute (clsi) And Maintain Required Licenses. The Contractor Shall Maintain Current Licenses And Certificates And Provide Copies Of Such To Va Upon Reasonable Written Request joint Commission Compliance Standards all Applicable Va And Vha Policies, Procedures And Directives Shall Be Followed By The Contractor. The Contractor Shall Continuously Meet Or Exceed All Joint Commission Hospital Standards And Provide Oversight Of Care, Treatment And Services Provided Through Contractual Agreement Standard Ld.04.03.09. The Patient Population Treated Within The Covered Areas Consists Of Veterans With Varying Physical, Psychiatric, And Psychological Needs. Their Conditions Are In Many Cases, Directly Related To The Individual S Service To This Country. Contract Personnel Shall Provide Compassionate Care With Respect For The Special Needs Of The Veteran Population Served. Care Delivered Shall Reflect The Va Medical Centers Mission, Vision, And Values: mission: Honor America S Veterans By Providing Exceptional Health Care That Improves Their Health And Well-being. vision: Vha Shall Continue To Be The Benchmark Of Excellence And Value In Health Care And Benefits By Providing Exemplary Services That Are Both Patients Centered And Evidenced Based. This Care Shall Be Delivered By Engaged, Collaborative Teams In An Integrated Environment That Supports Learning, Discovery, And Continuous Improvement. It Shall Emphasize Prevention And Population Health And Contribute To The Nation S Well-being Through Education, Research, And Service In National Emergencies. values: Vha S Five Core Values Are Integrity, Commitment, Advocacy, Respect, And Excellence. They Define Our Culture And How We Care For Our Veterans. They Affect Outcomes In Our Daily In special Contract Requirements award Specific Information modifications all Modifications Shall Be Given At Minimum 60 Days For Any Change Takes Place. Modifications Shall Not Be Effective Until Executed. modifications That Change The Terms And Conditions Of The Contract Shall Be Bi-lateral. modifications That Are Administrative In Nature May Be Completed Unilaterally By The Government To Update Attachments, Points Of Contacts, Etc. pricing this Is A Firm Fixed Price (ffp) Agreement With Estimated Quantities. pricing Shall Not Change From The Awarded Pricing. variable Priced Tests Shall Not Be Included. They Will Either Need To Be Provided A Ffp Or Not Orderable Through This Agreement. pricing Shall Be Determined And Established At The Time Of Award For Ordering Periods. Pricing Shall Not Change. tests And Reflex Tests the Va Has Estimated The Quantity Of Tests That Will Be Needed For The Entirety Of The Agreement, Including All Ordering Periods. Quantities May Increase Or Decrease Based On The Government S Needs. Quantities Are Not Guaranteed. all Tests And Reflex Tests Shall Be Listed In The Award With Established Test Codes And Pricing. only The Tests And Test Codes Listed In The Award Are Authorized. new Tests: may Be Added To The Award Through A Bi-lateral Modification. shall Not Be Utilized Until A Bilateral Modification Is Executed. pricing Shall Not Change For Any Test Replaced Due To A Test Code/description Change. tests Not Listed In The Award tests Not Listed In This Award With The Assigned Test Code/description Are Not Authorized. any Test Not Listed Or Authorized Shall Follow A Separate Process Unrelated To This Agreement Or Through Va Community Care. contractor Shall Not Process Any Test Not Listed In The Award Nor Request Payment For Tests Not Listed Through This Agreement. Contractor Risks Non-payment Of Any Test Not Authorized. established Process For Non-listed Test Codes/descriptions (non-contracted): contractor Shall Set Up A Non-contracted Account Number all Non-contracted Tests Shall Not Be Processed Without Proper Authorization Prior To The Test Being Processed. employment And Liability this Is A Non-personnel Services Contract. The Contractor Shall Be Responsible For Protecting The Personnel Furnishing Services Under This Contract. To Carry Out This Responsibility, The Contractor Shall Provide The Following For These Personnel, Which Includes Worker S Compensation, Professional Liability Insurance, Health Examinations, Income Tax Withholding And Social Security Payments. The Parties Agree That Contractor Personnel Without Formal Appointments Shall Not Be Considered Va Employees For Any Purpose And Shall Be Considered Employees Of The Contractor infection Control contracted Patient Care Activities Shall Be Integrated Into The Participating Facility Infection Control Program, And Contract Staff Shall Adhere To The Facility Infection Control Policies And Procedures. The Facility Infection Control Plan Shall Identify For The Contractor How Risks Shall Be Identified, Methods To Be Used To Reduce Risk, Identification And Reporting Of Community-acquired And Nosocomial Infections, And Data Collection And Reporting Requirements. Reports Of Surveillance, Control, Prevention, And Monitoring Activities Performed By The Part Facility Shall Be Provided, On A Routine Basis, To The Contractor. patient Safety patient Safety Shall Be A Primary Focus Of The Contractor Including Compliance With All Applicable Patient Safety Goals. The Participating Facility Shall Inform The Contractor Of All Applicable Sentinel Events Or Other Patient Safety Alerts Received By The Facility. For Every Applicable Alert, The Contractor Shall Take The Necessary Steps To Redesign Processes To Prevent Occurrence And Provide Written Feedback To The Contracting Officer Representative (cor) Describing Prevention Actions Taken. All Events Related To Patient Injury, Medication Errors, And Other Breeches Of Patient Safety Shall Be Documented Utilizing The Contractor S Format And Reported To The Cor Utilizing The Part Facility Incident Report. The Facility Shall Provide The Contractor With The Sentinel Event Definitions In The Start-up Phase. The Contractor Shall Verbally Notify The Facility Cor Immediately When A Sentinel Event Has Occurred, Which Is To Be Followed By Written Notification Within One (1) Business Day Or Sooner If Requested By The Medical Center. The Facility Shall Determine When A Root Cause Analysis (rca) Is Required Of The Contractor. The Contractor Shall Conduct All Root Cause Analysis According To The Facility Policy And Within Established Time Frames (45 Days). Completed Rcas Shall Be Provided To The Facility Cor. patient Rights protection Of All Patients Rights Is Of Highest Priority. Patient Privacy And Confidentiality Shall Be Maintained At All Times. Computer Access Shall Be Granted On A Need-to-know Basis, And Security Of Computerized Information Shall Be Maintained At All Times. No Patients Shall Be Subject To Any Research Activity Without His Fully Informed Consent, Subject To Study Approval By The Investigational Research Board (irb). The Contractor Shall Abide By The Participating Facility Code Of Ethics, Which Addresses Marketing, Admission/transfer/referral/discharge Processes, And Billing Issues. The Contractor And The Patient Care Service Provided Shall Be Included In The Participating Facility Data Collection Activities Related To Patient And Family Complaints And Satisfaction Issues. Care Provided Shall Respect And Integrate The Patient S Beliefs, Values, And Cultural Influences government Responsibilities contract Performance Monitoring contractor's Employee(s) Shall Report To The Laboratory Central Processing Area, Upon Arrival At The Va For Specimen Pickup. monitoring Of Contractor S Performance Shall Be Demonstrated Through Clinical And Administrative Record Reviews. Cor Will Be Responsible For Verifying Contract Compliance. Contracting Officer's Representative(s) (cor) Will Designate Appropriate Va Personnel To Monitor Services Through One Or A Combination Of The Following Mechanisms: departments Being Served Will Monitor Contractor Performance To Ensure That Services Called For In The Contract Have Been Received By Va In A Timely Manner. Any Incidents Of Contractor Noncompliance As Evidenced By The Monitoring Procedures Will Be Forwarded Immediately To The Contracting Officer. documentation Of Services Performed Will Be Reviewed Prior To Certifying Payment. The Cor Will Perform Periodic Spot Checks And Document With The Using Service To Ensure Records Monitoring. Va Will Pay Only For Services Actually Provided, And In Strict Accordance With The Price/cost Schedule. Contract Monitoring And Recordkeeping Procedures Will Be Sufficient To Ensure Proper Payment And Allow Audit Verification That Services Were Provided. departments Being Served, Through The Cor(s), Will Provide A Written Statement Annually To The Contracting Officer To Include A Summary Of Contractor Actions And A Statement That All Requirements Of The Contract Have Been Fulfilled As Agreed. This Summary Evaluation Will Be Submitted 45 Days Prior To Expiration Of Contract (and/or Prior To Ordering Periods, If Applicable). quality Assurance Monitoring contractor Shall Maintain A Quality Assurance Program Related To Reference Laboratory Services Covered Under This Contract. contractor Shall Also Participate In A Joint Quality Assurance Surveillance Program (qasp) With The Government Facilities. This Program Must Minimally Address The Quality Aspects Representative To The Testing Process, I.e., Pre-analytical, Analytical, And Post-analytical Variables And Include A Description Of Monitoring And Evaluation Activities. There Must Be A Mutually Agreed Upon Procedure For Responding To Issues, Problems And/or Concerns Identified By The Government With Details As To Whom And In What Timeframe The Matters Will Be Reconciled. The Issues That May Need To Be Addressed May Be General In Nature Or Specific To An Incident Or Event. The Contractor Will Meet Or Communicate With The Facility/visn Staff For Process Review And Improvement Of Contract Performance On An As Needed Basis. copies Of Licensure/certifications Are Also Required To Be Submitted Upon Request By The Va. performance Standards licensing, Accreditation, & Certification performance Requirement: Contractor Shall Maintain And Provide Clia Certification, Cap Accreditation, Or Equivalent; Along With Applicable Osha, Federal, And State Laws For All Laboratories, Including Any Subcontractors. standard: Proper Certifications Shall Be Kept Up To Date For The Entire Performance Of This Agreement. This Includes All Ordering Periods. acceptable Quality Level (aql): 100% Meets Standard, No Deviations Are Authorized. surveillance Method: Periodic Sampling frequency: Contractor Shall Provide All Requested Licenses, Accreditations, And Certifications Upon Request Of The Government At Any Time For All Laboratories, To Include All Subcontractors. technical Quality performance Requirement: Produce High-quality, Consistent Access To Reports, Test Code Changes, Errors In Technical Transmission Issues. standard: Meets Quality Requirements. acceptable Quality Level (aql): 95% Meets Standard surveillance Method: Quarterly Review frequency: Cor To Review Issues With Interfacing And Notifications Of Test Code Changes, Issues With Test Code Results. timeliness performance Requirement: Processes Specimens And Report Test Results Within The Stated Turn-around-times. standard: Timely Courier Pick-ups, Specimen Processing And Reporting Of All Test Results. acceptable Quality Level (aql): 90% Meets Standard surveillance Method: Periodic Sampling frequency: Cor Will Review Monthly Reports test Accuracy performance Requirement: Contractor Shall Provide Accurate Testing In Accordance With The Tests, Test Codes, Test Descriptions, Specimen Processing, And Test Results. standard: Number Of Modified Test Results, Not Due To Incorrect Requisition Information From Referring Lab. acceptable Quality Level (aql): < 0.02% Of All Patient Results Received. surveillance Method: Monthly Review frequency: Cor Will Review Monthly Reports. transportation & Sample Integrity performance Requirement: Transportation And Quality Standards Outlined In The Performance Work Statement (pws). standard: Ensures Integrity Of Samples During Transportation To The Performing Laboratory. acceptable Quality Level (aql): < 3 Lost Specimens. surveillance Method: Monthly Review. frequency: Cor Will Review Monthly Reports And Courier Pick-up Logs. anatomic Pathology Random Review performance Requirement: Contractor Shall Perform Retrospective Case Review. standard: Staff Pathologist To Provide Case Reviews Of 10% Of All Cases For Pathology, Surgical, Cytology, Hematopathology, Mohs, And Fine Needle Aspirate, Etc. acceptable Quality Level (aql): 100% Review And Documenting Of 10% Of All Cases. surveillance Method: Monthly Review frequency: Contractor Shall Provide A Monthly Report To Each Facility Cor Providing All Results Of Each Review Completed. billing And Invoicing performance Requirement: Contractor Shall Ensure Only Tests Listed In The Award (test Codes And Descriptions) Are Billed Through The Award Account. Contractor Shall Ensure That They Meet All Invoicing And Billing Requirements Established In The Award. standard: Proper And Correct Invoicing. acceptable Quality Level (aql): 90% surveillance Method: Monthly Review. frequency: Contractor Shall Submit On-time Invoices With All Required Information Monthly As Established In This Award. tracking Purchase Card Transactions performance Requirement: Contractor Shall Follow The Procedures In Attachment 7 standard: Proper And Correct Tracking And Notification Of Test Results Delivery And Payment acceptable Quality Level (aql): 90% surveillance Method: Monthly Review frequency: Contractor Shall Submit Monthly Tracking Spreadsheet As Established In Attachment 7 contract Increases Up To 20% Of Total Contract Value due To The Unpredictable Nature Of The Quantities And Types Of Tests That Will Be Required, Any Estimations Will Fall Short Of Accurate. Therefore, The Va Reserves The Right To Increase The Total Value Of The Contract Up To No More Than 20% Of The Total Contract Value By Increasing The Estimated Quantities Of Tests Required, And/or Adding New Tests To The List Via A Supplemental Agreement In Accordance With Far 52.212-4. These Modifications Will Occur On An Estimated Quarterly Basis. invoicing Instructions invoice Requirements And Supporting Documentation: Supporting Documentation And Invoice Must Be Submitted No Later Than The 20th Workday Of The Month For The Month Prior. Subsequent Changes Or Corrections Shall Be Submitted By Separate Invoice. In Addition To Information Required For Submission Of A Proper Invoice In Accordance With Far 52.212-4 (g), All Invoices Must Include: name And Address Of Contractor invoice Date And Invoice Number contract Number And Purchase/task Order Number date Of Service invoices Shall Not Include Any Pii Such As Full Name, Social Security Number, Or Date Of Birth.â  attached Excel Spreadsheet Reference Lab Invoice Summary For Each Month With The Total Quantity For The Corresponding Invoice (this Shall Include Every Test In Order As They Appear In The Award, Even If The Total Is Zero For That Month). invoices Shall Include The Correct Po. Invoices Shall Be Submitted Electronically Through Tungsten Services And Be Certified By Va Cor For Payment. any Test Code Names And/or Quantities On A Contract Invoice That Was Paid For Using A Purchase Card Transaction Will Cause The Invoice To Be Rejected In It S Entirety. any Test Code Names And/or Quantities That Were Not Able To Be Provided Due To Specimen Integrity Failure Will Cause The Invoice To Be Rejected In It S Entirety. when Invoicing, Prior To The Test Name Being Updated Via Contract Modification, The Contractor Shall Reference Both The Previous Test Code Name And New Test Code Name On The Invoice.

Details: Description Invitation To Re-bid The Iligan City Government Bids And Awards Committee (bac), Through Special Educational Fund Intend To Apply The Sum Of P 4,830,913.32 Being The Approved Budget For The Contract (abc) To Payments Under The Contract For Three-storey Guidance And Counselling Building, Iligan City National High School (icnhs), Brgy. Mahayahay, Iligan City With Project No. Cb(b)-24-130 (ceo-infra) Re-bid. Bids Received In Excess Of The Abc Shall Be Automatically Rejected At Bid Opening. The Iligan City Government Bids And Awards Committee Now Invites For The Supply And Delivery Of Items Below-stated: Particulars Three-storey Guidance And Counselling Building, Iligan City National High School (icnhs), Brgy. Mahayahay, Iligan City •general Requirements -pennits & Clearances; -installation Of Project Billboard,2 Sets; -occupational Safety & Health Program; •clearing & Grubbing -cutting Of Trees; •earthworks -excavation For Foundation, Tie Beam, Wall-footing , Zocalo, Septic Vault, Concrete Storage, Stairs Foundation & Grease Trap; -backfilling & Compaction For The Slab On Grade; -gravel Bedding For Foundation , Tie Beam, Wall-footing , Slab On Grade, Zocalo, Septic Vault , Concrete Storage, Stairs Foundation & Catch Basin; •concrete Works, Forms & Scaffoldings -concrete Pouring For Foundation , Columns, Tie Beam, 2nd & 3rd Floor Beams, Suspended Slab, Roof Beams , Cantilever Beams, Slab On Grade, Wall-footing (foundation) , Zocalo (foundation) , Septic Vault Flooring (top & Bottom), Concrete Storage (foundation), & Catch Basin Flooring; •masonry Works -installation Of 4" X 8" X 16" Concrete Hollow Blocks (chb) For Wallings At Ground Floor, Balcony (2nd Floor) , Parapet,wall-footing ,septic Vault, Catch Basin, Concrete Storage & Zocalo, W/plaster Finish,& Smooth On Expose Areas; -using 10mmø X 6m Deformed Steel Bars Wf#.16 G.i Tie Wire; And Vertical Spaced @600mm O.c & For Horizontal, Every @3rd Layer; •steel Reinforcement -using 10mmø, 12mmø, 16mmø & 20mmø Deformed Steel Bars Wf#.16 G.i Tie Wire; •paint Works & Finishes; -skim Coating Only For All Wallings At Ground Floor Only; •steel Works -fabrication & Installation Of 50mm X 50mm X 6mm Thk., 38mm X 38mm X 6mm Thk., 38mm X 38mm X 4.smm Thk ., 25mm X 25mm X 4.smm Thk., 25mm X 25mm X 2mm Thk. Angle Bar,25mm X 25mm X 3/16" Thk. Angle Bar, 25mm X 3/16" Thk. Flat Bar. 2" X 4" X 1.smm Thk. C-purtins W/ 10mmø Dsb Sagrods, 12mmø Turnbuckle & Cross Brace; 10mmø Anchor Bolt,epoxy Primer; -installation Of Stainless Steel Square Tube Railings- Grade 304 For Stairs & Balcony; •tinsmithry Works -installation Of 0.4mm Thk. Colored Roof Long-span Rib Type,0.4mm Thk. Pre-fab End Flashing, 0.4mm Thk. Pre-fab Fascia Cover,& 0.30m X 2.40m X 0.4mm Thk. Pre-fab Colored Gutter Spanish Type W/complete Accessories ; •electrical Works ; -electrical Works At Ground Floor, & Provisions; •plumbing Works; -installation Of Plumbing Fixtures At Ground Floor Only; -installation Of 3"ø Pvc Pipe For Downspout W/ G.i Basket Strainer, Pvc Pipe Clip W/complete Accessories ; -provision Of Pvc & G.i Pipes For 2nd Floor & 3rd Floor Fixtures; I. Permits And Clearance (q = 1.00 Lumpsum) Includes Fire, Brgy. Clearance For Construction Fee, Professional Fee, White Print (a-3)-6 Sets Of Plans. Ii. Construction Safety And Health Program (q = 1.00 Lot) Includes Safety Shoes, Safety Helmet, Safety Gloves, Specialized Ppe, First Aide Kit & Medicines. Iii. Project Billboard (q = 2.00 Set/s) Includes 4' X 8' Tarpaulin Print Billboard, 8' X 8' Tarpaulin Print Billboard, 2"x 2"x 8' Coco Lumber, 2"x 2"x 10' Coco Lumber, 2"x 2"x 14' Coco Lumber, Assorted Sizes C.w Nails. Iv.mobilization & Demobilization (q = 1.00 Lot) V.clearing And Grubbing (q = 1.00 Lot) Vi. Earthworks (q = 147.48 Cu.m) Includes Volume To Be Excavated, Volume To Be Backfilled, Pit Run Soil/earthfill (backfilling Suitable Materials), Gravel Bedding (1-1/2"ø). Vii. Concrete Works, Formworks And Scaffoldings (q = 75.99 Cu.m) Includes Portland Cement, Washed Sand, Washed Gravel, 4' X 8' X 1/4" Thk. Marine Plywood, Assorted Sized Coco Lumber, Assorted Sized C.w Nails. Viii. Masonry Works (q = 284.81 Sq.m) Includes 4" X 8" X 16" Chb, Portland Cement, Washed Sand, 10mm Dia. X 6m Dsb, #16 G.i Tie Wire. Ix.steel Reinforcements (q = 16,429.80 Kgs.) Includes 10mm Dia. X 6m Dsb, 12mm Dia. X 6m Dsb, 16mm Dia. X 6m Dsb, 20mm Dia. X 6m Dsb, #16 G.i Tie Wire. X.steel Works (q = 2,034.40 Kg/s) Includes 50mm X 50mm X 6m X 6mm Thk. Angle Bar- 16pcs, 38mm X 38mm X 6m X 4.smm Thk. Angle Bar- 20pcs, 38mm X 38mm X 6m X 6mm Thk. Angle Bar- 23pcs, 25mm X 25mm X 6m X 4.5mm Thk. Angle Bar- 24pcs, 25mm X 25mm X 6m X 2.0mm Thk. Angle Bar- 7pcs, 1" X 1" X 6m X 3/16" Thk. Angle Bar- 4pcs, 25mm X 6m X 3/16" Thk. Flat Bar- 3pcs, 50mm X 100mm X 6m X 1.5mm Thk. C-purlins- 20pcs, 12mmø X 6mm Plain Bar Cross Brace- 8pcs, 12mmø Turnbuckle, Sagrods-10mmø X 6mm Dsb- 18pcs, 10mmø Anchor Bolt (l-type), Welding Rod (6011), 2" X 3" X 6m X 1.0mm Thk. Stainless Steel Rectangular Tube- Grade 304, 2" X 2" X 6m X 1.0mm Thk. Stainless Steel Rectangular Tube- Grade 304, Stainless Welding Rod (1.60mm), Epoxy Primer, 4" Paint Brush, 4"ø Cutting Disc, 4"ø Grinding Disc, Assorted Sand Paper. Xi.tinsmithry (q = 80.73 Sq.m) Includes 0.4mm Thk. Colored Roof Long Span Rib Type, Pre-fab Colored End Flashing (0.4mm Thk. X 8'), 0.30m X 2.40m X 0.4mm Thk. Pre-fab Colored Gutter Spanish Type, Pre-fab Colored Fascia Cover (0.4mm Thk. X 8'), Sealant, Teksrew, Blind Rivets (1000pcs/box), Riveter, Aviation Metal Snip Scissor. Xii. Paint Works & Finishes (q = 388.99 Sq.m) Includes Skim Coat, Sand Paper. Xiii. Electrical Works (q = 1.00 Lot) Includes 2.0mm2 Thhn Stranded Copper Wire, 3.5mm2 Thhn Stranded Copper Wire, 8.0mm2 Thhn Stranded Copper Wire, 14.0mm2 Thhn Stranded Copper Wire, 38.0mm2 Thhn Stranded Copper Wire, Pvc Conduit 15mm, Pvc Elbow 15mm, Junction Box 4x4", Utility Box 2x4", Pvc Conduit 20mm, Pvc Elbow 20mm, Emt Conduit 32mm, Emt Coupling 32mm, Service Entrance Cap 32mm, Secondary Rack With 2 Spool, Duplex Convenience Outlet, Airconditioning Outlet, Single Gang Switch With Led Indicator 230v, Two Gang Switch With Led Indicator 230v, Three Gang Switch With Led Indicator 230v, Single Gang Three Way Switch With Led Indicator 230v, Led Panel Light Recessed Round Type 18w (230v), Led Panel Light 30x60 24w (230v Daylight), Led Panel Light 30x30 18w (230v), Circuit Breaker 2 Pole 15at (230v Plug In Type), Circuit Breaker 2 Pole 20at (230v Plug In Type), Circuit Breaker 2 Pole 60at (230v Plug In Type), Electrical Panelboard 10 Holes 8 Branches Plug In Type, Mccb 125 At 2 Pole 230v, Enclosure For 125 At Mccb, Solvent Cement 100cc, Minor Electrical Peripherals. Xiv. Plumbing Works (q = 1.00 Lot) Includes 6" Dia. X 10' Pvc Pipe S-1000, 4" Dia. X 10' Pvc Pipe S-1000, 4" Dia. Pvc Sanitary Tee (s-1000), 4" Dia. Pvc Elbow 1/4 Bend (90 Deg.), 4" Dia. Pvc Elbow 1/8 Bend (45 Deg.), 4" Dia. Pvc Coupling, 4" Dia. Pvc Clean Out W/adapter & Plug, 4" X 2" Dia. Pvc Coupling Reducer, 4" Dia. Pvc Cross Tee, 3" Dia. X 10' Pvc Pipe S-1000, 3" Dia. Pvc Elbow 1/4 Bend (90 Deg.), 3" X 2" Dia. Pvc Coupling Reducer, 3" X 2" Dia. Pvc Wye, 3" Dia. Pvc Elbow 1/8 Bend (45 Deg .), 3" Dia. Pvc Clean Out W/adapter & Plug, 3" Dia. Pvc Sanitary Tee (s-1000), Pvc Pipe Strap/clip, Bolt (54pcs), Nut (54pcs) And Washer (54pcs), 2" Dia. X 10' Pvc Pipe S-1000, 2" Dia. Pvc Tee, 2" Dia. Pvc P-trap, 2" Dia. Stainless P Trap, 2" Dia. Pvc Elbow 1/4 Bend (90 Deg.), Pvc Cement (400cc), 1/2" Dia. X 20' G.i Threaded Pipe Water Supply Line, 1/2" Diam. G.i Threaded Pipe Elbow (90deg.), 1/2" Diam. G.i Threaded Pipe Tee, 1/2" Diam. G.i Threaded Union Patente, G.i Basket Strainer, 4" X 4" Stainless Floor Drain, Water Closet W/complete Fittings/accessories-heavy Duty, Lavatory -heavy Duty, Faucet W/complete Accessories-heavy Duty, Teflon Tape (3/4" X 10m). Approved Budget For The Contract (abc): P 4,830,913.32 Required Bid Security: 2% Of The Abc If Cash, Manager’s Check; Bank Draft/guarantee, Irrevocable Letter Of Credit Confirmed Or Authenticated By A Universal Or Commercial Bank; And 5% Of The Abc If Surety Bond Callable Upon Demand Issued By A Surety Or Insurance Company Duly Certified By The Insurance Commission As Authorized To Issue Such Security Delivery Period Is Within One Hundred Eighty (180) Calendar Days From Receipt Of Notice To Proceed. Bidders Should Have Completed, Within Five (5) Years From The Date Of Submission And Receipt Of Bids, A Contract Similar To The Project. The Description Of An Eligible Bidder Is Contained In The Bidding Documents, Particularly, In Section Ii. Instruction To Bidders. Bidding Will Be Conducted Through Open Competitive Bidding Procedures Using A Non-discretionary “pass/fail” Criterion As Specified In The Implementing Rules And Regulations (irr) Of Republic Act (ra) 9184, Otherwise Known As The “government Procurement Reform Act”. Bidding Is Restricted To Filipino Citizens/sole Proprietorships, Partnerships, Or Organizations With At Least Sixty Percent (60%) Interest Or Outstanding Capital Stock Belonging To Citizens Of The Philippines, And To Citizens Or Organizations Of A Country The Laws Or Regulations Of Which Grant Similar Rights Or Privileges To Filipino Citizens, Pursuant To Ra 5183 And Subject To Commonwealth Act 138. Interested Bidders May Obtain Further Information From Iligan City Government And Inspect The Bidding Documents During Office Hours From 8:00 A.m. – 12:00 P.m. And 1:00 P.m. – 5:00 P.m. At The Office Of The Bids And Awards Committee, Room 205, Left Wing, 2nd Floor, Sp Bldg., Buhanginan Hills, Palao, Iligan City. The Complete Schedule Of Activities Is Listed, As Follows: Activities Schedule 1.issuance Of Bid Documents: December 10, 2024 – January 7, 2025 – 8:00 A.m. At Room 205, Left Wing, 2nd Floor, Sp Bldg., Buhanginan Hills, Palao, Iligan City. 2.pre-bid Conference: December 17, 2024 – 9:30 A.m. At Casimero P. Cabigon Hall, 2nd Floor City Hall Main Bldg., Buhanginan Hills, Pala-o, Iligan City 3.submission Of Bids: January 7, 2025 – 9:30 A.m. At Casimero P. Cabigon Hall, 2nd Floor City Hall Main Bldg., Buhanginan Hills, Pala-o, Iligan City 4.opening Of Bids: January 7, 2025 – 9:30 A.m. At Casimero P. Cabigon Hall, 2nd Floor City Hall Main Bldg., Buhanginan Hills, Pala-o, Iligan City A Complete Set Of Bidding Documents Will Be Available To Prospective Bidders Upon Payment Of A Non-refundable Amount Of P 5,000.00 To The Iligan City Government Cashier, At The Bac Office, Room 205, Left Wing, 2nd Floor, Sp Bldg., Buhanginan Hills, Palao, Iligan City.the Iligan City Government Reserves The Right To Accept Or Reject Any Bid, To Annul The Bidding Process, And To Reject All Bids At Any Time Prior To Contract Award, Without Thereby Incurring Any Liability To The Affected Bidder Or Bidders. Furthermore, The City Government Of Iligan Assumes No Responsibility Whatsoever To Compensate Or Indemnify Bidders For Any Expense Or Loss Incurred In The Preparation And Submission Of The Eligibility Statements And Bids. Approved By: (signed) Darwin J. Manubag, Phd. Bac Chairman Date Of Advertisement/posting: December 10, 2024 Place Of Posting/advertisement: City Hall/ibjt Bulletin Boards, Iligan Official Website, Phil-geps Itb No. 24-130 (ceo-infra)

Description: Sources Sought Notice important: Read This Notice In Its Entirety Before Responding. Services Are Sporadic And No Routine Schedule Or Quantity Can Be Firmly Identified the Department Of Veterans Affairs (va), Network Contracting Office (nco) 23, On Behalf Of The Sioux Falls Sd Va Hospital, Is Seeking Information And Potential Sources For Onsite Licensed General Surgeon Gastroenterology Services. The Period Of Performance Will Be For One Year And Includes Four (4) One-year Option Periods. the Contractor Shall Provide Onsite Licensed General Surgeon Gastroenterology Services In Accordance With The Terms, Conditions, And Specifications Contained Herein To Beneficiaries Of The Department Of Veteran Affairs (va), Sioux Falls Va Health Care System (vahcs). The Total Number Of Hours Required Is 416 Hours Annually. Services May Be Required On A 24-hour Per Day, Seven Days Per Week Basis, Including Holidays And Weekends. On Call Services May Be Required. See Attached Performance Work Statement (pws) For Additional Information. the Naics For This Requirement Is 561320 Temporary Help Services, Which Has A Small Business Size Standard Of $34.0 Million. It Is The Intent Of The Va To Issue A Single Award, Firm Fixed Price Contract. this Is A Sources Sought Notice Only. This Sources Sought Notice Will Be Used To Obtain Information Regarding The Provision Of F Onsite Licensed General Surgeon Gastroenterology Services From Potential Vendors, Identify Potential Vendors That Would Be Interested And Capable Of Providing Onsite Licensed General Surgeon Gastroenterology Services Within The Requested Timeframe, And To Assist The Contracting Officer In Making A Set-aside Determination. This Source Sought Notice And Any Responses Are For Market Research Purposes Only And Shall Not Be Considered An Obligation On The Part Of The Government To Acquire Any Services. this Source Sought Notice Is Not A Solicitation, And No Contractual Arrangement Will Be Made As A Result. Vendors Are Advised That No Entitlement To Payment Of Direct Or Indirect Costs Or Charges By The Government Will Arise Because Of A Contractor Submission To This Sources Sought Notice Or The Government's Use Of Such Information. All Costs Associated With Responding To This Sources Sought Notice Are Solely At The Responding Vendors Expense. The Government Reserves The Right To Reject, In Whole Or In Part, Any Vendor's Input Resulting From This Sources Sought Notice. Information Submitted In Response To This Sources Sought Notice Will Not Be Returned. all Submitted Information Should Be Unclassified Or Non-proprietary. Vendors Are Solely Responsible For Properly Marking And Clearly Identifying Any Proprietary Information Or Trade Secrets Contained With Its Response. The Government Will Not Be Liable For Or Suffer Any Consequential Damages For Any Proprietary Information Not Properly Marked And Clearly Identified. by Responding To This Sources Sought Notice, The Vendor Provides The Government Permission To Share Its Submitted Capabilities And Contact Information With Other Government Organizations In Relationship To Similar Requirements For Market Research Purposes. To Be Considered Complete, Responses To This Sources Sought Notice Shall Include The Information Below. provide A Brief Description Of The Company Background, Experience In Providing Onsite Licensed General Surgeon Gastroenterology Services As The Prime Contractor/subcontractor, Socioeconomic Status, Past Performance With Government Contracts, And Contractor Sam Uei Number. indicate If Subcontractors/partners Be Used For Any Part Of The Delivery Of Onsite Licensed General Surgeon Gastroenterology Services? If Yes, Specify The Duties Of The Prime Contractor And Any Subcontractors/partners. if Company Is A Veteran And/or Small Business, Indicate If Able To Comply With The Limitations On Subcontracting At 13 Cfr 125.6, Which States That For Services A Small Business Concern Must Agree That It Will Not Pay More Than 50% Of The Amount Paid By The Government To It To Firms That Are Not Similarly Situated. include Copy Of Small Business Administration Verification At Veteran Small Business Certification (sba.gov) If Claiming Veteran-owned Small Business Or Service-disabled Veteran-owned Small Business Socioeconomic Status As Prime Contractor Or For Any Subcontractors/partners. provide A Copy Of Current Certificate Of Liability Insurance In Vendor S Name. all Interested Parties, Regardless Of Socioeconomic Status, Capable Of Providing The Required Onsite Licensed General Surgeon Gastroenterology Services Above Shall Submit A Response Via Email To The Contracting Specialist At Tina.bernad@va.gov No Later Than January 3, 2025, 11:00 A.m. Central Time. performance Work Statement onsite General Surgeon Gastroenterology Services general: services Provided: The Contractor Shall Provide Board Certified/board Eligible General Surgery Physician Services Onsite In Accordance With The Specifications Contained Herein To Beneficiaries Of The Va And The Royal C. Johnson Veterans Memorial Hospital (sioux Falls Va). place Of Performance: Contractor Shall Furnish Services At The Royal C. Johnson Veterans Memorial Hospital (sioux Falls Va), 2501 W 22nd St, Sioux Falls, Sd 57105. authority: Title 38 Usc 8153, Health Care Resources (hcr) Sharing Authority. Remember To Identify The Federal Acquisition Regulation (far) Parts Used (far 12 In Combination With 13, 15 And/or Va Acquisition Regulation (vaar) Part 873) policy/directives/handbooks. The Contractor Shall Be Subject To The Following Policies, Including Any Subsequent Updates During The Period Of Performance. The Policies Listed Below Can Be Accessed Electronically At The Following: Va Publications Vha Publications va Directive 1663: Health Care Resources (hcr) Contracting Buying Title 38 U.s.c. 8153 1.4.2. Vha Directive 1003.04: Vha Patient Advocacy vha Directive 1065: Productivity And Staffing Guidance For Specialty Provider Group Practice vha Directive 1088(1): Communicating Test Results To Providers And Patients vha Directive 1100.18: Reporting And Responding To State Licensing Boards vha Directive 1100.20: Credentialing Of Health Care Providers vha Directive 1100.21: Privileging vha Directive 1192.01: Seasonal Influenza Vaccination Program For Vha Health Care Personnel vha Directive 1220(1): Facility Procedure Complexity Designation Requirements To Perform Invasive Procedures In Any Clinical Setting vha Directive 1400.01: (not Applicable, Please Remove) vha Directive 1605.01: Privacy And Release Of Information vha Directive 1907.01: Vha Health Information Management And Health Records vha Handbook 1100.17: National Practitioner Data Bank (npdb) Reports vha Handbook 1400.04: (not Applicable, Please Remove) privacy Act Of 1974 (5 U.s.c. 552a) As Amended: Http://www.justice.gov/oip/foia_updates/vol_xvii_4/page2.htm acronyms/definitions: Terms Used In This Contract Shall Be Interpreted As Follows Unless The Context Expressly Requires A Different Construction And/or Interpretation. In Case Of A Conflict In Language Between The Definitions And Other Sections Of This Contract, The Language In This Section Shall Govern. abs: American Board Of Surgery Http://www.absurgery.org/ acgme: Accreditation Council For Graduate Medical Education acls: Advanced Cardiac Life Support ajic: American Journal For Infection Control aql: Acceptable Quality Level baa: Business Associate Agreement bba: Balanced Budget Act bls: Basic Life Support cdc: Centers For Disease Control And Prevention cdr: Contract Deficiency Report ceu: Certified Education Unit clinical Privileging: Clinical Privileging Is The Process By Which A Practitioner, Licensed For Independent Practice; E.g., Without Supervision, Direction, Required Sponsor, Preceptor, Mandatory Collaboration, Etc.; Is Permitted By Law And The Facility To Practice Independently, To Provide Specific Medical Or Other Patient Care Services Within The Scope Of The Individual S License, Based Upon The Individual S Clinical Competence As Determined By Peer References, Professional Experience, Health Status, Education, Training And Licensure. Clinical Privileges Must Be Facility-specific And Provider-specific, And Within Available Resources. cme: Continuing Medical Education cmp: Civil Monetary Penalty cms: Centers For Medicare And Medicaid Services co: Contracting Officer: The Person Executing This Contract On Behalf Of The Government With The Authority To Enter Into And Administer Contracts And Make Related Determinations And Findings. coi: Conflict Of Interest cor: Contracting Officer S Representative: A Person Appointed By The Co To Take Necessary Action To Ensure The Contractor Performs In Accordance With And Adheres To The Specifications Contained In The Contract And To Protect The Interest Of The Government. The Cor Shall Report To The Co Promptly Any Indication Of Non-compliance In Order That Appropriate Action Can Be Taken. cos: Chief Of Staff cpars: Contractor Performance Assessment Reporting System credentialing: Credentialing Is The Process Of Obtaining, Verifying, And Assessing The Qualifications Of A Health Care Provider To Provide Care Or Services In Or For The Va Health Care System. Credentials Are Documented Evidence Of Licensure, Education, Training, Experience Or Other Qualifications. dea: Drug Enforcement Agency ehr: Electronic Health Record - Electronic Health Record System Used By The Va epa: Environmental Protection Agency fapiis: Federal Awardee Performance And Integrity Information System far: Federal Acquisition Regulation foia: Freedom Of Information Act fppe: Focused Provider Practice Evaluation fsmb: Federation Of State Medical Boards fte: Full Time Equivalent: Va S Standard Definition Is For Full Time Working The Equivalent Of 80 Hours Every Two Weeks, 2080 Hours Per Year.  however, Providers May Propose Using Their Standard Fte Definition. hhs: Department Of Health And Human Services hicpac: Hospital Infection Practices Advisory Committee hipaa: Health Insurance Portability And Accountability Act igra: Interferon-gamma Release Assays iso: Information Security Officer key Personnel: The Individuals Specified In This Contract Who Are Essential To Work Performance. mri: Magnetic Resonance Imaging mst: Military Sexual Trauma npi: National Provider Identifier. Npi Is A Standard, Unique 10-digit Numeric Identifier Required By Hipaa. The Vha Must Use Npis In All Hipaa-standard Electronic Transactions For Individual (health Care Practitioners) And Organizational Entities (medical Centers). nppes: National Plan And Provider Enumeration System nso: National Surgery Office ogc: Office Of General Counsel oig: Office Of Inspector General oppe: Ongoing Provider Practice Evaluation or: Operating Room pop: Period Of Performance ppd: Purified Protein Derivative ppirs: Past Performance Information Retrieval System pws: Performance Work Statement qa/qi: Quality Assurance/quality Improvement qm/pi: Quality Management/performance Improvement qasp: Quality Assurance Surveillance Plan rfp: Request For Proposal scs: Specialty Care Services ssac: Sole Source Affiliate Contract tjc: The Joint Commission tst: Tuberculosis Skin Test usc: United States Code va: Department Of Veterans Affairs va-fsc: Va Financial Services Center vaar: Va Acquisition Regulation vetpro: Is Vha S Mandatory Credentialing Software Platform To Document The Credentialing Of Vha Health Care Providers. This System Facilitates Completion Of A Uniform, Accurate And Complete Credentials File. vha: Veterans Health Administration vista: Veterans Integrated Systems Technology Architecture qualifications: staff/facility license: The Contractor S Physician(s) Assigned By The Contractor To Perform The Services Covered By This Contract Shall Have A Current License To Practice Medicine In Any State, Territory, Or Commonwealth Of The United States Or The District Of Columbia) When Services Are Performed Onsite On Va Property. all Licenses Held By The Key Personnel Working On This Contract Shall Be Full And Unrestricted Licenses. Contractor S Physician(s) Who Have Current, Full And Unrestricted Licenses In One Or More States, But Who Have, Or Ever Had, A License Restricted, Suspended, Revoked, Voluntarily Revoked, Voluntarily Surrendered Pending Action Or Denied Upon Application Will Not Be Considered For The Purposes Of This Contract. board Certification: All Contractor S Physician(s) Shall Be Board Certified/board Eligible By The Abs Http://www.absurgery.org/, And Be Currently Certified In Bls, Acls Or Equivalency. All Continuing Education Courses Required For Maintaining Certification Must Be Kept Up To Date At All Times. Documentation Verifying Current Certification Shall Be Provided By The Contractor To The Va Cor On An Annual Basis For Each Year Of Contract Performance. credentialing And Privileging: Credentialing And Privileging Is To Be Done In Accordance With The Provisions Of Vha Directive 1100.20 And Vha Directive 1100.21 Referenced Above. 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 Contractor S Physician(s) Prior To Obtaining Approval By The Facility Medical Executive Board And Medical Center Director. if A Contractor S Physician(s) And/or Other Contract Provider(s) Are Not Credentialed And Privileged Or Has Credentials/privileges Suspended Or Revoked, The Contractor Shall Furnish An Acceptable Substitute Without Any Additional Cost To The Government. technical Proficiency: Contractor S Physician(s) 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 Shall Provide Documents Upon Request Of The Co/cor To Verify Current And Ongoing Competency, Skills, Certification And/or Licensure Related To The Provision Of Care, Treatment And/or Services Performed. Contractor Shall Provide Verifiable Evidence Of All Educational And Training Experiences Including Any Gaps In Educational History For All Contractor S Physician(s) And Contractor S Physician(s) Shall Be Responsible For Abiding By The Facility's Medical Staff By-laws, Rules, And Regulations (referenced Herein) That Govern Medical Staff Behavior. continuing Medical Education (cme)/ Certified Education Unit (ceu) Requirements: Contractor Shall Provide The Cor Copies Of Current Cmes As Required Or Requested By The Facility. Contractor S Physician(s) Registered Or Certified By National/medical Associations Shall Continue To Meet The Minimum Standards For Cme To Remain Current. Contractor Shall Report Cme Hours To The Credentials Office For Tracking. These Documents Are Required For Both Privileging And Re-privileging. Failure To Provide Shall Result In Loss Of Privileges For Contractor S Physician(s). training (acls, Bls, Ehr And Va Mandatory): Contractor Shall Meet All Va Educational Requirements And Mandatory Course Requirements Defined Herein; All Training Must Be Completed By The Contractor S Physician(s) As Required By The Va. Other Training May Become Required. Va Will Communicate Any Changes To The Training Requirement To The Contractor. training frequency annual Hours acls/bls as Necessary To Maintain Certification. active Threat Training annually 30 Minutes blood Administration: Complication annually 30 Minutes ehr annually 2 Hours government Ethics annually 30 Minutes hospice And Palliative Care For Va Clinicians annually 30 Minutes military Sexual Trauma (mst) For Medical Providers annually 30 Minutes moderate Sedation In-service Training annually 30 Minutes pact Act 2022 Toxic Exposure Screening (tes) annually 30 Minutes patient Abuse annually 30 Minutes patient Rights annually 30 Minutes patient Safety annually 30 Minutes prevention/management Of Disruptive Behavior/violence Prevention Level I annually 30 Minutes prevention Of Workplace Harassment/no Fear Act annually 30 Minutes suicide Prevention: Suicide Risk Management Training For Clinicians annually 30 Minutes sux Infection Control And Blood Borne Pathogens annually 30 Minutes va Core Values Training (icare Recommitment) annually 30 Minutes va Privacy And Information Security Awareness And Rules Of Behavior annually 30 Minutes vha Mri Safety Training Level 1 Training (all Who Enter Mri Suites) annually 30 Minutes vha Privacy And Hipaa Focused Training annually 30 Minutes vista Imaging one Time 30 Minutes radiation Safety annually 30 Minutes standard Infection Control Measures (ppd, Immunizations, Etc.): Contractor Shall Provide Proof Of The Following For Physicians Within Five (5) Calendar Days After Contract Award And Prior To The First Duty Shift To The Cor And Co. Tests Shall Be Current Within The Past Year. tuberculosis Testing: Contractor Shall Provide Proof Of A Negative Tuberculosis Skin Test (tst) Or Interferon-gamma Release Assays (igra) For All Contractor S Physician(s) Upon Hire In Accordance With Cdc Guidance. (this Is Applicable To All Health Care Workers). A Negative Chest Radiographic Report For Active Tuberculosis Shall Be Provided In Cases Of Positive Tst Or Igra Results. measles, Mumps, & Rubella Testing: Contractors Shall Provide Proof Of Immunity For All Contractor Physicians {this Is Applicable To All Health Care Workers}. varicella: Contractors Shall Provide Proof Of Immunity For All Contractor Physicians {this Is Applicable To All Health Care Workers}. acellular Pertussis: Contractors Shall Provide Proof Of 1 Dose Of Tdap Vaccination For All Contractor Physicians {this Is Applicable To All Health Care Workers}. influenza: Contractors Shall Provide Proof That All Contractor Physicians Have Received The Annual Influenza Vaccine Unless It Is Contraindicated. If The Contractor Physician Has A Medical Contraindication To The Vaccine They Shall Be Required To Wear A Mask During The Influenza Season. {this Is Applicable To All Health Care Workers}. covid-19: Contractors Shall Comply With Vha Supplemental Contract Requirements For Combatting Covid-19 {this Is Applicable To All Health Care Workers}. See Section D Attachment. osha Regulation Concerning Occupational Exposure To Bloodborne Pathogens: Contractor Shall Provide Evidence Of Completing And Passing Generic Self-study Blood-borne Pathogen Training For All Contractor S Physician(s) {this Is Applicable To All Health Care Workers}; Provide Their Own Hepatitis B Vaccination Series And Hepatitisâ b Surface Antigen Test Resultsâ following The Hepatitis B Vaccination Series; Maintain An Exposure Determination And Control Plan; Maintain Required Records; And Ensure That Proper Follow-up Evaluation Is Provided Following An Exposure Incident. the Facility Shall Notify The Contractor Of Any Significant Communicable Disease Exposures As Appropriate. Contractor 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. Contractor Shall Provide Follow Up Documentation Of Clearance To Return To The Workplace Prior To Their Return. npi: Npi Is A Standard, Unique 10-digit Numeric Identifier Required By Hipaa. The Vha Must Use Npis In All Hipaa-standard Electronic Transactions For Individual (health Care Practitioners) And Organizational Entities (medical Centers). The Contractor Shall Have Or Obtain Appropriate Npi And If Pertinent The Taxonomy Code Confirmation Notice Issued By The Cms Nppes Be Provided To The Co With The Proposal. dea: Contractor Shall Provide Copy Of Current Dea Certificate. Conflict Of Interest (coi): The Contractor And All Contractor S Physician(s) 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 Shall Also Provide Statements Containing The Same Information For Any Identified Consultants Or Subcontractors Who Shall Provide Services. 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. These Statements Shall Be In Response To The Vaar Provision 852.209-70 Organizational Conflicts Of Interest And Fully Outlined In Response To The Subject Attachment In Section D Of The Solicitation Document. 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 Va Patient Referrals. 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. Additionally, The Contractor Is Required To Comply With All E-verify Requirements Consistent With Executive Order 12989 And Any Related Pertinent Amendments, As Well As Applicable Far. if The Contractor Fails To Comply With Any Requirements Outlined In The Preceding Paragraphs Or Its Agency Regulations, The Va May, At Its Discretion, Require That The Foreign National Who Failed To Maintain Their Legal Status In The United States Or Otherwise Failed To Comply With The Requirements Of The Laws Administered By Homeland Security, Immigration And Customs Enforcement And The U.s Department Of Labor, Shall Be Prohibited From Working At The Contractor S Place Of Business That Services Va Patient Referrals; Or Other Place Where The Contractor Provides Services To Veterans Who Have Been Referred By The Va; And Shall Form The Basis For Termination Of This Contract For Breach. 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. the Contractor Agrees To Obtain A Similar Certification From Its Subcontractors. The Certification Shall Be Made As Part Of The Offerors Response To The Rfp Using The Subject Attachment In Section D Of The Solicitation Document. annual Oig Statement: In Accordance With Hipaa And The Balanced Budget Act (bba) Of 1977, The Hhs 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, 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. Contractor 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 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 Contractor That Employ Or Enter Into Contracts With Excluded Individuals To Provide Items Or Services To Federal Program Beneficiaries. 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. clinical/professional Performance: The Qualifications Of Contractor Personnel Are Subject To Review By Facility Cos Or His/her Clinical Designee And Approval By The Medical Center Director As Provided In Vha Directive 1100.20 And Vha Directive 1100.21. Clinical/professional Performance Monitoring And Review Of All Clinical Personnel Covered By This Contract For Quality Purposes Will Be Provided By The Facility 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 And/or Make Changes To The Contract During The Administration Of The Resultant Contract. non Personal Healthcare Services: The Parties Agree That The Contractor And All Contractor S Physician(s) Shall Not Be Considered Va Employees For Any Purpose. indemnification: The Contractor Shall Be Liable For, And Shall Indemnify And Hold Harmless The Government Against, All Actions Or Claims For Loss Of Or Damage To Property Or The Injury Or Death Of Persons, Arising Out Of Or Resulting From The Fault, Negligence, Or Act Or Omission Of The Contractor, Its Agents, Or Employees. prohibition Against Self-referral: Contractor S Physicians Are Prohibited From Referring Va Patients To Contractor S Or Their Own Practice(s). inherent Government Functions: Contractor And Contractor S Physician(s) 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 (outside A Clinical Context), 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. employee Status: The Contractor Shall Be Responsible For Protecting Contractor S Physician(s) 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 Liability: The Federal Tort Claims Act Does Not Cover Contractor Or Contractor S Physician(s). When A Contractor Or Contractor S Physician(s) Has Been Identified As A Provider In A Tort Claim, The Contractor Shall Be Responsible For Notifying Their Legal Counsel And/or Insurance Carrier. Any Settlement Or Judgment Arising From A Contractor S (or Contractor S Physician(s)) Action Or Non-action Shall Be The Responsibility Of The Contractor And/or Insurance Carrier. key Personnel: the Va Full Time Equivalent (fte) For The Services Required Is 416 Hours = .20 Va Fte. the Minimum Number Of Board Certified/board Eligible General Surgery Physicians Required To Be Onsite Daily Is 1 To Be Onsite As Defined In Paragraph Hours Of Operation In This Section. the Contractor Shall Be Responsible For Providing Coverage To The Va During Periods Of Vacancies Of The Contractor S Personnel Due To Sick Leave, Personal Leave, Vacations And Additional Coverage As Required. In The Event A Scheduled Physician Is Unable To Complete An Assigned Shift, The Contractor Shall Provide Replacement Physician Coverage Within 2 Hours And Notify The Cor Immediately Of The Schedule Change. personnel Substitutions: During The First Ninety (90) Calendar 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 7 Calendar Day(s) After The Occurrence Of Any Of These Events And Provide The Information Required Below. After 90 Days, The Contractor Shall Submit The Information Required Below To The Co At Least 60 Calendar 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 7 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 Shall Not Be Reporting To Work For 2 Consecutive Workdays Or More, The Contractor Shall 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. the Government Reserves The Right To Refuse Acceptance Of Any Contractor Personnel At Any Time After Performance Begins, If Personal Or Professional Conduct Jeopardizes Patient Care Or Interferes With The Regular And Ordinary Operation Of The Facility. Breaches Of Conduct Include Intoxication Or Debilitation Resulting From Drug Use, Theft, Patient Abuse, Dereliction Or Negligence In Performing Directed Tasks, Or Other Conduct Resulting In Formal Complaints By Patient Or Other Staff Members To Designated Government Representatives. Standards For Conduct Shall Mirror Those Prescribed By Current Federal Personnel Regulations. Should The Va Cos Or Designee Show Documented Clinical Problems Or Continual Unprofessional Behavior/actions With Any Contractor S Physician(s), S/he May Request, Without Cause, Immediate Replacement Of Said Contractor S Physician(s). The Co And Cor Shall Deal With Issues Raised Concerning Contractor S Physician(s) Conduct. The Final Arbiter On Questions Of Acceptability Is The Co. contingency Plan: Because Continuity Of Care Is An Essential Part Of Facility S Medical Services, The Contractor Shall Have A Contingency Plan In Place To Be Utilized If The Contractor S Physician(s) Leaves Contractor S Employment Or Is Unable To Continue Performance In Accordance With The Terms And Conditions Of The Resulting Contract. va Hours Of Operation/scheduling: va Business Hours: Va Clinc Days And Prouders Are From Monday Through Friday 7am To 3pm. clinic Or Or Schedule: Contract S Physician(s) Will Be Scheduled Tuesday S And Friday S Between The Hours Of 7am To 3pm. patients Must Be Seen By A Contractor S Physician(s) Onsite At The Sfvamc In A Timely Manner In Accordance With Va Rules And Regulations On Clinic Wait Times And Consult Completion. Contractor Shall Notify The Cor At Least Monthly About Any Obstacles To Meeting This Performance Measure. contractor S Physician(s) Shall Be Available And Present In Clinic During Normal Sfvamc Clinic Hours, Which Will Be Established, And May Be Revised, As Deemed Appropriate For Patient Care By The Cos. Currently, Normal Clinic Hours Are 7am To 3pm. federal Holidays: The Following Holidays Are Observed By The Va: new Year S Day president S Day martin Luther King S Birthday memorial Day juneteenth independence Day labor Day columbus Day veterans Day thanksgiving christmas any Day Specifically Declared To Be A National Holiday. cancellations: 45 Days Notice From Contractor, If No Provider S Are Available. contractor Responsibilities: clinical Personnel Required: The Contractor Shall Provide Contractor S Physician(s) Who Are Competent, Qualified Per This Performance Work Statement And Adequately Trained To Perform Assigned Duties. contractor S Physician(s) Shall Be Responsible For Signing In And Out When In Attendance. Time Sheets Will Be Used By The Cor To Confirm Hours/day And Services Provided Against The Contractor S Invoices. standards Of Care: The Contractor S Physician(s) Care Shall Cover The Range Of General Surgery Services As Would Be Provided In A State-of-the-art Civilian Medical Treatment Facility And The Standard Of Care Shall Be Of A Quality, Meeting Or Exceeding Currently Recognized The Joint Commission (tjc), Va And National Standards As Established By: the Abs Http://www.absurgery.org/ the Professional Standards Of Tjc: Http://www.jointcommission.org/standards_information/standards.aspx the Standards Of The American Hospital Association (aha): Http://www.hpoe.org/resources?show=100&type=8 the Requirements Contained In This Pws (not Applicable) medical Records: authorities: Contractor S Physician(s) Providing Healthcare Services To Va Patients Shall Be Considered As Part Of The Department Healthcare Activity And Shall Comply With The 5 U.s.c.552a (privacy Act), 38 U.s.c. 5701 (confidentiality Of Claimants Records), 5 U.s.c. 552 (foia), 38 U.s.c. 5705 (confidentiality Of Medical Quality Assurance Records) 38 U.s.c. 7332 (confidentiality Of Certain Medical Records), Title 5 U.s.c. § 522a (records Maintained On Individuals) As Well As 45 C.f.r. Parts 160, 162, And 164 (hipaa). hipaa: This Contract And Its Requirements Meet Exception In 45 Cfr 164.502(e), And Do Not Require A Baa In Order For Covered Entity To Disclose Protected Health Information To: A Health Care Provider For Treatment Of Va Patients. Based On This Exception, A Baa Is Not Required For This Contract. Health Records Generated By This Contract Or Provided To The Contractors By The Va Are Covered By The Va Privacy Act System Of Records Entitled Patient Medical Records-va (24va10a7). Contractor Generated Va Patient Records Are The Property Of The Va And Shall Not Be Accessed, Released, Transferred, Or Destroyed Except In Accordance With Applicable Laws And Regulations. Contractor Shall Ensure That All Records Pertaining To Medical Care And Services Provided To Va Patients Are Captured In The Va Electronic Health Record System As Required By Va Policy As Discussed In 4.4.4. disclosure: Contractor S Physician(s) May Have Access To Patient Medical Records For The Purpose Of Providing Medical Care And Services To Va Patients And Performing Services Under The Contract; However, Contractor Shall Obtain Permission From The Va Before Disclosing Any Patient Information Outside Va. Va Authorizes The Contractor To Discuss Patient Health Information For Coordination Of Care Within Community Health Care Providers In Compliance With Va Regulations, Hipaa And Vha Directive 1605.1, Privacy And Release Of Information. The Va Will Provide The Contractor With A Copy Of Vha Directive 1907.01, Health Information Management And Health Records And Vha Directive1605.1, Privacy And Release Of Information. The Penalties And Liabilities For The Unauthorized Disclosure Of Va Patient Information Mandated By The Statutes And Regulations Mentioned Above, Apply To The Contractor. professional Standards For Documenting Care: Care Shall Be Appropriately Documented In Medical Records In Accordance With Standard Commercial Practice And Guidelines Established By Vha Directive 1907.01 Health Information Management And Health Records: Https://www.va.gov/vhapublications/viewpublication.asp?pub_id=9235 And All Guidelines Provided By The Facility. release Of Information: The Va Shall Maintain Control Of Releasing Any Copies Of Patient Health Information Or Health Records And Will Follow Policies And Standards As Defined, But Not Limited To Privacy Act Requirements. The Contractor Will Not Release Or Disclose Copies Of Records And Will Refer All Such Requests To The Release Of Information Department At The Va Facility Where Assigned. management For Medical Records: National Archives And Records Administration Record Disposition Requirements Are Found In Rcs 10-1 Chapter 6, 6000 Series. direct Patient Care: 100% Of The Time Involved In Direct Patient Care. Contractor Shall Be Responsible For: scope Of Care: Contractor S Physician(s) Shall Be Responsible For Providing General Surgery Physician Care, Including, But Not Limited To: clinic Responsibilities: Contractor Physician(s) Shall Be Present On Time For Any Scheduled Clinics/surgeries Start Times As Documented By Physical Presence In The Clinic Or Or At The Scheduled Start Time. communication Of Test Results: Mechanisms Must Be In-place To Provide Notification Of Test Results For Patients Receiving Care In Accordance With Vha Directive 1088, Communicating Test Results To Providers And Patients. medications: Contractor S Physician(s) Shall Follow All Established Medication Policies And Procedures. No Sample Medications Shall Be Provided To Patients. discharge Education: Provide Discharge Education And Follow Up Instructions That Are Coordinated With The Next Care Setting For All General Surgery Clinical Or Surgical Patients. (not Applicable) qa/qi Documentation: The Contractor S Physician(s) Shall Complete The Appropriate Qm/pi Documentation Pertaining To All Procedures, Complications And Outcome Of Examinations. patient Safety Compliance And Reporting: Contractor S Physician(s) Shall Follow All Established Patient Safety And Infection Control Standards Of Care. Contractor S Physician(s) Shall Make Every Effort 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 Shall Be Documented In The Medical Record Of Those Impacted And Disclosed To The Patient Or Surrogate. As Soon As Practicable (but Within 24 Hours) Contractors Shall Notify Cor Of Incident And Submit An Entry In The Va Patient Safety Reporting System, Following Up With Cor As Required Or Requested. performance Standards, Quality Assurance (qa) And Quality Improvement(qi): quality Management/quality Assurance Surveillance: Contract Personnel Shall Be Subject To Quality Management Measures, Such As Patient Satisfaction Surveys, Timely Completion Of Medical Records, And 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 Pws And Methods Of Surveillance Detailed In The Qasp. The Qasp Shall Be Attached To The Resultant Contract And Shall Define The Methods And Frequency Of Surveillance Conducted. patient Complaints: The Co Will Resolve Complaints Concerning Contractor Relations With The Government Employees Or Patients. The Co Is Final Authority On Validating Complaints. If The Contractor Is Involved And Named In A Validated Patient Complaint, The Government Reserves The Right To Refuse Acceptance Of The Services Of Such Personnel. This Does Not Preclude Refusal In The Event Of Incidents Involving Physical Or Verbal Abuse. the Government Reserves The Right To Refuse Acceptance Of Any Contractor Personnel At Any Time After Performance Begins, If Personal Or Professional Conduct Jeopardizes Patient Care Or Interferes With The Regular And Ordinary Operation Of The Facility. Breaches Of Conduct Include Intoxication Or Debilitation Resulting From Drug Use, Theft, Patient Abuse, Dereliction Or Negligence In Performing Directed Tasks, Or Other Conduct Resulting In Formal Complaints By Patient Or Other Staff Members To Designated Government Representatives. Standards For Conduct Shall Mirror Those Prescribed By Current Federal Personnel Regulations. The Co And Cor Shall Deal With Issues Raised Concerning Contractor S Conduct. The Final Arbiter On Questions Of Acceptability Is The Co. performance Standards: measure: Provider Quality Performance performance Requirement: All Contractor S Physician(s) Shall Perform In Accordance With Clinical Standards standard: Oppe Documentation For All (100%) Staff Providing Services Under The Contract. All Staff (100%) Meet Standards aql: 100% Meet Standards surveillance Method: Oppe Data Pertinent To Care Performed For Each Provider Working Under This Contract. Oppe Data Will Review The Following Elements: patient Care Performance medical/clinical Knowledge practiced Based Learning And Improvement interpersonal And Communication Skills professionalism system Based Practice frequency: Annual measure: Qualifications Of Key Personnel performance Requirement: All Contractor S Physician(s) Shall Be Board Certified/board Eligible Accordance With Abs Standards For General Surgery standard: All (100%) Contractor S Physician(s) Are Board Certified/board Eligible aql: 100% surveillance Method: Periodic Inspection Of Qualification Documents frequency: Bi-annually measure: Scope Of Practice/privileging performance Requirement: Contractor S Physician(s) Perform Within Their Individual Scopes Of Practice/privileging standard: All (100%) Contractor S Physician(s) Perform Within Their Scope Of Practice/privileges 100% Of The Time aql: 100% Contractor S Physician(s) Perform Within Their Scope Of Practice/privileges 100% Of The Time surveillance Method: Random Sampling Of Records frequency: Every 6 Months measure: Patient Access performance Requirement: The Contractor Shall Provide Contractor S Physician(s) In Accordance With The Operating Hours And Va Clinical Schedule Outlined In This Pws standard: All (100%) Contractor S Physician(s) Are On Time And Available To Perform Services aql: Contractor S Physician(s) Is On-time And Available To Perform Services 95% Of The Time surveillance Method: Periodic Inspection Of Time And Attendance Sheets frequency: Daily measure: Patient Safety performance Requirement: Patient Safety Incidents Shall Be Reported Using Va Patient Safety Reporting System. All Incidents Reported Immediately (within 24 Hours.) standard: All (100%) Of Patient Safety Incidents Are Reported Using Va Patient Safety Reporting System Within 24 Hours Of Incident aql: 100% Of Patient Safety Incidents Are Reported Using Va Patient Safety Reporting System Within 24 Hours Of Incident surveillance Method: Periodic Inspection frequency: Daily measure: Maintains Licensing, Registration, And Certification performance Requirement: Updated Licensing, Registration And Certification Shall Be Provided As They Are Renewed. Licensing And Registration Information Kept Current standard: All (100%) Licensing, Registration(s) And Certification(s) For Contractor S Physician(s) Shall Be Provided As They Are Renewed. Licensing And Registration Information Kept Current aql: 100% Licensing, Registration(s) And Certification(s) For Contractor S Physician(s) Shall Be Provided As They Are Renewed. Licensing And Registration Information Kept Current. No Acceptable Deviation. surveillance Method: Periodic Inspection frequency: Annually measure: Mandatory Training performance Requirement: Contractor Shall Complete All Required Training On Time Per Facility Policy standard: All (100%) Of Required Training Is Complete On Time By Contractor S Physician(s) aql: 95% Completions surveillance Method: Periodic Inspection Or Random Sampling frequency: Annually measure: Privacy, Confidentiality And Hipaa performance Requirement: Contractor Is Aware Of All Laws, Regulations, Policies And Procedures Relating To Privacy, Confidentiality And Hipaa And Complies With All Standards Zero Breaches Of Privacy Or Confidentiality standard: All (100%) Contractor S Physician(s) Comply With All Laws, Regulations, Policies And Procedures Relating To Privacy, Confidentiality And Hipaa aql: 100% Compliance surveillance Method: Periodic Inspection; Contractor Shall Provide Evidence Of Annual Training Required By The Facility, Reports Violations Per Va Handbook 6500.6 frequency: Annually registration With Contractor Performance Assessment Reporting System as Prescribed In Far Part 42.15, The Va Evaluates Contractor Past Performance On All Contracts That Exceed The Simplified Acquisition Threshold And Shares Those Evaluations With Other Federal Government Contract Specialists And Procurement Officials. The Far Requires That The Contractor Be Provided An Opportunity To Comment On Past Performance Evaluations Prior To Each Report Closing. To Fulfill This Requirement Va Uses An Online Database, Cpars, Which Is Maintained By The Naval Sea Logistics Center In Portsmouth, New Hampshire. Cpars Has Connectivity With The Past Performance Information Retrieval System (ppirs) Database, Which Is Available To All Federal Agencies. Ppirs Is The System Used To Collect And Retrieve Performance Assessment Reports Used In Source Selection Determinations And Completed Cpars Report Cards Transferred To Ppirs. Cpars Also Includes Access To The Federal Awardee Performance And Integrity Information System (fapiis). Fapiis Is A Web-enabled Application Accessed Via Cpars For Contractor Responsibility Determination Information. each Contractor Whose Contract Award Is Estimated To Exceed The Simplified Acquisition Threshold Requires A Cpars Evaluation. A Government Focal Point Will Register Your Contract Within Thirty Days After Contract Award And, At That Time, You Will Receive An Email Message With A User Id (to Be Used When Reviewing Evaluations). Additional Information Regarding The Evaluation Process Can Be Found At Www.cpars.gov Or If You Have Any Questions, You May Contact The Customer Support Desk @ Dsn: 684-1690 Or Comm: 207-438-1690. for Contracts With A Period Of One Year Or Less, The Co Will Perform A Single Evaluation When The Contract Is Complete. For Contracts Exceeding One Year, The Co Will Evaluate The Contractor S Performance Annually. Interim Reports Will Be Filed Each Year Until The Last Year Of The Contract, When The Final Report Will Be Completed. The Report Shall Be Assigned In Cpars To The Contractor S Designated Representative For Comment. The Contractor Representative Will Have Sixty (60) Days To Submit Any Comments And Re-assign The Report To The Co. failure For The Contractor S Representative To Respond To The Evaluation Within Those Sixty (60) Days, Will Result In The Government S Evaluation Being Placed On File In The Database With A Statement That The Contractor Failed To Respond; The Contractor S Representative Will Be Locked Out Of The Evaluation And May No Longer Send Comments. government Responsibilities: va Support Personnel, Services Or Equipment: Not Needed contract Administration/performance Monitoring: After Award Of Contract, All Inquiries And Correspondence Relative To The Administration Of The Contract Shall Be Addressed To: (enter Contract Administration If Not Already Listed In Another Area- List The Title (not Name) And Contact Information For Cor, Clinical Point Of Contact, And Any Other Relevant Personnel Involved). co Responsibilities: the Co Is The Only Person Authorized To Approve Changes Or Modify Any Of The Requirements Of This Contract. The Contractor Shall Communicate With The Co On All Matters Pertaining To Contract Administration. Only The Co Is Authorized To Make Commitments Or Issue Any Modification To Include (but Not Limited To) Terms Affecting Price, Quantity Or Quality Of Performance Of This Contract. the Co Shall Resolve Complaints Concerning Contractor Relations With The Government Employees Or Patients. The Co Is Final Authority On Validating Complaints. In The Event The Contractor Effects Any Such Change At The Direction Of Any Person Other Than The Co Without Authority, No Adjustment Shall Be Made In The Contract Price To Cover An Increase In Costs Incurred As A Result Thereof. in The Event That Contracted Services Do Not Meet Quality And/or Safety Expectations, The Best Remedy Will Be Implemented, To Include But Not Limited To A Targeted And Time Limited Performance Improvement Plan; Increased Monitoring Of The Contracted Services; Consultation Or Training For Contractor Personnel To Be Provided By The Va; Replacement Of The Contract Personnel And/or Renegotiation Of The Contract Terms Or Termination Of The Contract. cor Responsibilities: the Cor Shall Be The Va Official Responsible For Verifying Contract Compliance. After Contract Award, Any Incidents Of Contractor Noncompliance As Evidenced By The Monitoring Procedures Shall Be Forwarded Immediately To The Co. the Cor Will Be Responsible For Monitoring The Contractor S Performance To Ensure All Specifications And Requirements Are Fulfilled. Quality Improvement Data That Will Be Collected For Ongoing Monitoring Includes But Is Not Limited To: Enter Data That May Be Collected. the Cor Will Maintain A Record-keeping System Of Services By Electronical Fileinvoice Payment Process System (ipps). The Cor Will Review This Data Monthly When Invoices Are Received And Certify All Invoices For Payment By Comparing The Hours Documented On The Va Record-keeping System And Those On The Invoices. Any Evidence Of The Contractor's Non-compliance As Evidenced By The Monitoring Procedures Shall Be Forwarded Immediately To The Co. the Cor Will Review And Certify Monthly Invoices For Payment. If In The Event The Contractor Fails To Provide The Services In This Contract, Payments Will Be Adjusted To Compensate The Government For The Difference. all Contract Administration Functions Will Be Retained By The Va. special Contract Requirements: reports/deliverables: The Contractor Shall Be Responsible For Complying With All Reporting Requirements Established By The Contract. Contractor Shall Be Responsible For Assuring The Accuracy And Completeness Of All Reports And Other Documents As Well As The Timely Submission Of Each. Contractor Shall Comply With Contract Requirements Regarding The Appropriate Reporting Formats, Instructions, Submission Timetables, And Technical Assistance As Required. the Following Are Brief Descriptions Of Required Documents That Must Be Submitted By Contractor: Upon Award; Weekly; Monthly; Quarterly ; Annually, Etc. Identified Throughout The Pws And Is Provided Here As A Guide For Contractor Convenience. If An Item Is Within The Pws And Not Listed Here, The Contractor Remains Responsible For The Delivery Of The Item. note To Contracting: These Items Must Be Described In 52.212-1 Addendum To Instructions To Offerors what submit As Noted submit To quality Control Plan: Description And Reporting Reflecting The Contractor S Plan For Meeting Of Contract Requirements And Performance Standards upon Proposal And As Frequently As Indicated In The Performance Standards co other Than Cost And Price Information Supporting Proposed Physician Rate (required For Affiliate Onsite Hourly- Remove If It Does Not Apply) upon Proposal, To Submit Epa Request, Upon Change In Key Personnel co copy Of Subcontracting Plan Is Required For All Large Businesses. Copy Of Contractor Certification Statement If No Subcontracting Possibilities Exist upon Proposal And As Updated co copies Of Any And All Licenses, Board Certifications, Npi, To Include Primary Source Verification Of All Licensed And Certified Staff upon Proposal And Upon Renewal Of Licenses And Upon Renewal Of Option Periods Or Change Of Key Personnel co With Proposal; Renewal Submitted To Vetpro System certification That Staff List Has Been Compared To Oig List upon Proposal And Upon New Hires co proof Of Indemnification And Medical Liability Insurance upon Proposal And Upon Renewals co certificates Of Completion For Cyber Security And Patient Privacy Training Courses before Receiving An Account On Va Network And Annual Training And New Hires. co acls/bls Certification upon Award And Every Two Years After Award cor contingency Plan For Replacing Key Personnel To Maintain Services As Required Under The Terms Of The Contract upon Proposal And As Updated cor billing: invoice Requirements And Supporting Documentation: Supporting Documentation And Invoice Must Be Submitted No Later Than The Last Workday Of The Month. Subsequent Changes Or Corrections Shall Be Submitted By Separate Invoice. In Addition To Information Required For Submission Of A Proper Invoice In Accordance With Far 52.212-4 (g), All Invoices Must Include: name And Address Of Contractor invoice Date And Invoice Number contract Number And Purchase/task Order Number date Of Service contractor S Physician(s) (name Of Contractor S Employee) hourly Rate quantity Of Hours Worked total Price vendor Electronic Invoice Submission Methods: invoices Will Be Electronically Submitted To The Tungsten Website At Https://www.tungstenautomation.com/. Tungsten Automation Direct Vendor Support Number Is 877-489-6135 For Va Contracts. The Va-fsc Pays All Associated Transaction Fees For Va Orders. During Implementation (technical Set-up) Tungsten Automation Will Confirm Your Taxpayer Id Number With The Va-fsc. This Process Can Take Up To 5 Business Days To Complete To Ensure Your Invoice Is Automatically Routed To Your Certifying Official For Approval And Payment. To Successfully Submit An Invoice To Va-fsc Please Review How To Create An Invoice Within The How To Guides. All Invoices Submitted Through Tungsten Automation To The Va-fsc Should Mirror The Current Submission Of Invoice. Clarification Of Additional Requirements Should Be Confirmed With Your Certifying Official (your Co Or Buyer). Payment Will Only Be Made For Actual Services Rendered. Payments Shall Be Made Monthly In Arrears. The Va-fsc Requires Specific Information In Compliance With The Prompt Pay Act And Business Requirements. The Contractor Shall Be Reimbursed Upon Receipt Of A Proper Invoice. For Additional Information, Please Contact: tungsten Support phone: 1-877-489-6135 website: Https://www.tungstenautomation.com/ department Of Veterans Affairs Financial Service Center https://www.fsc.va.gov/einvoice.asp â  reduction In Services: This Is A Fixed Quantity Contract For A Specified Number Of Hours. If, At The End Of The Pop, The Government Has Not Utilized The Total Number Of Hours Required Under This Contract Because Of A Change In Its Requirements, The Parties Agree That They Will Attempt To Negotiate In Good Faith A Contract Modification Reducing The Scope Of The Contract With A Corresponding Adjustment In The Total Contract Price. In No Event Will The Va Pay For Hours That Exceed The Total Number Of Hours Specified In The Contract For The Pop. payments In Full/no Billing Va Beneficiaries: The Contractor Shall Accept Payment For Services Rendered Under This Contract As Payment In Full. Va Beneficiaries Shall Not Under Any Circumstances Be Charged Nor Their Insurance Companies Charged For Services Rendered By The Contractor, Even If Va Does Not Pay For Those Services. This Provision Shall Survive The Termination Or Ending Of The Contract. to The Extent That The Veteran Desires Services Which Are Not A Va Benefit Or Covered Under The Terms Of This Contract, The Contractor Must Notify The Veteran That There Will Be A Charge For Such Service And That The Va Will Not Be Responsible For Payment. the Contractor Shall Not Bill, Charge, Collect A Deposit From, Seek Compensation, Remuneration, Or Reimbursement From, Or Have Any Recourse Against, Any Person Or Entity Other Than Va For Services Provided Pursuant To This Contract. It Shall Be Considered Fraudulent For The Contractor To Bill Other Third-party Insurance Sources (including Medicare) For Services Rendered To Veteran Enrollees Under This Contract. contractor Security Requirements (va Handbook 6500.6): Pulled From Ecms, Team Should Select Language From Each Section As Applicable.