SOLICITATION NOTICE
Q -- ADULT CARDIOLOGY SERVICES
- Notice Date
- 2/25/2008
- Notice Type
- Solicitation Notice
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North PO Box 36600, Billings, MT, 59107, UNITED STATES
- ZIP Code
- 00000
- Solicitation Number
- RFQ-10-08-028-REL
- Response Due
- 3/21/2008
- Archive Date
- 4/5/2008
- Point of Contact
- Rita Langager, Contract Specialist, Phone 406.247.7293, Fax 406.247.7108
- E-Mail Address
-
Rita.Langager@ihs.gov
- Description
- This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items (10 U.S.C. 2304(g) and 2305 and 41 U.S.C. 253(g) and 253a and 253b), FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)), and FAR Subpart 37.4, Nonpersonal Health Care Services (41 U.S.C. 253). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price commercial item contract in response to Request for Quotation (RFQ)-10-08-028-REL. This solicitation is being solicited on an unrestricted basis. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-23. The associated North American Industry Classification System code is 621111 and the small business size standard is $9.0 million. PRICE SCHEDULE - ADULT CARDIOLOGY SERVICES: Potential offerors shall propose an all inclusive daily rate for BASE YEAR: 6 DAYS @ $______________ per day = $________________; OPTION YEAR ONE: 12 DAYS @ $______________ per day = $________________; OPTION YEAR TWO: 12 DAYS @ $______________ per day = $________________; OPTION YEAR THREE: 12 DAYS @ $______________ per day = $________________; OPTION YEAR FOUR: 12 DAYS @ $______________ per day = $________________; GRAND TOTAL: $________________. PURPOSE OF THE CONTRACT: The purpose of this contract is to acquire Adult Cardiology Services, one day per month, at the Blackfeet Service Unit, PHS Indian Hospital, Browning, Montana. The procurement is a nonpersonal health care service contract, as defined in FAR 37.101, under which the Contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical and professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The Contractor shall indemnify the Government for any liability producing acts or omissions by the Contractor, its employees and agents occurring during contract performance. The Contractor shall maintain medical liability insurance, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontracts for provisions of health care services contain the requirements of the clause at 52.237-7, including the maintenance of medical liability insurance. WORK SCHEDULE: The physician shall provide one (1) specialty clinic per month at the Blackfeet Community Hospital (BCH) for patients referred by IHS hospital providers. The dates of the clinics are negotiable and should be coordinated with the Acting Clinical Director or Clinical Administrative Assistant. Nursing assistance will be provided by the BCH for patient referrals, appointment check in, and follow up appointments. The clinic will be scheduled during the week from 9:00 am to 6:00 pm. The specialty clinics may be re-scheduled due to inclement weather but must be furnished each month. STATEMENT OF WORK: Work to be performed requires professional medical judgment by the Cardiology Physician Specialist to provide medical care to adult patients referred to the specialty clinic by BCH providers for cardiovascular diseases and related problems of the cardiovascular system. A minimum of one 8-hour clinic will be provided by the contractor per month. All hospital safety procedures and infection control policies are to be adhered to by the contractor. Contract physician will be required to enter patient data, purpose of visit, indication, treatment plan, and medication profile in the Electronic Health Record system and data entry requirements of the RPMS. The contractor will work closely with hospital providers, nurses, pharmacy and other staff at the facility to provide accurate, quality and timely medical care while performing cardiology services at the Blackfeet Community Hospital on a contractural basis. Physician will advise and counsel patients on health related issues and assure appropriate medical care is delivered. Performs physical examinations, health assessments and provides treatment to patients with varying problems associated with cardiovascular disease; prescribes and carries out therapy in conformation with approved clinical privileges and Billings Area/I.H.S. policy. Makes necessary arrangements in concert with an active medical staff physician for admission of patients to the appropriate hospital which includes authorization for admission to contract facilities for emergency medical care, or any major surgical procedures services not provided at the Blackfeet Community Hospital. Orders and/or performs and interprets screening and diagnostic tests and procedures including but not limited to laboratory, radiographic examinations, echocardiograms, and or ultrasonography exams. Records patient - provider encounters in the chart in a legible manner for accurate communication between providers and completes required documentation for accurate billing, ordering of diagnostic tests and referrals. Maintains health summary and problem lists to ensure accurate patient data. Completes medical records per hospital policy and participates in quality assurance measures as appropriate including peer review. Contractor must comply with all JCAHO, CMS, and HIPAA regulations. Contractor must submit an invoice for services rendered to the clinical director for approval with verification by the project officer. KNOWLEDGE REQUIRED BY THE POSITION: Specialized knowledge of the practice of cardiology is required. GUIDELINES: Guidelines available include DHHS, PHS, I.H.S., Billings Area, Service Unit and Medical Staff regulations, policies, procedures, and bylaws. In addition, traditional and currently accepted medical practices are available in the form of specialty consultation, medical journals, professional organizations and textbooks. In nearly all cases, however, the medical practioner's judgment is the key factor in determining whether guidelines are to be adhered to or deviated or whether new guidelines need to be developed to protect the interests of the patient. COMPLEXITY: The work consists of the specialty practice of cardiology services and involves specialized knowledge and experience involving diagnosis and treatment of patients with cardiovascular disease and related problems. SCOPE AND EFFECT: The work of this position affects the health and well being of individuals on an immediate basis; and the health status of the community on a broad basis. PERSONAL CONTACTS: Personal contacts are with patients, patient's families, other employees, representatives of federal, state and tribal health organizations, administrators and physicians. These contacts are made with individuals and groups in moderately unstructured settings. PURPOSE OF CONTACTS: The purpose of the contacts are to exchange information, resolve problems, educate people, influence and motivate individuals and groups to understand and accept recommended medical information, diagnosis and treatment regimens. PHYSICAL DEMANDS: The work requires some physical exertion and stamina including walking, standing, bending, sitting and other activities. The contractor may be required to assist with lifting patients at times. WORK ENVIRONMENT: The work is performed in a clinical setting and is environmentally controlled. GOVERNMENT CONTRACT QUALITY ASSURANCE PROCEDURES: Upon orientation to the facility, the prospective contractor will be oriented on the electronic health record, RPMS, Indian Health Service policies and procedures, JCAHO requirements, SOC and all inpatient and outpatient duties required of the physician. Contractors will be evaluated by department chief/clinical director on performance of those duties. All associated QA/PI requirements are to be performed and verified by the clinical director. Actual work tasks are normally performed on a routine basis. Standard progress measures such as chart review, documentation/billing review and observations will be utilized by the clinical director. Pay requests shall be approved for payment by the clinical director or his designee and submitted for verification to the project officer. Customer complaints shall be validated and shall not exceed more than one for any two clinic visits. The clinical director shall monitor quality of performance to assure duties are performed in accordance with the standards of care required by the hospital accreditation agency and that all documentation is completed according to the policy. A peer review will be conducted by the clinical director or his designee and a written evaluation performed for the services rendered. PERIOD OF PERFORMANCE: April 16, 2008, through September 30, 2008, with four 12-month options. GOVERNMENT FURNISHED PROPERTY: The IHS shall provide all necessary equipment and supplies. The Blackfeet Service Unit will be responsible for getting the Contractor access and clearance to all pertinent computer services necessary to carry out his/her duties. COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors," and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. PROJECT OFFICER: The project officer shall be responsible for: (1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Project Officer at the Blackfeet Service Unit, PHS Indian Hospital, P.O. Box 760, Browning, Montana 59417. The Contractor agrees to include the following information on each invoice:(1) Contractor's name and address;(2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service including the number of hours worked; and (6) Remit to address. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children?s services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigation will be conducted by the Blackfeet Service Unit. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. The Contractor shall comply with IHS facility infection control and safety procedures, practices, and standards. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION - COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: (1) Unrestricted State License (Offerors must submit current unrestricted State license) = 35 POINTS; (2) Resume or Curriculum Vitae (Offerors must submit copy of resume or curriculum vitae) = 35 POINTS; and (3) Past Performance Information. = 30 POINTS. The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable; and (8) Administrative Contracting Officer and telephone number, if applicable. Technical and past performance, when combined, are considered approximately equal to cost or price. (b) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-9, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.229-3, 52.232-18, 52.237-2, 52.237-3, 52.237-7, 52.242-15, 52.242-17, 52.245-1, 352.202-1, 352-215-1, 352.215-70, 352.223-70, 352.224-70, 352.232-9, 352.270-2, 352.270-3, 352.270-4, 352.270-6, and 352.270-7. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.219-8, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-39, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at http://www.arnet.gov and http://knownet.hhs.gov/acquisition/hhsar/default.htm. CONTRACTORS INTENDING TO CONDUCT BUSINESS WITH THE FEDERAL GOVERNMENT MUST REGISTER ON THE DEPARTMENT OF DEFENSES CENTRAL CONTRACTOR REGISTRATION (CCR) DATABASE. THE CCR IS THE PRIMARY GOVERNMENT REPOSITORY, WHICH RETAINS INFORMATION ON GOVERNMENT CONTRACTORS. YOU MAY REGISTER VIA THE INTERNET AT HTTP://WWW.CCR.GOV OR BY CALLING (888) 227-2423. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a copy of its medical liability insurance certificate and a completed copy of FAR 52.212-3 with its offer. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on March 21, 2008. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your name and address. Offers will also be accepted by e-mail at Rita.Langager@ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.
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