SOLICITATION NOTICE
Q -- Anesthesiologist
- Notice Date
- 11/14/2008
- Notice Type
- Combined Synopsis/Solicitation
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- Department of Veterans Affairs, Lebanon VAMC, Department of Veterans Affairs Medical Center, Department of Veterans Affairs;Lebanon VA Medical Center, Room 148;1700 South Lincoln Ave, Bldg 18;Lebanon PA 17042
- ZIP Code
- 17042
- Solicitation Number
- VA-244-09-RP-0069
- Response Due
- 11/26/2008
- Archive Date
- 12/26/2008
- Point of Contact
- Hilbert CaesarContract Specialist<br />
- Small Business Set-Aside
- N/A
- Description
- 1. Title: Anesthesiology Services2. Solicitation Reference Number: VA-244-09-RP-0069 3. Description: This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. Responses reflecting the best overall value and availability of the service as described are requested in the form of a written technical and price proposal. This solicitation is being issued as a request for proposal (RFP) and is an unrestricted procurement. The NAICS code is 621111. All responsible sources may submit a proposal that, if timely received, shall be considered by the agency. This order is placed subject to the availability of funds. The due date for the solicitation is Wednesday November 26, 2008 to Wednesday 4:00 PM EST. Proposals shall be submitted electronically via email to at hilbert.caesar@va.gov or mail to Department of Veterans Affairs, Lebanon VA Medical Center, 1700 S. Lincoln Ave, Lebanon PA 17042. The solicitation title and reference number shall be included in the subject line of ALL correspondence. 4. Period of Performance: Base Year: 12 Months from date of award Option Year: 12 Months from end of Base Year Statement of Work Anesthesiology Services This contract to provide health care resources is granted pursuant to 38 U.S.C. 8153. The intent of this document is to establish a contract with the terms, conditions, provisions, and specifications governing the services to be provided by the contractor for the Lebanon Department of Veterans Affairs Medical Center (VAMC) located at 1700 S. Lincoln Avenue, Lebanon, PA. Contractor care shall cover the range of services normally provided in a similar civilian health care facility, in accordance with the specifications and requirements contained herein. Contractor should thoroughly review the specifications and become familiar with the areas of coverage in order to become fully aware of the scope of requirements. Failure to understand the contract requirements shall not relieve the Contractor from performing in accordance with the meaning and intent of the specifications. Costs not incorporated into the Contractor's price will NOT be reimbursed by the Government. Prior to providing services, the contractor will have employees comply with all mandatory education requirements stipulated by the Department of Veterans Affairs. New providers must complete 'New Provider Orientation'. Annual education will include, but is not limited to, VHA Privacy Policy, VHA Information Security Training (Cyber Security), and Ethics Training. All providers must have current ACLS (Advanced Cardiac Life Support) certification. The services provided by the contractor shall be performed within the VA policies and procedures, including but not limited to: informed consent, conscious sedation, utilization review, infection control and the use of barrier protection; and the regulations of the Medical Staff Bylaws and the Resident Supervision Handbook of the VA Medical Center. The contractor agrees to adhere to the timeliness standard for medical record completion and signature on all records/notes as indicated in the Medical Staff Bylaws. In the event of an unplanned clinic cancellation, the parties agree to make accommodations to see patients who were scheduled and cancelled but require to be seen by contractor's physician on a priority basis. In the event of an unplanned cancellation by the Contractor and the Contractor is unable to reschedule or accommodate the cancelled visits, the VAMC shall reduce its monthly payment to the contractor by the amount for the hours cancelled. For performance review purposes, the parties shall agree to establish a cancellation rate of 5% or less in one year per service. Rescheduled cancellations or the mutually agreed upon accommodation of cancellations shall not be counted as a cancellation. In the event that the cancellation standard is not met, the VAMC shall have the right to determine such failure as non-compliance and can use such non-compliance as grounds for termination of the service of the contract. Contractor and VAMC shall review the performance of the service within this contract on no less than a quarterly basis. The parties agree to collaboratively resolve any operational issues that are identified and presented to each other. In the event that VAMC determines that contractor is not meeting any of its obligations, the VAMC shall notify contractor in writing and identify any deficiencies and the contractor shall have 30 days to respond and cure the deficiencies.Physicians provided under this contract shall: a)have an unrestricted license in a US state, territory or US commonwealth; b)speak English proficiently; c)provide evidence of demonstrated current clinical competence to perform appropriate care; d)be a US citizen; e)have a professional degree and education applicable to medical staff members, e.g., MD, DO; f)provide evidence of current professional liability insurance; g)be board certified or board eligible within 3 years of fellowship/residency (prefer board certified); h)provide evidence of current privileges (if applicable); i)provide names of most current employer(s) and two peer reference contacts as identified in the Medical Center Bylaws; j)successfully complete the VAMC Lebanon's Credentialing and Privileging process Contractor agrees to provide Anesthesiologists, as qualified registered health care professionals to the VA Medical Center, 1700 S. Lincoln Avenue, Lebanon, PA 17042. Description of Services: I.Contractor will supply 1.0 FTE (full time equivalent) anesthesiologist to provide full anesthesia services from 7:30 a.m. to 3:30 p.m. est. or until case(s) is/are completed. Anesthesiologist rotation at VA will be limited to three (3) anesthesiologists per contract term. Unless urgent, planned staffing absences will be coordinated at least 45 days in advance. As there may be a change in the case workload, it may become necessary for LVAMC to extend the OR hours to 8 p.m. If and when this occurs contractor's hours will be adjusted to meet the VA's need. If this occurs the contractor will be required to work an eight hour schedule between the hours of 7:30 a.m. and 8:00 p.m. LVAMC will provide a 30 day notice before making any changes to the schedule. II.Contractor will supply an additional anesthesiologist, paid at an hourly rate, to supplement LVAMC staffing during VA planned and unplanned absences. Unless urgent, planned staffing absences will be coordinated at least four weeks in advance. This is estimated to be one to six weeks per year. This coverage is defined as on-site, full day coverage so as to perform the requirements described in IV. III.On call services: Contractor will provide full anesthesia on-call services Monday through Friday, 3:30 p.m. to 7:30 a.m. and from Friday 3:30 p.m. to Monday 7:30 a.m. The above represents the anticipated on call service schedule. On call services include all holidays. The LVAMC currently has one anesthesiologist on staff; therefore call be will split about 50/50. If LVAMC staffing changes or the OR hours change, On call services may be adjusted. a.One Anesthesiologist is responsible to be available to respond to emergent cases that occur during non-administrative hours at the VAMC Lebanon. Emergencies are defined as those cases requiring immediate consultation, or cases that have been identified for immediate surgical intervention. b.The Anesthesiologist will perform the requirements for pre-op assessments, develop anesthetic plans, and provide on-site supervision of 1 CRNA administering anesthetics during non-administrative hours. These anesthetics may include general, all forms of regional, monitored anesthesia care (MAC), and conscious sedation. Shall be available for consultation regarding post-op management. May be asked to provide consultation regarding acute pain intervention and airway management. c.A monthly on-call schedule will be provided to the appropriate personnel at least one week prior to the new month, and will also be posted in the Acute Care office and OR area. IV.Anesthesiologists to perform the requirements herein described to include, but not limited to: Consultation on pre-op assessments and development of anesthetic plans, on-site clinical supervision of CRNA's and/or resident physicians administering anesthetics simultaneously. These anesthetics may include general, all forms of regional, monitored anesthesia care (MAC), and conscious sedation. Anesthesiologist shall be available for consultation regarding post-op management and may be asked to provide consultation regarding acute pain intervention. V.The contractor agrees to identify a lead physician who shall be the point of contact for any clinical issues arising from this contract. The provider names as the lead anesthesiologist remains in that role for the term of the contract. In exceptional circumstances, the lead position may change once within the contract period. The contractor may request appointing a different lead physician with a 30 day notice. The lead anesthesiologist must be present for two (2) full workdays per week, except when on vacation, in which case a substitute is named. VI.Reporting shall be to the Chief of Anesthesia, Lebanon VAMC. The contractor agrees to identify a lead physician who shall be responsible for administration of all services. The lead anesthesiologist is also responsible for the oversight and implementation of VHA policies relating to anesthesia services, including participation in, and implementation of, quality improvement initiatives, e.g., airway issues. The lead anesthesiologists may be required to attend meetings where anesthesia issues are discussed, i.e. Surgical Case Committee, and Morbidity and Mortality Conference. VII.Services shall be performed on-site at the Department of Veterans Affairs (VA) Medical Center, Lebanon, Pennsylvania. VIII.Administrative and Clinical Documentation: The anesthesiologist shall perform the following with conjunction of VI and VII above: a.Dictate or keyboard for entry into the electronic medical record complaints, observations and findings, assessment and plan/recommendations in a clear and understandable manner at the end of each patient encounter. b.Electronically enter all doctor's orders, consultation referrals, and requests for x-rays and lab work using CPRS. c.Telephone significant positive reports, at the time identified, to the referring provider. d.Informed Consent: Contract anesthesiologist shall explain procedure and risks/benefits to the patient/guardian and obtain informed consent from patient/guardian in accordance with VAMC policies. Complete IMED consent in CPRS for documentation of informed consent discussion and electronically sign. e.Immediately before starting any procedure, the anesthesiologist will accurately identify the patient and the procedure to be performed and complete the "Anesthesia - Day of Surgery" evaluation in CPRS. f.Encounter Forms: Properly complete the electronic VA encounter form on each patient seen; listing diagnosis for the visit and all procedures performed based on the current VA requirements along with identification of service-connection for treatment rendered. IX.Contingent upon clinical privileges granted by the VAMC, the contract anesthesiologist shall perform procedures requested. X.Instrumentation and supplies: VA will supply appropriate instrumentation for all procedures and ancillary support staff commensurate with types of patients scheduled. 1. Interested Offerors shall submit their offers to Hilbert E. Caesar at Department of Veterans Affairs, Lebanon VA Medical Center 1700 S. Lincoln Ave, Lebanon PA 17042 Bldg 18, Room 147F or via email at hilbert.caesar@va.gov Telephone requests will NOT be accepted. 2.Instructions: In order to be considered responsive, the offeror's Technical Proposal must provide sufficient information to demonstrate the offeror's corporate capabilities and the approach that will be utilized to fulfill the requirements of the Anesthesiology Services. Offers shall be submitted in two separate volumes as follows. Volume I, Technical Proposal shall be divided into three general areas as follows: (1) Understanding of the Requirement - Relative to the Statement of work, the offeror shall provide a written narrative that demonstrates their understanding of the requirement. (2) Knowledge and Experience of the Contractor-Resumes shall be submitted for the employees assigned to perform under this statement of work and shall contain documented experience directly applicable to the functions to be performed. Further, these prior work experiences shall be specific and of sufficient variety and duration that the employee is able to effectively and efficiently perform the functions assigned. In addition, the contractor shall provide the government a description of current personnel resources for this activity, which addresses the Offerors capabilities and experience relating to the Statement of Work. Volume II, Price Proposal - Offerors shall submit a Firm Fixed Price Proposal for the requirement. Price will be submitted as a 6. Terms and Conditions: This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-24. FAR 52.212-1, Instructions to Offerors--Commercial, applies to this acquisition. The following clauses are included as an addendum to FAR 52.212-1: VAAR 852.270-1 Representatives of Contracting Officers (JAN 2008) The contracting officer reserves the right to designate representatives to act for him/her in furnishing technical guidance and advice or generally monitor the work to be performed under this contract. Such designation will be in writing and will define the scope and limitation of the designee's authority. A copy of the designation shall be furnished to the contractor.FAR 52.212-2, Evaluation--Commercial Items, applies to this acquisition. Paragraph (a) is supplemented to include the following evaluation criteria listed in descending order of importance: Understanding of the Requirement and Past Performance. Offerors shall include a completed copy of the provision at FAR 52.212-3, Offeror Representations and Certifications--Commercial Items. FAR 52.212-4, Contract Terms and Conditions--Commercial Items, applies to this acquisition. The following clauses are included as an addendum to FAR 52.212-4: FAR 52.217-8 Option to Extend Services (NOV 1999), VAAR 852.203-70 Commercial Advertising (JAN 2008) The bidder or offeror agrees that if a contract is awarded to him/her, as a result of this solicitation, he/she will not advertise the award of the contract in his/her commercial advertising in such a manner as to state or imply that the Department of Veterans Affairs endorses a product, project or commercial line of endeavor; VAAR 852.237-70 Contractor Responsibilities (APR 1984) The contractor shall obtain all necessary licenses and/or permits required to perform this work. He/she shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract. He/she shall be responsible for any injury to himself/herself, his/her employees, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by his/her employees fault or negligence, and shall maintain personal liability and property damage insurance having coverage for a limit as required by the laws of the State of [PA]. Further, it is agreed that any negligence of the Government, its officers, agents, servants and employees, shall not be the responsibility of the contractor hereunder with the regard to any claims, loss, damage, injury, and liability resulting there from. FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items, applies to this acquisition of the additional FAR clauses cited in this clause, the following are applicable: 52.219.28 Post Award Small Business Program Representation (JUNE 2007), 52.222-3 Convict Labor (JUNE 2003), 52.222-19 Child Labor--Cooperation with Authorities and Remedies (AUG 2007), 52.222-21 Prohibition of Segregated Facilities (FEB 1999), 52.222-26 Equal Opportunity (MAR 2007), 52.222-36 Affirmative Action for Workers with Disabilities (JUNE 1998), 52.222-50 Combating Trafficking in Persons (AUG 2007), 52.225-3, 52.232-34 Payment by Electronic Funds Transfer--Other than Central Contractor Registration (MAY 1999), 52.233-1 Disputes, 52.233-2 Service Protest, 52.233-3 Protest after Award, 52.244-6 Subcontracts for Commercial Items. 7. Point(s) of Contact: Hilbert. E. Caesar, Contract Specialist, phone: 717-228-5959, fax: 717-228-5936, E-mail: hilbert.caesar@va.gov.
- Web Link
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FedBizOpps Complete View
(https://www.fbo.gov/?s=opportunity&mode=form&id=1b12d4960a3fa9105cdaa28dacdcba0c&tab=core&_cview=1)
- Place of Performance
- Address: Department of Veterans Affairs;Lebanon VA Medical Center;1700 South Lincoln Ave;Lebanon PA<br />
- Zip Code: 17042<br />
- Zip Code: 17042<br />
- Record
- SN01704995-W 20081116/081114215927-1b12d4960a3fa9105cdaa28dacdcba0c (fbodaily.com)
- Source
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