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FBO DAILY - FEDBIZOPPS ISSUE OF SEPTEMBER 09, 2018 FBO #6134
DOCUMENT

Q -- OR Nursing Temp Services - WB - Attachment

Notice Date

9/7/2018
 

Notice Type

Attachment
 

NAICS

561320 — Temporary Help Services
 

Contracting Office

Department of Veterans Affairs;Network Contracting Office 4
 

Solicitation Number

36C24418Q9425
 

Response Due

9/13/2018
 

Archive Date

10/13/2018
 

Point of Contact

Michael J Burke
 

E-Mail Address

823-5185<br
 

Small Business Set-Aside

N/A
 

Description

Performance Work Statement GENERAL: Services Provided: The Contractor shall provide the Wilkes-Barre Veterans Affairs Medical Center (WBVAMC) (Wilkes-Barre) and its satellite facilities with nursing and nursing support services of appropriately qualified candidates to perform the requirements of this CONTRACT. Place of Performance - Contractor shall furnish services at the WBVAMC Wilkes-Barre, PA and its satellite offices located throughout the catchment area. Policy/Handbooks- the contractor shall be subject to the following policies, including any subsequent updates during the period of performance: VHA Directive 2006-041 Veterans Health Care Service Standards (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 - VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards - http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 - VHA Handbook 1100.19 Credentialing and Privileging - http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 VHA Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 - Privacy Act of 1974 (5 U.S.C. 552a) as amended http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm Definitions/Acronyms- Terms used in this BPA 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. ABU: American Board of Urology ACGME: Accreditation Council for Graduate Medical Education ACLS: Advanced Cardiac Life Support AOD: Admitting Officer of the Day BLS: Basic Life Support BBA: Balanced Budget Act of 1977 BPA: Blanket Purchase Agreement CCNE: Commission on Collegiate Nursing Education: www.aacn.nche.edu/accreditation CDC: Centers for Disease Control and Prevention CDR: Contract Discrepancy Report CEU: Certified Education Unit CIO: Chief Information Officer CME: Continuing Medical Education WBVAMC: Wilkes-Barre Veterans Affairs Medical Center: Unless identified with the name of a different VA medical Center, for purposes of this contract,, this term shall mean the Wilkes-Barre Medical Center. CMP: Civil Monetary Penalty CMS: Centers for Medicare and Medicaid Services Contracting Officer (CO) 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. Contracting Officer s Representative (COR) 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. Contractor: A supplier or contractor awarded a contract, to provide specific supplies or services to the government. The term used in this contract refers to the prime Contractor. COS: Chief of Staff CPARS: Contractor Performance Assessment Reporting System CPR: Cardiopulmonary Resuscitation CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status. DEA: Drug Enforcement Agency DNR List: Do Not Return List Individuals placed on this list may not provide services at the WBVAMC without prior authorization of the CO. ED: Emergency Department FAR: Federal Acquisition Regulation FTEE: Full Time Employee Equivalent HIPB: Health Integrity and Protection Board FSMB: Federation of State Medical Boards HHS: United States Department of Health and Human Services HIPAA: Health Insurance Portability and Accountability Act HR: Human Resources ISO: Information Security Officer Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal. Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, Causing impairments to body functions, or Causing serious or permanent dysfunction of any body-organ or part. MOD: Medical Officer of the Day National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). NCQA: National Council of Quality Assurance NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors NP: Nurse Practitioner NPDB: National Practitioner Data Bank NPPES: National Plan and Provider Enumeration System OIG: Office of the Inspector General (this could refer to the OIG of different agencies and/or departments) PA: Physician Assistant PALS: Pediatric Advanced Life Support POP: Period of Performance PPD: Purified Protein Derivative a medical test to determine if an individual suffers from tuberculosis (TB) PWS: Performance Work Statement. QA/QI: Quality Assurance/Quality Improvement QM/PI: Quality Management/Performance Improvement QASP: Quality Assurance Surveillance Plan ROC: Report of Contact Subcontractor: One that enters into Contract with a prime Contractor. The Government does not have privity of contract, with the subcontractor. TB: Tuberculosis TJC: The Joint Commission TMS: Talent Management System VA: United States Department of Veterans Affairs VAAR: Department of Veterans Affairs Acquisition Regulation Veterans Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C. Veterans Integrated Services Network (VISN) : The regional oversight for the VA medical centers. VISTA (Veterans Integrated Systems Technology Architecture) : A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient s medical record and with the hospital information system. VetPro: a federal web-based credentialing program for healthcare providers. QUALIFICATIONS: Staff License Personnel assigned by the Contractor to perform the services covered by this contract, shall be currently certified or licensed, as appropriate, in a State, Territory, or Commonwealth of the United States or the District of Columbia. All certifications and licenses held by the personnel working on this contract, shall be fully valid and without restriction. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA Facility Director. The government specifically reserves the right to reject any of the Contractor s personnel and refuse them permission to provide services under this contract,. Credentialing and Privileging Credentialing is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed staff possesses the requisite skills and/or experience necessary to provide services under the contract,. No services shall be provided by any contractor s staff prior to obtaining approval. If a contractor s staff is not credentialed or has credentials suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government. Contractor shall ensure Contractor personnel will provide appropriate, effective interventions to individual patients needs according to established facility policies, safety standards and procedures as described at the orientations and trainings conducted by WBVAMC Nurse Education. Technical Proficiency - Contractor s staff 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 staff and contractor s staff shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements; all training must be completed by the contractor s staff as required by the VA. Contractor staff will complete orientation as describes here in. All contractor employees and subcontractor employees requiring access to VA information and VA information systems shall complete the following before being granted access to VA information and its systems: Sign and acknowledge (either manually or electronically) understanding of and responsibilities for compliance with the Contractor Rules of Behavior, relating to access to VA information and information systems; Successfully complete the VA Cyber Security Awareness and Rules of Behavior training and annually complete required security training; Successfully complete the appropriate VA privacy training and annually complete required privacy training; and Successfully complete any additional cyber security or privacy training, as required for VA personnel with equivalent information system access The Contractor shall provide to the CO and/or the COR a copy of the training certificates and certification of signing the Contractor Rules of Behavior for each applicable employee within 1 week of the initiation of the contract, and annually thereafter, as required. Failure to complete the mandatory annual training and sign the Rules of Behavior annually, within the timeframe required, is grounds for suspension or termination of all physical or electronic access privileges and removal from work on the contract, until such time as the training and documents are complete. From time to time, the WBVAMC will require training for Contractor employees. The nature of the training varies. WBVAMC will pay for required training either based on the hours worked and submitted via the electronic time keeping system or via submission of TMS certificates indicating completion of required courses. TMS certificates will be reimbursed based on the hours listed as Learning Hours within each course regardless of actual time expended completing the course. Copies of all completed training will be provided to the COR as they occur. Contractor Staff who have not worked at least one shift within the last 90 days will have to be cleared by the COR or designee prior to returning to shift work. Clearance may require attendance at an orientation and/or competency class. The contractor may have to complete a full profile, PIV request and UAR request as determined by the COR. Contractor employees who do not maintain their training currency via the VA TMS will be placed into a Do Not Return (DNR) status. Contractor will maintain current resumes or work histories of all employees. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for staff 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 reaction to PPD testing for all contractor staff. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually. RUBELLA TESTING: Contractor shall provide proof of immunization for all contract, staff for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contractor staff; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. 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. Conflict of Interest: The Contractor and all contractor s staff are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of CONTRACT performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor 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 (Jan 2008). Citizenship related Requirements: The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract, or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals; While performing services for the Department of Veterans Affairs, 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 Federal Acquisition Regulations. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs 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 Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; 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. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (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 staff 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. In addition to the immunizations mentioned in section 2.1.2, the contractor will also include, at their expense, in the orientation file for each employee, the following information: A physical dated within 90 days of submission of employee for CONTRACT performance. Current BLS/ACLS cards with an expiration date beyond the last day of orientation (though it is noted that Contractor personnel will be required to maintain appropriate certification to perform on the CONTRACT, the initial/orientation requirement is the production of the appropriate card(s) with an expiration date beyond the end of orientation). Current Resume for RNs, LPNs, Certified Nursing Assistant and Healthcare Technicians Influenza immunization records. Current Resume or current employment history for all others. Non Personal Healthcare Services: The parties agree that the Contractor and all contractor s staff shall not be considered VA employees for any purpose. Technical Direction: The services to be performed by the Contractor will be monitored by the COR. 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. Inherent Government Functions: Contractor and Contractor s staff shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (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. No Employee status: The Contractor shall be responsible for protecting Contractor s staff furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant CONTRACT: Workers compensation Professional liability insurance Health examinations Income tax withholding, and Social security payments. 2.7 Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor s staff. When a Contractor or contractor s staff 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 staff ) action or non-action shall be the responsibility of the Contractor and/or insurance carrier. Key Personnel: Key Personnel are those Contractor personnel whom are essential to performance of the CONTRACT requirements and/or were considered or included by the Contractor in development of solicitation response, including individuals in key management, staffing, and related positions. Except as provided below, during the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the CO, in writing, within fifteen (15) calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract,, the Contractor shall submit the information required by paragraph (c) to the CO at least fifteen (15) days prior to making any permanent substitutions. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitution and complete Curriculum Vitae for the proposed substitute. Proposed substitute shall have comparable qualifications to those of the person being replaced. The CO shall notify the Contractor within fifteen (15) calendar days after receipt of all required information of the decision on the proposed substitution. When changes in key personnel are approved, the contract, prices may be adjusted accordingly to reflect the salary and benefits of the personnel actually providing the services. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive work days or more, the Contractor will provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person. Any period exceeding two (2) weeks will require the procedure as stated in paragraph c. above. HOURS OF OPERATION: Business Hours: Monday through Friday 7:00 am-4:30 pm. Work Schedule: Monday through Friday-8 hour shift between the hours of 7:00 am-4:30 pm, 40 hours a week. Work hours: Personnel shall typically perform services during 8 hour shifts, five days a week, excluding Federal Holidays with actual work schedules to be mutually agreed upon by Contractor and VA based on patient care needs between the hours of 7:00 am and 4:30 pm. Unless a state of emergency has been declared or clinics are otherwise cancelled by the VAMC, the Contractor shall be responsible for providing services. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs: New Year s Day President s Day Martin Luther King s Birthday Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Any day specifically declared by the President of the United States to be a national holiday. CONTRACTOR RESPONSIBILITIES SERVICES REQUIRED: Registered Nurse (RN): Contractor will ensure that Contractor RN s are a professional nursing practice that delivers a broad range of nursing care in the context of disease or injury prevention, health promotion and restoration and health maintenance. The Contract Registered Nurse delivers/demonstrates fundamental, knowledge based care, while developing and increasing technical competencies to provide and plan nursing care for patients with simple or complex needs. Medical/Surgical Nurse (SIN 621-025) Medical-Surgical Nurse is a professional nurse who provides holistic approach to the care of the patients requiring acute medical or surgical interventions. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Contractor nurses will be assigned based on patient care needs and contractor s experience. All registered nurses shall have at least two (2) years current experience in an acute care, medical/surgical unit in an urban, academic Medical Center setting exclusive of agency assignments. Education requirements: required Bachelor s Degree in Nursing or in related field or a Master s Degree in Nursing or in related field is highly preferred. Agency nurses assigned to WBVAMC Medical/Surgical units can expect to work 8 hour shifts, with alternating weekend shifts preferred. The minimum requirement for all registered nurses assigned to a Medical-Surgical unit shall include a current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States and a current CPR/ BLS certificate accredited by the American Heart Association. Medical-Surgical nurses with telemetry experience and certification are required on one unit. These nurses must, in addition to the credentials above, provide a current ACLS certificate accredited by the American Heart Association, a completion certificate from an accredited telemetry program, and at least two years experience in telemetry or intensive care setting. Additional requirements for all registered nurses assigned to the Medical-Surgical Floor include current ACLS certificate accredited by the American Heart Association, and the Moderate Sedation Certification or equivalent. Operating Room Nurse (SIN 621-025): Operating Room Nurse is a professional nurse who provides holistic approach to the care of the patients requiring surgical interventions by working closely with surgeons and anesthesia care providers. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Contractor nurses may be utilized in the Operating Room (OR), Short Procedure Unit (SPU), and Post Anesthesia Care Unit (PACU) Unit. Duty hours are normally 0700 AM 3:30 PM, and there are times when the Nurses are required to work after normal duty hours based on the severity of procedures, OR delays, or needs of the staff. Agency Nurses are expected to take on-call duty when requested, and shall return to the medical center within thirty (30) minutes of notification. All registered nurses shall have at least two (2) years prior experience in an operating room setting exclusive of agency assigned tours of duty, and shall be able to scrub and circulate. 3.1.1.8 Agency nurses assigned to the OR, SPU or PACU units can expect to work eight hour shifts Monday through Friday exclusive of holidays. On occasion, contract nurses shall provide on-call duties provided it is cost effective to the VA to do so. Contractors shall include any on- call rates exclusive to the OR service contracts. Nurses selected for on-call duty shall report to the OR suite within thirty minutes of notification. Education requirements: required Bachelor s Degree in Nursing or in related field or a Master s Degree in Nursing or in related field is highly preferred. The minimum requirement for all registered nurses assigned to an OR/PACU shall include a current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States and a current CPR/ BLS certificate accredited by the American Heart Association. Additional requirements for all registered nurses assigned to the OR/PACU include current ACLS certificate accredited by the American Heart Association, and the Moderate Sedation Certification or equivalent. Agency nurses are preferred to have a current Certified Nurse Operating Room (CNOR) certificate accredited by the Competency & Credentialing Institute (CCI). Prevents infection by utilization of universal precautions, correct hand washing techniques between procedures and/or patients, maintains aseptic techniques, and maintains isolation techniques. Maintains good body mechanics to prevent injury to self, patients, and staff. Uses safety protective devices for self and patient. Checks all emergency supplies and equipment per unit routine. Demonstrates positive effective interpersonal skills. Mechanical equipment in the operating room: Electro-Surgical unit, Operating Room equipment, fracture table, suction (wall outlet portable), nerve Stimulator, dermatoses (brown). Equipment not limited to this list. Circulating Nurse s specific duties. All nurses in the operating room must be certified to perform the following routine scrub nurse duties and procedures on all patients: Demonstrates proper aseptic technique Operates mechanics of or table Operates mechanics of or lights Assists anesthesiologist Positions patients properly Opening room Conducts sponge, needle, instrument and all related counts to prevent retained objects Completes work sheet Calls ICU for beds Calls ward report on local cases Scrub Nurse specific duties. All nurses in the operating room must also be certified to perform the following routine scrub nurse duties and procedures on all patients: Demonstrates proper aseptic technique Minor surgery Rectal surgery Abdominal surgery GU surgery Eye surgery Orthopedic surgery ENT surgery Bronchoscopic procedure Vascular surgery Neurosurgery Chest surgery Bariatric Surgery PACU-Recovery of Patients Short Procedure Unit nurse does preoperative assessment, OR patient preparation and recovery of patients. Emergency Department Nurse (SIN 621-025) Emergency Department Nurses will provide prescribed medical treatment and personal care services to ill and injured veterans. Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical and/or behavioral problems; and accountable for meeting and maintaining the qualification standards. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Contractor nurses may be utilized as needed in specialty units including the Emergency Department. All registered nurses shall have at least three (3) years recent prior experience in an emergency department or major trauma center emergency room. Education requirements: required Bachelor s Degree in Nursing or in related field or a Master s Degree in Nursing or in related field is highly preferred. Agency nurses assigned to the Emergency Department can expect to work twelve (12) hours shifts including no less than rotating weekends and holidays. The minimum requirement for all registered nurses assigned to the Emergency Department shall include a current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States, a current CPR/ BLS certificate accredited by the American Heart Association and a current ACLS certificate accredited by the American Heart Association. Agency nurses are preferred to have the Certification of Emergency Nursing (CEN) through the Board of Certifications for Emergency Nurses (BCEN). Nurses with Acute/Critical Care Nursing (CCRN) certifications through the American Association of Critical Care Nurses Certification Corporation (AACN) with ED experience will also be considered. Intensive Care Unit Nurse (SIN 621-025): Intensive Care Unit Nurses will be accountable clinically for ensuring that nursing care complies with accepted standards of care and clinical practice. Nurses will use judgment in assessing, planning, implementing, documenting and evaluating patient care in an Intensive Care Unit (ICU) setting where life-threatening disease or injury requires close monitoring and at times, quick intervention. Coordinates and implements patient care specific to the age of the patient population served on the ICU (adult and geriatric). The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Contractor nurses may be utilized as needed in specialty the Medical Intensive Care Unit (MICU), Surgical Intensive Care Unit (SICU), Medical Telemetry, or the Emergency Room. All nurses considered for assignment to an ICU shall have completed an accredited course in Intensive Care Nursing as well certification in Moderate Sedation or equivalent. In lieu of ICU certification, candidates shall possess at least five years clinical experience in an Intensive Care Unit or other critical care environment. All registered nurses shall have at least three (3) years prior experience in an intensive care setting to include Critical Care experience. Nurse Managers reserve the right to determine if ICU experience is conducive to their needs. Education requirements: required Bachelor s Degree in Nursing or in related field or a Master s Degree in Nursing or in related field is highly preferred. Agency nurses assigned to the MICU/SICU can expect to work twelve (12) hours shifts including no less than rotating weekends and holidays. The minimum requirement for all registered nurses assigned to any of the ICU shall include a current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States, a current CPR/ BLS certificate accredited by the American Heart Association, a current ACLS certificate accredited by the American Heart Association and the Moderate Sedation Certification or equivalent. Agency nurses are preferred to have the Nurses with Acute/Critical Care Nursing (CCRN) certifications through the American Association of Critical Care Nurses Certification Corporation (AACN) CCRN certificate. All nurses in the ICU are certified to perform the following routine procedures on all patients but not limited to: Insertion of peripheral lines. Collection of blood samples by venipuncture and central lines and swan ganz catheter. Drawing of arterial blood from existing lines. Hemodynamic Monitoring Under the physician s direction, the nurses in ICU may remove peripheral intravenous lines, central venous catheters and percutaneous arterial lines. In the event that the patient experiences chest pain or signs and symptoms of cardiac abnormalities, the nurse will perform a 12 lead EKG immediately. In the event that the patient develops asystole, ACLS protocol will be followed. In the event that a patient requires placement of an external pacemaker, the nurse will attach the patient to a pacing wire and pacing generator. Records pertinent information in CPRS and/or PICIS flow sheet throughout the shift. Psychiatric Nurse (SIN 621-025): The behavioral health unit serves veteran with varying degrees of mental illness and co-morbidities requiring medical and psychiatric interventions. Nurses will be accountable clinically for ensuring that nursing care complies with accepted standards of care and clinical practice. Nurses will use judgment in assessing, planning, implementing, documenting and evaluating patient care of Veterans within an inpatient setting where mental and behavioral health diseases requires close monitoring and at times, quick intervention. Coordinates and implements patient care specific to the age of the patient population served on the unit. The Nurse functions both dependently and independently with guidance and direction from the Nurse Manager/designee. Nurses must have active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Experienced and qualified psychiatric registered nurses and licensed practical nurses are required to provide additional staffing for the inpatient psychiatric unit at the WBVAMC and the Residential Rehabilitation Treatment Program located at Broad Street and Snyder Avenue in Wilkes-Barre. All registered nurses will be psychiatric registered nurses and Licensed Practical Nurses shall have at least two years recent experience in inpatient behavioral health, and be familiar with the Recovery Model. Education requirements: required Bachelor s Degree in Nursing or in related field or a Master s Degree in Nursing or in related field is highly preferred. The minimum requirement for all registered nurses assigned to the Behavioral Health Department shall include a current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States, and a current CPR/ BLS certificate accredited by the American Heart Association. Agency nurses are preferred to have a certification in psychiatric/mental health in nursing accredited through the American Nurses Credentialing Center (ANCC). Dialysis Nurse (SIN 621-025): Under the supervision of the nurse manager, the dialysis staff nurse maintains accountability for the coordination and delivery of care to patients with end stage renal disease. The responsibilities of the dialysis staff nurse include: For the Acute Dialysis Setting, Registered Nurses require: a current ACLS certificate accredited by the American Heart Association, minimum three (3) years experience performing hemodialysis on patients who are hospitalized in an acute setting, and experience with dialysis of patients in intensive care unit setting. Agency Nurses are preferred to have completed the ECG Course. Oversees the preparation of the delivery system, dialysate bath, and dialyzer and confirms that all mandatory alarm tests on the dialyzer and equipment are performed. Reviews physician orders for dialysis patients, collects pre-treatment dialysis data, and reviews patient records prior to dialysis. Conducts pre-dialysis patient assessment including obtaining patient vital signs and assessing the patient s vascular access, laboratory findings, and the patient s general health. Verifies that patients are taking all prescribed medications and performs medication reconciliation. Documents findings of patient assessments and interventions and advises providers of any significant change in the patient's condition and other pertinent information. Discusses patient concerns and answers questions relevant to care. Oversees dialysis technicians in the performance of dialysis from start to finish, monitors patient reaction to treatment and performance of the dialysis machines, and demonstrates an in- depth understanding of the mechanics of dialysis. Assesses, prepares, and cannulates a patient s vascular access (including needle insertion in arterioveinous fistula or grafts for aseptic connection with dialysis equipment). Utilizes sterile techniques to assess the dialysis catheter exit site and to apply dressing on the patient s vascular access (dialysis catheter, arterioveinous access) per protocols. Maintains skills necessary to perform surveillance on dialysis access (catheter, fistula, graft) for early signs of failure or infection; this includes (if needed and after receiving the appropriate training) the ability to perform arterioveinous access monitoring using Transonic machine per protocol. Reviews patient s electronic/paper records for orders as appropriate and administers dialysis- related intra-venous and/or oral medications as prescribed and/or per protocol. Conducts post dialysis assessment and patient discharge by evaluating treatment, documenting medication administration utilizing the appropriate protocols, assessing condition of vascular access, discharging the patient when vital signs are stable, and documenting and recording patient treatment data. Provides patient education/teaching applicable to the patient s medical condition. Refers patient to other disciplines or services as needed (nutrition, social work, etc). Performs other treatments and diagnostic tests such as blood sugar testing and other tests required as part of patient treatment. Oversees disassembly and disinfection of dialysis equipment. Maintains skills necessary to do regional heparinization, separate and store blood samples, set up oxygen, administer saline, and maintain dialysis equipment. Performs surveillance and testing of dialysis water treatment equipment and dialysis water (such as chlorine, hardness, conductivity, water cultures) to ensure that these machines are operating within the parameters set in the facility s written protocols. Demonstrates a working knowledge of dialysis laboratory tests and dialysis medications. Demonstrates an in-depth understanding of infection control and prevention of transmission of blood borne pathogens. Demonstrates a working knowledge of the national guidelines and the facility s protocols for immunization of the dialysis patients (such as influenza, pneumococcal, and hepatitis-B vaccination). Counsels patient on and administers vaccines per protocols. Participates in quality improvement activities to include collection of data for the dialysis unit Quality Assurance Performance Improvement (QAPI) plan. Responds appropriately and provides assistance in emergency situations. Provides leadership in improving patient care, maintaining standards of care, directing and teaching personnel in a variety of settings, and providing charge nurse responsibilities as needed. Works closely with others on the dialysis team and participates in interdisciplinary team meetings. Maintains responsibility for providing coverage to the dialysis center. Education requirements: required Bachelor s Degree in Nursing or in related field or a Master s Degree in Nursing or in related field is highly preferred. The minimum requirement for all registered nurses assigned to the Hemodialysis Department shall include a current unrestricted registered nurse license from any State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States, and a current CPR/BLS certificate accredited by the American Heart Association. STANDARDS OF CARE: The contractor s staff care shall cover meet or exceed care 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 national standards as established by: VA Standards: VHA Directive 2006-041 Veterans Health Care Service Standards (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443 The professional standards of the The Joint Commission (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 and; The requirements contained in this PWS MEDICAL RECORDS Authorities: Contractor s staff providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the U.S.C.551a (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. Based on this exception, a BAA is not required for this CONTRACT. Treatment and administrative patient records generated by this CONTRACT or provided to the Contractors by the VA are covered by the VA system of records entitled Patient Medical Records-VA (24VA19). 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 are available for immediate transmission when requested by the VA. Records identified for review, audit, or evaluation by VA representatives and authorized federal and state officials, shall be accessed on-site during normal business hours or mailed by the Contractor at his expense. Contractor shall deliver all final patient records, correspondence, and notes to the VA within twenty-one (21) calendar days after the contract, expiration date. Disclosure: Contractor s staff may have access to patient medical records: however, Contractor shall obtain permission from the VA before disclosing any patient information. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA s records, at VA s place of business on request during normal business hours, to inspect and review and make copies of such records. The VA will provide the Contractor with a copy of VHA Handbook 1907.1, Health Information management and Health Records and VHA Handbook 1605.1, 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 Handbook 1907.01 Health Information Management and Health Records: http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 and all guidelines provided by the VAMC. Release of Information: The VA shall maintain control of releasing any patient medical information and will follow policies and standards as defined, but not limited to Privacy Act requirements. In the case of the VA authorizing the Contractor to release patient information, the Contractor in compliance with VA regulations, and at his/her own expense, shall use VA Form 3288, Request for and Consent to Release of Information from Individual s Records, to process Release of Information Requests. In addition, the Contractor shall be responsible for locating and forwarding records not kept at their facility. The VA s Release of Information Section shall provide the Contractor with assistance in completing forms. Additionally, the Contractor shall use VA Form 10-5345, Request for and Authorization to Release Medical Records or Health Information, when releasing records protected by 38 U.S.C. 7332. Treatment and release records shall include the patient s consent form. Completed Release of Information requests will be forwarded to the VA Privacy Officer. Direct Patient Care: 95% of the time involved in direct patient care. This is only an estimate and can change based on the needs of the Government. Administrative: 5% of time not involved in direct patient care. This is only an estimate and can change based on the needs of the Government. TASK 1: Computerized Patient Record System: The Contractor is responsible for utilizing the CPRS in VISTA at the WBVAMC. Access and training will be provided for the Contractor as needed. Contractor Nursing and Nursing Support Services personnel will be expected to fully use the system since CPRS will be the sole means of patient record keeping. Record keeping should ensure compliance with applicable TJC and VHA requirements to include data entry into CPRS by appropriate Contractor employees for documentation of medical records. TASK 2: Orientation: The Contractor will provide and document a general orientation for all Contractor Nursing and Nursing Support Services personnel who provide work on this contract, before commencement of work. VA will provide the content of the orientation to the Contractor at the time of contract, award. Documentation of the orientation will be provided to the CO. This orientation will include the following topics: Fire and safety policy and procedure Infection control policy and procedure Emergency Preparedness/Disaster policy and procedure Contractor Nursing and Nursing Support Services personnel will attend an area/program/unit-specific orientation meeting before the commencement of work. The VA will schedule, conduct and document this meeting which will include discussion of the following area-specific topics: Fire and safety policy and procedure Infection control policy and procedure Emergency preparedness/disaster policy and procedure Initial competence assessment Area/program/unit specific orientation If a Contractor employee is new to WBVAMC, he or she must also attend an Orientation session conducted by Nursing Education. This orientation takes one to three days and is scheduled monthly through the Contractor. The COR will notify the contractor of upcoming orientations. The VA will monitor the Contractor Nursing and Nursing Support Services personnel work to ensure contract compliance. Notwithstanding other contract requirements, upon request of the CO, the Contractor will remove from the work site, any Contractor Nursing and Nursing Support Services personnel who does not comply with orientation requirements or meet competency requirements for the work being performed. Patient Safety Compliance and Reporting: Contractor s staff shall follow all established patient safety and infection control standards of care. Contractor s staff 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 reported to the COR and VA Safety Office. As soon as practicable (but within 24 hours) Contractors shall notify COR of incident and submit to the COR the Patient Safety Report, following up with COR as required or requested. Scheduling: Contractor will schedule their employees for coverage based on requirements given by WBVAMC. The Government will not schedule individuals. The Government will provide the contractor with the schedule needs. These requirements will normally be given 1 2 weeks in advance but could be same day or a matter of hours. For notifications less than 24 hours, the fill or non-fill will not be counted as a performance metric. WBVAMC will provide at least 2 hours of notice for cancellations. If the WBVAMC does not provide the two hour minimum, the WBVAMC will pay for 4 hours at the normal pay rate for Time and Trouble. If a Contractor employee chooses to return home rather than accept a re-assignment during a shift, the WBVAMC will only pay for the hours worked even if they are less than 4 hours. PERFORMANCE STANDARDS, QUALITY ASSURANCE (QA) AND QUALITY IMPROVEMENT(QI) Quality Management/Quality Assurance Surveillance: Contractor 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 Performance Work Statement (PWS) and methods of surveillance detailed in the Quality Assurance Surveillance Plan (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. In the event that 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. Contractor employees may also be placed on the DNR list because of failure to properly perform their duties, repeated tardiness or lateness, or insubordination. These will be substantiated through the VA Report of Contact (ROC) process. Official notification of the DNR status will come from the CO or COR. The Contractor will accept an e- mail notification from a Patient Care Coordinator or a Nurse Manager as a temporary request to remove a Contractor employee from the work schedule pending further discussions with the CO or COR. 3.8. Vendor must notify, in writing, the Contract Specialist when 85% of the labor hours are extended under this transaction. GOVERNMENT RESPONSIBILITIES VA Support Personnel, Services or Equipment: Other necessary personnel for the operation of the services Contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. Contract Administration/Performance Monitoring: After award of contract, all inquiries and correspondence relative to the administration of the contract shall be addressed to the Delegated COR.: 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. Notwithstanding other contract requirements, upon request of the CO, the Contractor will remove from the work site, any Contractor personnel who does not comply with orientation requirements or meet competency requirements for the work being performed. 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. The COR will maintain a record-keeping system of services. 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 The Contractor agrees to provide Nursing and Nursing Support Services personnel and services in accordance with the terms and conditions stated herein, to furnish to and at the WBVAMC, the services and prices specified in the Section entitled Schedule of Services and Prices/Costs of this contract. The services specified in the Sections entitled Schedule of Services and Prices/Costs and Special contract Requirements may be changed by written modification to this CONTRACT. The modification will be prepared by the VA CO. Other necessary personnel for the operation of the services Contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. Record-Keeping Monitoring System: A monitoring system is established for verification of actual hours worked by Contractor employees. The delegated COR is the VA official responsible for verifying contract compliance. He will tabulate hours worked utilizing sign-in/sign-out log book, clinic productivity reports, medical center committee meeting attendance rosters, and other methods of documentation deemed appropriate for this purpose. Failure of Contractor employees to utilize the sign-in sign-out log book to properly document attendance may result in nonpayment for on-site hours which cannot be verified. 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. 5.4.1 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. 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 Within 60 days of contract award and exercise of subsequent options. CO/COR Copies of any and all licenses Upon renewal of licenses and upon renewal of option periods or change of key personnel. submitted to VETPRO system. Certification that staff list have been compared to OIG list Upon new hires. CO/COR Proof of Indemnification and Medical Liability Insurance Upon exercise of options. CO/COR 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/COR 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 Within 60 days of contract award and exercise of subsequent options. COR Billing: Invoice requirements and supporting documentation: Supporting documentation and invoice must be submitted no later than the10th workday of the month. Hours billed for, but not sufficiently documented will not be reimbursed. The Contractor will be paid actual hours worked. 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 Names of Nursing and Nursing Support Service personnel Hourly Rate Quantity of hours worked Total price Vendor Electronic Invoice Submission Methods Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below: VA s Electronic Invoice Presentment and Payment System The FSC uses a third-party contractor, OB10, to transition vendors from paper to electronic invoice submission. Please go to this website: http://ob10.com/us/en/veterans-affairs-us/ to begin submitting electronic invoices, free of charge. A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org). The Contractor may contact FSC at the phone number or email address listed below with any questions about the e-invoicing program or OB10: OB10 e-Invoice Setup Information: 1-877-489-6135 OB10 e-Invoice email: VA.Registration@ob10.com FSC e-Invoice Contact Information: 1-877-353-9791 FSC e-invoice email: vafsccshd@va.gov
 

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