Fleet & Industrial Supply Center, Regional Contracts Dept, Attn: Bid Officer/Code 210A94, 937 N. Harbor Drive, Suite 212, San Diego, CA 92132-0212

Q -- DENTAL ASSISTANT AND DENTAL HYGIENIST SERVICES SOL N00244-99-T-B476 DUE 092099 POC Leonard Anthony, Contract Specialist, (619) 532-2583; Sheila Wasson, Contracting Officer WEB: click here to download a copy of the RFQ, www.sd.fisc.navy.mil. E-MAIL: click here to contact the Contract Specialist, Leonard_L_Anthony@sd.fisc.navy.mil. IMPORTANT NOTICE: DFARS 252.204-7004, "Required Central Contractor Registration" applies to all solicitations issued on or after 6/1/98. Lack of registration in the CCR database will render an offeror/quoter INELIGIBLE FOR AWARD. Please ensure compliance with this regulation when submitting your quote. Call 1-888-227-2423 or visit the Internet at http://www.ccr2000.mil/ for more information. This is a combined synopsis/ solicitation for commercial items prepared in accordance with FAR Part 13 and the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the ONLY solicitation; quotes are being requested and A SEPARATE WRITTEN SOLICITATION WILL NOT BE ISSUED. Solicitation number/ RFQ N00244-99-T-B476 applies. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 97-12. The Government requires nine (9) Dental Assistants and one (1) Dental Hygienist as follows: LineItem 0001: Eight (8) full time (40 hours per week, excluding Federal Holidays) Dental Assistants to perform Dental Assistant duties at the Naval Dental Center or one of the branch dental clinics located at Camp Pendleton, CA, from 21 September 1999 through 21 December 1999, in accordance with the Statement of Work; Quantity Ordered: 4032; Unit: HRS; Unit Price:______; Amount:________. Line Item 0002: One (1) full time (40 hours per week, excluding Fed. Holidays) Dental Assistant to perform Dental Assistant duties at the Naval Dental Clinic, MCAS Miramar, CA, from 21 September 1999 to 21 December 1999, in accordance with the Statement of Work; Quantity Ordered: 504; Unit: HRS; Unit Price:_______; Amount:________. Line Item 0003: One (1) full time (40 hours per week, excluding Federal Holidays) Dental Hygienist to perform Dental Hygienist duties at the Naval Dental Clinic, MCAS Miramar, CA, from 21 September 1999 to 21 December 1999, in accordance with the Statement of Work; Quantity Ordered: 504; Unit: HRS; Unit Price:______; Amount:______. STATEMENT OF WORK: A. GENERAL REQUIREMENTS: 1. The use of "Commanding Officer" means: Commanding Officer, NDC Camp Pendleton, CA, Commanding Officer, NDC Miramar, CA, or designated representative, e.g. Technical Liaison, Department Head. 2. The services provided under this contract shall be rendered as personal services for the Navy, performing an agency function by providing direct medical care required by the Navy for its health care beneficiaries. Prior to performance of services, the contractor shall submit to the technical liaison credentialing documents as required. The Contractor's activities shall be subject to day-to-day supervision and control by Navy personnel in a manner comparable to the supervision and control exercised over Navy uniformed and civil service personnel engaged in comparable work. The term "supervision and control" is defined as that process by which you receive technical guidance, direction and approval with regard to an element of work or a seriesof tasks within the requirements of this contract. It is the intent of the parties that this personal service contract create an employer-employee relationship between you and the Navy. Accordingly, personal injury claims alleging negligence by the contractor within the scope of the contractor's performance of this contract shall be processed as claims alleging negligence by DOD military or civil service employees. The contractor is not required to maintain medical liability insurance. 3. Duties and Responsibilities. The contractor shall perform a full range of dental hygiene and dental assistant duties, within the scope of this statement of work, on site using government furnished supplies, facilities and equipment within the assigned unit of the Dental Treatment Facility. Workload occurs as a result of scheduled and unscheduled requirements for care. The contractor's actual clinical performance will be a function of the Commanding Officer's credentialing process and the overall demand for dental hygiene and dental assistant services. 4. The contractor shall be subject to guidelines set forth in the Command's quality assurance and risk management instructions. The contractor shall perform administrative duties which include maintaining statistical records of your clinical workload, participating in dental education programs, preparing documentation for boards, and participating in clinical staff quality assurance functions at the prerogative of the Commanding Officer. 5. The work environment involves risks typically associated with the performance of clinical oral procedures. The contractor may be exposed to contagious disease, infections and flying dental debris requiring the wearing of protection such as sterile gloves, masks and eyeglasses. B. DENTAL ASSISTANTS LOCATED AT CAMP PENDLETON AND MIRAMAR: 1. The Dental Assistants shall be responsible for a full range of dental assisting procedures in support of Dental Officer examinations and delivery of treatment under the "four handed dentistry" format within the personnel and equipment capabilities and limitations of the Dental Treatment Facility. The Dental Assistant shall aid in the provision of mandated dental surveillance and preventive services and assist in ensuring the quality and timeliness of treatment records and reports required to document procedures performed and care provided. The Dental Assistant shall also refer patients who present with a complaint to staff dentists for evaluation and continuation of care and attend multidisciplinary treatment team meetings on behalf of the dental officers. 2. Clinical Services required: the Dental Assistant's clinical activity will be a function of the overall demand for dental assisting services. The Dental Assistant's productivity is expected to be comparable to that of other dental assistants assigned to the same facility and authorized the same scope of practice. The Dental Assistant shall: Provide for the examination, treatment, and disposition of patients compatible with the Dental Treatment Facility's operating capacity and equipment; Coordinate with other health care departments and the clinic staff to provide complete care to patients; Provide training to staff for routine dental assistant activities and procedures so that the benefit of routine care can be accrued; Maintain patient records in accordance with JCAHO and DTF requirements;Select and arrange instruments and prepare set ups for patient treatment; Assist during patient examination and treatment; Assist during administration of anesthesia; Assist in placement and removal of sutures; Prepare restorative and impression materials; Dispose of contaminated waste in accordance with the standard procedures of the DTF; Load and unload radiographic film cassettes; Expose bitewing, periapical and occlusal film utilizing bisecting angle or paralleling radiographic techniques;Perform radiographic darkroom procedures to include manual and automatic film processing; Instruct on basic oral hygiene care; and, maintain operatory to meet the clinic's standards. The Dental Assistant may be assigned other duties consistent with the normal duties of a dental assistant as directed by the Commanding Officer. 3. Administrative and Training Requirements. The Dental Assistant shall: Provide training and /or direction to supporting government employees (technicians, corpsmen, students, etc.) assigned to the contractor during the performance of clinical procedures. Such direction and interaction will adhere to government and professional clinical standards and accepted clinical protocol. Participate in clinical staff quality assurance functions at the prerogative of the Commanding Officer. The Dental Assistant may be required to maintain statistical records of their clinical workload. Participate in monthly meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist. Should a meeting occur outside of regular working hours, the Dental Assistant shall be required to read and initial the minutes of the meeting. Participate in the provision of monthly inservice training to non-healthcare-practitioner members of the clinical and administrative staff on subjects germane to dental care. Attend annual renewal of the following Annual Training Requirements provided by the MTF: family advocacy, disaster training, infection control, Sexual Harassment, Bloodborne Pathogens and Fire Safety. Participate in the implementation of the Hospital's Family Advocacy Program as directed. The Dental Assistant is required to maintain American Heart Association CPR Health Care Provider Course re-certification during the term of the contract. Additionally, the contractor shall perform administrative functions such as serving on boards and committees and attending or providing continuing dental education. 4. Minimum Personnel Qualifications: To be qualified for this position, contractor personnel must: 1. Have either (a), a Certificate or Associate Degree as a dental assistant/technician from a state accredited program and 12 months experience within the preceding 36 months (b), certification from a military dental technician or dental assistant "A" school and 12 months experience within the preceding 36 months (c), certification from a Red Cross Dental Assistant course and 12 months experience within the preceding 36 months (d), 36 months experience within the preceding 60 months as a dental assistant in a private practice (e), membership in good standing with the American Association of Dental Assistants with required continuing education and 12 months experience within the preceding 36 months or (f), graduation from a state accredited program for dental assistants or dental technology within the preceding 12 months. 2. Have either certification or a permit for the use of dental x-ray equipment. 3. Be eligible for U.S. employment. 4. Provide three letters of recommendation, at least two of which must be from either practicing dentists or faculty members where contractor personnel received their dental assistant training. The letters must attest to clinical skills, patient rapport, etc. Recommendation letters must include name, title, phone number, date of reference, address and signature of individual providing the letter. The third letter may be from a previous employer. Reference letters must have been written within the preceding five years. C. DENTAL HYGIENIST LOCATED AT MIRAMAR: 1. The Dental Hygienist shall be responsible for the delivery of treatment within the personnel and equipment capabilities of the DTF, provision of mandated surveillance and preventive services, and the quality and timeliness of treatment records and reports required to document procedures performed and care provided. The contractor shall direct supporting government employees assigned to them during the performance of clinical procedures. Such direction and interaction will comply with government and professional clinical standards and accepted protocols. 2. Clinical Services required: Contractor clinical activity will be a function of the overall demand for hygienist services. Dental Hygienist productivity is expected to be comparable to that of other dental hygienists assigned to the same facility and authorized the same scope of practice. The Dental Hygienist shall: Provide oral prophylaxis, preventive dentistry procedures and non-surgical periodontal therapy to active duty military personnel and eligible beneficiaries;Review and complete preliminary dental examinations for new periodontal and recall patients. Oversee and manage periodontal patient recall programs; Review patient's medical and dental history for evidence of past and present conditions such as medical illnesses and use of drugs which may complicate or modify dental hygiene treatment; Examine teeth and surrounding tissues for evidence of caries, periodontal disease and then record findings. Inspect head and neck, examine mouth, throat and pharynx for evidence of disease such as oral cancer and/or soft tissue pathosis; Expose, develop and interpret radiographs to identify tooth structure, periodontal support and other abnormalities such as periodontal bone loss, periapical pathosis, caries, defective restorations, improper tooth contours and contact relationships; Refer suspected medical conditions, hard and soft tissue abnormalities, caries, periapical and periodontal pathosis and traumatic or suspicious lesions to the dental officer for evaluation;Perform pit and fissure sealant applications;Develop dental hygiene treatment plans for patients including assessment of the problem, type and extent of treatment required and sequence of appointments to complete treatments;Perform complete oral prophylaxis and non-surgical periodontal treatment on ambulatory patients using ultrasonic and hand instruments; Perform subgingival scaling, root planing and curettage under local anesthesia administered by dental officer; if the appropriate background training and credentials exist, administer local infiltration anesthesia;Treat acute necrotizing ulcerative gingivitis; Polish teeth and apply disclosing solutions, fluorides, desensitizing agents and other topical medications to the teeth for the purpose of controlling caries and dentinal hypersensitivity; Clean and polish removable dental appliances worn by patients; Comply with applicable quality assurance standards for preventive dentistry; Maintain a record of patient treatment and number of patients treated; Record oral condition of teeth and supporting tissues, type of therapy provided and progress notes; Clean and maintain instruments and insure their sterility; clean and maintain your work area to meet the clinic's standards; you may be assigned other duties as directed by the Commanding Officer, consistent with the normal duties of a dental hygienist. 3. Training and Patient education: contractor personnel shall: Instruct patients, individually and in group seminars, in proper oral hygiene using a variety of aids such as models of teeth, slides, toothbrushes, floss, disclosing tablets, mirrors, terproximal brushes and rubber tips; Plan and adapt oral home care techniques to the specific need of the individual patient; Explain causes of caries and periodontal disease to patients and the importance of nutrition in maintaining dental and systemic health; Monitor, supervise and assist in training dental technicians involved in direct patient care to perform scaling, prophylaxes, polishing procedures, fluoride applications and oral home care instructions. 4. Minimum Personnel Qualifications: To be qualified for this position contractor personnel must: 1.Have a degree or certificate in dental hygiene from a school of dental hygiene OR a doctorate in dentistry approved by the Council on Dental Education of the American Dental Association (ADA). 2. Hold a current, unrestricted license to practice dental hygiene or general dentistry in any one of the fifty States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands. 3. Either (a), successfully complete at least 12 classroom hours of continuing dental education within the preceding 18 months which maintain skills and knowledge in dental hygiene and preventive dentistry, or (b) graduate from an ADA approved dental hygiene OR general dentistry program within the preceding 12 months. 4. Have experience as a Dental Hygienist OR General Dentist of at least 12 months within the preceding 24 months, unless a recent graduate. 5. Be eligible for U.S. employment. 6. Provide three letters of recommendation from practicing dentists attesting to contractor personnel clinical skills. Letters of recommendation must include name, title, date of reference, phone number, address and signature of individual providing reference and must be written within the preceding 5 years. Recent graduates may provide letters of recommendation from faculty where dental hygiene or general dentistry training was received. Clause 52.212-4, Contract Terms and Conditions Commercial Items, applies as well as the following addendum clauses: FAR 52.219-1, Small Business Program Representations; FAR 52.211-5, Material Requirements. The clause at 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders -- Commercial Items applies with the following applicable clauses for paragraph (b): FAR 52.222-21, Prohibition of Segregated Facilities; FAR 52.222-26, Equal Opportunity; FAR 52.222-35, Affirmative Action for Disabled Veterans and Veterans of the Vietnam Era; FAR 52.222-36, Affirmative Action for Workers with Disabilities; FAR 52.222-37, Employment Reports on Disabled Veterans and Veterans of the Vietnam Era; and FAR 52.232-33, Payment by Electronic Funds Transfer -Central Contractor Registration. DFARS 252.212-7001, Contract Terms and Conditions Required to Implement Statutes or Executive Orders Applicable to Defense Acquisitions or Commercial Items, applies with the following clauses applicable for paragraph (b): DFARS 252.225-7001, Buy American Act and Balance of Payments Program; DFARS 252.225-7014, Preference for Domestic Specialty Metals; and DFARS 252.225-7012, Preference for Certain Domestic Commodities. OFFERORS ARE REQUIRED TO COMPLETE AND INCLUDE A COPY OF THE FOLLOWING PROVISIONS WITH THEIR PROPOSALS: FAR 52.212-3, Offeror Representations and Certifications -- Commercial Items, FAR 52.209-5, Certification Regarding Debarment, Suspension, Proposed Debarment, and Other Responsibility Matters. The Government intends to make a single award to the responsible offeror whose offer is the most advantageous to the Government considering price and price-related factors. Provision 52.212-2, Evaluation -- Commercial Items, applies with paragraph (a) completed as follows: The following factors shall be used to evaluate offers: 1. Minimum Personnel Qualifications, 2. Enhancing Criteria, 3. Price. Offeror's proposals will be evaluated first under Factor (1) above, which represents minimum acceptable criteria. Failure to meet the minimum criteria for this factor will render the offer technically unacceptable and shall not be considered for award. Only those offerors who meet the Minimum Personnel Qualifications required for the Dental Assistants and Dental Hygienist (listed in the Statement of Work) will be further evaluated under Factors (2) and (3). Factor (2) shall be evaluated by ranking the offeror against all other technically acceptable offerors using the following Enhancing Criteria, listed in descending order of importance: a. Experience, both quality and quantity, as a Dental Hygienist or Dentist, and Dental Assistant. b. The letters of recommendation required above, may enhance the contractor's ranking if they address such items as clinical skills, professionalism, or specific areas of expertise, etc. c. Total Continuing Education hours. d. Infiltration Anesthesia certification. e. Additional Dental/Medical certifications. f. Current American Heart Association Basic Life Support (BLS) for Healthcare Providers, American Heart Association Healthcare Provider Course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or equivalent. g. Prior military experience in a Dental/medical field (provide Form DD214). Factor (2), Enhancing Criteria, when considered in its entirety, is approximately equal to Factor (3), Price. To be determined technically acceptable under Factor (1), the offeror shall furnish to the Government along with their offer copies of all certificates, degrees, permits, licenses, experience, letters of recommendation, memberships, and class room hours for all Dental Assistant and Dental Hygienist position Posted 09/13/99 (W-SN379652). (0256)

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