DOCUMENT
Q -- Orthopedic Surgeon - Attachment
- Notice Date
- 2/28/2014
- Notice Type
- Attachment
- NAICS
- 621111
— Offices of Physicians (except Mental Health Specialists)
- Contracting Office
- Department of Veterans Affairs;Acquisition & Materiel Management;Michael E. DeBakey VA Medical Center;2002 Holcombe BLVD;Houston TX 77030 4298
- Solicitation Number
- VA25614Q0574
- Response Due
- 3/5/2014
- Archive Date
- 5/4/2014
- Point of Contact
- Dwayne J. London
- E-Mail Address
-
1-4839<br
- Small Business Set-Aside
- Total Small Business
- Description
- Schedule of Services/Statement of Objectives Orthopedic Surgeon-Jack C. Montgomery VAMC Services Provided The Contractor shall provide the services of a Board Certified or Board Eligible full-time Orthopedic Surgeon to attend orthopedic needs for beneficiaries of and at the Jack C. Montgomery VAMC, Muskogee, OK, consistent with professional licensure laws, regulations, and certifications. Patient assessment, reassessment, and patient management will consist of that measure of continuity of care necessary to reflect quality care and good outcomes for the patient. Summary of expected services consist of, but are not limited to, the following: 1.The Contractor shall provide a board certified/board eligible full-time Orthopedic Surgeon at the Jack C. Montgomery VA Medical Center, Muskogee, OK, on Monday through Friday. These services shall be consistent with, Jack C. Montgomery VAMC, Muskogee, policies, procedures, and Medical Staff Bylaws. 2.The Contractor shall provide complete orthopedic care including evaluation, diagnosis, consultation, surgery, and management of orthopedic patients. 3.The Contractor shall provide attending staff responsibility/coverage for inpatient and outpatient orthopedic patients and supervision of orthopedic residents when residents are on a VA rotation. 4.The Contractor shall provide operating room staffing for elective and emergent orthopedic surgical procedures. The contractor shall also supervise surgical residents during orthopedic cases if surgical residents are on rotation at the VA. 5.The physician shall be computer literate and is expected to learn how to utilize CPRS (VHA electronic medical record system) for medical record documentation i.e. writing medication order and documenting patient care. 6.The physician will be responsible for appropriate and timely completion of medical records, such as, progress notes, consults, history and physicals, discharge summaries, operative reports, and encounters. 7.The Contractor shall be required to teach and supervise orthopedic residents when they are on rotation at the JCMVAMC, Muskogee. 8.The Contractor shall be required to provide Surgical Service with advance notice of any clinic cancellation so that necessary adjustments can be made to the clinic and operating room schedule. 9.The Contractor shall provide coverage as follows: a.Elective surgery as indicated; scheduled according to the operating room block-scheduling grid. b.Staff physician presence in the orthopedic clinic as scheduled starting at BAM and ending when the last patient is seen. c.Contractor is required to provide a minimum of 40 hours of service/coverage per week. (Consults, surgery, inpatient, outpatient, attending responsibilities) 10.The Physician must: a.Have an unrestricted license in the a US state, territory or US commonwealth; b.Speak English proficiently; c.Provide professional references and evidence of demonstrated current clinical competencies to perform appropriate clinical care acceptable to meet the JCMVAMC, Muskogee credentialing and privileging standards/requirements. d.Be a US citizen e.Be Board Eligible I Board Certified f.Have a Professional degree applicable medical staff members, e.g. MD, DO g.Provide a current copy of BCLS (Basic Cardiac Life Support) h.Provide a current copy of ACLS (Advanced Cardiac Life Support) i.Maintain compliance with local performance measures and monitors, as designated by the Chief of Surgery 11.Quality Assurance Plan a.The COR is identified as the Administrative Services Manager, Surgery Service, Sheila Barr (918) 577-3673 b.The COR shall use performance measure surveillance methods listed in the Quality Assurance Surveillance Plan (Attachment A) to monitor contractor performance and ensure quality of services meet market standards. The C&A requirements do not apply. A Security Accreditation Package is not required. Quality Assurance Surveillance Plan For: Orthopedic Surgical Services Contract Number: To be determined (TBD) Contract Description:Orthopedic Surgeon Contractor's name: TBD 1.PURPOSE This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following: oWhat will be monitored. oHow monitoring will take place. oWho will conduct the monitoring. oHow monitoring efforts and results will be documented. This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government's responsibility to be objective, fair, and consistent in evaluating performance. This QASP is a "living document" and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor. Copies of the original QASP and revisions shafl be provided to the contractor and Government officials implementing surveillance activities. 2.GOVERNMENT ROLES AND RESPONSIBILITIES The following personnel shall oversee and coordinate surveillance activities. a.Contracting Officer (CO) - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor's performance. Assigned CO: Toni A. Clendenen (713) 794-7651 Organization or Agency: Department of Veterans Affairs, NCO 16 b.Contracting Officer's Technical Representative (COR) - The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor's performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government's behalf. Assigned COR: Sheila W. Barr, Surgery Service (918) 577-3673 Clinical COR: James W. Smith, Surgery Service (918) 577-3675 c.Other Key Government Personnel - Thomas D. Schneider, Chief of Staff (918) 577-3644 3.CONTRACTOR REPRESENTATIVES The following employees of the contractor serve as the contractor's program manager for this contract. a. Program Manager - TBD 4.PERFORMANCE STANDARDS Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards. The Performance Requirements Summary Matrix, paragraph 9 (and in other paragraphs as noted below) in the Performance Work Statement (PWS), includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL). PERFORMANCE MEASURES Performance Objective...Performance Threshold.ooooMethod of AssessmentooDis.;.Incentive Contractor shall provide95% of the time for1. Direct$100.00 deduction treatment in accordance withperiod of observationObservationfee deducted from prevailing standards of medical2. 50%price schedule for practice, and in materialInspection-each instance the compliance with all applicableMedicalContractor does not statutes, regulations, rules,Recordsmeet this orders, performance measuresReviewPerformance and directives of any and allObjective. applicable governmental and regulatory bodies having competent jurisdiction. The Contractor's preoperative95% of the time for50%$100.00 deduction note shall be completed in CPRSperiod of observationInspection-fee deducted from prior to any elective operativeMedicalprice schedule for procedureRecordseach instance the ReviewContractor does not meet this Performance Objective. PERFORMANCE MEASURES Performonce.ObjectivePerformance Threshold.Method of AssessmentDis-Incentive An informed consent progress note must be completed in the iMed Consent software prior to the elective procedure100% of the time for period of observation50% Inspection- Medical Records Review$100.00 deduction fee deducted from price schedule for each instance the Contractor does not meet this Performance Objective. Operative report and immediate post operative note shall be completed and authenticated by the attending surgeon and visible in CPRS record with 30 minutes of transition to the next level of care95% of the time for period of observation50% Inspection- Medical Records Review$100.00 deduction fee deducted from price schedule for each instance the Contractor does not meet this Performance Objective. Ensure all clinic encounters are properly completed with necessary coding and electronic signatures by the close of business, the next business day95% of the time for period of observation50% Inspection- Medical Records Review$100.00 deduction fee deducted from price schedule for each instance the Contractor does not meet this Performance Objective. Contractor documented in the patient record that they have seen the patient and collaborated with the patient and his or her primary care provider and each have agreed to the proposed plan of care95% of the time for period of observation50% Inspection- Medical Records Review$100.00 deduction fee deducted from price schedule for each instance the Contractor does not meet this Performance Objective. Contractor documentedin the medical record outpatient face to face encounter that the Contractor has: 1.Reconciled the patient's medication list and 2.Indicated whether or not any changes have been made to the patient's medication list and 3.Has reviewed any changes with the patient and his or her primary home care provider, when changes have been made to the patient's medication list100% of the time for face to face outpatient encounters conducted during each period of observation50% Inspection- Medical Records Review$100.00 deduction fee deducted from price schedule for each instance the Contractor does not meet this Performance Objective. PERFORMANCE MEASURES Performance Objective. Performance Io ThresholdMethod of AssessmentDis-Incentive The Contractor will dictate and authenticate a discharge summary in the medical record within seven days of discharge for all of inpatient admissions. The discharge summary shall be considered delinquent if not authenticated within 7 days of discharge.95% of the time for period of observation50% Inspection- Medical Records Review$100.00 deduction fee deducted from price schedule for each instance the Contractor does not meet this Performance Objective. The Contractor's Competency file must be kept current with Physician's license, orientation, TB, BLS and ACLS, DEA number, and PIN as in accordance with VA policy.100% of the time for period of observationFiles will be reviewed annually for completeness.$100.00 deduction fee deducted for each day documents are not provided for the Competency file. The Contractor will comply with mandatory training and education requirements in accordance with VHA policy.100% of the time for period of observationPeriodic Inspection of Contractor's Training and Education Files will be conducted.$100.00 deduction fee deducted for each day documents are not provided for the Competency file. c aContractor will comply with ustomer service mandates in ccordance with VHA mission.No more than one validated customer complaint is received in writing to the Chief of Staff's office.Validated User/ Customer Complaints$100.00 deduction fee deducted for each validated Customer Complaint in excess or this Performance Objective. 5.METHODS OF QA SURVEILLANCE Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP. a.DIRECT OBSERVATION. (Can be performed periodically or through 100% surveillance.) b.PERIODIC INSPECTION. (Evaluates outcomes on a periodic basis. Inspections may be scheduled [Daily, Weekly, Monthly, Quarterly, or annually] or unscheduled, as required.) c.VALIDATED USER/CUSTOMER COMPLAINTS. (Relies on the patient to identify deficiencies. Complaints are then investigated and validated.) d.100% INSPECTION. (Evaluates all outcomes.) 6.RATINGS Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used: 7.DOCUMENTING PERFORMANCE a.ACCEPTABLE PERFORMANCE The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action. b.UNACCEPTABLE PERFORMANCE When unacceptable performance occurs, the COR shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR shall document the discussion and place it in the COR file. When the COR determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager. The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the COR. The Government shall review the contractor's corrective action plan to determine acceptability. Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO. NOTE: Response time is the only indicator that if the standard is not met a deduction of $100 shall be deducted from the line item billed from the price schedule and will be noted on the invoice when certification of payment takes place. 8.FREQUENCY OF MEASUREMENT a.Frequency of Measurement. During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed. b.Frequency of Performance Assessment Meetings. The COR shall meet with the contractor monthly to assess performance and shall provide a written assessment.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/HoVAMC/VAMCCO80220/VA25614Q0574/listing.html)
- Document(s)
- Attachment
- File Name: VA256-14-Q-0574 VA256-14-Q-0574.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1231634&FileName=VA256-14-Q-0574-000.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1231634&FileName=VA256-14-Q-0574-000.docx
- Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
- Place of Performance
- Address: Jack C. Montgomery VAMC;1011 Honor Heights Dr;Muskogee, Ok
- Zip Code: 74401
- Record
- SN03299592-W 20140302/140228234503-817dc31972d4283ba693220d220738f0 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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