DOCUMENT
Q -- Home Infusion/Skilled Nursing - Attachment
- Notice Date
- 5/30/2014
- Notice Type
- Attachment
- NAICS
- 621610
— Home Health Care Services
- Contracting Office
- Department of Veterans Affairs;Network Contracting Office 8 (NCO 8);8875 Hidden River Pkwy Suite 525;Tampa FL 33637
- ZIP Code
- 33637
- Solicitation Number
- VA24814I1154
- Response Due
- 6/6/2014
- Archive Date
- 6/13/2014
- Point of Contact
- Scott K Brickey
- E-Mail Address
-
9-3340<br
- Small Business Set-Aside
- N/A
- Description
- Home Infusion/Skilled Nursing-Bay Pines VAMC-Bay Pines, Florida THIS IS A SOURCES SOUGHT NOTICE ONLY for the purpose of conducting Market Research. This is NOT a solicitation or pre-solicitation and this notice does not guarantee that a solicitation will be posted in the future. This information is being submitted for the purpose of seeking sources only. The U.S. Government is in no way obligated to do business with, or to enter into, any form of contract with any person, firm, or other entity that receives or responds to this announcement. No reimbursement will be made for any costs associated with providing information in response to this announcement. Information obtained as a result of this notice will be used in completion of market research to determine the level of interest, particularly small business interest, in providing the required services as designated by the Government. REQUIREMENT: The Bay Pines VA Healthcare System (BPVAHCS), 10000 Bay Pines Boulevard, Bay Pines, Florida has a requirement for Home Infusion/Skilled Nursing contract. The proposed contract, if awarded is anticipated to be a firm fixed price type single award contract. The proposed solicitation/contract, if issued, is issued under Title 38 U.S.C. 8153, Health Care Resources Sharing Authority. The Draft Performance Work Statement (PWS) is attached. All interested parties shall submit a Capabilities Statement for your company, your teammates and or subcontractors and documentation that demonstrates the firm's capability to provide technically qualified personnel to meet the below criteria. BAYPINES VAHCS HOME INFUSION AND SKILLED NURSING SERVICES PERFORMANCE WORK STATEMENT The contractor shall provide all supplies, equipment, medication and infusion solutions and nursing services in accordance with the statement of work, including any required subcontracting coordination. List of subcontractors to be used under the terms of this contract shall be provided to the contracting officer with proposal and at any time throughout the term of the contract that the initial subcontractors are changed. The contractor will perform all pharmacy compounding using aseptic techniques in a laminar flow hood and provide all other in home skilled care and supervision necessary to provide home infusion therapy services and other nursing services in conjunction with home infusion if ordered by physician to eligible veterans of the Bay Pines VA Healthcare System (BPVAHCS), as indicated in the scope of work. The Bay Pines VA Healthcare System catchment area serves the following counties: Pinellas, Sarasota, Manatee, Lee, Highlands, Charlotte, Collier, Desoto, and Hardee. The contractor shall be able to provide services in these areas as BPVAHCS has Veterans located in all these catchment areas. All patient eligibility shall be determined by the referring BPVAHCS and referrals shall be generated and authorized by the Bay Pines VA Health Care System attending Physician/Primary Care team. If the patient relocates outside the service area of BPVAHCS after 30 days the payment will become the responsibility of the VA Healthcare System servicing the new locality. All infusion therapy, nursing services, and other in home skilled care shall be provided under the specific orders of the BPVAHCS Attending Physician/Primary Care team. The specific order shall outline the level and duration of service required for an eligible patient and any extension of services beyond the indicated duration, changes in medication, or any interim services, shall require approval of the attending physician/primary- care physician. When a Veteran is discharged from the Bay Pines hospital, the attending physician or surgeon is the contact person for any changes to the original order. When the Veteran is discharged from a private hospital and Bay Pines is responsible for arranging home infusion services. The BPVAHCS Primary Care Physician is responsible for writing the original orders and is the contact person for any changes to the original order After initial physician's order and team assessment, monitoring and adjustment of antibiotic, TPN therapy and other skilled in home services will be the responsibility of the Contractor. This will include the ordering and assessment of all necessary labs. The contractor shall provide an Infusion Case Coordinator who will coordinate all information needed by home care nursing and pharmacy for each patient to receive home infusion services and other related in home skilled services as ordered by the referring Physician within (2) hours of notification by the BPVAHCS team. The Infusion Case Coordinator will meet with patient prior to discharge for patient care interview and will assume responsibility for acquiring the following information: Patient demographic information, diagnosis, valid prescription order, physician information, height, weight, allergy status, IV access, medical history (i.e. diabetic; HTN, wheelchair bound etc.), specific nursing orders (i.e. wound care; Physical Therapy, Occupational Therapy. etc.); and labs after discharge related to infusion therapy. Infusion Therapies shall include: 1.Antibiotic/Antiviral 2.Pain Management 3.Hydration 4.Total Parenteral Nutrition 5.Enteral Nutrition 6.Chemotherapy 7.Inotropic Therapy 8.Anti-Tumor Necrosis 9.IVIG 10.Anti-Coagulation 11.Human Growth Hormone 12.Interferon 13.Anti-Emetic 14.Blood Component Stimulation Factor 15.Anti- Hemophilic Factors 16.Miscellaneous Self Injectable "Other in home skilled services in conjunction shall include, but not be limited to: 1.Wound Care 2.Physical Therapy 3.Occupational Therapy 4.Speech Therapy 5.Vital Sign Checks 6.Respiratory Therapy 7.Medication Compliance The level of service required for each patient shall be determined by the BPVAHCS team and shall be in accordance with any of the above listed items and other in home skilled care as deemed necessary. Assure licensure and competency of all employees and provide proof of the same to the BPVAHCS Contracting Officer with proposal and yearly at time of contract renewal. These shall include an annual update of the following: a.Job/position description b.Annual performance evaluation c.Initial and continuous assessment of competence in providing employee's specialty service (i.e. infusion therapy, training, knowledge of equipment, etc.) d.Continuing education credits e.Copy of license, certificate or registration with primary source verification f.Documentation of initial and annual training/in-service to include age-specific training in treating patients, especially elderly patients g.Annual Tuberculin (TB) testing and vaccines as required by the Department of Veterans Affairs Medical Facilities. The contractor shall have documented emergency preparedness plan available for patient treatment in the event of a natural or man-made disaster such as fire, flood, electrical power outage, hurricane, etc. The Contractor shall coordinate formulation of specific emergency preparedness plans with the BPVAHCS Contracting Officer with proposal and yearly at time of contract renewal. A 1-800 number available 24-hours a day, 365 days per year, for patient/caregiver to call for problems or questions that arise during the course of the home therapy. Patient/caregiver shall receive assistance and answers within 2 hours of making initial contact with Contractor. Assistance shall be provided by a qualified, appropriate healthcare professional. The Contractor shall notify the BPVAHCS team within 24 hours of any problems patient encounters with their home therapy. The contractor shall respond with a delivery time and nursing schedule for the home IV therapy and other in home skilled needs, as required, within (8) hours of BPVAHCS contacting Contractor with order. The Contractor shall be required to provide services on the following U.S. Government holidays: New Year's Day1 JanuaryLabor Day1st Mon. in September M.L. King's Birthday3rd Mon. in JanuaryColumbus Day2"4 Mon. in October President's DayThird Monday in FebruaryVeterans Day11 November Memorial DayLast Mon. in MayThanksgiving Day4th Thurs. in November Independence Day4 JulyChristmas Day25 December When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a legal holiday. Also, included would be any other day specifically declared by the President of the United States to be a Government Holiday. All medication, supplies, equipment, and infusion solutions, including pharmacy compounding using aseptic techniques in a laminar flow hood when applicable (first dose of a medication shall be administered in a supervised care setting to guard against an allergic reaction). Location of pharmacy providing compounding is required upon start of services. All skilled in home skilled services that are ordered by the VA Physician in correlation with home infusion services. Skilled Services include, but are not limited to the following: RN Assessment, Physical Therapy, Occupational Therapy, and Speech Therapy. Patient must meet homebound criteria for continuation of services. These skilled services are to assess functional status and safety, improve function, and provide continued assessment for related MD orders in regards to wound care, medication compliance and care management. The visits are not to exceed the original MD order without prior written authorization. Training of patient/caregiver, by a qualified healthcare professional (registered nurse, or pharmacist), in the skill required for self-administration of infusion therapy. The contractor initial patient assessment may he conducted at the BPVAHCS facility or any outside facility/hospital where a Veteran is residing. BPVAHCS is responsible for arranging and paying for home skilled services. The Contractor shall meet patient's family and begin the patients/caregiver education program. The contractor's healthcare professional shall be responsible for ongoing patient reassessment and education, as required. If patient and for caregivers are found not teachable after discharge, the contractor shall notify BPVAHCS Primary Care team with these issues. Delivery, assembly set-up, and pick up of infusion equipment within (3) working days by trained personnel in patient's home, in an area of patient's preference. Delivery and pick up of equipment shall meet all applicable Federal, State and local laws i.e. OSHA, FDA, etc. Training of the patient /caregiver in the proper use and monitoring of infusion equipment. The contractor personnel who are familiar and experienced with the type of equipment being utilized shall conduct training. All training shall be provided in a courteous and simplified manner, which can be understood by the patient/caregiver. Maintenance of equipment under a preventative maintenance plan that includes electrical service. Clinical pharmacy consultative service. Patient monitoring and all additional follow-up care required. This shall include coordination, supervision, evaluation and assessment of the appropriateness of care. Maintenance of any necessary parenteral devices shall include central line placement care and de-clotting/repair. Insertion of central line devices must not be performed in the home by the contractor unless prior approval from BPVAHCS has been obtained. Routine laboratory test, drawn as ordered, in accordance with standard medical practice for the disease and medication as indicated. Laboratory test shall be run at the BPVAHCS's expense at a VA approved outside source. Lab results will be monitored by the infusion company's Clinical Pharmacist - as ordered in the initial referral by BPVAHCS Physician. Any changes made to the initial orders shall be reflected in the patient's chart within 48 hours and scanned into the BPVAHCS electronic medical record (CPRS). Labs needing urgent attention will be communicated to the BPVAHCS Provider by the Infusion Case Coordinator and shall be processed in accordance with VAHCS Memorandum 516-09113-006 (Attachment A). Delivery, inventory and re-supply of all ancillary medical supplies required for infusion therapy. Instruction in patient rights and responsibilities which shall include a compliant process that identifies the Contractor's and VA's specific points of contact for compliant reporting and resolution (the BPVAHCS will provide the Contractor with a contact person for this purpose). The contractor or the Infusion Care Coordinator shall provide the BPVAHCS physician with a copy of the initial care plan within (7) working days that includes its development. Reviews and Revisions and any changes to the initial care plan shall have prior approval by the BPVAHCS provider/team. Skilled nursing visits, by a trained and qualified Registered Nurse. The contractor shall notify the BPVAI-ICS team of any changes in the frequency of nursing visits that deviated from the initial care plan. A system in place to provide the BPVAHCS with information following at patient/caregiver encounter, including notes documenting the patients progress and labs results. Documentation must be kept and available for quarterly review. Compliance with universal standard precautions as required in the preparation, delivery and storage process. The contractor is responsible for the following The Joint Commission (TJC), CHAP and/or ACHC standards in tracking, trending. Reporting and maintaining records of infections among patient and as appropriate, among staff. Documentation shall be provided to the BPVAHCS on a quarterly basis and as required. Documentation and reporting within (24) hours to the BPVAHCS team member of any incidents of patient death, accident, injury, infection or adverse drug reactions related to indicated medications, supplies or equipment. The contractor shall also document and report any life -threatening equipment malfunctions or equipment recalls. The contractor shall maintain a recall plan. Discharge planning, which shall be coordinated in conjunction with the BPVAHCS Primary Care team. Upon completion of services to each patient, the Contractor shall prepare a discharge summary, describing the services provided and forwarded to Release of Information for chart scanning. When a patient needs to be hospitalized he/she shall be instructed to go to the nearest VA facility when possible. In a life-threatening emergency, the patient shall call 911 or go to the nearest hospital available. Upon patient hospitalization, payment for Contractor services shall stop the day of the patient's admission, unless a skilled nursing visit was made the same day of the admission. If any medication or supplies have been delivered, these are billable to the BPVAHCS if they are deemed un-returnable. Meet or exceed TJC, CHAP, and/or ACHC accreditation and/or USP 797 compliance standards for home infusion therapy and in home skilled services. Proof of meeting this requirement shall be submitted to the BPVAHCS Contracting Officer v with proposal and yearly at time of contract renewal. The contractor shall provide the BPVAHCS Contracting Officer with quality assurance (QA) data with proposal and thereafter on a quarterly basis. Patient satisfaction indicators must be in place and reported to the VA team with proposal and thereafter on a quarterly basis, with a record of patient complaints and their resolutions. All documentation shall be kept in a retrievable tile. The contractor shall furnish to the BPVAHCS a certificate of insurance evidencing that all required coverage has been obtained with proposal and yearly at time of contract renewal. The Contractor shall provide a quarterly expenditure report identifying the total number of patients and total invoiced/claimed amount for all services/items provided under this contract (do not provide patient names, social security numbers or any private/personal information). The report shall be submitted to the Bay Pines Contracting Officer. Failure to provide this report in a timely manner will be identified as a performance issue and recorded in the official contract file. The quarterly invoiced/claimed amount will be reported by the Contracting Officer in the Federal Procurement Data System (FPDS). 1St Qtr. Report: Submit by January 151h for the prior quarter (October thru December) 2nd Qtr. Report: Submit by April 151h for the prior quarter (January thru March) 3rd Qtr. Report: Submit by July 15th for the prior quarter (April thru June) 4th Qtr. Report: Submit by October 15'h for the prior quarter (July thru September). * This submittal must provide a summary of all prior quarters (total annual dollars and patients for the government fiscal year) The BPVAHCS reserves the right to conduct on-site inspection of any of the Contractor's facilities as often as necessary to insure compliance with the terms of this agreement. The Contractor shall submit a separate invoice for each veteran receiving services approved under the terms of this contract in accordance with the billing instructions provided. Only items identified in the Contract Price-Fee Schedule will be reimbursed under this contract. Invoices shall be submitted monthly and not later than 30 days after treatment is completed and payment shall be prorated based on the actual number of days that services were provided. The invoice shall include all services/items provided by the prime contractor, subcontractors and shall include the following information: Date of invoice Contract Number Invoice Number Dates of service Contract Price-Fee Schedule Item Number (and CPT Code-Description) Per Diem and other cost (to include items, quantities, unit cost, extended totals and total cost). Identify the Alia discount percentage being applied and amount of reduction/savings. Patient's name and social security number The contractor shall supply a copy of the discharge summary with the final invoice. Invoices shall be submitted monthly. BADGES/CREDENTIALING The Contractor's Home Infusion Coordinator will be required to complete the credentialing process as outlined by BPVAHCS Human Resources Policy. All Contractor personnel are required to wear identification (I.D.) badges during the entire time they are on the BPVAHCS grounds.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/TaVAMC673/TaVAMC673/VA24814I1154/listing.html)
- Document(s)
- Attachment
- File Name: VA248-14-I-1154 VA248-14-I-1154.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1396332&FileName=VA248-14-I-1154-000.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1396332&FileName=VA248-14-I-1154-000.docx
- Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
- File Name: VA248-14-I-1154 VA248-14-I-1154.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1396332&FileName=VA248-14-I-1154-000.docx)
- Place of Performance
- Address: Bay Pines VA Healthcare System;10000 Bay Pines Blvd;St. Petersburg FL
- Zip Code: 33744
- Zip Code: 33744
- Record
- SN03380660-W 20140601/140531021446-731ec0eef5f9a6b74232c702b9e3026d (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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