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FBO DAILY - FEDBIZOPPS ISSUE OF AUGUST 02, 2015 FBO #5000
DOCUMENT

Q -- Dermatology Services Louisville VAMC - Attachment

Notice Date: 7/31/2015
Notice Type: Attachment
NAICS: 621111 — Offices of Physicians (except Mental Health Specialists)
Contracting Office: Department of Veterans Affairs;Network Contracting Office 9;1639 Medical Center Parkway;Suite 400;Murfreesboro TN 37129
ZIP Code: 37129
Solicitation Number: VA24915N0697
Response Due: 8/10/2015
Archive Date: 10/9/2015
Point of Contact: Michael Edwards
E-Mail Address: 5-6395<br
Small Business Set-Aside: N/A
Description: This is a sources sought only; it is not a request for quotations or offers. This procurement requirement is to determine whether any small business can provide can provide these services listed below: CLASSIFICATION CODE: Q - Medical Services; (Q504- Medical Services/Dermatology) NAICS CODE: 621 - Medical; 621111 Network-9 Contracting Office on the behalf of the Robley Rex Veterans Affairs Medical Center (VAMC), 800 Zorn Avenue, Louisville, KY 40206., has developed this Request for Information (RFI)/Sources Sought Notice to solicit market research information from industry to assist the Government with analysis of a Government requirement and provide commercial insight on performance-based solutions, best practices, possible contractual arrangements, and potential issues. This RFI is to determine the availability of Small Business (preferably Service-Disabled and/or Veteran-Owned Owned) entities within the Louisville, KY area. THIS IS A REQUEST FOR INFORMATION ONLY. It is not a Request for Proposal, a Request for Quotation, an Invitation for Bids, a Solicitation, or an indication that Network-9 Contracting Office (NCO-9) will contract for the items contained in the RFI / Sources Sought Notice. This RFI/Sources Sought Notice is part of a Government market research effort to determine the scope of industry capabilities and interest, in accordance with Federal Acquisition Regulation (FAR) Part 15.201(e), response to this RFI / Sources Sought Notice are not offers and cannot be accepted by the Government to form a binding contract. Responses to this RFI / Sources Sought Notice are strictly voluntary and are consider as information only. The Government will not pay respondents for information provided in response to this RFI / Sources Sought Notice. Responses to this RFI / Sources Sought Notice will not be returned and respondents will not be notified of the result of the review. If a solicitation is issued, it will be announced on the Federal Supply Schedule or Federal Business Opportunity Website at a later date, and all interested parties must respond to that solicitation announcement separately from any response to this announcement. This RFI / Sources Sought Notice do not restrict the Government's acquisition on a future solicitation. Network-9 Contracting Office (NCO-9) and the Louisville VA Medical Center are conducting market research for a Contractor to furnish Dermatology Services for the Department of Veterans Affairs (VA) for the Robley Rex Veterans Affairs Medical Center (VAMC), 800 Zorn Avenue, Louisville, KY 40206. Please review the draft Statement of Work (SOW) provided below before responding to the market research questions as the Government desires that respondents offer their experience and recommendations on the following questions and issues related to this requirement. When addressing these items, respondents should consider the size and scope of the requirement described herein. STATEMENT OF WORK: A. The Contractor shall provide qualified dermatologic physicians(s) to provide inpatient (approximately 5 patients per month) and outpatient services (approximately 500 patients per month) with a minimum of four half-day clinics per week. Services will be rendered in accordance with the terms and conditions of this contract with the Robley Rex Veterans Affairs Medical Center (VAMC), 800 Zorn Avenue, Louisville, KY 40206. Contract physicians shall meet or exceed currently recognized national standards as established by The Joint Commission (TJC), and the standards of the American Hospital Association (AHA). In addition, physicians shall comply with all Veterans Health Administration's (VHA) regulations and directives. The Contractor shall provide sufficient personnel who meet all requirements herein and who can be relied on to perform in strict accordance with the contract. The Contractor shall provide physicians who are competent, qualified, and adequately trained to perform assigned duties. B. Duties: 1.The Contractor shall be available to provide both inpatient and outpatient consultation services for the diagnosis and treatment of dermatological conditions. For inpatient services, the contractor will be available seven (7) days per week, 24 hours a day. Outpatient services should be offered as needed to meet demand, but no fewer than four half-day clinics per week. The goal is to schedule all new and follow-up appointments for outpatient services within 30 days of the clinically indicated date. 2.The contractor will provide on-call information, including contact numbers, to the VA's Medical Service Office no later than three working days prior to the end of each month. This information will be published on the VA's monthly call schedule. 3. Consultation processing will be as follows: "Inpatient Consults will be the responsibility of the contractor and services are expected to be provided within 24 hours of the initiation of the consult or sooner if the condition warrants. The requesting provider is responsible for contacting the Contractor about the need for inpatient services. The consultation will be completed using a consult note in CPRS that directly links the response to the original consult and completing the associated encounter form. "Outpatient Consults will generally be received and reviewed by the VA Dermatology Nurse Practitioner within 3 working days of the consult date. In the absence of the Nurse Practitioner, the contractor will provide this coverage. Except in cases of emergency, coverage for consultation review will be scheduled in advance. The reviewer is responsible for determining the clinically indicated date. The goal is to schedule all new and follow-up appointments within 30 days of the clinically indicated date. Outpatient consults will be completed using a consult note in CPRS that directly links the response to the original consult and completing the associated encounter form. "E-Consults will generally be received and reviewed by the VA Dermatology Nurse Practitioner. In the absence of the Nurse Practitioner, the contractor will provide this coverage. Except in cases of emergency, coverage for consultation review will be scheduled in advance. E-consults will be completed by using the e-consult note and completing the associated encounter form. "Teledermatology Imaging Consults will generally be received and read by the VA Dermatology Nurse Practitioner. In the absence of the Nurse Practitioner, the contractor will provide this coverage. Except in cases of emergency, coverage will be scheduled in advance. Completion of Teledermatology Imaging Consults requires the reviewer to be designated as a "Reader" in CPRS and must complete the TMS self-study program. Once certified, the Reader will complete the Teledermatology Imaging Consults by rendering a diagnosis/recommendation using the Teledermatology consult note and closing the encounter by completing all required fields. 4.The Contractor shall direct the use of ultraviolet light (UVB) and BLU-U Light/Levulan as a treatment. 5.The Contractor shall provide subcutaneous injection of permanent or biodegradable filler material for the treatment of antiretroviral-induced facial lipoatrophy in HIV-infected patients. A. The Contractor shall provide Dermatology Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Robley Rex VA Medical Center (603), 800 Zorn Avenue, Louisville, KY 40206. The contract is effective for the period October 1, 2015 through September 30, 2016, with four (4) one (1) year options to renew. B. The Authority for this procurement extends from Public Law 104-262 and Title 38 U.S.C., Section 8151-8153 and Title 42 Code of Federal Regulations (CFR) 415.170. C. The schedule below is an estimate of services to be performed by CPT-4 codes. In the table below: CLINCodeDescriptionEst Quantity 000110040acne surgery4 000210060drainage of skin abscess5 000310080drainage of pilonidal cyst1 000410081Drainage of pilonidal cyst1 000510160Puncture drainage of lesion1 000611001debride infected skin add-on3 000711055trim skin lesion3 000811057trim skin lesions over 47 000911100biopsy, skin lesion1301 001011101biopsy, skin add-on421 001111200removal of skin tags16 001211300shave skin lesion1 001311301shave skin lesion1 001411303shave skin lesion1 001511305shave skin lesion1 001611306shave skin lesion1 001711308shave skin lesion1 001811400exc tr-ext b9+marg 0.5 < cm1 001911401exc tr-ext b9+marg 0.6-1 cm5 002011402exc tr-ext b9+marg 1.1-2 cm7 002111403exc tr-ext b9+marg 2.1-3 cm2 002211404exc tr-ext b9+marg 3.1-4 cm5 002311406exc tr-ext b9+marg > 4.0 cm4 002411420exc h-f-nk-sp b9+marg 0.5 <3 002511421exc h-f-nk-sp b9+marg 0.6-11 002611422exc h-f-nk-sp b9+marg 1.1-24 002711423exc h-f-nk-sp b9+marg 2.1-31 002811426Exc h-f-nk-sp b9+marg>4 cm1 002911441exc face-mm b9+marg 0.6-1 cm3 003011442exc face-mm b9+marg 1.1-2 cm2 003111443Exc face-mm b9+marg 2.1-3 cm1 003211446exc face-mm b9+marg >4 cm1 003311600exc tr-ext mlg+marg 0.5 < cm2 003411601exc tr-ext mlg+marg 0.6-1 cm5 003511602exc tr-ext mlg+marg 1.1-2 cm11 003611603exc tr-ext mlg+marg 2.1-3 cm14 003711604exc tr-ext mlg+marg 3.1-4 cm5 003811606exc tr-ext mlg+marg > 4 cm4 003911621exc h-f-nk-sp mlg+marg 0.6-11 004011622exc h-f-nk-sp mlg+marg 1.1-27 004111623exc h-f-nk-sp mlg+marg 2.1-33 004211624exc h-f-nk-sp mlg+marg 3.1-43 004311641exc face-mm malig+marg 0.6-11 004411642exc face-mm malig+marg 1.1-24 004511643exc face-mm malig+marg 2.1-33 004611644exc face-mm malig+marg 3.1-41 004711646exc face-mm mlg+marg > 4 cm1 004811730removal of nail plate1 004911900injection into skin lesions168 005011901added skin lesions injection53 005112001repair superficial wound(s)4 005212002repair superficial wound(s)2 005312011repair superficial wound(s)1 005412031intmd wnd repair s/tr/ext7 005512032intmd wnd repair s/tr/ext37 005612034intmd wnd repair s/tr/ext10 005712035Intmd rpr s/a/t/ext 12.6-202 005812041intmd wnd repair n-hf/genit2 005912042intmd wnd repair n-hg/genit8 006012051intmd wnd repair face/mm2 006112052intmd wnd repair face/mm7 006212053intmd wnd repair face/mm3 006313121Repair of wound or lesion1 006413122Cmplx rpr s/a/l addl 5 cm/>1 006513132Repair of wound or lesion3 006615788chemical peel, face, epiderm1 006717000destruct premalg lesion2856 006817003destroy lesions, 2-1410418 006917004destroy premlg lesions 15+263 007017110destruct b9 lesion, 1-14305 007117111destruct lesion, 15 or more69 007217260destruction of skin lesions13 007317261destruction of skin lesions12 007417262destruction of skin lesions5 007517263destruction of skin lesions3 007617264destruction of skin lesions3 007717270destruction of skin lesions6 007817271destruction of skin lesions3 007917272destruction of skin lesions3 008017280destruction of skin lesions5 008117281destruction of skin lesions6 008217282destruction of skin lesions2 008317360Skin peel therapy1 008423330remove shoulder foreign body1 008540490Biopsy of lip3 008646916Cryosurgery anal lesion(s)2 008754050destruction penis lesion(s)5 008854056cryosurgery, penis lesion(s)34 008954100Biopsy of penis2 009067810Biopsy eyelid & lid margin3 009169100biopsy of external ear12 009295044Allergy patch tests193 009396372ther/proph/diag inj./im22 009499201office/outpatient visit, new264 009599202office/outpatient visit, new1130 009699203office/outpatient visit, new204 009799211office/outpatient visit, est14 009899212office/outpatient visit, est846 009999213office/outpatient visit, est3399 010099214office/outpatient visit, est390 010199221Initial hospital care, level 17 010299222Initial hospital care, level 28 010399231subsequent hospital care2 010499241office consultation22 010599242office consultation4 010696999Teledermatology Photo Interpretation 1000 A. All contract physicians shall be Board Certified or are eligible to sit for the board examination. Those physicians with time-limited certificates will be participating in the ABD maintenance of certification program. In addition, all contract physicians will have a full, unrestricted license to practice medicine. B. Cancellation of clinics with less than a 90 day notice shall occur only due to weather, acts of war or national disasters that are out of control of the VHA or the contract physician. All clinic reduction and cancellation requests shall be in compliance with Medical Center Memorandum No. 603-14-136-002, Clinic Set Up, Maintenance, Inactivation, and Cancellation. C. As a prerequisite to performance under the contract, the contract physician performing the services must be appropriately credentialed and privileged in this specialty area, as set forth by the VHA and VA Medical Center bylaws and policy, including board certification by an American Board and clearance by the National Practitioner Data Bank. The medical center retains the right to review the acceptability of the Contractor's employees. The Contractor shall abide by all aspects of the Medical Staff By-Laws to include medical record documentation. Any failure to meet these requirements is considered nonperformance and the basis for assessment of deduction (see QASP) and/or termination for cause, with all the attendant repercussions. D. The VA conducts Focused/Ongoing Provider Performance Evaluation (FPPE/OPPE) for each provider delivering services under this contract. The Dermatology Medical Director appointed under this contract is responsible for working with the Chief, Medical Service to develop appropriate criteria pertinent to dermatological care. Each provider's performance will be evaluated based on this defined criteria. Reviews are conducted 3 months after initial privileges are granted, then biannually and also at the time of 2-year re-credentialing. The results of these evaluations will be given to the Dermatology Medical Director to present to each provider for review and signature prior to presenting to the Hospital's Credentialing Committee for review. Signed evaluations will be returned to the Medical Service office ASAP, but not longer than 5 working days from the date given (or faxed) to the Medical Director or designee. If a provider fails to meet specific criteria, focused reviews will be conducted until compliance is reached. E. Contractor shall ensure that all VAMC mandatory training including the national training in Security Awareness and Privacy are completed during each fiscal year. MARKET SURVEY: 1.Please provide a capability statement that includes, as a minimum, the following information: a.Company Name: b. Company Address: c. Point of Contract Information: i.Name: ii. Title: iii.Phone Number: iv.Facsimile Number: v.E-mail Address: d.System for Award Management (SAM) Expiration Date: e. DUNS Number: f. CAGE Number: g. Business Size(*) (Note: (*) - as it relates to NAICS Code: h. Socioeconomic Category: Small BusinessSDVOSBVOSBSmall Disadvantage Business8(a)HUB ZoneWomen Owned Small Business 2.The number of board eligible and/or board certified Dermatology Services your firm can offer/provide: 3.The distance your firm is from the Robley Rex VA Medical Center Medical Center: 4.Comments on the (Draft) Statement of Work Statement (SOW) provided below: 5. Comments on current market conditions and obstacles in providing these services to the Government: If interested please provide a capability statement and a Curriculum Vitae (CV) for potential candidates, with a capability statement. Also, provide e-mail responses to this Request for Information (RFI)/Sources Sought Notice no later than Monday, August 10, 2015 at 4:00 PM (Central Time) to Michael Edwards, Contracting Officer at Michael.Edwards2 va.gov. The response time cannot be extended beyond the suspense date provided. THIS IS A REQUEST FOR INFORMATION/SOURCE SOUGHT NOTICE ONLY.
Web Link: FBO.gov Permalink
(https://www.fbo.gov/spg/VA/NaVAMC/VAMCCO80220/VA24915N0697/listing.html)
Document(s): Attachment; File Name: VA249-15-N-0697 VA249-15-N-0697.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=2207085&FileName=VA249-15-N-0697-000.docx); Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=2207085&FileName=VA249-15-N-0697-000.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: Robley Rex VA Medical Center (Louisville);800 Zorn Avenue;Louisville, KY.; Zip Code: 40206
Record: SN03818969-W 20150802/150731234752-605d2e8c97c7fddc35380e4a47c0239f (fbodaily.com)
Source: FedBizOpps Link to This Notice
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Q -- Dermatology Services Louisville VAMC - Attachment