Loren Data's SAM Daily™

FBO DAILY - FEDBIZOPPS ISSUE OF NOVEMBER 10, 2018 FBO #6196
DOCUMENT

Q -- Government-owned Durable Medical Equipment (DME). - Attachment

Notice Date

11/8/2018
 

Notice Type

Attachment
 

NAICS

621610 — Home Health Care Services
 

Contracting Office

Department of Veterans Affairs;VAMC (613);VISN 5 Contract Satellite Office;510 Butler Avenue, Building 306A;Martinsburg WV 25405
 

ZIP Code

25405
 

Solicitation Number

36C24519Q0038
 

Response Due

11/23/2018
 

Archive Date

1/22/2019
 

Point of Contact

Bradley Davis
 

E-Mail Address

Bradley.Davis3@va.gov
(Bradley.Davis3@va.gov)
 

Small Business Set-Aside

N/A
 

Description

SOURCE SOUGHT THIS IS A SOURCES SOUGHT ANNOUNCEMENT IS FOR INFORMATION & PLANNING PURPOSES ONLY; IT IS NEITHER A SOLICITATION ANNOUNCEMENT NOR A REQUEST FOR PROPOSALS OR QUOTES AND DOES NOT OBLIGATE THE GOVERNMENT TO AWARD A CONTRACT. A CONTRACT MAY NOT BE AWARDED AS A RESULT OF THIS SOURCES SOUGHT ANNOUNCEMENT. REQUESTS FOR A SOLICITATION WILL NOT RECEIVE A RESPONSE. RESPONSES TO THIS SOURCES SOUGHT MUST BE IN WRITING. THE PURPOSE OF THIS SOURCES SOUGHT ANNOUNCEMENT IS FOR MARKET RESEARCH TO MAKE APPROPRIATE ACQUISITION DECISIONS AND TO GAIN KNOWLEDGE OF POTENTIAL QUALIFIED SERVICE DISABLED VETERAN OWNED SMALL BUSINESSES, VETERAN OWNED SMALL BUSINESSES, 8(A), HUBZONE AND OTHER SMALL BUSINESSES INTERESTED AND CAPABLE OF PERFORMING THE WORK. DOCUMENTATION OF TECHNICAL EXPERTISE MUST BE PRESENTED IN SUFFICIENT DETAIL FOR THE GOVERNMENT TO DETERMINE THAT YOUR COMPANY POSSESSES THE NECESSARY FUNCTIONAL AREA EXPERTISE AND EXPERIENCE TO COMPETE FOR THIS ACQUISITION. RESPONSES TO THIS NOTICE SHALL INCLUDE THE FOLLOWING: (A) COMPANY NAME (B) ADDRESS (C) POINT OF CONTACT (D) PHONE, FAX, AND EMAIL (E) DUNS NUMBER (F) CAGE CODE (G)TAX ID NUMBER (H) TYPE OF SMALL BUSINESS, E.G. SERVICES DISABLED VETERAN OWNED SMALL BUSINESS, VETERAN-OWNED SMALL BUSINESS, 8(A), HUBZONE, WOMEN OWNED SMALL BUSINESS, SMALL DISADVANTAGED BUSINESS, OR SMALL BUSINESS HUBZONE BUSINESS AND (I) MUST PROVIDE A CAPABILITY STATEMENT THAT ADDRESSES THE ORGANIZATIONS QUALIFICATIONS AND ABILITY TO PERFORM AS A CONTRACTOR FOR THE WORK DESCRIBED BELOW. Government-owned Durable Medical Equipment (DME) NAICS code 621610 PSC Q999 New Base plus 4 Option years. April 1, 2019 to March 31, 2024. DESCRIPTION/SPECIFICATIONS The contractor shall provide all supplies, materials, equipment, labor, supervision, transportation, infection control, storage, cleaning, delivery, sanitization, assembly/set-up, repair, pick-up and patient training/instruction-in-the-use of Government-owned Durable Medical Equipment (DME). The contractor shall develop mechanisms and methods to register complaints, resolve emergencies, issue approval of Patient Rights and Responsibilities, and provide pertinent documentation of performing all tasks as identified herein. Contractor to furnish all storage, labor, transportation and equipment required to provide durable medical equipment to eligible beneficiaries within the geographical jurisdiction and Primary Service Area of the VA Maryland Health Care System (VAMHCS), which includes VA Medical Centers located in Baltimore, Loch Raven, Perry Point, MD and Washington, DC VA Medical Center. All work performed will be in accordance with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Contractor shall be required to comply with all specifications and to adhere to the standards of care as designated within this contract and in compliance with JCAHO standards, to include: cleaning, storing, maintenance, education, set-up, patient home safety, and inventory as required to meet the standards described in the Equipment Management Chapter of the Home Health Care standards as prescribed by JCAHO. DESCRIPTION/SPECIFICATIONS/WORK STATEMENT SECTION 1. INTRODUCTION/BACKGROUND INFORMATION: The purpose is to provide suitable durable medical equipment (DME) to beneficiaries of the Department of Veterans Affairs (VA) at their residences. Orders for the specified services will be placed by four (4) VA facilities in VISN 5 using government purchase cards. This contract does not include purchase or rental of DME by the Government from the contractor. All DME shall be Government-owned or provided. Service shall consist of taking the item from the Contractor's storage facility and delivering it to the Veteran or may require pickup at the VA medical center (VAMC) and subsequent delivery to the beneficiary's home. After removal of DME from a Veteran's residence, the Contractor may return the equipment to the contractor's storage facility or the VAMC but only after performing any required service, such as cleaning/disinfection/repair of DME. SECTION 2: SCOPE/PERFORMANCE REOUIREMENTS: SPECIFIC TASKS: The contractor shall provide all supplies, materials, equipment, labor, supervision, transportation, infection control, storage, cleaning, delivery, sanitization, assembly/set-up, repair, pick-up and Veteran training/instruction-in-the-use of Government-owned DME and Telehealth program items. The contractor shall develop mechanisms and methods to register complaints, resolve emergencies, issue approval of Veteran Rights and Responsibilities, and provide pertinent documentation of performing all tasks as identified herein. The Veterans under this contract are served 24 hours a day, seven days a week, including holidays by four (4) VISN 5 Baltimore VAMC, Loch Raven VA Community and Rehabilitation Center and Perry Point VAMC, MD, plus Washington DC VAMC. The area of service shall be all Veterans serviced by these four (4) VISN 5 VAMC's, including surrounding areas, regardless of where Veteran resides. Should a Veteran(s) be located within a zone that is not listed for that particular VAMC, but is within a zone listed through a separate VAMC, the Government reserves the right to purchase the services from the contractor awarded the contract for the zone that the Veteran resides in. The geographical boundaries have been detailed in Section 3 herein and have been determined as the areas of responsibility/jurisdiction for each local VA Medical Center. Performance Requirement: Response Times: The contractor shall contact the Veteran for an appointment within one (1) calendar day of notification from the individual VAMC's Contracting Officer Representative (COR) request for service and shall be delivered and/or picked up no later than three (3) calendar days from date of order to deliver, unless the Veteran requires a later date which will be noted in the Veteran record. The contractor shall provide on call services after hours, weekends and holidays. The contractor shall accept emergency telephone calls from the COR and/or the Veteran. The contractor shall respond to the phone call within one (1) hour of notification. Emergency Procedures: An Emergency is defined as a sudden, urgent, unexpected occasion requiring immediate action with a need for help or relief. The contractor shall use reasonable, sound judgment in determining whether a true emergency exists which requires immediate attention to constitute an emergency visit or whether the problem can be resolved by telephone trouble-shooting with the Veteran or caregiver. The COR shall be notified of the emergency on the next business day. Emergency visit charges may be applied for visits that are stat, after hours, weekends or holidays. Performance Requirement: Standard of Care: The contractor shall meet Joint Commission (JC) standards (the most current update) in the performance of this contract. The contractor shall be responsible for also obtaining all necessary permits and/or licenses required to perform services under this contract. The contractor shall abide by the State laws and regulations in which services are performed. The contractor shall comply with Department of Transportation (DOT) www.dot.gov/regulations.com, Federal Drug Administration (FDA) http://www.fda.gov/default.htm, National Fire Protection Transportation (NFPA) www.nfpa.orgicodes-and-standards.com, Occupational Safety and Health Association (OSHA) regulations www.osha.gov, and all current standards for suppliers of DME in the most current annual publication titled, "Accreditation Manual for Home Care" www.jointcommission.org/accreditation/home care.org. All subcontractors are subject to the same requirements as the prime contractor. The contractor shall be responsible for verifying that education and training are consistent with applicable legal and regulatory requirements and hospital policy; that the employee is licensed, certified or registered and that the individual is knowledgeable for his or her assigned responsibilities. The contractor must provide the COR evidence of these requirements. Performance Requirement: Transition Period: A 30 day phase in/phase out period, effective on the contract commencement date, is required in order to facilitate a potential change in contractor upon expiration of the current contract and to ensure continuity of service for Veteran care. This period shall be designated as a period for the transfer of Veterans from the incumbent to the successor contractor. A transaction schedule shall be provided to both the incumbent and successor contractor. During the phase in phase out period, the successor contractor shall contact the COR with a list of Veterans the successor contractor has set up each day. The successor contractor shall notify the incumbent contractor of these Veterans. The successor contractor shall provide the Veterans name, address and telephone number of the Veteran, list of government-owned equipment at Veteran residence and current prescriptions. The successor contractor shall not receive any payment for the Veteran until it is confirmed that they have completed the set-up of DME requirements. The initial month of service will be prorated. The cost of relocating existing inventory from the incumbent VA contract storage place to the successor contractor's facility shall be borne by the successor contractor. This includes any deficiencies the incumbent contractor may or may not have accomplished. Therefore, it is advised that the contractor view the storage site. Both contractors shall work closely together to assure a smooth easy transition for the Veteran. Performance Requirement: Storage and Inventory Management: The contractor shall provide and maintain adequate storage to accommodate VA owned equipment including items picked up for repair. The estimated cost for warehouse storage usage will be included in the Rate for Individual Trips to Zone unit cost. The minimum net usable square footage is provided below as an estimation base. The contractor shall be responsible for determining the actual amount of storage space required. It is recommended that the site be reviewed allowing the actual square feet be ascertained by the contractor. After storage site is determined, the contractor shall contact the COR for approval. a. The equipment that will be stored in the warehouse will include but not limited to: (i) Full Electric and Bariatric Beds (ii) Foam and Low Air Loss Mattresses (iii) Power and Manual Patient Lifts (iv) Various sizes and styles of Slings (v) Over the bed and Free Standing Trapeze (vi) Bed Rails (vii) Bed Extenders (viii) Over the bed tables b. The stored equipment shall be maintained in a safe, clean, dry, well-secured and orderly arrangement to prevent damage and to facilitate periodic unannounced inventory inspections accomplished by VA officials. This storage shall be provided separate and apart from all other contractor owned equipment and supplies. c. The contractor's storage and repair facility shall be within the county of each individual VAMC or a border county, due to requirements for frequent VA inspections and pickups at the VAMC. The storage facility shall be a storefront facility. d. Six clearly delineated areas will be designated: (1) Staging Area, - all VA owned equipment going to the contractor's facility shall be unloaded from the delivery truck into the (IN) staging area and sorted. New items shall be unpackaged if necessary, inspected for damage, and placed into the appropriate action area. All other recovered used equipment shall be placed in the Pending Assessment area. (2) Pending Assessment Area - The equipment shall be inspected and evaluated to determine whether the equipment is worthy of reissue. (3) Repair Area - Should repairs be needed the contractor shall submit an estimate of charges to the COR and will not proceed with work unless a separate purchase order/credit card authorization is issued. Quotes shall be itemized with parts, prices, and labor, time, and whether a five (5) day turnaround for repair can be met. No charges shall be made for the estimate. Payments for labor on repairs shall be made in accordance with the price schedule for the hourly rates in the schedule. The contractor will be responsible for incidental parts, not for major parts. Travel shall be included under the trip charge. (4) Junk/Scrap Area - All equipment which cannot be re-issued, based on excessive repair costs or being obsolete shall be kept in this area. During periodic site visits, the COR shall assess the equipment in this area to determine final disposition. The contractor will dispose of scrap/junk. (5) Ready for Issue Area - All equipment in this area will be cleaned, disinfected, in excellent working condition and ready for issue to the Veteran. This equipment shall be tagged and stored awaiting instruction from the COR. Government property shall be identified and tagged with consecutively numbered permanent stickers. (6) Staging (out) area - All equipment ready for delivery to the Veteran shall be placed in this area pending loading. e. The above areas must house items in contractor's immediate location and shall provide a full time accessible employee with phone available from 8:00 a.m. to 4:00 p.m. Monday through Friday, excluding government holidays. The storage facility shall be wheelchair accessible. Should the Veteran pick up equipment/supplies from the contractor's facility when authorized by the COR, no delivery charges shall apply. f. The contractor shall be directly responsible and accountable for all government property while it is under his/her possession and shall establish and maintain a system to control, protect, preserve, and maintain item(s) in optimal condition. The government property shall be used only for performance under this contract. g. The storage facility shall be equipped with adequate electrical outlets for testing of electrical equipment. h. The Contractor shall maintain an electronic, detailed, running inventories list for all items in storage. The listing shall be legible and formatted to show type of equipment by brand name, model, serial or tag number and condition of the equipment in the following categories: Medical Equipment, Ambulation Aids, and Miscellaneous. An electronic copy of the current weekly inventory, at the close of business on the last working day of each week, shall be submitted electronically and/or faxed to the COR of the applicable VAMC no later than close of business (COB) Friday of each week. The inventory list shall include all items issued to beneficiaries by beneficiary name, address, date of delivery and serial number, if applicable. The inventory shall separately list equipment that is ready for issue, equipment that requires repair, and equipment to be salvaged. The equipment repair inventory shall include an itemized cost estimate for each piece of equipment. The contractor shall maintain an adequate bookkeeping system (approved by each COR of each VAMC) which shall be made available to VA personnel conducting inspections and verifying inventory of equipment storage facility. Performance Requirement: Vehicle Requirement/Shipping: a. The Contractor shall have a covered vehicle to make pick-up and deliveries to Veterans. The vehicle shall be clearly marked easily identifying the contractor. b. The vehicle shall be decontaminated monthly at a minimum. The vehicle shall be decontaminated each time a piece of contaminated equipment is picked up. The vehicle shall be clean at all times and subject to an unannounced inspection by COR of the applicable VAMC. It shall also be equipped to separate clean equipment from dirty. Each side shall be clearly marked as "Clean" or "Dirty" Clean equipment shall be kept in clear plastic bags. Dirty equipment shall not be kept in plastic bags. The vehicle shall be in accordance with JC standards. c. All delivery trucks shall maintain a sufficient stock of essential and frequently used parts to facilitate repair in the home, especially repairs of manual/electric beds, Veteran lifts and low air loss mattresses. d. If requested by the COR and approval of additional cost by COR and Contracting Officer, the Contractor shall ship items by parcel post or other commercial means rather than delivering with his own vehicle. The contractor shall prepay shipping charges and will submit paid freight documents with his invoice for reimbursement. The contractor shall be held liable for any loss or damage during shipment. The contractor shall provide proof of delivery on all direct deliveries. The only acceptable items of proof are listed below: (1) Certification of receipt signed by the beneficiary (2) Signed Bills of Lading (3) Freight Bill (4) Parcel Post Receipt (5) Signed Receipt from the Carrier (6) UPS signed Certification by contractor that UPS was utilized. e. If equipment is drop shipped to a Veteran home from the equipment manufacturer, for Veterans within the provided service area, the contractor may be instructed to set-up/assemble and provide the same training and care as a delivered piece of equipment. Performance Requirement: Delivery/Removal of Equipment: The COR shall initiate trips for pick-up and delivery with the contractor, by means of a VA pickup and delivery form which will be submitted by each individual VAMC. The Government may fax the request. The contractor shall be furnished the name, social security number, address and phone number of the individual to whom deliveries/pick-ups are intended. The contractor shall be responsible for verifying the address of the Veteran and ensuring that he is home when delivery is scheduled. The VA assumes no liability for additional trips required if the Veteran is not at home when deliveries are attempted. The contractor shall maintain a trip log enabling the COR to verify trips scheduled on a given day. Trip cost shall be determined at the time the delivery/pick-up authorization is prepared and provided to the Contractor. Items for delivery shall be picked up at the VA Medical Center warehouse and/or Contractor's place of storage. Occasionally, it shall be necessary for the Contractor to pick-up equipment from the Veteran's residence and deliver it back to the Medical Center/place of storage. The equipment that will be delivered will include but not limited to: Item Item # Hospital Bed GBED-57 Mattress SPS1080 Half Rails G30 Full Rails G29 Alternating Pressure Pad System CG9701 Pressure Pad Replacement CG9702 Electric Patient Lift GRPL450-1 Hoyer Lift Slings GR110-113 Trapeze Bar G7740P Over Bed Table 6418 I V Pole 6681 Shower Chair 9781 Bedside Commode 9630-4 Bariatric Drop-Arm Commode 6497 Toilet Seat W/O Arms 1301RTS Toilet Seat With Arms PB408 Transfer Bench 9670 Versaframe PB416 I-Class Tub Bar 710-4 Bariatric Bed Package BARPKGIVC- 1633 Bariatric Mattress BARMATT42 Arcorails NC94265 Legacy 600 Rollator D1522397 Legacy Basket D12530 Maxi 550 Rollator D12122 Maxi 650 Rollator D12120 16" Wheelchair GVTRSX56 18" Wheelchair GVTRSX58 20" Wheelchair GCTRSX50 Travel Chair EJ782-1 Padded Transfer Bench 7955-A Padded Bath Seat w/Arms 7945A 12 Grab Bar 40033A 16 Grab Bar 40433A 18 Grab Bar 40133A 24 Grab Bar 40233A 32 Grab Bar 40333A Drop Arm Commode PB413 Transport Wheelchair 9105 Fire Safety Valves RES010 b. For trips requiring either delivery or pick-up, the cost is based upon the trip charge listed in the pricing schedule. For trips requiring delivery and pick-up at the same residence, only one trip will be paid for. The contractor shall pick up government-owned equipment from the VA designated area and store the equipment within his place of business at no additional pickup/delivery charge. Trip charges include all mileage. c. All deliveries/pickups for the Veteran shall be made between the hours of 8:00 a.m. to 6:00 p.m. Monday through Saturday, unless prearranged by the Veteran or authorized representative with the contractor. Telephone calls to schedule appointments shall also only be made between the hours of 8:00 a.m. to 6:00 p.m. Prior to each delivery or pickup arrangements shall be made with the Veteran, advising him/her of the approximate time of arrival. If an unforeseen situation arises that shall delay the contractor's time of arrival, contact shall be made with the Veteran notifying he/she of the same. If the pick-up/delivery call is made more than 24 hours in advance, the Contractor must make a reminder call within 24 hours of the scheduled pick up/delivery. d. The Contractor personnel shall wear photo identification badges and vehicle identification when providing services or making deliveries to Veteran's home. Such badges shall show the company name, employee's name, and the employee's picture. The Veterans served by these VAMC's may have significant physical disabilities or chronic illnesses that in many cases influence their behavior and lifestyle. It is of the utmost importance that the highest level of professionalism be demonstrated when Veteran/caregiver contact is made. The contractor is expected to demonstrate concern, compassion, and patience with each contact. The contractor should incorporate special training on working with older Veterans for all staff providing services under this contract. The contractor shall ensure that all personnel providing services under this contract are properly trained and have demonstrated an acceptable level of skill in setting up and instructing Veterans and caregivers in its safe and proper use. Beneficiaries shall not be solicited at any time. e. The contractor shall set up/install DME equipment as instructed by the designated COR. The area of set up is the Veteran's preference. The contractor shall prepare the site in the Veterans' home and unpack and assemble the equipment in a usable condition. The contractor is responsible for removing all packing materials that are on-site. No additional charges shall be made for installation of new equipment or supplies. Items of equipment requiring no assembly shall be removed from the carton at no cost to the 9 Telehealth Program Items: The durable medical equipment (DME) delivery service contract includes the delivery of the Telehealth items. Some of these items will require set-up at the Veteran s dwelling and some may need to go under troubleshooting to achieve optimal working conditions. These duties will be covered under the scope of work of the contractor. The Telehealth items include but are not limited to the following items: ITEM VA ITEM # Monitor (i.e. Cardiocom Messaging Device) TH100 Scales TH103 Blood Pressure Cuff TH103 Pulse Oximeter TH103 Glucose Cable TH105 a. Telehealth items will delivered and set-up by the Contractor for the same as a regular equipment delivery fee. b. The contractor will provide the set-up for the Telehealth items for a fee that would not exceed the regular equipment delivery fee. c. The Contractor will pick-up Telehealth items for the same as a regular equipment delivery fee. d. The Contractor will be performing troubleshooting of Telehealth items if necessary for the same as a regular equipment delivery fee. Performance Requirement: Veteran Education: a. The contractor shall set up, assemble, adjust, and instruct the Veterans and/or caregivers in the use and care of the equipment using the JC standards as defined in the most current Comprehensive Accreditation Manual for Home Care. The contractor shall provide instructions to the Veteran and/or caregiver in the safe and appropriate use of the medical equipment being supplied. Instruction shall include basic home safety, Veteran rights and responsibilities, when and how to contact the contractor for repairs and emergencies, storage and handling of the involved equipment, and electrical safety. A copy of the instructions shall be signed by the Veteran or caregiver to certify that the instructions were provided and were clearly understood. b. An adhesive tag will be attached to the equipment designating "VA Property" if applicable, and contain the Company Name, Address, and Telephone Number for the Veteran to reach in an emergency. c. The contractor shall provide an Emergency Preparedness Plan to prevent interruption of services, universal precautions and proper cleaning and storing of the DME. Provide copies of pertinent literature concerning those items with significant safety hazards, such as respiratory equipment, suction machines, etc. A file copy of the above shall be provided to the COR of each applicable VAMC. d. The contractor shall provide a demonstration of correct use and must observe a return demonstration from the Veteran/caregiver. e. The contractor shall provide Veteran's rights/responsibilities package to Veteran/caregiver. The top cover sheet shall be signed and returned to the VAMC applicable invoice. Performance Requirement: Contractor Policies and Procedures: a. The contractor shall have in place written procedures for delivery, recovering, receiving, segregating, and cleaning DME which is appropriate to the equipment according to manufacturer's instructions, and disinfecting of items which are stored/reused. Written procedures shall be in place for disposal of equipment or supplies designed for single Veteran use only, i.e. egg crate mattresses. All equipment shall be labeled or tagged and dated to document such procedure. b. The contractor shall maintain inspection reports of vehicles and various written plans and procedures used in performance of this contract such as: (1) Permits, licenses as necessary (2) Education training records of personnel, orientation and ongoing. (3) Accident and incident reporting (4) Veteran education rights and responsibilities (5) Quality improvement (6) Equipment management (7) Fire and emergency preparedness planning (8) Handling Veteran complaints (9) Recall procedures (10) Infection Control, including care/service (11) Universal precautions (policy and procedures) including personal hygiene, precautions, aseptic techniques and communicable infections. (12) Safety and occupational health proceedings (13) Electrical safety process (14) Veteran care record, satisfaction, survey, and confidentiality c. The contractor shall maintain an equipment management file for all VA issued equipment. These records shall remain the property of the VA. The folder shall include but is not limited to: (1) The serial number and model number of the delivered item. (2) Any present/prior history of repairs to the item (3) Who currently has possession of the item (4) Documentation of decontamination, if applicable d. All policies and procedures, and all employment orientation records for each employee involved in work under this contract, certificates of education, copies of all in-service training, position descriptions, and performance appraisals will be submitted to the COR and available for review by the VA. The contractor shall ensure the documentation exists to support job assignments, training, orientation, and experience of all staff. The contractor shall provide training letters of personnel as to certification of installing and repairing of hospital beds, manual and powered wheelchairs, Veteran lifts, specialty mattresses, etc. Performance Requirement: Veteran Records: a. The contractor shall maintain a VA beneficiary account folder in compliance with the Privacy Act and Health Insurance Portability and Accountability Act (HIPAA). All beneficiary files are subject to review by the COR or Contracting Officer and accreditation surveyors on behalf of the VA during accreditation surveys or consultation. As a minimum the beneficiary folder shall adhere to current Joint Commission and CMS standards for Veteran record keeping. Copies of all Veterans' records shall be made available to the COR upon request. These files shall be electronic, not hardcopy or paper. These folders remain the property of the VA and returned to the VA at the expiration of the contract. This folder shall contain identification of the Veteran, name and telephone number of the family member or authorized caregiver to be contacted in the event of an emergency or death. This folder will include but not be limited to: (1) Documentation of set up and delivery (2) Documentation of Veteran receipt of Veteran rights/responsibilities. (3) Documentation of Veteran education and safe home environment, required safety measure to protect Veteran from injury. (4) Documentation of plan of service/care. (5) Folders will be annotated with all coordinating medical services. (6) Recall plan (7) Assessments (8) Invoices (9) Individualized plan of treatment by Veteran physician or other individual as allowed by law and organization policy. Performance Requirement: Contractor Rights and Responsibilities: a. All formal training required shall be administered or instructed by the contractor by persons who are certified as being qualified to instruct or teach the specific subjects or topics required whether by the appropriate manufacturer or a person who is a trained trainer of the manufacturer. Certifications shall be in the form of a certificate issued by an accredited institution of learning (school, college, university); a governmental (Federal, State, County) educational certification body (agency, board, commission). Any documentation other than the above must be approved by the COR to assure that the person instructing has sufficient experience with the subject to be able to instruct the subject in an authoritative, practical and current manner. The certificate should note the name of the employee individually who has been trained. b. The contractor shall have employees providing services under this contract who have certification of repair training from at least one major supplier of each for motorized wheelchairs, aluminum ramp systems, Veteran lifts, specialty mattresses and electrical beds. The contractor shall be asked to furnish proof of such certification. The minimum number of employees trained to repair motorized wheelchairs is one. c. Within ten (10) calendar days after award of the contract, the contractor shall 'provide the Contracting Officer with a list of all employees involved in any portion of this contract. Each employee's listing shall indicate all training applicable to this contract. Photocopies of training certificates for each current and future employee(s) shall be provided with the employee list. d. If a new or reassigned employee begins any involvement with equipment covered under this contract, the contractor shall notify the Contracting Officer in writing within seven (7) calendar days of that involvement and submit the required photocopies of documentation of training. e. Training must include adequate site preparation of the home environment. This includes infection control, standard precautions, personal protective equipment, hazard assessment, equipment recovery, cleaning and repair processes, routine servicing equipment function and operating checks, Veteran relations and performance improvement. This certification shall be retained in the contractor's local office from which services are provided. f. The contractor must track and trend employee health protection (i.e. TB, PPD's, Hepatitis B, etc.). g. This certification shall be retained in the contractor's local office from which services are provided. The VA shall have access to these tests results. Contractor shall provide this information to VA every 6 months. h. After equipment is returned from a Veteran's residence, the COR shall be notified within forty-eight hours as to whether the equipment is suitable for reissue. All equipment that is dirty shall be red tagged to indicate it is not ready for Veteran issue. Likewise, equipment ready for issue shall be tagged with a green tag. The contractor shall tag each piece of equipment with the name of the particular VA applicable. i. The contractor shall sanitize/disinfect all picked up equipment including that used by Veterans with infectious diseases before it is placed in Contractor storage for reissue. j. The contractor shall comply with "universal precautions" in the cleaning of recovered equipment as required by the VA in the recovery, delivery, and storage process. (BSI - Body Substance isolation). The contractor shall wash in detergent/disinfecting solution, LPH, or equivalent. The items will be placed in plastic bags and labeled with a tag indicating date of cleaning and returned for storage in a non-contaminated storage area for future re-issuance. Documentation of cleaning may be written on a removable tag provided by the contractor. The tag shall indicate the name of the Veteran to whom item was issued, date tagged, that the equipment has been checked for unsafe conditions and function. Clean/disinfected equipment will be covered while in storage (i.e. plastic) to protect from dust accumulation, etc. k. All items of DME not in manufacturer's cartons shall be placed in plastic bags to maintain a "contamination free" condition. All items of DME being delivered to beneficiaries' homes shall be kept in plastic bags until they are actually delivered to the Veteran's home. 1. In the event the Veteran has expired, the Contractor shall notify the COR before close of business on the next working day. The VAMC will adhere to the same timeframe should the VAMC be advised first. The Contractor shall be informed of the same as the VAMC is advised. If a Veteran expires, the contractor shall pick up items specified by the COR within three (3) working days or at the instruction of the family, if later than three (3) working days. The contractor is required to provide close coordination with the deceased Veteran's family for these pick-ups. The contractor shall at his or her facility, clean and inspect these previously issued items and make an initial determination whether the item can be reused, if repairs are needed or if the item is not reusable. Items that are deemed not reusable shall be held pending inspection and disposition instructions from the COR. Reusable items shall be cleaned, disinfected, repaired per COR instruction and provided the same training and care as a delivered piece of equipment. Patient's Refusal of DME: All Patients have the right to refuse the DME issued to him by the VAMC. If a patient refuses the DME or requests the DME to be removed his/her home, then the contractor must comply with the patient's request. Patients refusing to accept VAMC provided DME shall note their refusal of the DME on the Delivery Certification form. If, through no fault of the Contractor, the patient refuses the DME and signs a refusal statement after the Contractor has made the trip, then payment shall be made to the Contractor on the same basis as though the DME had been delivered, set-up, customer education provided; however, the Contractor shall report the specifics of the refusal, to include refusals to sign refusal statement, to the COR by telephone within 4 hours. This initial contact shall be followed up by a fax of the form showing refusal. Performance Requirement: Quality Improvement: a. Prior to final award continuous quality improvement monitors (CQI) shall be established and available for review by the VA. Veteran satisfaction and Veteran education/safe home environment shall be CQI monitors. CQI monitors shall be assessed on a quarterly basis and forwarded to the COR at that time. Results shall be forwarded quarterly. b. The contractor shall have an on-going quality assurance program designed to objectively and systematically monitor and evaluate the quality and appropriateness of Veteran care, resolve identified problems, and pursue opportunities to improve Veteran care. The contractor shall provide a quarterly report of all findings, corrective actions, improvements and Veteran outcomes to the COR. c. The contractor shall collect data on important processes and outcomes related to Veteran care and organizational functions as specified below: Veteran Focused Functions Organizational Functions Rights and Ethics (RI) Improving Organizational Performance (LD) Assessment (PE) Environmental Safety and Equipment Management (EC) Care, Treatment and Services (TX) Management of Human Resources (HR) Education (PF) Continuum of Care and Service (CC) Surveillance, Prevention and Control of Infection (IC) Management of Information (IM) d. The contractor shall collect data about the Veterans' and families' needs and expectations and staff views of current performance and opportunities for improvement and assess and improve requirements. Important processes and outcomes are measured on a continuing basis. e. The contractor shall make a written report of all inquiries, complaints, or requests received from Veterans/caregivers and furnish a copy to the COR. The written report shall contain at a minimum the nature of the inquiry/complaint/request, the person initiating the contact, the contractor's decision/action, basis for the decision, and the outcome. The report shall be signed by the contractor's employee receiving the initial contact and the contractor's official who reviewed it for appropriate action, disposition, etc. f. The contractor shall comply with all provisions of the privacy act when performing services under this contract. g. The contractor shall conduct Veteran Satisfaction Surveys on a minimum of 5% or 30, whichever is greater, of contract Veterans from each VAMC on a quarterly basis. The results shall be submitted to the COR quarterly. Quarterly Reports: The contractor shall evaluate the quality of DME services and document the findings, conclusions, recommendations and actions taken. The report shall include information on special incidents, customer satisfaction, infection control/communicable diseases, and performance improvement. The contractor shall collect and aggregate the customer service satisfaction data from patients and their caregivers. Copies of aggregated data shall be forwarded to the COR by the due date listed below. Data Collection Month Report Due on or Before: October, November, and December with Reports due on February 10th January, February, and March with Reports due on May 10th July, August, and September with Reports due on November 10th Performance Requirement: Site Visits: a. The contractor shall permit unannounced on-site visits by VA personnel and JC surveyors accompanied by VA personnel to assess contracted services, i.e. adequacy, compliance with contract requirements, record keeping, etc. A written report of deficiencies as determined by the COR along with any recommendations, shall be submitted immediately to the contractor. b. If recertification of the equipment is required in order for the Veteran to operate the equipment safely, the contractor shall be notified by the COR to visit the Veteran's home Performance Requirement: Equipment Safety Checks and Troubleshooting: a. Basic safety checks performed on all equipment with appropriate resources for problem solving and troubleshooting. The contractor shall provide a written checklist of safety information and assure that manufacturer's instructions are incorporated into the checklist for safe and appropriate use of the equipment in the beneficiary's home, and access to supervisory input and manufacturer's written materials. b. All accidents, malfunctions, injuries, deaths, and equipment recalls related to the provision, delivery and use of DME shall be immediately reported to the COR and to the manufacturer of the equipment within twenty four hours after the contractor is informed of any incident. If the contractor receives notification from the COR of the above, the contractor shall investigate the incident at the Veterans' home and provide a written report of findings to the COR within twenty four hours. c. When a physician order is required, evidence in the form of a written signed physician order shall be obtained, and a demonstration that the equipment/supplies are provided according to physician order(s). Performance Requirement: Repairs: a. Repair service is defined as the parts, labor and material to restore to first class operating condition. Travel costs shall be included under the trip charges. b. The contractor shall guarantee all materials and workmanship for a period of ninety (90) calendar days from the date of the repair or reissue. c. The contractor is required to use new parts for repair; contractor shall not use used/salvaged parts for repair. d. The hourly rate for labor for repairs after approval has been received from the COR from the applicable VAMC, shall be as specified in the price schedule. Any additional time less than a full hour shall be prorated in one-fourth increments. Labor charges will be computed from the time work actually commences until work is completed, regardless of whether the work is performed at the contractor's site or at the beneficiary's residence. e. If equipment is in need of repairs before it can be reissued, the contractor agrees to submit an estimate of charges to the COR of the applicable VAMC within three (3) working days. Repair estimates shall include the name and social security number of the Veteran from whom the items were picked up. f. The contractor shall make incidental repairs which will be included in the hourly cost. Incidental repair refers to any repair that costs less than $40.00. If a major repair is required as specified by the COR, a separate purchase order shall be issued after approval of the repair for major parts. However, the VA reserves the right to make the repairs or order the repairs from a separate source. Do not proceed with repairs of major parts without a separate purchase order number. g. The equipment and/or accessories are to be placed in first class condition suitable for reissue within five (5) calendar days after date of pick-up, or when parts are involved, within a time mutually acceptable with the COR. If equipment delivered is not in working condition, the contractor shall not be reimbursed for delivery. h. Repairs shall be performed in accordance with the manufacturer's instructions by appropriately certified trained personnel. The contractor shall maintain a local repair service at each branch or agent where used Government owned property will be stored at that branch or agent. i. Combined repair and setup/disassembly charges are not permitted in the same job. However, if a manual hospital bed requires replacement by an electric hospital bed because the manual bed is no longer medically suitable, then setup/disassembly charges may be authorized. Performance Requirement: Contractor Invoicing Requirements: a. The Contractor shall be paid by government purchase card. The Contractor shall submit invoices monthly for service performed. Invoices must be submitted by the 10th working day of the month following the month in which services were provided. A properly submitted invoice includes: (1) the original invoice completed by the Contractor and signed by the Veteran or his designee stating the name of the Veteran, social security number of the Veteran, cost of the item(s) and/or service, total dollar amount, and direct deliveries with appropriate signatures. (2) The VAMC file copy of "Veterans Rights and Responsibilities" with appropriate signatures. (3) Individual invoice stating the inventory of all items issued for each beneficiary by manufacturer, model number, serial number and whether the equipment is new or refurbished. (4) Documentation of cleaning may be attached to the invoice. (5) A signed safety checklist for each delivery of DME. b. Payment which does not contain all of the above shall be returned to the contractor as an improper invoice. c. For credit card purchases, the vendor shall provide VA with a copy of the bill and provide proof of delivery. The credit card shall not be billed until delivery is complete. d. When a serial number from the manufacturer does not exist, the contractor must maintain a system for assigning and tracking an identification number to all DME in accordance with JC requirements. Performance Requirement: Method of Payment: The Government's preferred method of payment is Government Visa procurement administered through VA Authorized Banking Service. The contractor shall be able to participate and accept the Government Visa card. The contractor shall have Level 2 Billing capability which consists of the contractor being able to provide purchase order number in the vendor order block. The Purchasing Agent of the applicable VAMC shall place an order by giving the contractor their credit card number and purchase order authorization number. SECTION 3: SERVICE AREAS: The geographical area is within the state of Maryland with the exceptions of Montgomery and Prince Georges counties. Delivery zones are define as follows: · Zone 1 Baltimore City and Baltimore county · Zone 2 Harford, Carroll, Howard and Anne Arundel counties · Zone 3 Garrett, Allegany, Washington, Frederick, Cecil, Kent, Queen Anne s, Caroline, Talbot, Dorchester, Wicomico, Somerset, Worcester, Saint Mary s, Charles and Calvert counties NOTE: All of the listed DME equipment is 1 person deliveries, with the exception of Bariatric Beds. Bariatric Beds are 2 person deliveries. DC VAMC Operational Days and Times DC VAMC's Administrative Work Hours are Monday through Friday, 8:00am - 4:30 p.m., exclusive of these holidays: New Year's Day, Martin Luther King's Birthday, Presidents' Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, Christmas Day, and any other day designated holiday by federal law, Executive Order, or Presidential proclamation. When the holiday falls on a Saturday, the DC VAMC observes the holiday on the preceding Friday. When the holiday falls on a Sunday, the DC VAMC observes the holiday on following Monday. Requirements: A. Task 1. One person DME Delivery/Pick up services in these DC Zones: Zone 1; 0-25 miles with a circular radius that uses the DC VAMC as the center point, Zone 2; 25-50 miles with a circular radius that uses the DC VAMC as the center point, Zone 3; Greater than 50 miles with a circular radius that uses the DC VAMC as the center point. The price of this line item includes the price required for scheduled the delivery or pick up appointment with the patient or his/her caregiver; storage, delivery assembly, set-up, installation, and adjustment of DME; reclaiming the DME (including disassembly, uninstallation and pick up); providing patient instructions for use, care, maintenance and basic troubleshooting of the DME; and completing a delivery certification also includes the delivery or pick up of equipment from DC VAMC. · B. Task 2.Two Person DME Delivery/Pick up services in these DC Zones: Zone 1; 0-25 miles with a circular radius that uses the DC VAMC as the center point, Zone 2; 25-50 miles with a circular radius that uses the DC VAMC as the center point, Zone 3; Greater than 50 miles with a circular radius that uses the DC VAMC as the center point. The price of this line item includes the price required for scheduling the delivery or pick up appointment with the patient or his/her caregiver; storage delivery, assembly, set-up, installation and adjustment of DME; reclaiming the DME (including disassembly, removal and pick up); providing patient instructions for use, care, maintenance, and basic troubleshooting of the DME; and completing a delivery certification. C. Task 3. The provision of routine DME repair and maintenance services in DC Zones: Zone 1; 0-25 miles with a circular radius that uses the DC VAMC as the center point, Zone 2; 25-50 miles with a circular radius that uses the DC VAMC as the center point, Zone 3; Greater than 50 miles with a circular radius that uses the DC VAMC as the center point. Repair service to restore DME to first class condition will be made on the basis of an hourly rate plus parts with agreement reached on a per job basis with the Prosthetic Representative and Prosthetics prior to the commencement a repair service, except in cases of emergency the price must not include charges for other services provided in either Task 1 or Task 2 or other warranties included with the DME equipment and installation. D. Task 4. The Contractor will offer emergency delivery service for all equipment in these DC Zones: Zone 1; 0-25 miles with a circular radius that uses the DC VAMC as the center point, Zone 2; 25-50 miles with a circular radius that uses the DC VAMC as the center point, Zone 3; Greater than 50 miles with a circular radius that uses the DC VAMC as the center point. The patient/caregiver will be instructed on emergent phone numbers in case of equipment breakdown. Emergency is defined as life sustaining. Service will be available 24 hours a day, 7 days a week. E. Task 5. All equipment picked-up from patients will be stored separately from clean equipment within the Contractor's storage facility until the picked-up equipment has been cleaned, tagged, and bagged. 2. PATIENT PLAN OF CARE: (a) The contractor shall provide a written plan of care or service for each patient who receives equipment or appliances delivered by the contractor or his representative. The plan of care or service shall be based on initial and ongoing individualized patient assessments. A plan of care or service shall be developed or revised within five working days of initiation of each service or reassessment of the patient. The frequency of review depends upon the patient's health status and/or environment. Qualified staff shall be responsible for the development, implementation, evaluation and revision of the plan of care or service. The plan of care or service shall include a statement of identifiable patient problems and needs, reasonable and measurable patient goals, and a notation of the specific services to be provided and actions to be taken to meet patient goals, including, when appropriate, the type, frequency and duration. Actions taken or services provided shall be consistent with the plan of care or service. The plan of care or service shall consistently reflect current problems, goals, and interventions corresponding to the care provided. Copies of the updates shall be sent to the Contracting Officer s Technical Representative (COTR). The contractor may use any form for documentation, provided all requested information and signatures are furnished. (b) The contractor shall maintain an individual Patient Account Folder. This folder shall contain the individualized plan of care, plan of service, documentation of patient education, and/or safety hazards, invoices, signed statement of the patient's understanding of instructions provided and other pertinent documents. 3. LETTER OF CERTIFICATION: The COTR will authorize the delivery of supplies or services of this contract through the exclusive use of the Prosthetic Authorization and Invoice (VAF 10-2421). A Letter of Certification (Attachment A-Section J) must be completed by the Contractor and returned to the COTR. The Letter of Certification records essential documentation that will be filed in the beneficiary s consolidated health record. Six basic areas of certification are required: (a) SAFETY FACTORS: When delivering new or VA reissue DME that are electrically operated, the electrical outlet used to operate the DME in the beneficiary's home will be checked for safety. The contractor shall check and document adequacy of the electrical outlet and if the outlets are not grounded, the contractor shall provide and install a three-prong plug. The contractor will verify that the electrical outlet is solely used by the DME item. If the contractor is unable to make the electrical outlet safe, the DME item will be returned to the contractor's facility, and the COTR will be notified immediately. (b) INSTRUCTIONS ON USAGE OF EQUIPMENT: For every new or VA reissue DME that is delivered to a beneficiary s home, the Contractor will be responsible to instruct the patient, patient s spouse or care provider in the safe and proper operation of the DME. The Government s intent of the contract is for all items to be delivered and set-up. If evidence indicates specific structural requirements or environment difficulties, i.e. installation of versa frames and shower hoses, contractor should document on the Letter of Certification that installation could not be accomplished and justification as to action taken in instructing the patient on how to go about installation. (c) INSTRUCTIONS FOR EMERGENCY REPAIRS/REPLACEMENT OF DME: The Contractor will instruct the patient, patient s spouse or care provider in the procedures to follow in the event of DME malfunction. These procedures will include the name and phone number of a Contractor representative who will be available 24 hours a day, seven days of the week to provide adequate repairs/replacement of DME. The name and phone number of the Contractor representative responsible for emergency repairs/replacement of DME will be affixed to the DME in the form of an adhesive label. (d) MANUFACTURER NAME AND SERIAL NUMBER: List the DME manufacturer and serial number. In the event of a manufacturer s equipment recall, this information can be helpful in protecting the health of the veteran patient. (e) NEW OR REFURBISHED DME: Contractor must annotate if the DME issued to the veteran patient was new or refurbished. If the DME was refurbished, the Contractor must state that the DME was cleaned and disinfected according to manufacturer s standards. No equipment issued shall be older than 5 years. (f) ISSUE CUSTOMER ORIENTATION PAMPHLET: The Contractor will give the patient, patient s spouse or care provider a copy of the Customer Orientation Pamphlet. This pamphlet will include product use information, warranty information, general information on services to be provided, safety procedures, service orientation, disaster readiness, and the patient s bill of rights. (g) Contractor will train delivery personnel in the safe and proper operation of DME. In addition, they will be trained to instruct the patient, patient s spouse or care provider in the safe operation of the DME, and procedures to follow in the event of DME malfunction. Delivery personnel will be trained to correctly complete the Letter of Certification". On request, the Contractor will provide the COTR, current teaching records of all personnel responsible for the delivery and set-up of DME to veteran patients. (h) Contractor will train personnel responsible for the pick-up, cleaning and disinfecting, storage and inventory of DME from beneficiary s homes. Contractor s personnel will use necessary precaution on handling all unclean DME. All DME picked up from beneficiary s homes will be placed in a contaminated storage area. Unclean previously used DME will be cleaned in accordance with manufacturer s recommendation. Cleaned/disinfected and properly wrapped and tagged DME will be transferred to a clean storage area. A weekly inventory of refurbished DME will be forwarded to the COTR. On request, the Contractor will provide the COTR current teaching records of all personnel responsible for the pick-up, cleaning and disinfecting, storage and inventory of DME. (i) Upon authorization from the VAMC, the Contractor will deliver item(s) to the beneficiary s home within a forty-eight (48) hour period after receipt of order. New items purchased from the contractor to be delivered to the beneficiary s home shall include delivery and set-up charges in the purchase price. (j) Upon authorization from the VA, the Contractor will pick-up DME from a beneficiary s home within a 72-hour period. (k) Contractor will maintain a local stock of all items covered by this solicitation. Contractor may provide a similar or equal item when the stock item is not immediately available, and in case of an emergency. The substitute will require prior approval of the COTR and will not require additional cost to the VA. (l) Contractor will be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for Home Care Services. (m) The VA will be permitted to have various manufacturers drop ship appliances directly to the Contractor s facility. Contractor will be responsible for receiving these shipments. Contractor will be responsible for delivery and set-up to the beneficiary s home and will be paid at rate specified in the contract. (n) Contractor will have the ability to receive faxed orders from the VA. 4. DESCRIPTION OF SUPPLIES/SERVICES: Full Electric Hospital Bed w/Full or Half Safety Rails: Six-position full control pendant raises and lowers the upper body and/or lower extremities at the knees as well as bed height; motorized pull tube assembly controls frame/spring angle adjustment for knee and back comfort; efficient spring-loaded drive shaft controls the bed height adjustment; no cables to rig or maintain; two-piece 80"x36" frame/spring assembly; strong bed frame made of channel steel welded together; strong head and foot boards can support trapeze and traction equipment; 3" ball bearing casters, two with tread brakes, allow bed to be easily moved; and zinc-plated helical springs resist rust and are turned down to prevent damage to mattress and sheets; high quality, low noise reliable gear motors; emergency hand crank to allow position change during power failure; hospital grade plug and completely enclosed junction box; listed with U.L. Laboratories, Inc. Safety rails are spring loaded crossbars that fit beds 25" to 39" wide and telescope a length 47" to 72"; spring stabilizers maintain safety rail position regardless of position of bed; spring loaded pull buttons permit easy adjustment of safety rail to raised or lowered position; head or foot of bed may be raised or lowered independently; safety rails drop well below top of mattress for comfortable patient transfer and ease in bed making; safety rails may be separated for easy cleaning; and safety rails are all welded chrome-plated steel. Equipment to be Invacare Bed II package or equal. Hospital Bed Mattress: Comfortable 80"x37" mattress that can flex freely, and is resilient to help minimize skin related problems, lightweight, and easy to turn; flame retardant; multi-layered cushioning system; durable high carbon steel innersprings; and cover that protects the mattress from moisture and contamination. Hospital Bed Standard Trapeze: Attaches to the headboard of a manual, semi or full electrical hospital bed; helps patients to safely change position in bed and transfer from bed to chairs and other equipment with minimal assistance from attendants; fully adjustable height and handbar locations; and constructed of heavy gauge steel tubing. The Hospital Bed w/Full or Half Safety Rails/Hospital Bed Mattress/Trapeze will be purchased by the VAMC as mandated by the standardized PSAS National Contract. Delivery of standardized items will be made directly to the DME Contractor Warehouse Facility. The DME Contractor will maintain and install the Government owned equipment. NOTE: Any DME item listed on the contract that becomes standardized on a PSAS National Contract will be purchased by the VAMC. Delivery to be made directly to the DME Contractor warehouse facility. The DME Contractor will maintain and install the Government owned equipment for the duration of the contract. Non-Tilt Over Bed Table: Heavy-duty, laminated top, with easy height adjustment; swivel casters for easy mobility; "C" based table can also be used with wheelchair; and sturdy chrome plated, welded steel base. Adjustable Bath Seat w/Back: Rust resistant anodized aluminum construction; specially designed flange tips for greatest stability; seat and back are constructed from durable plastic, curved for comfort, textured surfaces reduces slipping; and seat height adjusts 15" - 20". Padded Bath Transfer Bench w/Back: Large transfer bench width 25.5" for safe, secure transfers; extra strong, watertight, heat sealed vinyl padding on seat and back for comfort, easy transfer, and cleaning; extra large suction cups on inside legs and special flange tips on outside legs provide maximum patient stability during bathing and transfers; easy adjustable backrest (13.5" - 17") and variable height legs for height adjustability (16" - 21"); and rust resistant satin anodized aluminum construction. Adjustable Versaframe for Patient's Home Toilet: Ensures patient's safety and security when using a raised toilet seat; quickly secures to most toilets; contoured armrests give patients a secure hand support to raise and lower themselves; arms heights are adjustable (26" - 30") to conform to most toilet bowl heights and can be used singly, or in pairs; and width between arms adjusts (17.5" - 20.5") with positive lock push buttons. Contractor is not required to install this item. Versa Height Raised Toilet Seat w/Plastic Seat: Features four clip-on brackets that fit most toilets; with arms and without arms easy to take on and off; angle and seat height are adjustable (4.5" - 6") to maximize patient comfort and reduce flexion and effort of patient; solid molded plastic seat ensures durability; and coated brackets will not scrape or mar toilets. Contractor will install. Stationary Commode: Durable chrome plated finish; contoured armrests for stable hand support to aid entry and exit from commode; durable solid plastic toilet seat; adjustable legs allow flexible seat height (20" - 24") and enable seat to be angled to reduce bending by patient; and complete with pail and cover. Patient Lifter: Hoyer Lifter designed to make patient transfer quickly and effortlessly, with maximum comfort for the patient; smooth action of the hydraulic jack provides gentle lifting and lowering of weights up to 400 pounds; low U-base permits close access to beds, and it can be adjusted from its normal width of 24" to as wide as 39-1/2" for getting close to chairs; base and mast may be separated for compact storage; chrome plated finish; brakes on two casters; and Dacron mesh, one-piece seat, back and chains. Any Other Home Medical Type Equipment: Other equipment for patient use in the home as medically prescribed by VA physician. Emergency Repairs/Replacement: An emergency repair/replacement will be initiated by the contractor when the patient's health is at risk, and the incident occurs any day, Monday through Friday, from 4:30 p.m. through 8:00 a.m., or anytime on Saturday or Sunday. Hourly rates begin from the time the Contractor's service technician leaves his "on call" station until he returns (portal to portal). The COTR will be notified on the next available business day regarding the nature of the incident, and the labor and any materials necessary to complete the repair/replacement. Pick-Up Rate per Visit: Visit includes services for the pickup, cleaning/disinfecting, storage and inventory of VAMC equipment picked up from patient's home. As directed by the COTR, the contractor will pick up equipment from a patient's home. The equipment will be returned to the contractor's warehouse and placed in a VA designated contaminated storage room. The equipment will be labeled with the patient's name and date when picked up from the patient's home. After cleaning and disinfecting, the equipment will be labeled, dated and wrapped. Refurbished equipment will be transferred from the contaminated storage area to a clean storage area. Dispose of all disposable equipment, which cannot be reasonably cleaned and reissued (e.g., bed mattresses, opened cartons of supplies, foam wheelchair cushions). Repair Equipment: When a patient's DME requires repair at the Contractor's facility, the contractor will provide a "LOANER" DME at no additional charge for the patient's use until the patient's repaired items has been returned. Delivery Rate Per Visit: Service includes delivery of VA refurbished DME and delivery of scooters, wheelchairs, and lift chairs. Upon the direction of the COTR, deliver refurbished VA Items to a beneficiary, or deliver to the VAMC and Primary Service Area. Labeling: The Contractor must affix to each item of DME delivered to a patient, a Contractor-produced label that contains the following information: "VA Medical Center Prosthetics Program, Item provided on *"'Date ** by **Contractor Name **. For information or assistance, call: **Contractor Telephone Number**." The date can be hand ­ written in non-washable ink; the other information will be pre-printed (laser or other pen ink) in thick lettering, a minimum of 10-point bold font.
 

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