R -- CUSTOM JCAHO MOCK SURVEY

Notice Date

October 25, 2000

Contracting Office

Naval Medical Center (BCA), 34800 Bob Wilson Drive, Suite 535, San Diego, CA 92134-5191

ZIP Code

92134-5191

Solicitation Number

N00259-01-T-0009

Response Due

October 27, 2000

Point of Contact

Laura Pruett, (619) 532-8076, Purchasing Agent or Frank Aspuria, (619) 532-8093, Contracting Officer

E-Mail Address

click here to contact the Contracting Officer via (lmpruett@nmcsd.med.navy.mil)

Description

THIS IS A COMBINED SYNOPSIS/SOLICITATION FOR NON-PERSONAL COMMERCIAL SERVICE, PREPARED IN ACCORDANCE WITH FAR SUBPART 12.6 AS SUPPLEMENTED WITH ADDITIONAL INFORMATION INCLUDED IN THIS NOTICE. THIS ANOUNCEMENT CONSTITUTES THE ONLY SOLICITATION; QUOTATIONS ARE BEING REQUESTED AND A WRITTEN SOLICITATION WILL NOT BE ISSUED. THE SOLICITATION NUMBER N00259-01-T-0009 IS ISSUED AS A REQUEST FOR QUOTATIONS (RFQ). THE NAVAL MEDICAL CENTER SAN DIEGO (NMCSD) REQUIRES THE NON-PERSONAL SERVICES OF A CONTRACTOR TO PROVIDE ASSISTANCE IN THE PREPARATION OF THE MAY 2001 JCAHO SURVEY. THE WORK INVOLVES A BROAD SPECTRUM OF FUNCTIONAL REVIEWS, ON-SITE EDUCATIONAL ASSISTANCE AND CONSULTATIVE SERVICES. ALL SUCH WORK SHALL BE EXECUTED IN AN ADVISORY AND ASSISTANCE CAPACITY. LINE ITEM 0001. JOB SERVICE NON-PERSONAL: CONTRACTOR SHALL PROVIDE SERVICE FOR CUSTOM JCAHO MOCK SURVEY. CONTRACTOR PRICE WILL INCLUDE CONSULTANTS FEES, AIR TRAVEL, CAR RENTAL, LODGING AND MEALS ALLOWANCES. CONTRACTORS PERFORMANCE PERIOD: NOVEMBER 3 AND 6-8, 2000. CONTRACTOR SHALL PERFORM IN ACCORDANCE WITH THE PROVIDED STATEMENT OF WORK. LINE ITEM 0001AA: CUSTOM JCAHO MOCK SURVEY ( 1 JOB @ $___ = $___ ). STATEMENT OF WORK JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) CUSTOM MOCK SURVEY I. INTRODUCTION The Naval Medical, San Diego (NMCSD) requires the non-personal services of a contractor to provide assistance in the preparation of the May 2001 JCAHO survey. NMCSD is a tertiary medical center with 481 licensed beds and an average daily census (with newborns) of 190. There are seven Branch Medical Clinics and two TRICARE Outpatient Clinics which are hospital-based but remote to the main campus. Three clinics see Dependent Family members and six clinics see active duty members only. Seven clinics are approximately 20 miles round trip from the main hospital, one clinic is 37 miles round trip, and one is in El Centro, which is 230 miles round trip. There are approximately 80 outpatient service areas serving approximately 4,000 outpatients per day. We have inpatient and outpatient psychiatry as well as an Substance Abuse (alcohol and drug) Rehab Service. A portion of our Laboratory services are accredited by the College of American Pathologists (CAP). Our last survey included a Nurse, Physician, Administrator, Ambulatory Care and Behavioral Health surveyors. II. SCOPE OF WORK The work involves a broad spectrum of functional reviews, on-site educational assistance and consultative services. All such work shall be executed in an advisory and assistance capacity, and to include, but not limited to the following: Integrated Hospital Consultation Assess the patient rights function including organization ethics. Review the implementation and documentation of the patient assessment function including initial assessment, pathology and clinical laboratory services, reassessment, care decisions, supporting structures and additional requirements for specific patient populations. Evaluate the mechanisms for the provision of care including: planning and providing care, anesthesia care, medication use, nutrition care, operative and other procedures, rehabilitation services and special treatment procedures. Assess the patient and family education and responsibilities to include identification of and response to special educational needs. . Evaluate the continuum of care function. Evaluate the performance improvement function including the organization's processes for planning, measuring, assessing and improving patient care. Evaluate the leadership function including: planning, directing and integrating services, as well as the role leadership play in evaluating improved performance. Assess Life Safety Code issues and the environment of care function including documentation of the design, implementation, measurement of outcomes, the social environment, and provisions of the Statement of Conditions. Assess the human resource management function, including; human resource planning, orientation, training, education, competence assessment and managing staff requests. Evaluate the information management function including planning, patient specific data and information aggregate data and information, knowledge-based information and comparative data and information. Evaluate the processes used for surveillance, prevention and control of infection. Evaluate the medical staff structure including processes for appointment, reappointment, and credentials review and privileging of the medical staff, as well as integration of performance improvement data into these processes. Assess the governance, management and nursing leadership structures. Educate the medical and clinical support staff relative to improving organizational performance standards. Assist in the development of strategic plans for improving organizational functions. Behavioral Health Care (Alcohol and Drug) Consultation Assess the performance improvement activities, including the flow of information. Provide an educational update on the elements of quality assessment and improvement. Evaluate the written plan for professional services and staff composition. Evaluate the following elements with clinical patient services (focusing assistance on areas of difficulty identified): -Direction; -Education; -Staffing; -Policies and procedures; -Records and documentation; and -Infection control. Assess the professional staff organization, including credentialing and privileging processes. Assess the therapeutic environment and patient rights issues. Evaluate patient management processes, including intake assessment, treatment planning, progress notes, discharge summaries, aftercare, and special treatment procedures. Assess the utilization review and infection control programs. Assist in the development of strategic plans to improve or enhance the areas assessed. III. CONTRACTOR QUALIFICATIONS Current, qualified and experienced JCAHO surveyors Expertise and knowledge in the interpretation and intent of 2000 and new for 2001 standards in the Comprehensive Accreditation Manual for Hospitals. Skilled in providing a collaborative and educative approach to standards review and the mock survey process. Demonstrated ability to identify facility-specific methods for demonstrating compliance with applicable standards. Cross-trained in more than one specialty area (ie. Nurse surveyor cross-trained in Behavioral Health). This criterion is desired but not required. IV. DELIVERABLES Pre-consultation: Assistance from the lead consultant to develop an agenda customized to the facility and a pre-consultation review of key written plans and policies by each consultant. Provision of a sample agenda. Education: Educational sessions for the medical and clinical support staffs, as well as education provided with each individual interview to familiarize staff with the JCAHO standards and survey process. Assessment: To include: -- Meeting with the leadership team to assess the leadership functions. -- Patient unit or clinic site visits to assess patient care activities. -- Review of medical record documentation with staff to identify areas for improvement. -- Meetings with cross-functional teams to assess the improving organizational performance function. -- Work sessions with individuals/multidisciplinary groups to evaluate patient care and organizational functions. -- Building tour and review of management plans and Statement of Conditions to assess the environment of care function. Recommendations: Recommendations will be made in all areas to assist staff with developing processes and methods to effectively and efficiently comply with JCAHO standards. Planning: At the conclusion of the "Mock Survey" provide an on-site report of findings and recommendations for action to key staff. Report: A written summary of consultation services, findings with reference to JCAHO and strategies for corrective action and follow-up actions. V. GOVERNMENT -- FURNISHED ITEMS The government will provide an office space, parking space, office equipment and necessary supplies. ALL INTERESTED BIDDERS MUST SUBMIT QUOTATION TO LAURA PRUETT, NAVAL MEDICAL CENTER SAN DIEGO, MATERIAL MANAGEMENT DEPT., MATERIAL MANAGEMENT, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134 OR BY FAX (619) 532-5596. OPEN MARKET QUOTATIONS IN COMBINATION WITH QUOTATIONS UNDER FEDERAL SCHEDULE MOBIS SPECIAL ITEM 874-3 WILL BE ACCEPTED. THIS ACQUISITION IS UNRESTRICTED. SIC CODE 8748, SIZE 5.0. WAGE DETERMINATION NO: 94-2058 REV (21) AREA: CA, SAN DIEGO, DATED 09/13/2000 FOR ADMINISTRATIVE SUPPORT AND CLERICAL OCCUPATION, SURVEY WORKER WILL APPLY TO THIS REQUIREMENT. AWARD WILL BE BASED ON TECHNICAL CAPABILITY AS SUPPORTED BY SPECIFIED QUALIFICATIONS IN THE STATEMENT OF WORK. ALL QUOTATIONS MUST BE RECEIVED BY CLOSED OF BUSINESS DATE, OCTOBER 27, 2000, 3:30 P.M. PACIFIC STANDARD TIME, TO BE CONSIDERED RESPONSIVE. THE SOLICITATION DOCUMENT AND INCORPORATED PROVISIONS AND CLAUSES ARE THOSE IN EFFECT THROUGH FAC 97-20. THIS ACQUISITION INCORPORATES THE CLAUSES 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998). 252.225-7009 DUTY-FREE-ENTRY-QUALIFYING COUNTRY SUPPLIES (END PRODUCTS AND COMPONENTS) (MAR 1998), 52.219-1 SMALL BUSINESS PROGRAM REPRESENTSTIONS (MAY1999), 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS COMMERCIAL ITEMS, 51.212-4 CONTRACT TERMS AND CONDITIONS-COMMERCIAL ITEMS (APR 1998), 252.204-7004 REQUIRED CENTRAL CONTRACTOR REGISTRATION (MAR 98); 252.225-7002 QUALIFYING COUNTRY SOURCES AS SUBCONTRACTOR (DEC1991), 52.212-7001 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUES OR EXECUTIVE ORDERS APPLICABLE TO DEFENSE ACQUISITION OF COMMERCIAL ITEMS (OCT 1998); 252.225-7001 BUY AMERICAN ACT AND BALANCE OF PAYMENT PROGRAM (41 U.S.C. 10A-10D, E.O. 10582), 52..212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUES OR EXECUTIVE ORDERS-COMMERCIAL ITEMS (JAN 1999). THE FOLLOWING CLAUSES ARE INCORPORATED BY REFERENCE IN PARAGRAPH (B); 52.222-26 EQUAL OPPORTUNITY (E.011246); 52.222-35 AFFIRMATIVE ACTION FOR SPECIAL DISABLED AND VIETNAM ERA VETERAN (38 U.S.C. 4212); 52.222-36 AFFIRMATIVE ACTION FOR WORKERS WITH DISABILITIES (29 U.S.C. 793). 52.222-37 EMPLOYMENT REPORTS ON DISABLED VETERANS AND VETERANS OF THE VIETNAM ERA (38 U.S.C. 4212). 52.222-41 SERVICE CONTRACT ACT OF 1965, AS AMENDED (41 U.S.C. 351, ET SEQ.). 52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (29 U.S.C. 206 AND 41 U.S.C. 351, ET SEQ). 52.232-36 PAYMENT BY THIRD PARTY (31 U.S.C. 3332). 52.225-13 RESTRICTIONS ON CERTAIN FOREGN PURCHASES (AUG 1998). 52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND VEGETATION (APR 1984) NOTE: #23

Record

Loren Data Corp. 20001027/RSOL004.HTM (W-299 SN5051L1)