Q -- FAMILY PRACTICE PHYSICIAN

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The reference number is LGCBFPP08 and this solicitation is issued as request for quotation (RFQ). This synopsis/solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-21. The associated NAICS code is 621399. DESCRIPTION of SUPPLIES/SERVICES and QUANTITY Family Practice Physician Period of Performance: 1 year, 1 January 2008 through 31 May 2008. STATEMENT OF WORK FAMILY PRACTICE PHYSICIAN - Medical Treatement Facility TABLE OF CONTENTS SECTION 1. DESCRIPTION OF SERVICES 1.1 Scope of Work 1.2 Specific Tasks 2 GOVERNMENT-FURNISHED PROPERTY AND SERVICES 3.GENERAL INFORMATION 4 APPENDICES APPENDIX A APPLICABLE PUBLICATIONS AND FORMS APPENDIX B WORKLOAD ESTIMATES APPENDIX C NATIONAL AGENCY CHECKS SECTION 1 1.0. DESCRIPTION OF SERVICES 1.1 SCOPE OF WORK. The contractor shall provide a medical officer for family practice at the 65th Medical Group, Lajes Field, Portugal, also referred to as the "Medical Treatment Facility" (MTF) herein. Performance shall be according to the requirements contained in this Statement of Work (SOW), and professional standards of the Joint Commission on Accreditation of Healthcare Organization (JCAHO). 1.2 SPECIFIC TASKS 1.2.1 FAMILY PRACTICE CLINIC. The contract medical officer contract shall provide professional primary medical services for beneficiaries of the 65th MDG to include active duty personnel, their dependents, retirees, and civilians affiliated with Lajes AFB., and shall accomplish the appropriate preparation and processing of administrative documents related to their care. The medical officer will be knowledgeable and able to perform the following functions 1.2.1.1 The contract medical officer shall provide services in the family practice clinics in accordance with the terms and conditions of the Statement of Work (SOW). 1.2.1.2 Work shall be performed primarily in the family practice clinics, with work in other sections as needed. 1.2.1.3 The contract medical officer shall perform routine, emergent and urgent medical care of a nature and scope described herein in accordance with the professional standards of the 65th MDG and within the standard of care for an equally trained and experienced family practice physician. 1.2.1.4 The services shall be performed in accordance with established principles and ethics of the medical profession and Air Force directives and other publications listed in this contract. 1.2.1.5 The contract medical officer shall provide primary care operational duties to include but not limited to: active duty Population Health Assessments (PHA), Pre/Post Deployment Assessment, Profiles, Line of Duty Determinations, PRP Program reviews, Peer reviews, and Medical Evaluation Boards. The contract medical provider will not deploy. 1.2.1.6 The contract medical officer may be called upon to participate in disaster exercises or flightline responses while performing the work mentioned in this contract during normal duty hours. 1.2.1.7 The contract medical officer shall participate in meetings and participate in the peer review process as outlined by the Chief of Medical Staff. 1.2.1.8 The contract medical officer shall follow all established Operating Instructions and guidance per the 65th MDG Family Practice clinic. 1.2.1.9 Attendance at Meetings: The contract medical officer shall attend and participate in meetings, staff and planning conferences and other appropriate activities as necessary. 1.2.1.10 The contract medical officer shall be notified of the clinic schedules for the month at least 7 days prior to the beginning of the month, but must be aware of the fluid nature of any schedule. The contract medical officer should be flexible and willing to adjust the schedule based on mission-related and operational needs. 1.2.1.11 The contract medical officer shall treat and evaluate all patients eligible for care in the clinic. The government will determine those eligible for care at the 65th MDG. 1.2.1.12 The contract medical officer shall be privileged in accordance with DOD service intermediate command directives, instructions, and 65th MDG credential's committee requirements prior to providing services under this contract. All specified documentation must be provided to the 65th MDG Credential's Office before the contract medical officer can receive privileges. A complete credentials package shall be submitted to the 65th MDG within 30 days after the start date of this contract. Air Force Instruction 44-119 delineates the authority to limit, suspend, restrict, or revoke privileges. The Chief, Aerospace Medicine and the 65th MDG/SGH will decide final acceptance of the individual provider after review of the credentials/privilege material. 1.2.1.13 As part of the 65th MDG credentialing process, an initial and annual review of the contract medical officer medical record will be conducted to assure that the physician is fit both physically and psychologically to perform the work in this contract. 1.2.1.14 The contract medical officer shall undergo required orientation within the 65th MDG. The purpose of this orientation is to familiarize the contract medical officer with the work environments and work procedures of the department assigned. The contract medical officer will attend MDG and Family Practice clinic orientations. 1.2.1.15 The medical officer shall complete Government provided annual training which will include but is not limited to topics such as safety, QA/RM/Process Improvement, infection control, fire protection, security, patient sensitivity training. Training time varies between individuals, but often takes approximately 8 hours to complete. 1.2.1.16 HOURS OF WORK. Normal work days in the clinic are from 0800 to 1700 Monday-Friday, with contract military officer working 40 hours per week. Lunch and breaks are taken as the patient schedule permits, with one hour per work day allocated in total to these breaks. Contract provider will serve as the provider on call approximately one out of every three weeks. Call will be by telephone and involve mostly giving patients advice and referring them appropriately to civilian care as necessary. Calls after hours are usually only 3-4/day however can vary seasonally. 1.2.1.17 HOLIDAYS. The contract medical officer is not required to provide normal service on the following federal holidays: New Year's Day, Martin Luther King Day, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day, Christmas Day 1.2.1.18 The contract medical officer shall present a neat appearance and be easily recognized as a contract employee. The contract medical officer will wear a white clean lab coat that will comply with standard grooming and dress guidance for professional employees. An MTF-issued identification badge will be worn at all times while on duty. 1.2.2. EDUCATION AND TRAINING REQUIREMENTS. 1.2.2.1 FORMAL EDUCATION. The contract medical officer must have graduated from an approved medical school. Completion of a residency in family medicine. 1.2.2.2. LICENSE/REGISTRATION. The contract provider shall possess a valid license to practice medicine from a US state. This license must be renewed as necessary and is the responsibility of the contract provider to show proof to the MTF of this ongoing licensing. 1.2.2.3 BOARD CERTIFICATION. Board certification in family practice is desirable but is waiverable by SGH based on previous clinical experience. 1.2.2.4. EXPERIENCE. The provider shall have remained current on continuing education hours/national certification requirements. 1.2.2.5 Have and maintain current Pediatric Advanced Life Support (PALS) certification, Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) training. 1.2.3 HEALTH REQUIREMENTS. The contract medical officer shall receive a pre-employment physical examination prior to commencement of work and annually thereafter during the contract term. The contract medical officer shall be required to have current immunizations prescribed and provided by the MTF. 1.2.3.1 As a condition of employment, OSHA requires that all contract personnel who will have occupation exposure to blood or body fluids, or other potentially infectious materials, shall receive Hepatitis B vaccine or have documented proof of immunity to Hepatitis B infection. Such vaccinations will be provided by the MTF. 1.2.4. EMERGENCY HEALTH CARE. MTF will provide emergency health care for the contract medical officers for injuries occurring while on-duty. SECTION 2 GOVERNMENT FURNISHED PROPERTY AND SERVICES 2.1. GENERAL. The government will provide the ancillary medical support personnel and services that are necessary to perform the work required by this contract. The Government will provide the following equipment, supplies, and services listed below. Government furnished property shall be used only in the performance of this contract. 2.2 EQUIPMENT. The contractor shall have use of all available equipment for performing services required by this contract. Government furnished equipment will not be altered on the basis of this contract. The government reserves the right to use this equipment if it is not in use by the contractor. The contract medical officer will be provided with a pager. 2.2.1 PERSONAL PROTECTIVE EQUIPMENT (PPE). The Government will furnish provider with appropriate PPE. The Government will be responsible for any repair, cleaning and inventory required for the PPE. This does not include any type of uniform or laboratory coat. 2.2.2 If the contractor feels additional equipment is required to perform stated services and quality of work or that additional equipment would provide economical healthcare benefit, the contractor may request additional equipment through the Chief of Aerospace Medicine. The government will not be obliged to provide such additional equipment. 2.3. FORMS. The MTF will provide required Government forms used in the performance of services. 2.4. SUPPLIES. The MTF will provide medical and non-medical supplies commonly used in the facility for the care and management of patients. In addition, a rubber stamp will be supplied to include the following information: Providers name, professional status and 65th Medical Group, consistent with other clinic providers. 2.5 SERVICES. 2.5.1. ADMINISTRATIVE SUPPORT. Contract personnel will be authorized to use all administrative support available to Government employees. This may include but not be limited to copy machines, facsimile (fax) machines, medical library, installation distribution, Class-A telephone lines and Defense Switching Network (DSN) lines, e-mail, internet and intranet service. The same restrictions to use these items for Government official business apply. 2.5.2 HOUSEKEEPING. The Government as part of the MTF housekeeping contract will provide routine housekeeping. 2.5.3 FACILITIES. The government will furnish Family Medicine Clinics and the necessary equipment to carry out the care of patients within. If any change is made in the location of the department, the function and quality will approximate that of the previous facility. 2.6 RECORDS, FILES, DOCUMENTS, AND WORK PAPERS. All records, files, documents and work papers provided by the government remain Government property. The Quality Assurance Personnel (QAP) will provide guidance to the contract personnel who shall maintain and dispose of these records, files, documents, and work papers in accordance with AFR 4-20. 2.7 UTILITIES. The government will provide gas, electricity, sewage, and water necessary to carry out work required under this contract. 2.8 MAIL DISTRIBUTION. On-base only. 2.9 TELEPHONE. "Class C" (on base) telephone service. 2.10 BUILDING REPAIRS AND MAINTENANCE. As deemed necessary by 65 MDG Facilities Management function, in coordination with the flight medicine clinic NCOIC. SECTION 3 GENERAL INFORMATION 3.1 This is a Personal Services Contract (PSC) and is intended to create an employer-employee relationship between the Government and the individual HCP. 3.2 PSC does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual HCP(s) may be associated. 3.3 The performance of the individual HCP(s) under the PSC is subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service HCPs engaged in comparable work. 3.4 Any personal injury claims alleging negligence by the individual HCPs within the scope of the HCP's performance of the PSC shall be processed by DoD as claims alleging negligence by DoD military or civil service HCPs. 3.5 Government Orientation/Training. The Government will provide training on Government provided forms and equipment, standard precautions, initial orientation and continuing orientation/training. Contract employee will participate in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements. All training requirement completions will be documented in the members training folder. The contract employee will also participate in evaluation of the quality and effectiveness of activities/services of the unit. Recommended Training includes: AHLTA CHCS Medical Record Management HIPAA training Customer service/conflict resolution MEPRS APPENDICES APPENDIX A APPLICABLE PUBLICATIONS AND FORMS The Government may issue supplements or amendments to listed publications from any organizational level during the life of the contract. The contractor shall keep all issued publications up-to-date. The contractor shall immediately implement those changes in publications that result in a decrease or no change in the contract price. Before implementing any such revision, supplement, or amendment that will result in an increase in contract price, the contractor shall submit to the contracting officer (CO) a price proposal for approval. Price proposals shall be submitted within 30 calendar days from the date the contractor receives notice of the revision, supplement, or amendment giving rise to the increase in cost of performance. The Government will consider changes in the contract price due to supplements and amendments shall be considered under the "Contract Terms and Conditions-Commercial Items" clause. The Government will continue to supply the Government forms needed for daily operations. Upon completion of the contract, the contractor shall return to the Government all issued publications and unused forms. APPENDIX B WORKLOAD ESTIMATES This information is not intended to cover all workload items, but lists the major categories of work. Payments will not be made for any variation in the estimated quantities listed. FAMILY MEDICINE CLINICS: Patient Enrollment: 1800 Appointments/month: 300 APPENDIX C NATIONAL AGENCY CHECKS The contractor(s) shall comply with the DoD 5200.2-R, Personal Security Program, and AFT 33-119, Electronic Mail Management and Use, requirements for contractor personnel operating Government workstations that have unclassified automated information systems (e-mail, MIS, Internet, CAMS, etc.). A request for National Agency Checks (NAC) on contractor personnel hired at the beginning of the contract shall be submitted by the contracting office to the Government not later than 15 working days from the contract start date. Request for NACs on contractor personnel hired subsequent to the contract start date shall be submitted to the Government not later than five (5) workdays from the employee's first duty day. Contractor personnel receiving unfavorable NAC's shall not be hired. END STATEMENT OF WORK The evaluation criteria in which this requirement will be evaluated is as follows in accordance with provision FAR 52.212-2 and are subject to review and approval by the Contracting Officer. Evaluation Factors Factor #1 Documentation provided in accordance with the Statement of Work, para.1.2.2. - 1.2.2.5. in reference to Education and Training requirements. Factor #2 Evaluation Questionnaire: To be provided at time of evaluation process via tele-conference. THIS SOLICITATION IS ISSUED PENDING FUNDS AVAILABILITY IAW FAR 52.232-18 "Availability of Funds". All FAR clauses and provisions incorporated into this synopsis/solicitation can be obtained via Internet at: http://farsite.hill.af.mil or http://www.acquisition.gov/far/index.html Offerors shall provide a firm fixed-price offer. The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation/performance work statement will be most advantageous to the Government, price and other factors considered. Successful contractor must meet all the responsibility requirements of Subpart 9.1 of the Federal Acquisition Regulation (FAR). A written notice of award or acceptance of offer, mailed or otherwise furnished to the successful offeror, shall result in a binding contract without further action by either party in accordance with FAR 52.212-2(c) Evaluation-Commercial Items. The following provisions and clauses also apply to this acquisition; FAR 52.203-3 Gratuities, FAR 203-6 Restrictions on Subcontractor Sales to the Government. Alternate I, FAR 52.204-7 Central Contractor Registration, FAR 52.204-9, Personal Identity Verification of Contractor Personnel, FAR 52.212-1 Instruction to Offerors-Commercial, FAR 52.212-2 Evaluation Commerical Items, FAR 52.212-3 Offeror Representations and Certifications-Commercial Items, FAR 52.212-4 Contract Terms and Conditions-Commercial Items, FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items, FAR.52.222-21 Prohibition of Segregated Facilities, FAR 52.222-26 Equal Employment Opportunity, FAR 52.222-29, FAR 52.225-13 Restriction on Certain Foreign Purchases, FAR 52.228-3, FAR 52.232-33 Payment by Electronic Funds Transfer-Central Contractor Registration, FAR 52.233-1 Disputes, FAR 52.233-2 Service of Protest, FAR 52.233-3 Protest After Award, FAR 52.237-2 Protection of Government Buildings, Equipment and Vegetation, FAR 52.252-1 Solicitation Provisions Incorporated by Reference, FAR 52.252-2 Clauses Incorporated by Reference, FAR 52.252-6 Authorized Deviations in Clauses, DFAR 252.201-7000, DFAR 252.204-7004 Alternate A Central Contractor Registration, DFAR 252.209-7001 Disclosure of Ownership or Control by the Government of a Terrorist Country, DFAR 252.209-7004 Subcontracting w/firms that are owned or controlled by the Gov't of a terrorist country, DFAR 252.212-7000 Offeror Representations and Certifications-Commercial Items, , DFAR 252.212-7001 Contract Terms and Conditions Requested to Implement Statutes or Executive Orders Applicable to Defense Acquisitions of Commercial Items, DFAR 252.222-7002 Compliance with Local Labor Laws (overseas), DFAR 252.225-7041 Correspondence in English, DFAR 252.225-7042 Authorization to Perform, DFAR 252.232-7003 Electronic Submission of Payment Request, DFAR 252.232-7008 Assignment of Claims (Overseas), DFAR 252.232-7010 Levies on Contracts, DFAR 252.233-7001 Choice of Law Overseas, AFFAR 5352.223-9001 Health and Safety on Government Installations, AFFARS 5352.223-9000 Contractor Access to Air Force Installations, Lajes 002 (Exemption of Tax), Lajes-021 Shipment Method (a-airlift, b-boat, c-APO shipment, d- Door-to-Door), and Lajes-023 Submit Invoices Electronically (Combo) All proposals shall be clearly marked with the offerors name and the above referenced number. All proposals/offers are due on 19 December 2007 at 1200hrs GMT. Responses/offers may be submitted either by mail, fax, or e-mail. Mail to 65 Contracting Sq., Unit 7775 Bldg. T-615, Rm 208, APO AE 09720-7775. Fax to: 011 351 295 573210. E-mail to: bruce.davis@lajes.af.mil AMMENDMENT-QUESTION/ANSWERS Q1)"This is a personal services contract (PSC)." In the event of medical malpractice, where would a trial be held? A1)Is the contract FP doc going to be a personal service contractor? If so,he/she covered by the AF for liability purposes. If not, they must provide their own malpractice insurance. Either way, if there was an allegation of malpractice it would fall under the Military Claims Act (MCA). A claim would be filed on a Standard Form 95 alleging whatever malpractice the patient believes occurred. This would be investigated by the AF, first by your local Legal office and MDG, followed by my office (Medical Law Consultant) and then it is forwarded to the Military Service who has single service claims jurisdiction for Portugal. I don't know right off hand whether that is the AF or Navy. Either way, that Service will have the authority to deny or settle the claim. Under the Military Claims Act, there is not right or opportunity to pursue the claim in a court of law. It is an administrative process. If the claim were filed by a local national, we would need to consider whether it were an MCA claim or a NATO SOFA claim, but either way, it's still an administrative process with no right to file in court. And you are right about the credentials hearing, it may be triggered by a malpractice claim or allegation but they are two separate things.