Q--Harrisonburg CBOC

The Department of Veterans Affairs, VISN 5 Network Contracting Office anticipates issuing a solicitation for a contractor-operated Community Based Outpatient Clinic (CBOC) in accordance with FAR part 12 & 15 and 38 USC 8153. A single award IDIQ contract with a base year and 4 option years is contemplated. The applicable North American Industry Classification System Code (NAICS) is 621498 with a size standard of $10.0 million (USD). It is anticipated that the solicitation will be issued on or about May 1, 2012. Proposals will be due 30 days after issuance of the solicitation. This notice is for informational purposes only and is not a request for proposals. The Government is not obligated to issue a solicitation as a result of this notice. The clinic must be located within a 5 mile radius of the current clinic location (847 Cantrell Ave, Suite 100; Harrisonburg, VA). It is anticipated that in its first year of operation, the Harrisonburg CBOC will have approximately 3,545 veteran enrollees. Payments under the contemplated contract would be made on a capitated-rate basis. The company awarded the contract will be required to have a fully operation clinic up and running on or before the 90th day after award. Contractor set-up activities include, but are not limited to: 1) leasing adequate space 2) furnishing the space with adequate office furniture 3) equipping the space with adequate office, computer and medical equipment 4) providing physicians and other health care providers with the requisite licenses, credentials, certifications, etc. 5) working with the VA to connect to the VA computer network 6) ensuring that the clinic will be compliant with all relevant VA and JCAHO regulations from the first day of operation Operational activities include, but are not limited to, handling all operational activities of a primary care and mental health clinic, and using the VA Computerized Patient Record System (CPRS) to enter all information related to patient care. The contractor would provide primary care and mental health services in a clinic environment, solely to veterans who primarily reside in Rockingham, Albemarle, Augusta and Greene counties of Virginia, and Harrisonburg City, VA. The contractor operated CBOC must have the necessary facilities, professional medical staff, diagnostic testing and treatment capability, and referral arrangements needed to ensure continuity of health care. Primary Care services include longitudinal outpatient medical care for the purposes of prevention and detection of disease and subsequent management of medical conditions, for veterans deemed eligible. The contractor will also be responsible for documenting care provided using CPRS. The care will be provided by primary care providers who must be either family practitioners or general internists or their authorized designees. Furthermore, the physician providers must be Board Certified/Board Eligible and licensed to practice in the state of Virginia. The proposed CBOC, at a minimum, shall provide one standard of care that must be consistent, safe and of high quality. Additionally, the proposed CBOC is expected to comply with all relevant VA policies and procedures, including those related to quality, patient safety and performance. The care provided by the CBOC should be patient centered, continuous, accessible, coordinated, and consistent with VA Medical Center standards, including the thirteen service standards detailed in VHA Directive 2006-041, "Veterans Health Care Service Standards," dated 6/27/06 (http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443). Finally, the VA Office of Patient Care Services, Primary Care Program Office, is undertaking a new initiative to implement a patient-centered medical home (PCMH) model at all Veterans Health Administration (VHA) Primary Care sites which is referred to as Patient Aligned Care Teams (PACT). This initiative supports the VHA Universal Health Care Services Plan to redesign VHA healthcare delivery through increasing access, coordination, communication, and continuity of care. PACT provides accessible, coordinated, comprehensive, patient-centered care, and is managed by primary care providers with the active involvement of other clinical and non-clinical staff. PACT allows patients to have a more active role in their health care and is associated with increased quality improvement, patient satisfaction, and a decrease in hospital costs due to fewer hospital visits and readmissions. Additional information on PACT can be found here: http://www.va.gov/primarycare/pcmh/).