Department of Veterans Affairs Medical Center, 3200 Vine Street, Cincinnati, OH 45220

Q -- CERTIFIED REGISTERED NURSE ANESTHESTIST (CRNA) SOL 539-27-97 DUE 091097 POC Contact Point, Peggy A. Doxtater, (513)475-6339, Contracting Officer, Judith Blasingame, (513)475-6336, Additional Contact, Betty J. Dessauer, (513)475-6340 PART I: This is a combined synopsis/soliciatation for commercial items prepared in accordance with the format in FAR 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 solication will not be issued. Solicitation Number: RFP 539-27-97. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 90-46 and are applicable. PART II: Description of Services: Furnish 0.5 Full Time Equivalent (FTE) Certified Registered Nurse Anesthestist (CRNA) for the Base Year for an estimated 1040 hours @ $__ __ ____ per hour for a total Base Year Price of $__ __ __ __. Option Year 1: Furnish 0.5 FTE CRNA for an estimated 1040 hours @ $__ __ ___ per hourfor a total Option Year 1 Price of $__ __ __ __. Option Year 2: Furnish 0.5 FTE CRNA for an estimated 1040 hours @ $__ __ ____ per hour for a total Option Year 2 Price of $__ __ __ __. CONTRACT REQUIREMENTS: 1. SERVICES PROVIDED: a. The Contractor shall provide the services of personnel who possess the Nurse Anesthesia degree, are certified by the American Association of Nurse Anesthesiology, and are licensed to practice medicine in good standing in one of the States, Territory, or Commonwealth of the United States or District of Columbia to perform the requirements of this contract. b. Duties include, but are not limited to: (1) responsibility for the entire spectrum of anesthesia care at the VAMC which includes: (a) evaluation of patients prior to anesthesia to assess anesthestic status and risks; (b) performance of anesthesia including general, spinal, epidural, MAC, and regional nerve block; (c) assessment of patients post-anesthesia to determine extent of recovery and/or complication; (d) practice such other components of the medical sciences as may, by common practice, become part of the practice of anesthesia within the scope of their privileges; (e) perform related supportive services for other departments of the VAMC, such as airway intubation, providing assistance in developing guidelines for use of conscious sedation in other departments; (f) provide coverage for procedures requiring anesthesia which are typically performed in the Post-Anesthesia Care Unit to include electroconvulsive therapy and cardioversion, for example, when not in conflict with the ability to support operating room cases; (g) participate in the education program conducted by the VA or Medical Staff necessary to assist the VAMC in maintaining overall compliance with accrediting requirements and shall perform such other reasonable teaching functions within the VAMC as may be requested; (h) participate in activities of the VAMC that are designed to meet the requirements of the Joint Commission on Accreditation of Healthcare Organizations pertaining to improving organizational performance. (i) The anesthesia service to be provided by VAMC will consist of up to 7 CRNA and an M.D. Director. The CRNA supervisor, working under the direction of the Director, will assume responsibility for scheduling hours of duty, call schedules, operative case assignments, etc, for the Contractor CRNA staff. Contractor staff shall be expected to have personnel available to provide anesthesia for up to one operating room daily which will run from 7:15 am to 3:25 pm. On other days, there may be additional contractor personnel needed to fully staff another general anesthesia operating room as the result of VA employee staff leave, vacancies, etc. THe Anesthesia Section will communicate these needs to the contractor within 2 weeks of the scheduled absence. 2. CREDENTIALING AND PRIVILEGING: The contractor personnel shall meet all credentialling requirements of the Cincinnati Department of Veterans Affairs Medical Center. Contractor personnel shall act in compliance with the By-Laws, Rules and Regulations of the VAMC Medical Staff to include regular review of Anesthesia Staff Meeting Minutes and Recommendations and other meetings as required by the Anesthesia Director. 3. INSURANCE: The contractor shall attain and hold an in-force professional malpractice insurance in an amount not less than one million dollars ($1,000,000) during the contractural period. 4. APPROVAL OF CONTRACTOR PERSONNEL: The Director will recommend training when appropriate as a result of quality improvement monitor findings, or request substitution with a more qualified candidate. 5. RECORDKEEPING: Contractor's employee must be present at the VA facility and must be actually performing the required services for the period specified in the contract, or the contract cost will be decreased accordingly during each billing cycle. 6. SEMI-ANNUAL CONSTRUCTIVE EVALUATIONS: Contractor shall provide the COTR (to be identified) at a minimum, semi-annual constructive evaluations based on Contractor personnel experience during the performance of this contract. Evaluations are not limited in content and will be used to improve the VAMC mission. At a minimum, evaluations shall address equipment, cooperation of VA CRNA staff, other VA support services, orientations, effectiveness of Anesthesia Section of Surgery Service and make recommendations for improving the delivery of patient care. 7. WORK HOURS: a. Work hours shall be Monday through Friday, an estimated 8 hours per work day, between the hours of 6:30 am and 5:30 pm. In the event a case may exceed the normal 8 hour work day, contractor personnel will receive compensation as indicated in the schedule. b. There are no on-call hours associated with this contract. c. Contractor personnel will not be required, except in case of emergency, to furnish services on a national holiday or beyond the normal work day as described above. SPECIAL CONTRACT REQUIREMENTS: 1. SERVICES: a. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. b. Services to be performed by contractor personnel will be performed in accordance with VA policies and procedures and the regulations of the medical staff by-laws of the VA facility. c. Services to be performed by contractor personnel shall be under the direction of the Chief Surgeon of the VAMC, Cincinnati, OH. 2. TERM OF CONTRACT: This contract is for one year from date of award and two pre-priced one-year option periods. The contract is subject to availability of VA funds. No service shall be performed after September 30 until the Contracting Officer authorizes such services in writing. 3. QUALIFICATIONS: Personnel assigned by contractor to perform the services covered by this contract shall be licensed in a State, Territory, or Commonwealth of the United States or District of Columbia. The qualifications of such personnel shall be subject to review by the VA Chief of Staff and approval by the VAMC Director. 4. NATIONAL HOLIDAYS: The 10 holidays observed by the Federal Government are: New Year's Day, Washington's Birthday, Martin Luther King's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving and Christmas. Or any other day specifically declared by the President of the United States to be a national holiday. 5. PERSONNEL POLICY: The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel: worker's compensation, professional liability insurance, health examinations, income tax withholding, and social security payments. The parties agree that such personnel shall be not consideredVA employees for any purpose and shall be considered employees of the contractor. The solicitation clauses incorporated herein are: 52.212-1, Instructions to Offerors- Commercial Items; 52.212-4 Contract Terms and Conditions -- Commercial Items; 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-Commercial Items which incorporates 52.222-26 Equal Opportunity, 52.222-35 Affirmative Action for Special Disabled and Vietnam Era Veterans, 52.222-36 Affirmative Action for Handicapped Workers, 52.222-37 Employment Reports on Special Disabled Veterans and Veterans of the Vietnam Era, and 52.239-1 Privacy or Security Safeguards; 52.204-6 Contractor Identification Number-Data Universal Numbering System (DUNS) Number; 52.215-14 Explanation to Prospective Offerors; 52.217-8 Option to Extend Services; 52.217-9 Option to Extend the Term of the Contract; 52.237-3 Continuity of Services; 52.224-1 Privacy Act Notification; 52.224-2 Privacy Act; 52.232-18 Availability of Funds; 52.232-19 Availability of Funds for the Next Fiscal Year; 52.232-33 Mandatory Information for Electronic Funds Transfer Payment; 852.203-70 Ethics in Government Act; 852.219-70 Commercial Advertising; 852.233-70 Protest Content; 852.237-7 Indemnification and Medical Liability Insurance; 852.271-70 Nondiscrimination in Services Provided Beneficiaries. BASIS OF CONTRACTOR SELECTION: The Government will award a contract resulting from this solicitation to the responsible offferor whose offer conforming to the solicitation will be most advantegous to the Government, cost or price and other factors, considered. The Government may award a contract on the basis of initial offers received, without discussions. Therefore, each initial offer should contain the offeror's best terms from a cost or price and technical standpoint. EVALUATION FACTORS FOR AWARD: 1. Proposals will be evaluated based on the following factors in order of relative importance (i.e. (a) is more important than (b); (b) is more important than (c); etc....FACTOR (a): Quality of Service; including Past Performance; FACTOR (b): Organization and Personnel of Offeror; FACTOR (c): Technical Approach; FACTOR (d): Price. SUBMISSION OF TECHNICAL PROPOSAL: Offerors are required to submit 3 copies of their Technical Proposal. The Technical proposal shall not contain any information relative to pricing. Price proposals shall be submitted in separate binders from the technical proposals. Technical proposals shall address the contract requirements and the ability of the contractor. The Technical Proposal shall address the Evaluation Factors for Award and shall be concise and relevant to those factors. INCLUDE A COMPLETED COPY OF 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS -- COMMERCIAL ITEMS; 52.215-6 TYPE OF BUSINESS ORGANIZATION; AND 852.219-70 VETERAN- OWNED SMALL BUSINESS. Offers are due September 10, 1997 at 4:30 pm to Peggy A. Doxtater (90C), VA Medical Center, 3200 Vine Street, Cincinnati, OH 45220. For information call (513) 475- 6330. (0219)

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