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This is a Sources Sought only. As part of its Market Research, NCO 21 is issuing this RFI to determine if there exists an adequate number of qualified interested contractors capable of providing continued readiness assessment (CRA) services as further described in the drafted Performance Work Statement (PWS). The Government may use the responses to this RFI for information and planning purposes. The draft PWS describes only the currently contemplated possible scope of work and may vary from the work scope in a final PWS included in any Request for Quote (RFQ). The contractor will be providing survey readiness to achieve and maintain compliance with long term standards for the VA Pacific Islands Health Care System, Honolulu, HI.

There is no solicitation document as this time. The NAICS is 541611 Administrative Management and General Management Consulting Services, with Small Business size of $24.5M. NOTE: Please ensure that System For Award Management (SAM) (www.sam.gov) indicates this NAICS code if you are interested in the requirement.
Only firms seriously interested and truly capable should send their information and/or capability statement and any questions by email to brandy.gastinell@va.gov no later than 10 AM Pacific Time, August 11, 2023.
If interested, please provide the following information. Failure to provide the following information completely and accurately may result in a determination that your company is not a viable source:
Name of Company
Point of Contact Name, phone number, and email address
DUNS number
Socio-economic status such as Service-Disabled Veteran Owned Small Business, VOSB, Women-Owned Small Business, etc. should be included. SDVOSB/VOSB status will be verified using VetBiz.
Capability statements that include the following:
Identify geographical areas your company currently services?
Approximately how many current employees do you have in the service area(s)?
Indicate prior experience for same/similar service in these geographical areas. If the experience is through government contract, please identify the contract number.
Are you a certified and authorized vendor to perform readiness assessment services?
If you will rely on a subcontractor to assist with performance, please clearly identify what functions your company will perform versus those of the subcontractor(s). When responding to the preceding questions, avoid using teaming language, e.g. Team ABC has 20 years of experience or Team ABC has placed 15,000 staff. Clearly identify what functions/experience/resources your company has and will be able to perform independently of a subcontractor. Ambiguous responses that lack clarity will affect the Contracting Officer s ability to determine if your company is a viable source for this requirement.

Before responding please carefully read and consider the following:

As this is a service acquisition, the Small Business Administration and the Federal Acquisition Regulation have a Limitations on Subcontracting requirement. For all small businesses, to include SDVOSB and VOSB, At least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern. See FAR 52.219-14 and FAR 52.219-27 available in full text at https://www.acquisition.gov/far/html/52_217_221.html

The Service Contract Act will apply.

Please see the DRAFT Performance Work Statement attached for further details.
DISCLAIMER
This Sources Sought notice is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this request that is marked proprietary will be handled accordingly. The Government will not compensate an offeror for providing information in response to this sources sought. Furthermore, the Government reserves the right to cancel this requirement at its discretion. This is simply a sources sought notice.

Performance Work Statement
For
Continuous Readiness Assessment (CRA) Mock Survey for Community Living Center (CLC) Mock Audit 2023
The following Performance Work Statement outlines contractor requirements regarding the CRA Services to the VA Pacific Islands Health Care System s (VA PIHCS) Community Living Center (CLC). HONOLULU, HI.

SCOPE

The Contractor is to provide a CRA Survey and/or Education for the purpose of performance improvement, improving system effectiveness, and achieving and maintaining compliance with long term care standards for the VA PIHCS CLC.

PERIOD OF PERFORMANCE

The period of performance for this requirement is from date of contract award; estimated to be TBD August 2023 to 30 September 2023 and should take the selected vendor no more than 3 days to complete.

TASK

A CRA is important so that all areas of potential non-compliance are identified before the CLC Unannounced survey team arrives. As part of the CRA, the Contractor will contact the Contracting Officer s Representative (COR) to have key documents sent to them at a mutually agreeable time prior to their visit. These documents include policies, and standard operating procedures. No documents containing protected information is sent. Protected information found in the medical record and other information systems will only be viewed to evaluate the quality of care during the onsite review. Any further documents provided as part of the onsite review will be shredded on site at the conclusion of the onsite visit. Areas of focus will be aligned with long term care standards that includes but are not limited to CMS and Life Safety standards.

To accomplish the goal of CLC CRA, the Contractor shall perform the following activities:

Provide a draft CRA Agenda to the Facility Point of Contact (POC) two weeks prior to the visits.
Assessment of patient-focused and organizational function s compliance with Conditions of Participation using tracer methodology across the CLC.
Evaluation of patient care processes and procedures.
Evaluation of patient records and other information systems that support the delivery of quality patient care.
Examination of the organization s Performance Improvement Process including the mechanisms in place to address sentinel and other untoward events.
Review of competency assessments, orientation, training, education, leadership and governance, and planning processes.
Analysis of the condition of the physical plant, Environment of Care (EOC), emergency management, Life Safety and, when applicable, the organization s Statement of Condition and/or open plans for improvement (PFI).
Beginning-of-the-day strategic sessions with leadership to discuss the key findings of the day and to provide time for questions.
Provide a comprehensive exit briefing to the leadership and/or designated audience at the end of the facility survey.
Educate and consult with staff, one-on-one and small groups, throughout the CRA to improve their understanding of CLC Unannounced survey process, quality performance and standards.
Within one week of the completion of the CRA, the contractor will provide a detailed report, which identifies areas of non-compliance to the Chief of Quality Management. Contractor will provide best practices and recommendations designed to bring the CLC into compliance with long term care standards. The report will include description of findings and a recommended action plan, when deficiencies have been identified. A written and electronic copy of the report will be provided to the Chief of Quality Management.
DELIVERABLES

Provide an unannounced mock survey inclusive to the CLC.
End-of-day strategic sessions with leadership to discuss the key findings of the day and to provide time for questions.
Provide a comprehensive exit briefing to leadership at the end of the announced/unannounced mock survey.
Within one week of the completions of the CRA, Contractor will provide a detailed report, which identifies areas of non-compliance. Contractor will provide best practices and recommendations designed to bring the CLC into compliance with the long-term care standards. The report will include description of findings and a recommended action plan when deficiencies have been identified. A written and electronic copy of the report will be provided.
The announced/unannounced mock survey will be held onsite for three (3) days for one (1) Nurse surveyor and one (1) Life Safety surveyor.
The ability to meet the delivery schedule/deadline; TBD August 2023 to 30 September 2023.

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