Vendors questions for OH Medical exams Request for Quotations

Industry question for OH Medical exams RFQ
Question 1: Key personnel and physician role (PWS 5.1.2, 5.1.13, 5.2.1, 5.2.2). Our key provider will be a board-certified Occupational Medicine physician, supported by a physician assistant (PA), an RN, an LPN, a phlebotomist, and a medical assistant. - (a) May the Occupational Medicine physician be a subcontractor or independent contractor to the prime, rather than a W-2 employee? - (b) May the PA perform the physical exams (CLIN 0003) under the Occupational Medicine physician's supervision, with the physician signing the abnormal-result statements and respirator clearances? - (c) Given PWS 1.4.1.1 ("Teleworking is not authorized"), must the physician be on site at each event, or may the physician review results, interpret PFTs, and sign clearances off site after the event? Answer 1 (a): Yes, subcontractors may be used (2.1.8) provided they meet all the licensing and security requirements identified Answer 1 (b): DoDM 6055.05 defines an OM Provider-A licensed, qualified, and credentialed person who provides occupational medical services (e.g., physician, nurse practitioner, physician’s assistant). Answer 1 (c): The government does not permit the contractor to telework in support of this mission per (must be onsite) 1.4.1.1 Question 2. Records and reporting (PWS 5.1.2, 5.1.3, 5.1.14; DFARS 252.204-7012). - (a) Besides two hard copies, should results be delivered electronically? If so, in what format or system (for example, DD Form 2216 for audiograms or DOEHRS-HC)? - (b) Are specific exam forms required? - (c) Who keeps the original medical records, and for how long? Answer 2 (a): No, we do not have a system for electronic copies Answer 2 (b): In MD, I provide the forms (which is specified in my PWS) but according to your PWS, para 4.1 reads: “contractor shall furnish everything required to perform these services” Answer 2 (c): VAARNG keeps the original and provides the copies to employees per our guidelines Question 3. Medical liability insurance (PWS 5.1.4; Addendum to 52.212-1, item 3). What is the minimum per-claim and aggregate limits. Answer 3: The PWS copy (dated Oct. 2022) reads medical liability Per 5.1.3 Medical Liability Insurance: Maintain medical liability insurance in a coverage amount acceptable to the Contracting Officer, which is not less than the amount usually prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontractors, if any, for provisions of health care services, contain the requirements of clause 52.237-7, Indemnification and Medical Liability Insurance, including the maintenance of medical liability insurance. Indemnify the Government for any liability-producing act or omission by the Contractor, its employees, and agents occurring during contract performance. The contractor shall furnish to the COR prior to the contract award evidence of its insurability concerning the medical liability insurance required by this clause.