Presentation on theme: "Federal Supply Schedules for Medical Staffing Services"— Presentation transcript:
1Federal Supply Schedules for Medical Staffing Services And the Mysteries of the Service Contract Act (VA)
2What is the FSS Program?Listing of contracts to multiple companies supplying comparable commercial supplies and services.National contracts awarded to responsible vendors to provide supplies and services at established prices, terms and conditions.
3commodity/service groups) Federal Supply Schedule Program GSA(All othercommodity/service groups)NAC(Medical relatedSupplies/services)Federal Supply Schedule ProgramAuthority – GSA delegated to Veterans Affairs National Acquisition Center the responsibility for the Federal Supply Schedule program for medical care related supplies, equipment, pharmaceuticals and services.
4What is the FSS Program? Structure Product/Service Groups delineated by Federal Supply Class (FSC)/Product Service Codes (PSC).65 & 66 – medical-related621 – medical service-relatedProducts/Services also further delineated by Special Item Numbers (SIN) and Subcategories.
5Federal Supply Schedule Service Overview of the VA Schedules Program 65 I B - Drugs and Pharmaceutical-related Products65 II A - Medical Equipment and Supplies65 II C - Dental Equipment and Supplies65 II F - Patient Mobility Devices65 V A - X-Ray Film, Equipment and Supplies65 VII - Diagnostic, Reagents, Test Kits and Sets66 III -Cost-Per-Test for Clinical Laboratory Analyzers621 I – Professional and Allied Healthcare Staffing Services621 II – Medical Laboratory Testing and Analysis Services
6Overview of VA Federal Supply Schedule Program Multiple Award ScheduleOpen and Continuous SolicitationIDIQ Contracts w/EPAContracts are 5 years w/5 option years (except 65IB Pharmaceuticals)Pre-negotiated Pricing & TermsElectronic Tools – shared with GSA
7Overview of VA Federal Supply Schedule Program Benefits for Contractors:Closely mirrors commercial buying practices.Streamlined contract vehicle for selling to the entire Federal Government.New supplies/services may continually be introduced to the system.
8Overview of VA Federal Supply Schedule Program Benefits for Agencies:Prices have already been determined fair and reasonable.All ordering activities, large or small, even those in remote locations, are provided with quality service or product.Shorter lead-times, lower administrative costs.
9INTRODUCTION TO FSS 621IServices – Professional and Allied Healthcare Care Staffing:Provides customer with “on site” staffing optionsSold commercially at hourly rates58 general categories of healthcare occupationsClassified by Special Item Numbers (SINs)Further broken down into sub-categories (approximately 150 total)
10FSS 621 I Professional & Allied Healthcare Staffing Services Geographic CoveragePast experience in stateTechnical EvaluationMalpractice of Insurance (at least $1 million per claim/$3 million aggregate)Shared policies not accepted
11FSS 621 I Professional & Allied Healthcare Staffing Services Recruitment and RetentionSubstitution/Replacement PolicyCorporate experienceQualification of PersonnelExperience/License/CertificationsPast performance
12FSS 621 I Professional & Allied Healthcare Staffing Services PhysiciansAllied HealthcareService Geographic Scope:NationwideState specific (at least one entire state)
13FSS 621 I PROFESSIONAL & ALLIED HEALTHCARE STAFFING SERVICES Supplemental and Per-Diem StaffingLong Term RequirementsDay to Day NeedsMalpractice InsuranceServices Provided at Government Healthcare FacilitiesOver 280 contracts currently
14FSS 621 I Professional & Allied Healthcare Staffing Services Types of Labor Categories:Physicians/SurgeonsRegistered Nurses (General and Specialized)Pharmacists/Pharmacy TechniciansCounseling Related ServicesDentalRadiologic TechnologyMedical Assistants and TechniciansOphthalmic Services
15FSS 621 I Professional & Allied Healthcare Staffing Services Negotiated Terms under FSS 621I:FSS Net Ceiling PriceHourly “Not to Exceed” RatesExcludes travel and lodgingShift DifferentialsNights, Evenings and WeekendsHoliday Rates (all federal holidays)
16FSS 621 I Professional & Allied Healthcare Staffing Services Overtime RatesPayment TermsMinimum OrderMinimum QualificationsBackground Investigation LevelsCredit Card Acceptance (above the micro-purchase threshold)Work WeekOn-Call/Call Back Terms
17FSS 621 I Professional & Allied Healthcare Staffing Services For Services - Customer Ordering Procedures FAR appliesRequires Statement of Work (SOW)SOW shall contain the following:LocationPeriod of PerformanceDeliverable ScheduleApplicable performance standardsAny special requirements (ex. Travel, security clearances, special knowledge and etc.)
18Ordering under FAR 8.405-2 Performance Work Statement (PWS): PWS can be prepared by the Government orPrepared by offeror in response the Government Statement of Objectives (S00)Measurable Performance StandardsMethod(s) of Accessing PerformancePerformance Incentives (where appropriate)In accordance with FAR Part 12To encourage competitors to develop and institute innovative and cost-effective methods of performing
19Ordering under FAR 8.405-2 Small business set asides are not permitted Ordering agencies may take credit for socio-economic statusMay consider socio-economic status when identifying contractor(s) for considerationTask orders (like BPA’s) can extend beyond the term of the contractProvided there are option periods that (if exercised) would cover the term of the orderContact FSS Contracting Officer to ensure that the contract has been extended
20Contractor Teaming Agreements (CTA) - meets Government agency needs on orders by combining supplies and/or services from team members with separate FSS contracts
21FSS 621 I Professional & Allied Healthcare Staffing Services FY 2006FY 2007FY 2008$392.9$448.0$529.144% VA48% VA60% VA56% OGA52% OGA40% OGA
22FSS 621 I Professional & Allied Healthcare Staffing Services FY 2006FY 2007FY 2008Nursing$$$LPN/NP/PA$$$MA / CNA / Surg Tech$$$Radiological Technology$$$(Dollars are in millions)
23FSS 621 I Professional & Allied Healthcare Staffing Services FY 2006FY 2007FY 2008Internal Med$$$Radiologist$$$General Family Practice$$$Pharmacist/Pharm Tech$$$Opthalmic Services$$$ER$$$
24FSS 621 I Professional & Allied Healthcare Staffing Services FY 2006FY 2007FY 2008Anesthesiologist$$$Psych/Counseling Related Services$$$Therapists/Assistants-Occupational/Respiratory/Physical$$$Clinical Lab Science/ Medical Technology$$$Dental/Related Dental Services$$$All Other Prof & Allied$$$
25FSS 621 I Professional & Allied Healthcare Staffing Services Service Contract Act/Fair Labor Standard Act RequirementsRequires contractors and subcontractors performing federal service contracts over $2,500 to observe minimum wages, health and welfare fringe benefits and other employment standardsApplicable for all allied healthcare labor categories wagesManaged nationally under the basic FSScontract
26Requirements of SCA Service Contract Act: SCA became effective in January 1966 and amended in 1972 and 1976SCA is the most recent of government contract labor standard laws administered by the Wage and Hour Division (WHD)Payment of FLSA minimum wage for federal service contracts of $2,500 or less is $6.55 per hr. Effective 7/24/09 will increase to $7.25.
27Requirements of SCAMost Federal service contracts in excess of $2,500 must contain the labor standards clauses and:Minimum monetary wages and fringe benefits determined by the Secretary of LaborRecord keeping - Posting requirementsSafety and health provisions (29 CFR 1925)Statement of rates paid to Federal employees
28FSS 621 I Professional & Allied Healthcare Staffing Services Definition of Service Contract (FAR )Principal purpose – furnish services in U.S.Exemptions (FAR )Definition of Service Employee - contracts (29 CFR Part 541)Coverage by subcontractors
29Professional Exemption? 3 General CategoriesHigh-level professionals (Physicians)(Fair Labor Standard Act (FLSA) and Service Contract Act (SCA) do not applyMid-level professionals (Pharmacists, RN’s) (FLSA and SCA do apply)Lower-level professionals (Nursing, Dental Assistants, other) (FLSA and SCA do apply)
30Solutions Concept: Identify commercial occupations Requirements of SCA Incorporated at the National LevelIncorporate DoL Wage Determinations (WD) into FSS at national contract levelUpdate wages annually on FYAll Orders, BPAs and Option PeriodsCross walk commercial occupations to SCA Occupational Index Codes
31FSS 621 I Professional & Allied Healthcare Staffing Services October 1, 2006 – SCA Clauses Incorporated into Sch 621IJanuary 1, 2007 – US DoL WD’s incorporated into FSS nationwideUS DoL WD’s and Health & Welfare fringe benefits are updated each year anniversary date of October lst(FAR )
32FSS 621I Professional & Allied Healthcare Staffing Services October lst Each Fiscal Year:All FSS 621I Contracts are modified at the FSS Contract Level to incorporate the updated SCA WD’s and H&W benefitsThe new SCA rates are effective from October lst through September 30th for all new task ordersWD’s in effect on October lst apply for the entire year (even if the WD is revised by the Department of Labor (DOL) during the Fiscal Year)For existing orders, the new SCA rates/WD’s will be effective the next option is exercisedeffectiveOctober lst each fiscal year SCA updated on all FSS 621I Contracts are modified at the FSS Contract Level
33FSS 621I Professional & Allied Healthcare Staffing Services For existing orders, the new SCA rates/WD’s will be effective the next option is exercisedThe WD’s in effect October lst applies once the option is exercised - until the next option period.FSS 621I Solicitation is amended to incorporate the new updated WD’s/H&W
34The Challenges of Where We Have Been IndustryUpdating SystemsPricingEducating CustomersResistancePrice Adjustments addressed - identifying parallel categories
35Lessons Learned Educating Customers Price Adjustments Timing of Orders Consistency
36FSS 621I Professional & Allied Healthcare Staffing Services Educating our Customers:Recommend CO to compare the functional descriptions of the work with SCA Directory of OccupationsEnsure consistency with FSS matchesIf found inconsistent recommend:Federal Acquisition Part 22.10SCA Director of Occupations (5th ed)Federal Classification and Job Grading SystemsDOL Wage Determinations OnlineDOL Agency Labor AdvisorsDOL SCA Library
37FSS 621I Professional & Allied Healthcare Staffing Services How to obtain assistance with SCA:FSS 621I Help Desk Home PageCurrent WD’s available for download621I Labor Category Classification PublishedOther SCA GuidanceDOL Emergency Wage Determination Hotline:
38What is Next?A team has been formed to establish consistency across the MAS Program in the application of SCATeam intends to update policies and proceduresNew proposed CSP disclosures
39Federal Supply Schedule 66 III COST PER TEST SERVICESAll inclusive solution provides everything needed to produce a valid test resultPricing Options:Priced “Cost Per Test”Priced “Cost Per Reportable Result”
40Federal Supply Schedule 66 III Pricing includes:Leasing Costs of EquipmentFor chemistry, coagulation, urinalysis, microbiology, and immunochemistryReagents, Standards, Controls, ConsumablesEnd User TrainingMaintenance & SupportDelivery & Installation**outright purchase of equipment is under GSA Schedule 66IIN
41Negotiated Terms under FSS 66 III Cost-per-Test (CPT) PricesCost-per-Reportable-Result (CPRR) PricingIncremental AnalyzersAccessories / OptionsGeographic CoverageBilling ProceduresPayment TermsTrainingDelivery Times / TermsMaintenance & Support24/7 Emergency RepairsStandard Business Hour Repairs AvailableMinimum OrderCredit Card Acceptance Terms
42Federal Supply Schedule 621 II REFERENCE LABOROTORY TESTING & ANALYSIS SERVICESIncludes:Transportation of SpecimensPerformance of Tests & Reporting of Test ResultsConsultative ServicesAll Necessary SuppliesService and Maintenance (of communication equipment used to deliver test results)
43Reference Laboratory 621 II Negotiated terms Discount / Net Prices Per TestTurn Around Time (TAT)STAT – Expedited Turn Around TimeHoliday ChargesWorkweekPayment & Credit Card Acceptance TermsMinimum OrderGeographic Coverage
45FSS Service – Point of Contacts Dore FesslerAssistant Director for FSS(708)Linda SmithSchedule Manager621 I – Professional and Allied Healthcare Staffing Services(708)Andrew Morgan66 II – Cost Per Test621 II – Medical Laboratory Testing and Analysis Services(708)
46Assistance for FSS Supply Contracts Help Desk AssistanceSupply Contracts
47FSS – Supply Point of Contacts Paul Skalman Assistant Director for FSS (708) Monee Robinson Schedule Manager – 65IIA Medical Equipment & Supplies (708)
48FSS – Supply Point of Contacts Cheryl Ward-RobertsAssistant Director for FSS(708)Lynda O’NeilSchedule Manager65IIC – Dental Equipment & Supplies65 II F - Patient Mobility Devices(708)William Satterfield65 I B - Drugs and Pharmaceutical-related Products65 VII - Diagnostic, Reagents, Test Kits and Sets(708)
49Federal Supply Schedule Service Carole O’BrienDirector, Federal Supply Schedule Service(708)