The intent of this Sources Sought Announcement is to assist in our decision-making process for services procurement. This is not a solicitation, nor request for quotes or proposals. Through the receipt of responses, this will enable a more precise type of procurement process. The Government is not obligated to nor will it pay for or reimburse any costs associated with responding to this sources sought synopsis request. This notice shall not be construed as a commitment by the Government to issue a solicitation or ultimately award of a contract, nor does it restrict the Government to a particular acquisition approach. Any inquiries are to be made in writing by email to the point of contact, Larry Facio, Contracting Officer. Responses to this notice shall be sent by email to by the due date and time of 11/04/2021 by 4:00 p.m. (Pacific Time). 

Please ensure responses are in accordance to Response Method (pages 9 and 10).

The Department of Veterans Affairs (VA) VA Central California Health Care System Fresno, California (VACCHCS) requires a contractor to provide Hematology/Oncology Services to patients at VA Central California Health Care System (VACCHCS). The requirement is for one (1) Board Certified Hematologist/Oncologist. All services will be performed on-site at VACCHCS. The need for the services will be full-time, (40 hours/week) Monday, Tuesday, Wednesday, Thursday, and Friday 0800-1630. The payment of services shall be on a per hour rate. The services required at VACCHCS Hematology/Oncology Clinic are direct patient care. All patient care activities shall be documented in the Computerized Patient Record System (CPRS). The payment of services shall be in accordance with the schedule of price and services. The Hematologist/Oncologist will be generally working independently but will consult with the Chief of Medicine Services as needed.
Period of Performance: December 01, 2021 to November 30, 2022.

Place of Performance: Services shall be provided on site at VACCHCS, 2615 E. Clinton Ave, Fresno, CA 93703.

Services Provided: The Contractor shall provide one (1) Board Certified Hematologist/Oncologist for Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the VA Central California Health Care System (VACCHCS)..

Place of Performance – Contractor shall furnish services at the Hematology/Oncology Clinic, VACCHCS 2615 E. Clinton Ave, Fresno, CA 93703

Authority: USC 513 General Contracting Authority (FOR FSS TASK ORDERS).

Policy/Handbooks: the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

VHA Handbook 1100.17: National Practitioner Data Bank Reports:
VHA Handbook 1100.18: Reporting And Responding To State Licensing Boards:
VHA Handbook 1100.19: Credentialing and Privileging:
VHA Directive 1003.04: VHA Patient Advocacy:
VHA Directive 1088: Communicating Test Results to Providers and Patients:
VHA Directive 1192.01: Seasonal Influenza Prevention Program:
VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures In Any Clinical Setting:
VA Directive 1663: Health Care Resources Contracting Buying:   
VHA Directive 1907.01: VHA Health Information Management and Health Records:   
VHA Directive 2012-030 Credentialing of Health Care Professionals:
Privacy Act of 1974 (5 U.S.C. 552a) as amended:
Definitions/Acronyms- Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.
ABIM: American Board of Internal Medicine
ACLS: Advanced Cardiac Life Support
AOD: Admitting Officer of the Day
BLS: Basic Life Support
CDC: Centers of Disease Control and Prevention
CDR: Contract Discrepancy Report:
CEU: Certified Education Unit
CME: Continuing Medical Education
CMS: Centers for Medicare and Medicaid Services
Contracting Officer (CO) The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.
Contracting Officer s Representative (COR) A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.
COS: Chief of Staff
CPARS: Contractor Performance Assessment Reporting System
CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.
Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.
DEA: Drug Enforcement Agency
ED: Emergency Department
FSMB: Federation of State Medical Boards
HHS: Department of Health and Human Services
HIPAA: Health Insurance Portability and Accountability Act
HR: Human Resources
ISO: Information Security Officer
Medical Emergency – a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient’s health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.
MOD: Medical Officer of the Day
National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).
NLNAC: National League for Nursing Accreditation Commission.
Non-Contract Provider – any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors
NPPES: National Plan and Provider Enumeration System
POP: Period of Performance
PPD: Purified Protein Derivative.
PWS: Performance Work Statement
Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual s license, based upon the individual s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.
QA/QI: Quality Assurance/Quality Improvement
QM/PI: Quality Management/Performance Improvement
QASP: Quality Assurance Surveillance Plan
Veterans Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient s medical record and with the hospital information system.

VetPro: a federal web-based credentialing program for healthcare providers.

VACCHCS: Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the VA Central California Health Care System.


License The Contractor s physician assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property.
All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor physician s who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.
Copy of current licensure shall be provided for all proposed candidates at time of contractor s initial proposal.
Board Certification – Contractor s physician shall be Board Certified in Hematology Oncology by the American Board of Internal Medicine (ABIM) and shall be certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be kept up to date at all times.
Documentation verifying current board certification of all proposed candidates shall be provided by the Contractor at time of Contractor s initial proposal, and to the VA COR on an annual basis for each year of contract performance.
Credentialing and Privileging Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that the proposed Physician possess the requisite credentials enabling the granting of privileges. No services shall be provided by the Contractor s Physician prior to obtaining approval by the VACCHCS Professional Standards Board, Medical Executive Board and Medical Center Director.
If the Contractor s physician is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.
Technical Proficiency The Contractor s Physician shall be technically proficient in the skills necessary to fulfill the government s requirements, including the ability to speak, understand, read and write English fluently. The Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. The Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for the Contractor s Physician. The Contractor s Physician shall be responsible for abiding by the Facility’s Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.
Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: The Contractor shall provide the COR copies of current CMEs as required or requested by VACCHCS. The Contractor s Physician if certified by national/medical associations, shall continue to meet the minimum standards for CME/CEU to remain current. The Contractor shall report CME/CEU hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor s Physician.
Training (BLS, CPRS and VA MANDATORY): The Contractor s physician shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contractor s Physician r as required by the VA.

Contractor will provide Proof of BLS and ACLS certifications for all proposed candidates at time of contractor s initial proposal

Frequency (once a year, etc.)
Age Specific and Cultural Competencies
One Time Training
Active Threat Training
Every Year
Every 2 years
One Time Training
Government Ethics
Every Year
Military Sexual Trauma (MST) for Medical Providers
Every Year
Prevention of Workplace Harrassment/No Fear Act
Every Year
Privacy and HIPAA
Every Year
VA Core Values Training (ICARE Recommitment)
One Time Training
VA Privacy and Information Security Awareness and Rules of Behavior
Every Year
Patient Safety
Every Year
Patient Rights
Every Year
Patient Abuse
Every Year
Prevention/Management of Disruptive Behavior/Violence Prevention
Every 2 Years
Suicide Prevention Suicide Risk Management Training for Physicians
Every Year

Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for Contractor s Physician within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.
TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for the Contractor s physician. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.
MEASELS, MUMPS & RUBELLA TESTING: Contractor shall provide proof of immunization for the Contractor s Physician for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered (This is applicable to all health care workers) with follow-up documentation to the COR.
VARICELLA: Contractor shall provide proof of immunity for the Contractor s Physician (This is applicable to all health care workers)
ACELLULAR PERTUSSIS: Contractor shall provide proof of 1 dose of Tdap vaccination for the Contractor s Physician (This is applicable to all health care workers).
INFLUENZA: Contractor shall provide proof that the Contractor s Physician has received the annual influenza vaccine unless it is contraindicated. If the Contractor s Physician has a medical contraindication to the vaccine he/she shall be required to wear a mask during the influenza season (This is applicable to all health care workers).
OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for the Contractor s Physician; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.
The VACCHCS shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.
National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.
DEA: – Contractor shall provide copy of current DEA certificate.
Conflict of Interest: The Contractor and the Contractor s physician are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract s performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided.  The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services.  The Contractor must also provide relevant facts that show how it s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.
Citizenship related Requirements:
The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;
While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all E-Verify requirements consistent with Executive Order 12989 and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.
If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, be prohibited from working at the Contractor s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.
This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.
The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.
Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.
Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at to ensure that the proposed Contractor s physician is not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.
By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.
Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VACCHCS COS or his/her clinical designee and approval by the VACCHCS Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VACCHCS COS and/or the Chief of Medicine Service and/or his/her designee,this includes OPPE (On-going Provider Practice Evaluation), and POC (Point of Care) review monitoring . A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.
Non Personal Healthcare Services: The parties agree that the Contractor and the Contractor s Physician shall not be considered VA employees for any purpose.
Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.  
Prohibition against Self-Referral: The Contractor s physician is prohibited from referring VA patients to the contractor or their own practice.
Inherent Government Functions: The Contractor and Contractor s Physician shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.
No Employee status: The Contractor shall be responsible for protecting the Contractor s Physician furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for the physician providing services under the resultant contract:
Workers compensation
Professional liability insurance
Health examinations
Income tax withholding, and
Social security payments.

Tort Liability: The Federal Tort Claims Act does not cover the Contractor nor the Contractor s Physician. When a Contractor or a Contractor s Physician has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor s Physician s action or non-action shall be the responsibility of the Contractor and/or his/her insurance carrier.
Key Personnel:
The VA Full Time Equivalency (FTE) for the services required is 1 (one): FTE is defined by the VA as a minimum of 80 hours every two weeks snd does not include holidays.
The number of Board Certified Hematology/Oncology Physicians that are required to be on site on a weekly basis is one.

The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor s Physician due to sick leave, personal leave, vacations and additional coverage as required.

Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 30 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions.
The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.
For temporary substitutions where the key person shall not be reporting to work for 2 (two) consecutive work days or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.
The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VACCHCS COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor s physician, he/she may request, without cause, immediate replacement of said Contractor s physician. The CO and COR shall deal with issues raised concerning Contractor s physician conduct. The final arbiter on questions of acceptability is the CO.

Contingency Plan: Because continuity of care is an essential part of VACCHCS s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor s physician leaves the Contractor s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.
VA Business Hours:
0800-1630 Monday, Tuesday, Wednesday, Thursday, and Friday.
Hours required:
:Hematology/Oncology Physician Services:
0800-1630, Mondays, Tuesdays, Wednesdays, Thursdays, Fridays (40 hours/week)
Contractor s Physician will be responsible for the management and treatment of Hematology/Oncology patients at VACCHCS
Contractor shall notify the COR at least monthly about any obstacles to meeting these performance measures.
Patients must be seen by a Contractor s physician(s) on-site at VACCHCS in a timely manner in accordance with VA Rules and Regulations on clinic wait times and consult completion. Contractor shall notify the COR at least monthly about any obstacles to meeting this performance measure.
The Contractor s Physician shall be available and present on-site during normal VACCHCS working hours as deemed appropriate for patient care by the Chief of Staff and/or the Chief of Medicine. Currently, normal hours are 0800-1630. Hours may be revised as appropriate to ensure continuity of care.
Off-hours Coverage: No off-hour/On-call coverage is required

Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:
New Year s Day
President s Day
Martin Luther King s Birthday
Memorial Day
Independence Day
Labor Day
Columbus Day
Veterans Day
Any day specifically declared by the President of the United States to be a national holiday.

Clinical Personnel Required: The Contractor shall provide a Board Certified Hematology/Oncology contractor physician who is competent, qualified per this performance work statement, and adequately trained to perform assigned duties.

Contractor s physician(s) shall be responsible for signing in and out when in attendance. Time sheets will be used by the COR to confirm hours/day and services provided against the contractor s invoices

Standards of Care: The Contractor s Physician care shall cover the range of Geriatric specialty physician services as would be provided in a state-of-the-art health care facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by:
American Board of Internal Medicine (ABIM)-
VA Standards: VHA Directive 2006-041 Veterans Health Care Service Standards (expired but still in effect pending revision)
The professional standards of the Joint Commission (TJC)
The standards of the American Hospital Association (AHA) and;
The requirements contained in this PWS

Response Method: 
The Government requests capability statements and comments from interested businesses regarding the requirements described above. Responsible sources are encouraged to submit a response to this notice with a statement of interest on company letterhead. When responding, in Subject line insert: Sources Sought GSA VACCHCS Oncology Physician 
At a minimum, the following information shall be provided: 
1. Company Name; 
2. Company Mailing Address; 
3. Point(s) of Contact including telephone number(s) & email address(es); 
4. Socio-Economic (i.e. Small/Large Business, HUBZone, Service Disabled Veteran Owned, 8(a), etc.) as it relates to NAICS Code 561320  Temporary Help Services (Small Business Size Standard $30 Million) and Product Services Code Q508 Medical Hematology, or relatable NAICS and PSC. 
5. Provide a summary of the type of services performed and experience as it relates to staffing Physician Services, specifically Cardiology Services, if applicable.   
6. DUNS Number 
7. FSS/GSA contract #, associated line items, and contract expiration date. 
Veterans First Contracting Program and the VA Rule of Two (Kingdomware v. United States) 38 U.S.C. 8127 – 8128: Service-disabled veteran owned small business (SDVOSB) or Veteran owned small business (VOSB) concern must be registered and verified in VA’s Vendor Information Pages (VIP) database at to be eligible for award as a SDVOSB or VOSB if/when a solicitation is issued for this requirement as a SDVOSB or VOSB set aside. In addition, this requirement has been determined to be set aside as SDVOSB or VOSB acquisition, only SDVOSB or VOSB that respond to this specific notice with in the above stated due date will be eligible for award.  
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  
The anticipated need for the Health Care Systems may be significant, and the needs may change significantly over the course of the next few weeks and months.  Contractors must be able to quickly identify, screen, and process employees for rapid on-boarding with the healthcare facilities identified.  Contractors must be able to quickly adapt to changing needs.