G099--Medically Enhanced Program

DRAFT Page 1 of 39 Performance Work Statement Medically Enhanced Program Introduction/Background The VA Southern Nevada Healthcare System (VASNHS) seeks an HCHV CERS (Health Care for Homeless Veterans Contract Emergency Residential Services) contract under the Medically Enhanced Services model. The VASNHS includes the Las Vegas Valley Area. The purpose of this solicitation is to obtain offers from vendors in Clark County, Nevada, who can provide housing and medically enhanced supportive services to Homeless Veterans in a community-based facility, preferably with a home- like environment. The facility will offer short-term residential care, allowing homeless individuals to rest in a safe environment while accessing medical care and other supportive services. The Contractor will be required to provide a low-barrier therapeutic and rehabilitative milieu and attendant services targeting the underlying factors contributing to homelessness. The Contractor will not be required to provide detoxification or other hospital-level or licensed care treatment. Scope of Work The Health Care for Homeless Veterans (HCHV) Program is an essential and critical part of VHA, providing a gateway to VA and community-based supportive services for eligible Veterans who are homeless. The central goal of HCHV programs is to reduce homelessness among Veterans by conducting street outreach to Veterans who are homeless or experiencing housing instability and need case management assistance to end their homelessness and connect to community-based and VA-supported housing services, VA health care, and other supportive services. In addition to outreach services, HCHV programs provide care, treatment, and rehabilitative services, including case management and therapeutic transitional housing assistance by contracting with community providers. HCHV Contract Emergency Residential Services (HCHV CERS) programs promote an environment that maintains the well-being and safety of enrolled Veterans and offer Veterans supportive services that assist them with transitioning from the streets or shelters and living successfully in housing. Sub-categories of HCHV CERS include a) Low-Demand Safe Haven and b) Medically Enhanced Services. The VASNHS service lines are listed below for inclusion in work to be performed by the contractor: • Office of the Associate Director for Patient Care Services • Office of the Associate Director for Patient Care Services – Social Work Place of Performance The monitoring service requested will be for the VA Southern Nevada Healthcare System located at 6900 N. Pecos Rd. North Las Vegas, NV 89086. -- 1 of 39 -- DRAFT Page 2 of 39 Specific Requirements/Tasks and Associated Deliverables 1.1. The Contractor shall provide all labor, supervision, housing, material and supplies necessary to provide emergency residential treatment, rehabilitative and supportive services. Services will be provided on-site at the Contractor’s facility, in accordance with all terms and conditions, provisions and requirements listed herein. The prices provided in the Price Schedule shall be inclusive of all “basic services” as may be necessary in the treatment of the Veteran. “Basic Services” shall be defined in the Performance Work Statement. 1.1.1. Residential Room and Board: Room and Board shall be accessible to the Veteran 7 days a week and 24 hours per day. 1.1.1.1. One single bed and personal linens (towels, pillows, blankets, and bed sheets, etc.) 1.1.1.2. Furnishings such as a dresser, storage locker and lock or designated locked secured space. The storage space will accommodate two bags of belongings and all prescribed medical equipment. The Contractor will allow Veteran to store personal belongings for at least 72 hours after formal HCHV discharge. Should a Veteran abandon the Veteran’s belongings, the contractor will make three documented attempts to contact the Veteran before disposing Veterans items. At least three nutritious meals, 7 days a week will be provided for the Veteran. At least 50% of the beds will be wheelchair accessible and will have access to ADA accessible entryways and restrooms. 1.1.2. Dietetic Services: Three meals a day and snacks of nourishing quality (e.g., fruits, vegetables, protein sources, etc.), between meals and bedtime for those requiring or desiring additional food, even when it is not medically indicated. There will not be more than a 14-hour span between evening meal and breakfast of the following day. Contractor will provide alternative meals for Veterans with dietary restrictions if medically indicated (e.g., diabetic, renal, and soft mechanical diets) and reasonable accommodation for Veterans with cultural/religious preferences around food (e.g., Kosher, Halal, etc.). Food shall be prepared, served, and stored under sanitary conditions. The facility shall provide storage space in an onsite refrigerator for Veterans to store and freely access personal food. The facility shall establish and maintain sanitary procedures for washing dishes, cleaning equipment and work areas, and disposing of waste. In addition, for locations where food is provided via food pantry, Veterans will have access to the pantry at least three times a day to access foods. All foods shall be stored and maintained in sanitary conditions following all health and safety -- 2 of 39 -- DRAFT Page 3 of 39 regulations. Veterans will be offered food of nourishing quality and variety (fresh fruits, vegetables, grains, breads, and proteins). 1.1.3. Laundry Facilities: Laundry facilities and necessary detergent free of charge shall be available for residents to do their own laundry or to have laundry done at minimum one time per week. Should a Veteran have difficulty doing their own laundry, the facility will provide guidance. Should a Veteran refuse to wash their clothes, this will not be grounds for discharge but rather be addressed as a therapeutic opportunity. 1.1.4. Case Management Services: This contract requires that…