Marc Sadowsky - Taos, NM Technical Draft - Writing Sample

XXXXXX XXXXXX XXXXXXX
PRIMARY CARE SERVICES FOR
TAOS, NEW MEXICO
RFP # VA-258-11-RP-0001
TECHNICAL PROPOSAL
Submitted To: Department of Veterans Affairs
Contracting Office (501/90C)
New Mexico VA Health Care System
1501 San Pedro Drive SE
Albuquerque NM 87108
Submitted By: Xxxxxx Xxxxx
411 Oak St.
Cincinnati, OH 45219
Phone: (513) XXX-XXXX
Fax: (513) XXX-XXXX
This proposal or quotation includes data that shall not be disclosed outside the Government, and shall not be duplicated, used, or
disclosed - in whole or in part - for any purpose other than to evaluate this proposal or quotation. If, however, a contract is awarded
to the offeror or quoter as a result of or in connection with the submission of this data, the Government shall have the right to
duplicate, use or disclose the data to the extent provided in the resulting contract. This restriction does not limit the Government's
right to use information contained in this data if it is obtained from another source without restriction.
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The information contained on this page is considered confidential and privileged, and is not subject to mandatory disclosure under
FOIA. Additionally, any attachments referenced on this page and included with this proposal are considered confidential and
privileged, and are not subject to mandatory disclosure under FOIA.

TABLE OF CONTENTS
TABLE OF CONTENTS..................................................................................................................2
1.0 Introduction to Xxxxxx Xxxxx....................................................................................................5
A. Personnel Qualifications...............................................................................................................8
A.1. Xxxxxx Xxxxx’s Experience Providing Healthcare Services to the Government................8
A.2 Relevant Experience Providing Healthcare Services to the Federal Government .............9
A.3 Roster of Primary Care Staff intended to be utilized in the Performance of this Contract
............................................................................................................................................................11
A.3.A. Physician staff providing service under this contract.......................................................13
A.3.B. Nurse Practitioner Staff Providing Service Under this Contract ...................................15
A.3.C. Social Worker Staff Providing Service Under this Contract ..........................................16
A.3.D. Clinic Manager Staff Providing Service Under this Contract ........................................16
A.3.F. LPN Staff Providing Service Under this Contract............................................................18
A.3.G. Phlebotomist/Medical Assistant Staff Providing Service Under this Contract..............18
A.3.H. Medical Assistant Staff Providing service under this contract........................................19
A.4. Roles/Responsibilities of Proposed TAOS CBOC Personnel...............................................20
A.5 Methods and Mechanisms Xxxxxx Xxxxx will use to Provide, Qualify, and Retain
Qualified Staff for the Required Positions.....................................................................................25
A.5.A Xxxxxx Xxxxx’s Plan for Recruitment................................................................................26
A.5.B Xxxxxx Xxxxx’s Plan for Credentialing ..........................................................................29
A.5.C Xxxxxx Xxxxx’s Plan for long-term rention of employees................................................33
A.6. Training and Experience That Will Be Utilized to Meet Administrative Support
Functions of This Contract.............................................................................................................36
A.6.A. Xxxxxx Xxxxx’s Key Corporate and Clinical Staff Experience......................................36
A.6.B. Xxxxxx Xxxxx’s Training Practices....................................................................................42
A.7. Organization Structure and Management Practices............................................................44
A.8. Mechanism to Schedule Qualified VA Credentialed Physicians and Staff to Cover the
Required Clinic Schedule................................................................................................................47
A.8.A. Contingency Plan for Covering Enrolled Patients and Appointments Due to Scheduled
or Unscheduled Leave......................................................................................................................48
A.9. Capability to Recruit Adequate Staffing...............................................................................50
A.10. Operational Plan to Include Staffing for the First 90 Days of Clinic Operation.............50
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B. Coordination and Continuity of Care.......................................................................................53
B.1. Appropriateness of Care..........................................................................................................54
B.1.A. Xxxxxx Xxxxx’s Ability to Assure Appropriateness of Care...........................................55
B.1.A.I Xxxxxx Xxxxx’s Management Response to Potential Problems....................................57
B.1.A.II Xxxxxx Xxxxx’s Methods to Avoid Conflict of Interest................................................62
B.1.B. Mechanisms Utilized to Assure Appropriateness of Care................................................63
B.1.B.I. VA External Peer Review Program ................................................................................63
B.1.B.II. Employee Performance Incentives..................................................................................64
B.2. Xxxxxx Xxxxx’s Understanding of Joint Commission and Other Regulatory
Requirements....................................................................................................................................64
B.3 Xxxxxx Xxxxx Will Ensure Continuous Communication with VA Coordinator................65
B.4. Specialized Training and Clinical Staff Meetings at VA Hospital Level............................66
B.5. Ensuring Overall Timely Delivery of Services......................................................................66
B.5.A. Xxxxxx Xxxxx Site Readiness Contingency Plan..............................................................67
B.5.B. Xxxxxx Xxxxx’s Plan to Ensure Overall Timely Delivery of Services For VA Patient
Care...................................................................................................................................................68
B.5.C. Scheduling the Implementation Template with VAMC...................................................68
B.5.D. Xxxxxx Xxxxx Understanding of VHA Scheduling Guidelines.......................................68
B.5.E. Timeliness in Patient Access from Contract Outset..........................................................69
B.5.F. Additional Access Will Be Implemented for the Clinic When Needed Over the Contract
Term..................................................................................................................................................70
B.6. Xxxxxx Xxxxx’s Contingency Plan for Computer Downtime..............................................71
D. Social Economic Consideration.................................................................................................78
E.1. Xxxxxx Xxxxx’s Approach Towards Quality Assurance.....................................................79
E.1.A. Quality Assurance Collection and Reporting Methods....................................................79
E.1.B. Xxxxxx Xxxxx’s Patient Advocacy Program ....................................................................79
E.2. Performance Measures and PIP Process Used in Ongoing Management of Staffing
Program............................................................................................................................................81
E.2.B. Access to Care Reporting.....................................................................................................83
E.2.C. Quality...................................................................................................................................85
E.2.C.I. Xxxxxx Xxxxx’s Overall Approach to Quality Management/Improvement ...............85
E.2.C.II Taos CBOC Quality Management/Improvement Directives........................................86
E.2.C.III. Standard Xxxxxx Xxxxx Quality Management/ Improvement Program.................86
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E.2.C.IV. Xxxxxx Xxxxx’s Multi-Focused Quality Management/ Improvement Program......87
E.2.D. Timeliness of Care and Access as Important Elements of Care......................................87
E.2.D.I. Xxxxxx Xxxxx’s CBOC Performance Incentive Program To Promote Quality..........88
E.2.D.II. Clinical Practice Guidelines and Clinical Reminder Compliance...............................89
E.2.D.III. Xxxxxx Xxxxx’s Ability to Measure and Improve Quality of Service.......................90
E.2.D.IV. Performance Metrics ....................................................................................................90
E.2.D.V. CBOC Quality Management/Improvement Plan Reports...........................................90
E.2.D.VI. Continuous Quality Improvement.................................................................................91
E.2.D.VII. Additional Methods to Include Veteran Patients in Quality
Management/Improvement Plan....................................................................................................92
E.3. Customer Satisfaction..............................................................................................................92
E.3.A. Maintenance and Monitoring Continuity of Care for Patients .......................................94
E.3.A.I. Clinical Results from Patient Satisfaction Surveys........................................................95
E.3.A.II. Xxxxxx Xxxxx’s Veteran and Patient Centered Customer Service Capabilities.......95
F. Location of Offices.......................................................................................................................97
F.1. Utilization of Facility’s Geographic Location to Best Serve the Patients............................97
F.2. Location of Proposed Clinic: Taos, New Mexico ................................................................104
F.3. Location of Facility In Relation to Public Transportation.................................................105
F.4. Location of Facility to Local Highways ...............................................................................106
F.5. Description of Facility’s Parking Availability ....................................................................107
F.6. Description of Facility’s Handicap Parking Availability ...................................................107
F.7. Description of Facility’s Proposed Hours of Operation......................................................107
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1.0 INTRODUCTION TO XXXXXX XXXXX
Xxxxxx Xxxxxx Xxxxxxx (“Xxxxxx Xxxxx”) is pleased to submit this offer to furnish Community Based
Outpatient Clinic (“CBOC”) services on behalf of the local veteran population in Taos, New Mexico.
Xxxxxx Xxxxx has delivered CBOC services on behalf of the Department of Veterans Affairs (“VA”) since
1997, when it designed and opened its first dedicated VA CBOC. Given our more than 13 years of
experience providing CBOC solutions to the VA, Xxxxxx Xxxxx’s management team is extremely
experienced at ensuring that continuity of care is maintained between the VA Hospital parent and the
Xxxxxx Xxxxx-operated CBOC. Moreover, Xxxxxx Xxxxx possesses thorough knowledge of the
management approach necessary to support a dedicated freestanding clinic to provide specialized practice
and administrative services for VA beneficiaries.
Xxxxxx Xxxxx has delivered CBOC services on behalf of the Department of Veterans Affairs since 1997,
when it designed and opened what we understand to be the first dedicated VA CBOC on behalf of the
Department of VA Healthcare on a contracted basis nationally. Since then, Xxxxxx Xxxxx has performed
CBOC services at 35 locations throughout the United States. Xxxxxx Xxxxx’s management team has
developed the clinic administrative structures and supervised the delivery of such structures throughout its
VA CBOC System and is extremely experienced at ensuring that continuity of care is maintained between
the VA Hospital parent and the Xxxxxx Xxxxx-operated CBOC.
Xxxxxx Xxxxx will provide full appointment, provider, ancillary, nursing, administrative, managerial and
billing support for the proposed clinical location in Taos, New Mexico. Xxxxxx Xxxxx will provide full
physical plant and equipment/supply management for the proposed clinic. Primary Care services provided
within the clinic will include preventive health management services, longitudinal detection of disease and
subsequent management of medical conditions in eligible veterans. Clinic care will be accessible, continuous
and coordinated. Xxxxxx Xxxxx has substantive past experience regarding the development and
maintenance of free-standing primary care practices on behalf of VA Medical Centers nationwide. A
detailed description of Xxxxxx Xxxxx corporate experience applicable to this service is provided throughout
this proposal.
In addition to CBOC services for the Department of Veterans Affairs, Xxxxxx Xxxxx has established itself
as one of the two largest providers of medical support services to federal agencies of the U.S. Government.
Currently, Xxxxxx Xxxxx provides services to the Federal Government totaling approximately $140 million
in annual dollar amount. The firm furnishes more than 2,000 FTEs on behalf of Federal Government
agencies at more than 100 Government facilities in both the United States and overseas. Xxxxxx Xxxxx
currently provides healthcare, counseling and administrative support services in more than 42 states and 13
overseas nations.
Xxxxxx Xxxxx has furnished, on a full-time basis, the following categories of physician-level providers:
Family Practice Physicians ENT Physicians
Internal Medicine Physicians Neurologists
Pediatricians Psychiatrists
Developmental Pediatricians Occupational Medicine Physicians
Emergency Medicine Physicians Flight Medicine Physicians
OB/GYN Physicians
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Diagnostic Radiologists
Radiation Oncologists Pathologists
Anesthesiologists Ophthalmologists
General Surgeons Neurosurgeons
Orthopedists Interventional Radiologists
Additionally, Xxxxxx Xxxxx has also provided a full range of ancillary healthcare providers. Ancillary
healthcare providers furnished include the following labor categories and specialties:
Pharmacists Occupational Therapy Assistants
Psychologists Optometrists
Child/Adolescent Psychologists Physician Assistants
Clinical Social Workers Family Nurse Practitioners
Physical Therapists Pediatric Nurse Practitioners
Occupational Therapists OB/GYN Nurse Practitioners
Rehabilitation Therapy Assistant Neonatal Nurse Practitioners
Speech and Language Pathologists Psychiatric Nurse Practitioners
Early Childhood Special Educators Certified Registered Nurse Anesthetists
Physical Therapy Assistants
Xxxxxx Xxxxx is also very experienced and possesses strong capabilities in the provision of nursing and
related services. Nursing and related medical support services furnished by Xxxxxx Xxxxx include the
following:
ICU RN Medical Administrative Technicians
CCU RN Medical Auditors
MedSurge RN Medical Coders
L&D RN Medical Clerks
Emergency Room RN Medical Technicians
Psychiatric RN Medical Technologists
OR RN Radiology Technicians
RN Case Manager Medical Instrument Technicians
Utilization Management RN Pathology Technicians
Outpatient Clinic RN Certified Nursing Assistants
Inpatient LPN Psychiatric Technicians
Outpatient Clinic LPN Pharmacy Technicians
Respiratory Therapist Medical Supply Technicians
Medical Assistants Social Services Assistants
In fulfillment of its healthcare services on behalf of military facilities, Xxxxxx Xxxxx currently operates
branch offices in Washington, DC; Aiken SC; Norfolk, VA; Jacksonville, NC; Dothan, AL; Killeen,
TX; and Oceanside, CA.
Additionally Xxxxxx Xxxxx operates overseas branch offices in Heidelberg, Germany; Landstuhl,
Germany; and Okinawa, Japan.
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Xxxxxx Xxxxx possesses over 80 corporate executives, recruiters, managers, credentialers, writers and other
administrative staff located at its corporate headquarters in Cincinnati, Ohio. All of these individuals are
exclusively dedicated to the successful provision of direct healthcare services to U.S. Government facilities
in the United States and overseas. The Corporate Office is located at: 411 Oak Street, Cincinnati, OH
45219.
Xxxxxx Xxxxx’s mission is “To serve our clients by providing the highest quality health care service
available in a reliable, timely and effective manner.”
The contact personnel possessing the authority to bind and make representations on behalf of the company
for this proposal are:
Richard S. Xxxxx
CEO, Xxxxxx Xxxxxx Xxxxxxx
411 Oak Street
Phone: 513.XXX.XXXX
Brandon A. Xxxxx
Vice President, Xxxxxx Xxxxxx Xxxxxxx
411 Oak Street, Suite 300
Phone: 513.XXX.XXXX
<THIS SPACE LEFT INTENTIONALLY BLANK>
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A. PERSONNEL QUALIFICATIONS
A.1. XXXXXX XXXXX’S EXPERIENCE PROVIDING HEALTHCARE SERVICES TO THE
GOVERNMENT
Since first providing healthcare, counseling and administrative support services to the Government more
than 29 years ago, Xxxxxx Xxxxx has established itself as one of the two largest providers of medical
support services to federal agencies of the U.S. Government. Currently, Xxxxxx Xxxxx provides services to
the Federal Government totaling approximately $140 million in annual dollar amount. The firm furnishes
more than 2,000 FTEs on behalf of Federal Government agencies largest providers of support services to
Government agencies. The firm furnishes more than 2,000 FTEs on behalf of Federal Government agencies
at more than 100 Government facilities in both the United States and overseas. Xxxxxx Xxxxx currently
provides healthcare, counseling and administrative support services in more than 40 states and 12 overseas
nations. The privately held company is headquartered in Cincinnati, Ohio. The following sections illustrate
Xxxxxx Xxxxx’s capabilities in the provision of various healthcare services.
Community Based Outpatient Clinic (CBOC) Services. Xxxxxx Xxxxx currently manages and staffs 15
CBOC clinics on behalf of the Department of Veteran Affairs that include both primary care and mental
health services. Case Management and care of veterans includes compliance with VHA Clinical Practice
Guidelines and Reminders that mandate mental health screenings, referrals and treatment related to PTSD
and TBI, Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) post-deployment, major
depressive disorder, substance use disorder, chronic pain, fatigue and psychoses. These clinics are
comprised of a range of services for veteran beneficiaries, including but not limited to:
• Primary Care: Xxxxxx Xxxxx provides Primary Care services, including outpatient medical care
for the purpose of prevention and detection of disease and subsequent management of medical
conditions in a clinic environment. The Primary Care services are directed toward health promotion
and disease prevention, management of acute and chronic medical conditions, pharmacological
management, referral to specialty care and continuity across the inpatient and outpatient settings.
• Preventive Health Care/Chronic Disease Management: Preventive Health Care /Chronic Disease
Management includes screening for: established risk factors for cardiovascular disease; breast,
cervical, and colorectal cancer; hepatitis C; diabetics’ depression, nutritional deficits; patient
education, weight control, physical fitness/exercise; and the identification of alcohol and substance
abuse, military sexual trauma, Post Traumatic Stress Disorder, and other evidence-based health
screening examinations. This service also includes annual influenza vaccination and pneumovax
and other immunizations as clinically indicated; and space and administrative support for VAMC-
provided complete and comprehensive mental health services.
• Emergency Services: In the event of an emergency for a patient during normal clinic hours,
Xxxxxx Xxxxx staff immediately calls 911 and provides emergency stabilization to the maximum
possible extent for the patient. For all cases in which Xxxxxx Xxxxx is aware of a veteran’s use of
any emergency medical services, Xxxxxx Xxxxx will document these encounters in the patient’s
medical record with a note that summarizes the occurrence and its outcome.
• Phlebotomy / Laboratory Services: Xxxxxx Xxxxx provides for the collection and handling of lab
specimens through an in-house laboratory in accordance with the current up-to-date instructions
listed in FILE 60 in VISTA for both routine and non-routine tests. Xxxxxx Xxxxx processes all lab
specimens for shipment to the VA Medical Center according to Laboratory instruction so that
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specimen integrity will be maintained.
• Case/Care Management: Xxxxxx Xxxxx provides for the management and continuity of health
care for all enrolled patients through the following minimum functions: coordination of all health
services provided to enrolled patients; provision of primary care as a point of entry into the health
care system for non-emergency care; requests for specialty consultations and diagnostic work-ups;
intensive case/care management on a daily basis by use of electronic data transmission from
multiple patients to a care manager; provision of history and physicals required for nursing home
admission.
• Veteran Resources: Provide veterans with information that may benefit them, such as the
announcement of the clinic itself or the provision of information regarding available veteran
resources.
Provision of Community Outreach Services
In line with current solicitation requirements, Xxxxxx Xxxxx CBOC Outreach Program follows the
following protocols on a national basis, as these as they relate to Community Outreach Services:
• Contractor is prohibited from marketing its services to veterans without prior approval from
NMVAHCS. NMVAHCS reserves the right, at any time, to notify Contractor to discontinue or
modify a particular part of the marketing plan or materials.
• Contractor shall develop l500 copies of proposed Program Materials e.g., brochures (generally
describing Contractor’s Primary Care program, clinic location and hours, and program highlights.
• Samples of each proposed program materials shall be forwarded, for review and approval, to the
Contracting Officer and to NMVAHCS Benefits Section (04E) and COTR.
• Contractor must receive approval of the materials prior to dissemination to the veteran population.
• Contractor shall not engage in marketing practices that mislead, confuse, defraud, are unfair or
deceptive, or otherwise violates federal or state consumer protection laws or regulations.
• Contractor personnel shall be available to make presentations and provide tours of Contractor’s
facility to Veteran Service Organizations.
• Contractor will notify COTR and Business Manager of scheduled tours in advance.
A.2 RELEVANT EXPERIENCE PROVIDING HEALTHCARE SERVICES TO THE
FEDERAL GOVERNMENT
This section is a sampling of Department of Defense contracts performed by Xxxxxx Xxxxx, which are
additional services we provide outside of our CBOC program. These contracts have utilized some of the
same primary care and mental health services that have been identified for the proposed contract at the Taos,
New Mexico CBOC. Moreover, these contracts are also examples of the various sizes of contracts that
Xxxxxx Xxxxx performs, which make visible the outstanding recruitment efforts, the diverse scope of
practices involved in each contract and the dedication on behalf of Xxxxxx Xxxxx towards sustaining a
long-lasting professional relationship with the respective Department of Defense branch through customer
satisfaction.
Early Developmental Intervention Services (“EDIS”). Among the services that it provides, Xxxxxx
Xxxxx currently staffs the overseas Early Developmental Intervention Services (EDIS) Program on a
worldwide basis on behalf of the Army, Navy, and Air Force. Over 150 fulltime EDIS providers perform
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services on behalf of Xxxxxx Xxxxx on a full-time basis in the following locations: Germany, France,
Belgium, the Netherlands, the United Kingdom, Spain, Portugal, Italy, Turkey, Guam, South Korea, and
Japan. For the Early Developmental Intervention Services Program overseas, Xxxxxx Xxxxx provides all
needed Developmental Pediatricians, Physical Therapists, Occupational Therapists, Speech/Language
Pathologists, Early Childhood Special Educators, Clinical Psychologists, and Social Workers on behalf of
military and State Department beneficiaries in the above nations.
In addition to staffing the Early Developmental Intervention Services Program on an OCONUS basis,
Xxxxxx Xxxxx provides support for the EDIS Program in the United States, through its joint venture,
Magnum Medical. Under this program, Xxxxxx Xxxxx provides all required early developmental
intervention professionals on behalf of the Army and Air Force nationwide. Under a related contract,
Xxxxxx Xxxxx provides a number of early development intervention professionals to the Navy as well.
Post-Deployment Health Reassessment (“PDHRA”). Xxxxxx Xxxxx currently provides support for the
PDHRA program for military personnel. The PDHRA program is designed to identify and address health
concerns, with specific emphasis on mental health, that have emerged over time since deployment. PDHRA
services are offered to all service members who have returned from operational deployment, including all
active duty service members, National Guard and Reserve members, as well as those who have separated or
retired since their return from deployment. In particular, attention is paid to issues of behavioral health and
specific screenings for Traumatic Brain Injury (TBI). Xxxxxx Xxxxx provides PDHRA support at the
following locations: OCONUS Air Force PDHRA Psychology – five (5) Psychologists at Lakenheath,
England; Incirlik, Turkey; Aviano, Italy; Ramstein and Spangdahlem, Germany.
Traumatic Brain Injury (“TBI”) Services. Xxxxxx Xxxxx is experienced in providing a range of
psychological support services including TBI. Most recently, for example, Xxxxxx Xxxxx was awarded a
contract from the Army to provide all TBI services overseas in Germany, Italy and Belgium. The behavioral
health specialties include Adult and Child Psychiatrists, Adult and Child Psychologists, Neuropsychologists,
and Psychiatric Nurse Practitioners or Psychiatric Nurses and Licensed Clinical Social Workers. Other
specialties for the treatment of TBI included in this Contract include Neurologists, Neurosurgeons, Master’s
level RN Case Managers, Physical Therapists and PTAs, Occupational Therapists and OTAs, Speech
Language Pathologists, Physicians and Physician Assistants, Clinical Nurse Specialists and Licensed
Practical/Vocational Nurses. The population served includes U.S. Army Soldiers in Basic or Advanced
Individual Training, U.S. Army Soldiers pending deployment, U.S. Army Soldiers redeployed, U.S. Army
Soldiers being evaluated for medical discharge from the service, U.S. Army Soldiers Wounded in Action
(WIA) and their families, family members of U.S. Army Soldiers Killed in Action (KIA), deployment
related medically unexplainable symptoms and other beneficiaries of the MHS.
Air Force OCONUS Psychological Health Services. Xxxxxx Xxxxx was awarded a contract to provide a
range of psychological support services at Air Force installations under the Overseas Psychological Health
Support Services (“OPHSS”) program. This service includes nine (9) clinical psychologists, five (5) clinical
social workers and one (1) Psychiatrist for 17 overseas medical treatment facilities (MTFs) in seven (7)
countries for the United States Air Forces in Europe (“USAFE”) and Pacific Air Force (“PACAF”)
commands.
Air Force Medical/Administrative Support Services (“MASS Program”). Xxxxxx Xxxxx currently
provides, as a subcontractor, RN Case Management services to military personnel at several Air Force MTF
facilities in the United States and overseas. Our RN Case Managers often work with military beneficiaries
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who have both medical and mental health diagnoses. They are responsible to make appropriate referrals for
mental health issues to TRICARE so that an appointment for consultation can be made. Additionally, for
patients assigned to our Case Managers that already receive mental health support, all relevant information
related to care and case management for the patient is exchanged and coordinated between our Case
Managers and the assigned mental health provider.
Army Corps of Engineers (“ACE”) Occupational Health Service. Xxxxxx Xxxxx currently provides
Occupational Health Services on behalf of ACE’s South Atlantic Division and other Federal agencies who
utilize the ACE Occupational Health Clinic within each Federal building. Our nurses provide occupational
health services to personnel including case management and screenings for any mental health issues, and
make appropriate referrals to ACE or other Federal agency Employee Assistance Program for follow-up care
and treatment.
Also among its services, Xxxxxx Xxxxx provides large-scale services on behalf of the Army, Navy, and Air
Force on both a direct contract and subcontract basis. Among these, Xxxxxx Xxxxx has successfully
provided services under a number of Army multi-site contracts over its history. For the last 29 years, we
have reliably supplied one of the scarcest medical specialties, Diagnostic Radiologists, to the majority of
Army facilities nationwide. Locations at which Xxxxxx Xxxxx has provided all required Contract-supplied
Diagnostic Radiologists for at least the past 15 years include Ft. Hood, TX, Ft. Gordon, GA, Redstone
Arsenal, AL, Ft. Jackson, SC, and Ft. Irwin, CA.
Originally commencing services on behalf of military healthcare facilities in 1981, Xxxxxx Xxxxx has
become one of the two largest providers in the world of direct healthcare services at military hospitals and
clinics
A.3 ROSTER OF PRIMARY CARE STAFF INTENDED TO BE UTILIZED IN THE
PERFORMANCE OF THIS CONTRACT
Xxxxxx Xxxxx possesses strong recruiting capabilities consisting of a large scale, in-house direct mail
center. This direct mail center currently sends more than 1.5 million pieces of mail per year for recruiting
purposes to qualified healthcare providers. The direct mail center can issue recruitment mailings with as
little as one (1) business day lead-time.
Strong telemarketing efforts for recruiting efforts are conducted by Xxxxxx Xxxxx’s large team of in-house
recruiters with telemarketing and customer service experience. These recruiters are supported by a state-of-
the-art network telephone system, which possesses the capability of direct dialing telephone numbers based
on each recruiter “clicking” on a licensed professional’s name with their computer mouse.
Xxxxxx Xxxxx regularly sponsors and provides marketing booths at nationwide professional conferences
for recruiting purposes. Xxxxxx Xxxxx, for example, sponsored a recruiting booth at the American
Academy of Family Practice’s Annual Scientific Meeting held in Chicago for over four (4) days. Over the
term of the upcoming Contract, Xxxxxx Xxxxx hopes to provide marketing booths at a number of national
conferences held by the American College of Internal Medicine and the American Academy of Family
Practice.
Classified ad campaigns are run by Xxxxxx Xxxxx’s full-time Media Marketing Manager whose corporate
role is devoted to placing classified ads, professional journal advertisements and establishing Internet
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recruiting campaigns.
Xxxxxx Xxxxx also uses a large scale classified ad purchasing company capable of nationwide coverage.
Through weekly volume purchases with this company, the cost of classified ads for recruiting is greatly
reduced. This cost reduction, in turn, allows Xxxxxx Xxxxx to obtain more advertisements for its recruiting
advertising budget than would otherwise be available, enhancing its recruiting capability.
Xxxxxx Xxxxx’s Media Marketing Manager places approximately ten (10) advertisements per week in the
largest professional journal utilized for Physician recruiting, the Journal of the American Medical
Association (“JAMA”). Ongoing advertisements in JAMA, purchased at a bulk contract rate on a weekly
basis, will further enhance Xxxxxx Xxxxx’s recruitment capability throughout the term of the upcoming
Contract. Additionally, Xxxxxx Xxxxx places regular weekly ads with the Annuals of Internal Medicine.
These ads are placed at a discounted rate, increasing the cost effectiveness of Xxxxxx Xxxxx’s recruiting
and marketing efforts.
Integral to its Internet recruiting efforts for qualified candidates, the company possesses nationwide resume
search privileges on two of the largest general recruiting sites in the country: www.Monster.com and
www.careerbuilder.com. In addition to these general recruiting sites, Xxxxxx Xxxxx also possesses
nationwide resume search capability on the following web sites designed specifically to recruit healthcare
professionals: www.physicianwork.com, www.absolutelyhealthcare.com, www.healthecareers.com, and
www.aafp.com.
Through its extensive investment regarding nationwide search capabilities in all of the above general and
healthcare-specific recruiting sites, Xxxxxx Xxxxx maximizes its ability to recruit qualified healthcare
professionals in fulfillment of this Contract.
Xxxxxx Xxxxx’s pre-award recruitment phase is complete and all positions named in the Solicitation have
the following proposed candidates arranged as key personnel under this Solicitation. The below table lists all
proposed candidates and their qualifying degrees and certifications as required by the clinical location in
Taos, New Mexico:
TAOS, NEW MEXICO CBOC
CLINICAL STAFF LISTING
CONTRACT POSITION CANDIDATE NAME QUALIFYING DEGREE(S)
AND CERTIFICATIONS
Physician (.10 FTE) Arthur William Lynch III, MD MD, NMS License, ACLS, ATS,
PACLS
Locum Physician (PRN) Gershon Bergeisen, MD MD, NMS License
Locum Physician (PRN) Delores Endres, MD MD, NMS License
Nurse Practitioner(.65-.90
FTE)
Carolyn Holloman-Ball NMS License, FNP
Licensed Clinical Social
Worker (.75-.90 FTE)
Valerie Pierce NMS License, LISW
Clinic Manager (.75-.90 FTE) Carrie Venezia NMS License, BLS, MSW
Registered Nurse (Infection
Control & Triage) (.75-.90
William Jay Salls NMS License, BLS
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FTE)
Licensed Practical Nurse
(.75-.90 FTE)
Daniel Clothier NMS License, BLS
Phlebotomist (.75-.90 FTE) Merah Hill BLS
Medical Assistant (.75-.90
FTE)
Cindy Herrera BLS
Medical Clerk (.75-.90 FTE) Roberta Scott BLS
The above staff - including clinical responsibilities, individual education, clinical experience, and training
histories - are discussed below in Sections A.3.A – A.3.I.
CVs, resumes, copies of certifications and copies of licensure are included in this proposal as Attachment
A.
A.3.A. PHYSICIAN STAFF PROVIDING SERVICE UNDER THIS CONTRACT
Arthur William Lynch III, M.D, Physician: Dr. Lynch is an outstanding candidate for the position of
Physician, possessing 20 years of professional experience as a physician and medical provider. With this
qualifications and experience, plus being a native of New Mexico, Dr. Lynch is ideal to lead the medical
staff for the VA Community Based Outpatient Clinic in Taos, NM. Dr. Lynch is extremely acclimated to
the State of New Mexico. He earned his Bachelor of Science degree in Electrical Engineering from the
University of New Mexico, where he received National Medical Fellowships. He earned his Medical Degree
from the University Of New Mexico School Of Medicine, where, since 1998, Dr. Lynch has been in
Residency at the University of New Mexico Family and Community Medical Center. He is a professional
member of the Academy of Pain Management; Physicians for Social Responsibility; American Academy of
Family Physicians; and the New Mexico Medical Society. Dr. Lynch Board certified in Family Practice,
Advanced Cardiac Life Support, Advanced Trauma Support, and Pediatric Advanced Life Support. He is
married to an Emergency Medicine Physician and is fluent in Spanish.
For the last decade, Dr. Lynch has been Physician at Taos/Picuris Indian Health Service, where his chief
responsibilities are implementing treatments for pain care and being an urgent care provider. Concurrent
with his work at Taos/Picuris Indian Health Service, Dr. Lynch has additionally worked since 2001 at the
Colonias Chiropractic Center, a multi-disciplinary pain clinic. He utilizes his services primarily applying
various pain management modalities including Trigger Point therapy and general medical management. In
addition, Dr. Lynch has lent his services as a Physician for Mogul Medical Urgent Care since 2001. He
provides primary and emergency care, training of Emergency Medical Technicians (EMTs), medical
students, and resident physicians.
From 2001 to 2003, Dr. Lynch has worked tirelessly for the Health Centers of New Mexico, establishing
Primary Care clinics in the rural locations of Penasco and Embudo. From 1991 to 1994, Dr. Lynch
volunteered with the Albuquerque Mountain Rescue and Placitas Fire Brigade. Working as an Emergency
Medical Technicians (EMT) and professional climbing guide and instructor, he organized and taught rescue
classes. In addition to his many accomplishments, Dr. Lynch he was published in Crisis medical journal for
his article, ‘Guns, Alcohol, and Intimate Partner Violence: The Epidemiology of Female Suicide in New
Mexico’.
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Dr. Lynch has lived and practiced medicine in the State of New Mexico his entire life. He has exemplary
qualifications and two (2) decades of professional medical experience. His addition to the medical staff as
Physician would be remarkably invaluable for the VA CBOC located in Taos, New Mexico.
Gershon Bergeisen, MD, Locum Tenens Physician: Dr. Bergeisen has extensive education and experience
to be the Locum Tenens Physician for the Taos CBOC location in New Mexico. After completing her
Bachelor’s and her medical degree at the University of California at Los Angeles, Dr. Bergeisen graduated
from the Uniformed Services if Health Sciences (USUHS) in Epidemiology and then became a
Distinguished Graduate from the School of Aerospace Medicine at Brooks Air Force Base, in San Antonio,
Texas as a Flight Surgeon.
In addition, Dr. Bergeisen has remarkable knowledge from an educational perspective. From 1982-1984 he
was an assistant professor at the University of Kentucky in the Department of Family & Community
Medicine. From 1992 to 2003 he served as adjunct professor at the Uniformed Services if Health Sciences
(USUHS) in Bethesda, Maryland in the Department of Preventative Medicine. Dr. Bergeisen has had
numerous supervisory positions as well. From 2002-2005, he was Director of Employee Health Services
and Attending Physician in Family Medicine at St. Joseph Regional Medical Center in Paterson, New
Jersey. In 1987 and 1988 Dr. Bergeisen was Medical Director of the Health Centers of Northern New
Mexico located in Espanola, New Mexico and served on the medical staff at Northeastern Hospital in Las
Vegas, New Mexico. Dr. Bergeisen has served the health community in locations as far reaching as Alaska,
South Dakota, Montana and Minnesota.
Dr. Bergeisen is a member of such professional and scientific societies such as; The American College of
Occupational & Environmental Medicine; The American College of Preventative Medicine; The American
Academy of Family Physicians; and The American Medical Association. He has been published a dozen
times appearing in such venerable publications as, The Journal of the American Medical Association,
American Journal of Public Health, and The Journal of Occupational Medicine. Dr. Bergeisen is fluent in
four languages (English, Spanish, French and Dutch), and has working conversation in both German and
Hebrew.
For the past two years, Dr. Bergeisen has been employed by Xxxxxx Xxxxx as a Family Practice Locum
Tenens Physician at various locations. His most recent positions have placed him at United Health Centers
in Parlier, California and Health Centers for Northern New Mexico. Given the vast range of experience and
education, we contend that Gershon Henoch Bergeisen, MD., is an excellent candidate for providing Locum
Tenens services for the Taos, New Mexico location.
Delores Endres, MD, Locum Tenens Physician: Dr. Endres is an excellent candidate for the position of
Locum Tenens Physician. Possessing more than 30 years of professional experience as a physician, Dr.
Endres will be an integral addition to the medical staff for the VA Community Based Outpatient Clinic in
Taos, NM. Dr. Endres earned two Bachelor of Science degrees in Biology and Chemistry from St. Norbert
College, and her Medical degree from the University of Wisconsin. She is fully licensed to practice
medicine in the State of New Mexico, and is Board Certified by the American Board of Family Practice and
the Fellow of American Academy of Family Physicians. Dr. Endres is a member of many professional
medical societies; American Academy of Family Practice; Federal Physicians Association; Physicians for
Social Responsibility; and The Professional Association of the Commissioned Corps of the U.S. Public
Health. She is currently a resident of Taos, NM, and an active member of Taos Search and Rescue.
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Dr. Endres possesses significant Locum experience in New Mexico. Since 2009, she has been Locum
Tenens Physician at El Centro Health Centers and Pine Hill Health Center. Dr. Endres has additionally been
Locum Tenens Physician at Isleta Health Center since 2010, and lent her services as a Locum for Family
Practice Associates in Taos, New Mexico since 2005. Prior to her years of work as a Locum Tenens
Physician, Dr. Endres was Commissioned Officer in the Public Health Service, Indian Health Service
branch. She retired from the position in 2005. From 1993 to 2005, Dr, Endres was the Clinical Specialty
Consultant Physician for Taos/Picuris Indian Health Center. She was Medical Director for the Taos Indian
Health Clinic from 1989 to 1993, and was General Medical Officer for Albuquerque Indian Hospital from
1984 to 1989.
Dr. Endres has additionally proven herself for her services on an ‘as needed’ basis. In 1992, she took a
temporary duty assignment (TDY) for the Santa Clara Health Center in California, and 1982, Dr. Endres
was a TDY Physician for the Peach Springs Service Unit in Arizona. Dr. Endres has demonstrated her
abilities by volunteering in very isolated areas of world with limited resources. Working on behalf of
various organizations, Dr. Endres has provided medical services in remote areas such as, Haiti, Peru, Belize,
Honduras, Bolivia, Nicaragua, and Zimbabwe.
Dr. Endres possesses more than there (3) decades of professional medical experience as a physician.
Notably, she is extremely familiar to the region and native cultures of Northern New Mexico. Given her
exemplary qualifications and her past experience as a Locum, Dr. Endres is ideal for the position of Locum
Tenens Physician for the VA CBOC located in Taos, New Mexico.
A.3.B. NURSE PRACTITIONER STAFF PROVIDING SERVICE UNDER THIS CONTRACT
Carolyn Holloway-Ball, FNP, Nurse Practitioner: Ms. Ball is an ideal candidate for the position of Nurse
Practitioner for the VA CBOC in Taos, NM. She possesses more than 25 years of professional experience in
the field of nursing. Ms. Ball has an impressive array of education. She earned her Associates Degree in
Nursing in 1985, and her Bachelor of Science in Nursing in 1993 from the University of Mary Hardin
Baylor. In 1996, Ms. Ball earned her Master’s of Science in Nursing Administration, and completed the
Family Nurse Practitioner Program from Texas A&M University. In addition, Ms. Ball completed the Acute
Care PNP certification program from the University of Texas. She fully licensed in the State of New
Mexico, and is certified as a Neonatal Nurse Practitioner (NNP) and as a Family Nurse Practitioner (FNP).
Ms. Ball is additionally certified in BLS and PALS.
Since 2005, Ms. Ball has been the Neonatal Nurse Practitioner (NNP), Family Nurse Practitioner (FNP), and
Acute Care PNP for Holy Cross Hospital in Taos, NM. She manages newborns, attends high-risk deliveries,
teaches Basic Life Support (BLS) to the staff. She additionally assists with administration, hospital
management, and aids with the discharge of pediatric patients. Ms. Ball also lends her services as a Family
Nurse Practitioner at Penasco Family Health Clinic. From 2003 to 2005, Ms. Ball was a Neonatal Nurse
Practitioner for Allina Health Care (on behalf of Unity and Mercy Hospitals) in Minnesota. Her primary
responsibilities comprised of basic NNP duties, medical management of newborns, attending deliveries and
stabilizing sick newborns for transport.
Prior to her work in Minnesota, Ms. Ball was the Instructor of Maternal Neonatal Nursing at the University
of Mary Hardin Taylor in Belton, TX. From 2003 to 2003, she taught classes and oversaw clinicals in OB-
GYN (obstetric-gynecologic), neonatal and postpartum, and was elected by students to Student Nursing
Association Faculty Advisor. From 1986 to 2004, Ms. Ball was employed as a Neonatal Nurse Practitioner
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for Scott & White Hospital in Temple, TX. She originally functioned as a charge nurse, transport nurse, and
clinician. After becoming certified as a NNP, Ms. Ball performed the requisite duties associated with caring
for newborns. Additionally while at Scott & White, Ms. Ball became a certified instructor and taught BLS,
CPR, and NRP. She also assisted in the updating of the computerized nursing charting system for the
hospital.
With her education combined with years of professional nursing experience, Ms. Ball is more than qualified
for the position of Nurse Practitioner. She will be an exceptional addition to the medical staff for the VA
Community Based Outpatient Clinic located in Taos, New Mexico.
A.3.C. SOCIAL WORKER STAFF PROVIDING SERVICE UNDER THIS CONTRACT
Valerie Pierce, LICSW, Licensed Clinical Social Worker: Ms. Pierce has over 20 years of experience in
her field of clinical social work and would make an excellent candidate for the position of Licensed Clinical
Social Worker for the Taos, NM CBOC. Currently, Ms. Pierce is working as a private practitioner,
providing outpatient behavioral health services to all ages. During the 2 years at her private practice, Ms.
Pierce has performed social work services for Questa Independent Schools, providing social service and
support to staff in K-12 multi-school settings. Prior to her starting her own practice, Ms. Pierce was a
Behavioral Health Specialist for Presbyterian Medical Services, providing contract clinical social work
services for Hospice/Home Health sites, outgoing assessment/treatment services for all ages, populations
and most diagnoses.
Ms. Pierce received her Master of Social Work from Barry University in Miami, FL and began working as a
Clinical Social Worker for the Northeastern Mental Health Center in Aberdeen, South Dakota, where she
provided outpatient assessment/treatment services for all ages, populations and most diagnoses, consultation
services, marketing & community outreach/assistance, court testimony in an outpatient clinic, home-based
and nursing home setting. She worked as the Director of Behavioral Health for Hannahville Indiana
Community in Wilson Michigan as well as for Heritage Health Services, where her combined
responsibilities included staff supervision, program maintenance/development, marketing and quality
assurance & risk management functions. We strongly believe that Ms. Pierce’s vast experience in her field
would make her an excellent candidate for the Licensed Clinical Social Worker position at the Taos, NM
CBOC.
A.3.D. CLINIC MANAGER STAFF PROVIDING SERVICE UNDER THIS CONTRACT
Carrie E. Venezia, Clinic Manager: Ms. Venezia is an outstanding candidate for the position of Clinic
Manager. Possessing 18 years of professional experience, she will be a welcomed addition to the staff for
the VA Community Based Outpatient Clinic in Taos, NM. Ms. Venezia is an experienced project support
and operational manager will proven success in a variety of venues. She earned her degree in Business
Administration from Hutchinson Community College, and is additionally a Certified Nursing Assistant
(CNA). Ms. Venezia is proficient in MS Office (Word, Excel, PowerPoint, Access and Outlook), Citrix,
Allscripts, Photoshop, and Adobe Acrobat. She has won numerous awards for her philanthropy and
volunteerism.
Since 2010, Ms. Venezia has been the Director of Chamber Services for the Red River Chamber of
Commerce in New Mexico. Her primary duties dealt with maintaining membership relations, preparing
quarterly newsletters, soliciting new business, and fundraising through the Economic Development
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Committee. In addition, Ms. Venezia is the leader of staff management, and is responsible for the effective
operation of the Visitor’s Center. From 2000 to 2010, Ms. Venezia was the Program Coordinator for the
University of Arizona Cancer Center and the College of Pharmacy. As Program Director, she was the chief
liaison between administration and departments, especially assisting with the University Cancer Center, to
ensure all offices were running at optimum efficiency. In addition, Ms. Venezia established budgets and
analyzed prior year expenditures to forecast annual spending, presenting findings to key administrators for
the purpose of recommending effective strategies. Her devotion to the University of Arizona earned Ms.
Venezia the 2005 Staff Award for Excellence.
From 1998 to 2000, Ms. Venezia was the Division Coordinator for PCS Health Systems in Scottsdale, AZ.
She was responsible for providing project and administrative support to key level decision makers, including
Vice Presidents, Product Managers, and Development staff. Moreover, Ms. Venezia scheduled and
coordinated meetings, interviews, appointments, events and other similar activities to improve overall
operational efficiency. From 1993 to 1998, Ms. Venezia was employed by Shawnee Mission Medical
Center as Private Duty Office Manager. She acted as lead strategist to develop plans in the opening of the
Shawnee Mission Medical Center. Ms. Venezia was responsible for identifying the needs of the staff’s
education and training. In addition, she managed inventory control, working with suppliers and service
providers ensuring equipment was ready and available for both patients and staff.
Possessing nearly two (2) decades of experience, combined with a superb track record of efficiency. Ms.
Venezia is more than qualified for the position of Clinic Manager. She will be an invaluable addition to the
staff for the VA CBOC located in Taos, New Mexico.
A.3.E. REGISTERED NURSE STAFF PROVIDING SERVICE UNDER THIS CONTRACT
William Jay Salls, RN, Registered Nurse (Infection Control and Triage): Mr. Salls is an outstanding
choice for the position of Registered Nurse (RN). Possessing more than seventeen years in the professional
field of nursing, Mr. Salls will be an invaluable addition to the medical staff for the VA CBOC in Taos, NM.
Mr. Salls earned his degree in Nursing from the New England Baptist Hospital School of Nursing in Boston,
MA. He is certified in BLS, ACLS, PALS, TNCC, ENCP, and NRP. In addition, Mr. Salls is certified by
the New Mexico Board of Nursing.
From 2010 to the present, Mr. Salls has been employed as a Registered Nurse for SDPI Healthy Heart, IHS,
TPHS in Taos, NM. His responsibilities are quite comprehensive. He educates patients with Diabetes Type
II, and at risk for and or diagnosed with CVD, refers patients to appropriate team members of Health Heart
Project and Clinic. He maintains constant updating and monitoring of educational tools in reaching patients
and prevention of furthering disease process, collaborates with Medical, Healthy Heart and Behavior Health
staff for best results for patients to understand and cope with Diabetes and prevent further disease process.
And he additionally assists with development of methods and protocols for educating pts as required by
SDPI Healthy Heart Grant and Tribal and Cultural requirements. In 2009, Mr. Salls was an RN for
Correctional Medical Services in Santa Fe, NM. He performed emergency care and triage, Assessments,
medical decision making for inmates in maximum security prison setting, and provided care for patients.
From 2006 to 2009, Mr. Salls was employed in the Emergency Department as a Registered Nurse at Spanish
Peaks Regional Hospital, Walsenburg, CO and at Holy Cross Hospital, Taos NM. His duties dealt with all
aspects of Emergency Services including triage, trauma care, and providing care for ground/air transport of
critically ill patients. In addition, Mr. Salls was responsible for training new nursing graduates.
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Mr. Salls possesses nearly two (2) decades of professional experience combined with an excellent education.
Mr. Salls additionally has years of expertise in both triage and emergency services. He is an ideal candidate
for the position of Registered Nurse with a concentration In Infection Control and Triage. Mr. Salls will be
a welcomed asset to the medical staff for the VA CBOC located In Taos, New Mexico.
A.3.F. LPN STAFF PROVIDING SERVICE UNDER THIS CONTRACT
Daniel K. Clothier, LPN, Licensed Practical Nurse: Mr. Clothier is an excellent candidate for the position
of Licensed Practical Nurse. Possessing over 15 years of professional experience in the field of nursing, he
will be a valued asset to the medical staff for the VA Community Based Outpatient Clinic in Taos, NM. Mr.
Clothier has an impressive education with several degrees. He holds Associate’s degrees in Nursing,
Addictionology, Law Enforcement and General Studies. Mr. Clothier is fully licensed to practice nursing in
the State of New Mexico and is BLS, CPR, AED and Paramedicine certified. He is an honorably discharged
veteran of the US Army National Guard.
Since 2008, Mr. Clothier has worked as both a nurse and therapist for the residential alcohol and drug
rehabilitation Vista Taos Renewal Center. His therapist duties include, but are not limited to, treating
patients suffering from codependence, eating disorders, and substance abuse. He additionally provides
vocational advisements for patients, creating patient care plans, and medical histories. Mr. Clothier’s
nursing responsibilities comprise of emergency care, patient assessments, taking phone orders, and
communicating medical advisement to the clinical staff. Moreover, Mr. Clothier actively facilitates patient
transport, and providing staff training as the primary BLS and First Aid Instructor.
Prior to his work at Vista Taos Renewal Center, Mr. Clothier was a Licensed Practical Nurse at San
Cristobal Ranch Academy. His primary responsibilities included oversight of the clinical staff, patient
counseling, nursing, and basic medical education. Mr. Clothier additionally created a Search and Rescue
Team officially recognized by the State of New Mexico. From 2006 to 2010, and concurrent to his work at
both Vista Taos Renewal Center and San Cristobal Ranch Academy, Mr. Clothier was employed as a
Licensed Practical Nurse for Holy Cross Hospital. Working primarily in the Medical/Surgical unit, Mr.
Clothier was a member of the Impaired Employee Support Team. His basic duties involved providing
patient assessments, wound care, performing transfusions, and administering medication. From 1977 to
1988, Mr. Clothier was a Paramedic for the City of San Diego.
Mr. Clothier is an extremely accomplished individual, possessing years of professional experience in the
field of nursing. He will be an invaluable addition to the staff as a Licensed Practical Nurse for the VA
CBOC located in Taos, New Mexico.
A.3.G. PHLEBOTOMIST/MEDICAL ASSISTANT STAFF PROVIDING SERVICE UNDER
THIS CONTRACT
Merah Hill, Phlebotomist: Ms. Hill is an excellent candidate for the position of Phlebotomist. With over
three (3) years of professional experience, she will be a valuable addition to the support staff for the VA
Community Based Outpatient Clinic in Taos, NM. Ms. Hill earned her degree in Applied Science in
Medical Technology from Tulsa Community College. She is a professional member of The American
Society for Clinical Pathology (ASCP) and the American Society for Clinical Laboratory Science (ASCLS).
Ms. Hill is BLS certified.
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In 2010, Ms. Hill was employed as a Medical Laboratory Technician for Utica Park Clinic in Tulsa, OK.
She was responsible for reporting of diagnostic laboratory procedures, processing specimens, plus the
maintenance and validation of laboratory instruments. In addition, Ms. Hill monitored quality control
programs in order to provide superior patient care. In 2009, Ms. Hill was a Client Specialist for St. Johns
Medical Center in Tulsa, OK. She received, ordered and processed clinical laboratory specimens as well as
assuring that tested specimens met all necessary requirements. Prior to her work at St. Johns Medical
Center, Ms. Hill was employed by the Diagnostic Laboratory of Oklahoma. From 2007 to 2008, she
processed specimens, performed data entry in QLS, and maintained the preparation of all specimens.
With years of professional experience in the field of medicine, coupled with her education, Ms. Hill is
exemplary choice for the position of Phlebotomist for the VA CBOC located in Taos, New Mexico.
A.3.H. MEDICAL ASSISTANT STAFF PROVIDING SERVICE UNDER THIS CONTRACT
Cindy Herrera, Medical Assistant: Ms. Herrera is an excellent choice for the position of Medical
Assistant. Possessing more than 13 years of providing patient safety and care, she will be a welcomed
addition to the support staff for the VA Community Based Outpatient Clinic in Taos, NM. Ms. Herrera has
proven expertise in infection control, bone density screening, orthopedics, and machine calibration. She is a
strong leader with success directing highly skilled professionals in supporting and achieving operational
objectives, and is able to train peers and rapidly gain proficiency in new techniques and advancements. She
is fully proficient in MS Windows, Office, PACS, and RIS Systems. Ms. Herrera received her Associate of
Applied Science Degree in Radiologic Technology from Northern New Mexico Community College. She is
fully licensed in the State of New Mexico and is AART, BLS/CPR certified.
Since 2010, Ms. Herrera has been employed as a Medical Assistant and X-Ray Technologist at Taos Urgent
Care Center-Taos, NM. Her duties comprise of assisting physicians with patient care, procuring lab
cultures, drawing blood, and administering injections. Prior to her work at Taos Urgent Care Center, Ms.
Herrera was an X-Ray Technologist at Physicians Medical Center of Santa Fe, NM. From 2009 to 2010, she
performed extended patient care from registration through post-op for the clinic employing up to 100 staff.
She additionally assisted healthcare providers in a broad variety of radiology-related assignments. From
2006 to 2009, Ms. Herrera was employed by Santa Fe Imaging as an X-Ray Technologist. Working with a
staff of 80 providers, her responsibilities included performing radiology imaging, greeting patients,
performing office duties, collecting pathological information, and serving as bone densitometrist. From
1997 to 2006, Ms. Herrera served as X-Ray Technologist for Orthopedic Associates of Northern New
Mexico. She provided patient care, operated advanced radiological technology, and assisted orthopedic
technicians in day-to-day assignments. In addition, Ms. Herrera ordered and tracked supplies, filed patient
charts and films, and assisted physicians with basic medical procedures.
Ms. Herrera has personally contributed to multiple achievements in many highly respected departments, and
is open to any modality training available in order to contribute to the VA. She has suburb qualifications
and sound experience in the field of medical care. Ms. Herrera will be an extremely valued asset as a
Medical Assistant for the VA CBOC located in Taos, New Mexico.
A.3.I. MEDICAL CLERK STAFF PROVIDING SERVICE UNCER THIS CONTRACT
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Roberta Scott, Medical Clerk: Ms. Scott is an exceptional candidate for the position of Medical Clerk for
the VA CBOC located in Taos, NM. She possesses fifteen years of professional experience within the field
of medical care, working specifically in medical recording, billing and coding. Ms. Scott earned her degree
from Northern New Mexico Community College, is both certified as a Certified Nursing Assistant (CNA)
and Medical Transcriptionist, and is fluent in English and Spanish.
Since 2004, Ms. Scott has been Medical Record/Referral Specialist for El Centro Family Health in Embudo,
NM. Her responsibilities comprise of copying and maintaining records for patients, attorneys, and staff,
assisting Veteran patients, completing insurance and Medicaid forms, preparing medical charts, performing
office/secretarial duties, and training staff with new software. Prior to her work at El Centro, Ms. Scott was
employed at the Women’s Health Institute in Taos, NM. She was supervisor for all medical records,
assisted with appointments and scheduling, copied records for all patients and staff, and authorized referrals
for specialty services when necessary. From 2003 to 2004, Ms. Scott was Medical Record/Referral
Specialist for Los Alamos Medical Center, and from 1999 to 2002, she was Medical Record/Referral
Specialist for the Health Centers of Northern New Mexico. Her duties at both facilities included, but were
not limited to, maintaining medical records, assisting Veteran patients, performing front desk tasks, and
assisting the Clinic Manager with all remaining responsibilities.
Ms. Scott is extremely well versed in all present medical terminology and procedures. With her years of
experience and dedication, she is more than qualified for the position of Medical Clerk. Ms. Scott will be an
essential and welcomed addition to the support staff to the VA Community Based Outpatient Clinic in Taos,
New Mexico.
A.4. ROLES/RESPONSIBILITIES OF PROPOSED TAOS CBOC PERSONNEL
Physician - The Physician is responsible for providing a comprehensive range of outpatient medical services
on behalf of the veteran population served by the clinic.
The Physician provides medical care which may be complex in nature in order to provide overall
professional diagnostic assessment, treatment, and referral, as applicable on behalf of veteran beneficiaries.
Clinical specialty areas impacting the patient population include: cardiovascular disease/hypertension,
oncology, obesity/geriatric medicine, diabetes, infectious disease, and gerontology/neuropsychiatric disease,
as well as common medical conditions such as URI, lower back pain, skin lesions, flu syndrome, strep
throat, migraine headaches, and the like.
A high incidence of chronic diseases with multiple risk factors in the patient population must be recognized
in determining the appropriate work schedules for the Physician and selecting appropriate continuing
education.
The Physician will be required to perform and/or oversee the administration of vaccines and supplements,
including: influenza vaccines, pneumovax vaccines, vitamin B-12, tetanus vaccines, and hepatitis B
treatments. The Physician will ensure that all prescriptions are appropriate to treat the affecting condition in
accordance with all VA regulations. The Physician will perform women’s health services, including, but not
limited to: annual PAP and pelvic exams per VA clinical standards, annual clinical breast exams and
mammogram referrals if appropriate, family planning services, management of conditions related to
menopause, osteoporosis screening, and other services as they pertain to care of the female patient.
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The Physician will provide clinical services that meet the needs required by the management of complex
cases in order to ensure both high quality care and continuity of service.
The Physician will complete timely documentation of all incidents of patient encounter, including patient
history, diagnosis, treatment, and any consultation or referrals indicated.
All care will be provided in accordance with all applicable care standards established by the American
Medical Association and the American College of Internal Medicine, as applicable.
Locum Physician - The duties of the Locum Physician are identical to the Physician and are performed by
the Locum Physician at the clinic when the full-time Physician is unavailable to work. One active Primary
Care Locum will be experienced at all times under the Contract in provision of VA CBOC services at
alternate VA CBOC locations on behalf of Xxxxxx Xxxxx and will maintain VETPRO currency by
performance of services within the VA system of care somewhere within Xxxxxx Xxxxx’s national CBOC
system every 30.
Nurse Practitioner - The Nurse Practitioner will provide medical care in order to provide professional
medical treatment as applicable on behalf of veteran beneficiaries. Clinical specialty areas impacting the
patient population include: cardiovascular disease/hypertension, oncology, obesity/geriatric medicine,
diabetes, infectious disease, and gerontology/neuropsychiatric disease as well as common medical
conditions such as URI, lower back pain, skin lesion, flu syndrome, strep throat, migraine headaches, and
the like.
The Nurse Practitioner will be responsible for a regularly appointed clinic that in compatible with the
workload and, further, able to provide immediate evaluation and management of emergent problems as they
arise. The Nurse Practitioner will have the capability to collect and record, in proper format, medical and
social historical data appropriate to the patient’s condition. The Nurse Practitioner will also have the
capability to perform general physical examinations, record their findings in the proper format and
determine medical qualifications for a variety of purposes.
It is the responsibility of the Nurse Practitioner/Physician Assistant to provide a full range of services on an
outpatient basis including supervising and providing general screening and medical care and examinations of
patients for routine, acute, and chronic conditions involving any and all organ systems; as well as providing
diagnosis, treatment, and patient counseling as indicated. The Nurse Practitioner will promote preventative
and health-maintenance care, including annual physicals, positive health behaviors, and self-care skills
through education and counseling. She/he will coordinate patient care through a continuum and facilitate the
achievement of optimal outcomes in relation to care for VA beneficiaries.
The Nurse Practitioner will collaborate with a Physician in the healthcare of patients with chronic illnesses.
In other appropriate situations, it is the responsibility of the Nurse Practitioner/Physician Assistant to request
patient consultation or referrals with a Physician, clinic, or other health resource as indicated.
The Nurse Practitioner will prescribe and dispense medications authorized under Mississippi State law. The
Nurse Practitioner/Physician Assistant will order diagnostic tests as applicable.
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The Nurse Practitioner will be responsible for ensuring that VA guidelines are met in regards to preventative
care, clinical practice guidelines, adverse event reporting and any other issues that logically pertain to the
provision of quality outpatient care.
The Nurse Practitioner will also be required to clearly communicate to other health personnel orally or in
writing, the finding, diagnosis and planned treatment in accordance with VA and VHA guidelines. All
patient records will be kept in CPRS in accordance with all applicable VA policies. All patient care activities
will be documented in the electronic record.
The Nurse Practitioner: (1) Must be a graduate of an accredited Nurse Practitioner and be certified by the
American Nursing Association in either Adult Health or Family Practice. (2) Must hold an active, current,
full and unrestricted state license and operate only within scope of that license and acceptable community
standards of practice.
Licensed Clinical Social Worker - The Social Worker staff will provide, evaluate, assess, diagnose, treat,
and follow-up by utilizing the therapeutic modalities of individual, marital, family, and group therapy to
address family and marital problems and adjustment difficulties. Social Worker will coordinate
comprehensive treatment needs as a member of a multi-disciplinary team.
The Social Worker staff shall counsel individuals/families as referred, to explore basic personality structures
and behavior patterns in relationships, the mechanisms and symptoms of the specific adjustment problem
and its underlying causes and consequences to the individual/family. In the course of individual/family
counseling, Social Worker shall discuss behavioral responsibility, motivation and attitudes in achieving
redirected behavior.
Social Worker staff shall provide crisis intervention and therapy to referred clients, maintain a therapeutic
relationship with the patient/family during treatment and rehabilitation, and collaborate with civilian
agencies in case follow-up and closure.
Conduct psychosocial evaluations and provide therapeutic interventions including medical management.
Social Worker staff will display tact and courtesy to all persons, either in person or on the telephone,
regardless of circumstances.
The licensed social worker: (1) Must have a Masters or Doctorate of Social Work from a graduate school of
Social Work accredited by the Council on Social Work Education (CSWE). (2) Must be capable of
practicing independently with a current, active, full and unrestricted New Mexico License as a Licensed
Clinical Social Worker (LCSW) for a reimbursable practice.
Clinic Manager - The person in this position is responsible for providing a comprehensive range of
management duties. This person is responsible for supervising the entire staff of the clinic. It is the policy of
Xxxxxx Xxxxx that supervision is done with fairness and no discrimination of any kind. Any problems that
occur with staff should be brought to the immediate attention of the Program director. This person is
responsible, in clinics where we are charged with the enrollment process, when necessary, to assist entering
10-10’s into the CPRS to ensure that new patients are appointed in a timely manner.
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It is the clinic coordinator’s responsibility to schedule staff to cover during lunch hours as well as scheduled
time off and sick time. Coverage for providers will be provided by the corporate office. Staff, including
providers, must complete a request for scheduled time off. Provider requests should be forwarded to the
National Program Director.
The Clinic Coordinator will keep personnel files on his/her staff. These will include all demographic
information on the employee along with a copy of the employee’s signed position description, copies of
pertinent licenses, requests for leave, absence reports, and any actions of discipline.
She/he will also, in OSHA compliance, keep a medical file on each employee. These will include, copy of
OSHA required medical record, immunization record, and hepatitis B vaccine or declination of.
It is of extreme importance that the Clinic Coordinator take very seriously OSHA> ALL compliance
measures must be met in your clinic.
This person is responsible for insuring that all quality measures are met in the clinic. She/he will provide, at
the end of each month, all necessary materials for the QA process to the Program Office.
She/he will also conduct, upon return of the providers QA, meetings with the provider and lead Nurse to
discuss the results of the QA and ways in which quality measures may be better met.
She will also aid the VA Medical Center in any QA they require.
Staff meetings are to be conducted on a regular basis by the Clinic Coordinator. These should occur at least
once a month, more if there are concerns to discuss. The Clinic Coordinator may invite the National
Program director for a teleconference staffing if she would like assistance.
This person is responsible for all reporting that the National Program Director requires. These include, but
are not limited to, daily stats, weekly payroll, and monthly QA.
The Clinic Coordinator is responsible to document all incidents of employee discipline.
This person will complete timely documentation for all activities as required by clinic procedure and
supervisory instructions.
Prompt response to communications and messages is considered imperative, including the routing of any
necessary information to persons who need to be aware of it.
Discussions with the medical center with regard to Sterling policy or concerns with the clinic should be
discussed promptly with the National Program Director.
In the event concerns arise on the Clinic Coordinator’s part regarding our collaboration with the medical
center, they too should be promptly brought to the Program Director’s Attention.
It is essential that this person develop relationships with other team members and supervisors that facilitate
two-way communication and discussion of working relationships.
23

It will also be demonstrated that she conveys a willingness to extend self to meet the needs of the team. She
can accept constructive criticism, consider it, and act upon it.
Licensed Practical Nurse - The person in this position is responsible for providing a comprehensive range
of nursing services within the scope of practice for a LPN. This person will also be responsible to keep exam
rooms stocked. This person will maintain appropriate CEU’s as required by the State of New Mexico Board
of Nursing, and will maintain current CPR.
In assisting the provider this person will prepare patients to be seen, i.e. vitals, review of medications, reason
for visit, and follow all diagnostic protocol.
This person will also perform other procedures such as; EKG’s, ear irrigation’s, injections, dressings, throat
cultures, Accu checks, breathing treatments, and patient teaching.
supervisory instructions. This LPN is also responsible or other timely written reports as indicated by the
needs of the patient and/or clinic procedures.
The LPN will also assist in filing and answering the phones as needed.
Employee will ensure all mandated trainings be completed in appropriate time frames. It is essential that this
person develop relationships with other team members and supervisor that facilitates two-way
communication and discussion of working relationships.
Phlebotomist - The person in this position is responsible for providing a comprehensive range of
phlebotomy services. This person is responsible for venipuncture as requested by the providers. This person
will assure that all specimens are marked accurately and prepared for transfer to the lab. They will also need
to do the encounter forms for all labs drawn and schedule all lab appointments. Any on line information
required by the hospital will also be the responsibility of this individual. They will order any supplies needed
by completing a PO and forwarding it to the Program Office.
supervisory instructions. This Technician is also responsible for other timely written reports as indicated by
the needs of the patient and/or clinic procedures.
This position may require repetitive bending.
This Technician will also assist in filing and answering the phone as needed.
It is essential that this person develop relationships with other team members and supervisor that facilitates
two-way communication and discussion of working relationships.
24

Medical Clerk - The person in this position is responsible for providing a comprehensive range of
enrollment and data entry duties.
All 10-10's completed and turned into clinic will be entered within 24 hours. 10-10's that are received as a
result of a marketing promotion will be entered within one week of receipt.
The person in this position will at times have to travel to areas where there is a health fair or convention to
discuss the enrollment process and the benefits that the VA has to offer.
This person will schedule all appointments for enrollments in VistA, following the designated template.
Each individual will be contacted by phone once the 10-10 has been entered to be offered an appointment. If
the patient is not reachable by phone a letter will be sent advising the patient that they have been enrolled in
the clinic and asking them to contact the clinic to schedule an appointment. Any individual not eligible for
benefits will receive a letter informing them of the decision and all original paperwork will be kept on file at
the clinic.
This person will send all eligible veterans a letter of acceptance.
This person is responsible to answer all calls coming into clinic in regards to enrollment and benefits. This
person is also responsible to help all individuals who require additional help filling out enrollments forms or
means tests either in person or on the telephone.
The person in this position is responsible to report all new patients, add backs, and deaths on designated
spreadsheet. At the end of every month this person is responsible to fax all enrollment logs to the corporate
office in Cincinnati.
The person in this position is responsible to clarify any eligibility in computer that is showing "IN
PROCESS". Which includes but not limited to if the person needs a means test, or proof of Active Duty.
Once clarification has been made then this person is responsible to send clarification to Health Eligibility
Center in Albuquerque, New Mexico or as directed by the parent VA Hospital.
This person is responsible for taking the pictures and processing the Veteran Identification Cards for the
veteran.
A.5 METHODS AND MECHANISMS XXXXXX XXXXX WILL USE TO PROVIDE,
QUALIFY, AND RETAIN QUALIFIED STAFF FOR THE REQUIRED POSITIONS
Xxxxxx Xxxxx’s mechanism used to provide qualified physicians, physician assistants, nurse practitioners,
and primary care provider staff to perform the Contract work is divided into three (3) primary sections:
1. Our plan for recruitment
2. Our plan for credentialing
3. Our plan for long-term retention of employees
Accordingly, these mechanisms are delineated further below.
25

A.5.A XXXXXX XXXXX’S PLAN FOR RECRUITMENT
Based upon 30 years of experience in staffing medical programs, Xxxxxx Xxxxx has developed and
continuously refined a time-tested process to recruit and credential highly qualified staff, retain the staff
and provide training for staff.
Xxxxxx Xxxxx possesses the documented recruiting capability for ongoing staff recruitment, in order to assure
effective fulfillment of any replacement provider or staff needs or new provider or staff expansion.
Throughout its recruiting efforts, Xxxxxx Xxxxx will draw upon its 30 years of experience in healthcare provider
and staff recruiting in support of VA and military staff requirements. Since it commenced service under its
first federal contract for provision of health care, Xxxxxx Xxxxx has recruited the full range of healthcare
provider and staff specialties for service at Government-sponsored medical centers, hospitals and clinics.
For the proposed Contract, recruitment of new providers will be centralized at Xxxxxx Xxxxx’s corporate
office where 21 full-time healthcare recruiters, with extensive experience in recruiting the full range of
healthcare specialties on behalf of government healthcare facilities, are based.
Additionally, a specifically assigned Lead Recruiter will oversee recruitment efforts for this project, based
at the corporate office, will provide service. The Lead Recruiter possesses extensive experience in recruiting
healthcare and counseling professionals, including providers providing service on behalf of VA
beneficiaries. In performance of duties, the Lead Recruiter will be assisted by at least two (2) full-time Staff
Recruiters. These Staff Recruiters will also possess extensive experience recruiting healthcare professionals on
behalf of the VA and military professionals.
The Lead Recruiter and Staff Recruiters have and will continue to utilize Xxxxxx Xxxxx's established and
proven methods for recruitment of providers, including the following:
• Large scale direct mail campaigns to qualified licensed providers
• Targeted nationwide telemarketing
• Classified ad campaigns in regional news media
• Extensive professional journal advertisements
• Extensive Internet searches for qualified candidates
• Utilization of E-mail blasts
• Utilization of Xxxxxx Xxxxx's existing internal database of qualified professional counselor
candidates
These methods are described in greater detail below:
Direct Mail Campaigns – Xxxxxx Xxxxx regularly utilizes direct mail campaigns as a recruitment method.
Direct mail flyers, properly targeted and sent on a large-scale basis, are an extremely effective means of
recruiting for professional positions. Direct mail campaigns are a very powerful tool in the recruiting
organization’s toolbox, and are particularly effective for recruiting over a wide area for a number of
professional positions. Xxxxxx Xxxxx presently sends out over 1.5 million direct mail pieces a year, both on
a computerized and manual, handwritten basis. Xxxxxx Xxxxx sends out a variety of correspondence via
traditional mail, including personalized letters and glossy, high resolution postcards.
26

Nationwide Telemarketing Campaigns – Telemarketing or cold calling potential candidates is a very
resource-intensive, proactive, and productive form of recruiting and is essential to any highly successful
recruitment effort. For targeted recruiting of a particular geographic area, telemarketing by several
experienced recruiters is extremely effective in identifying candidates who would not be reached through
less proactive methods. For telemarketing purposes, Xxxxxx Xxxxx utilizes customized lists, obtained from
a number of different proprietary sources, to conduct its telemarketing campaigns.
As a key component of its telemarketing campaign, Xxxxxx Xxxxx employs a sophisticated, software-based
autodialer program that enables highly targeted recruitment of qualified professionals. Each corporate
recruiter has a PC-based autodialer program which automatically loads candidate phone numbers into an
onscreen dialog box. Recruiters can view the name of each candidate, the location of each candidate, and
each candidate’s phone number. Additionally, a notes column enables recruiters to add annotations and
comments. After calling individual candidates via the autodialer, recruiters are instructed to either annotate
the events of each conversation or mark the candidate as unavailable/uninterested. Subsequently,
uninterested candidates are removed from the autodialer database.
Throughout and at the end of each day, recruiters can print out a summary report of their telephonic
recruitment efforts. Notably, this report features all details related to contacted candidates, including any
pertinent notes resulting from discussions between recruiter and candidate (e.g. a recruiter might note a
particular candidate’s desired start date or a candidate’s desire to relocate to certain area). This report can be
used by senior management to note recruitment productivity and recruitment trends and, subsequently, more
efficiently tailor extant telephonic recruitment efforts to individual requirements. Since implementing the
above described autodialer system, Xxxxxx Xxxxx has noted recruitment efficiency increases of
approximately 50%.
Classified Advertisement Campaigns in Regional News Media – Classified advertisements in general
publications, particularly Sunday newspapers, can be an effective method of recruiting qualified candidates.
Such advertisements have short lead times, as short as 48 hours for ads placed on Friday, and may reach
significant numbers of candidates. Xxxxxx Xxxxx regularly places classified advertisements in local and
regional news media sources throughout the United States and abroad.
Classified Advertisements in Professional Journals – In addition to classified newspaper advertisements,
Xxxxxx Xxxxx regularly places classified advertisements in a wide variety of national professional
publications. Classified advertisements in professional journals are a very effective way of recruiting
qualified, specialized professionals. By utilizing professional journals, Xxxxxx Xxxxx specifically targets
specialized professionals that may be otherwise difficult reach using more traditional methods of
advertising.
Examples of Professional Journals in which Xxxxxx Xxxxx places classified advertisements include – but
are not limited to – journals published by the following organizations:
• The American Case Management Association
• The Case Management Society of North America
• The American Society of Radiologic Technologists
• The American Optometric Association
• The American Nurses Association
27

• The American Academy of Physician Assistants
• The Physician Assistant Foundation
• The American Occupational Therapy Association
• The American Physical Therapy Association
• The American Psychiatric Association
• The American Journal of Speech Language Pathology
• The American Psychological Association
• The American Association of Neurological Surgeons
• The American Academy of Neurology
• The American Neurological Association
• The American Academy of Family Physician
• The International Association of Physicians
• The American College of Physicians
• The American Medical Group Association
• The American Medical Association
An example of a professional publication which we will utilize in support of the current requirement is The
Journal of the American Medical Association (“JAMA”). Notably, JAMA has the largest circulation of any
medical journal in the world and is received each week by physicians in virtually every practice and setting.
In fact, JAMA generates advertising exposure among more medical specialties than any other single title.
Extensive Internet Searches for Qualified Candidates – Xxxxxx Xxxxx regularly uses the internet, in a
variety of capacities, to develop an ongoing pool of potential candidates. Due to the fact that Internet
advertisements possess short lead times, internet advertisements can be used, like the general classified ads,
for immediate openings. For this Solicitation, Xxxxxx Xxxxx has utilized and will continue to utilize search
keys and posting capabilities for the following websites:
SITE NAME URL
Absolutely Healthcare Job Bank www.healthjobsusa.com
HealthECareers www.healthecareers.com
ADVANCE for Nurse Practitioners www.nurse-practitioners.advanceweb.com
American Academy of Family Physicians www.aafp.org
PSYRIS: Psychology Resource Information Network http://psyris.com
PA World http://www.paworld.net
NP World http://www.npworld.net
The American Nurses Association http://www.nursingworld.org
Hospital Jobs Online http://www.hospitaljobsonline.com
Monster.com www.monster.com
CareerBuilder.com www.careerbuilder.com
Xxxxxx Xxxxx employs the above sites to contact and recruit qualified personnel. Additionally, if the
successful offeror under a particular procurement effort, Xxxxxx Xxxxx continues to utilize Internet
employment sources throughout the life of this contract to ensure continuity of service. Internet advertising
is an effective method of recruitment, because candidates who respond to advertisements posted on the
28

Marc Sadowsky - Taos, NM Technical Draft - Writing Sample

Marc Sadowsky - Taos, NM Technical Draft - Writing Sample

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