RADIOLOGY/ULTRASOUND TECHNOLOGIST
Added: Aug 11, 2016 7:39 pm This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Part 13, Simplified Acquisition Procedures; FAR Part 12, Acquisition of Commercial Items (41 U.S.C. 1906 and 1907)); and FAR 37.101, Non Personal Service Contract. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price commercial item contract in response to Request for Quotation (RFQ)-10-16-059-REL. The solicitation is issued on an unrestricted basis. The solicitation documents and incorporated provisions and clauses are those in effect tough Federal Acquisition Circular 2005-89. The associated North American Industry Classification System code is 561320 and the small business size standard is $27.5 million.PRICE SCHEDULE: RADIOLOGY/ULTRASOUND TECHNOLOGIST: 2080 hours @ $_______________ per hour = $____________________.PERIOD OF PERFORMANCE: October 1, 2016, tough September 30, 2017.WORK SCHEDULE:9-hour shifts: 7:00 a.m. to 5:00 p.m.Monday - Friday with one day off in the pay period or as needed by the supervisor.LOCATION OF THE SERVICES: The Radiology/Ultrasound Technology Services are located at the Northern Cheyenne Service Unit, PHS Indian Health Center, 420 North Cheyenne Avenue, Lame Deer, Montana. The Northern Cheyenne Service Unit is a small ambulatory outpatient clinic with 24/7 emergency room services. The Service Unit is not an inpatient facility and patients needing inpatient services will be transferred to the nearest Indian Health Service facility 40 miles away or to Billings, Montana which is 100 miles away. This contract is to cover services in the Outpatient Clinic.STATEMENT OF WORK: Major Duties: The technologist performs radiological and ultrasound examination per request by medical staff for use in clinical diagnosis, patient screening, monitoring patient therapy and status and other authorized purposes. The accomplishments of such examinations include, but are not limited to, the following. A. Independently performs various radiographic and ultrasound procedures with necessary medical assistance. Assures that sterile supplies, local anesthetics, contrast materials, catheters, and other required supplies and equipment are prepared and made available for the exams. Schedules patients, taking into consideration the complexity of reservation travel, special requirements of patients, and type of exam requested to allow for efficient use of limited time. Independently performs a variety of routine diagnostic radiographic examinations in addition to those requiring deviation from standard guidelines for positioning and for setting technical factors due to a patient's condition or other unusual circumstances (unconscious patient, paraplegic patient, seriously injured or otherwise physically and mentally unable to cooperate). Routine exams performed are skull, facial, mastoids, sinuses, spine, pelvis, abdomen, chest and extremities. Reviews and evaluates the quality of films taken. Must be able to recognize and correct errors in the quality of the film with very little or no supervision in his or her routine work and to discuss problems with the Radiologist. Advises clinical director, medical officers, administrative staff, Area program office and Area consulting radiologist of changes in radiology operations tough meeting, reports or other required communications. Assures that radiology equipment is properly maintained and repaired, that all related areas are kept in a clean, neat and orderly condition. Monitors work areas to ensure that a safe environment is maintained. Makes changes in the physical layout or changes procedures and techniques in order to eliminate safety hazards or minimize risk of injury to personnel. Compiles radiology data and prepares current records and report on such matters as workload, quality and quantity of output and problems in meeting schedules for use by management, quality assurance, JCAHO, program reviews, budgetary and other purposes. Ensures compliance with policies, procedures and requirements governing accumulation, indexing, filing, storage and discarding records, reports and other materials. B. Performs a wide range of ultrasound procedures of a highly technical nature requiring independent judgment, ingenuity and initiative in the application of non-ionizing, high frequency ultrasonic waves to produce exams of diagnostic quality. The accomplishments of these procedures include, but are not limited to, the following. Performs ultrasound studies for diagnosis and for sonographic guidance to assists clinician during invasive procedures (i.e., amniocentesis). Instructs patients on required exam preparations; explains procedures to patients in sufficiently understood layman's terms. Correlates clinical history, pertinent clinical data, lab tests and other ancillary diagnostic exams to obtain an ultrasound exam of optimal value. Recognizes and interprets a diagnostic scan. Develops, collates and presents exam to radiologist for final interpretation. C. The technologist is responsible for proper maintenance and performance of all equipment at all times. The accomplishment of this responsibility includes, but is not limited to, the following. Performs and documents Quality Assurance activities. Cleans, oils, makes minor repairs and adjustments to x-ray equipment, accessories and automatic film processing machine.KNOWLEDGE REQUIRED BY THE POSITION: Knowledge of routine, moderately complex and a limited number of complex diagnostic radiological examinations and procedures performed in the x-ray department. Knowledge of routine, moderately complex, and a limited number of complex diagnostic ultrasound examinations and procedures performed in the ultrasound department. Thorough knowledge of radiation protection standards, devices and techniques including concepts of accumulated dosage and genetic changes, effects of radiation on living organisms, and the effects of x-ray techniques on patients and operator exposure in order to assure that adequate safeguards are maintained. Recognize when changes of equipment or procedures might result in increased exposure and to adopt methods to prevent such exposure. Knowledge of radiographic exposure techniques including how to use formulas for determining technical factors; how to control density, contrast and distortion, and how to use intensity screens, buckys, collimator, filter grids, and other accessories to produce radiographs of high diagnostic quality with a minimum of retakes. Knowledge of basic physics including the concept of energy electric power and types of electric circuits, the construction function and operating limitations of various types of x-ray tubes, and the properties of x-rays in order to understand the operation of x-ray equipment, monitor the equipment for proper operation, modify standard procedures to accommodate new equipment or examinations, and determine when maintenance or repair of equipment is needed. Knowledge and skill required to properly position patients for a number of radiographic examinations. Knowledge of first aid practices including emergency cardiac arrest procedures in order to assist patients until a medical or nursing team can arrive. Knowledge of age specific states that require special approaches, such as those required when providing diagnostic care for infants, pediatric, adolescent, adult and geriatric populations. Knowledge of human anatomy and pathology in cross-section in all body planes in order to recognize all structures visualized on various monitors at all times; to recognize and differentiate normal from abnormal structures; to locate origin and the extent of abnormalities, assess integrity of surrounding structures and accurately measure its size. With this knowledge, the technologist is also able to provide sonographic guidance to the clinician during the performance of invasive procedures such as needle aspirations. Knowledge of human embryology as it applies to obstetrical exams which are performed at all stages of fetal development to confirm pregnancy and to assess normal/expected growth of the fetus correlated with conological data. Fetal cranial, abdominal and skeletal structures must be identified as viewed in different planes in order that specific required measurements can be obtained. Knowledge of Service Unit and Hospital policies, procedures and practices related to both routine and emergency functions of various hospital services. Knowledge to properly prepare the x-ray environment to comply with JCAHO and other governing body standards. Knowledge of computers and software as they relate to the proper processing of radiology patients and the dispensing of Radiology reports in a timely and accurate manner to the physician and medical records.EVALUATION AND OVERSIGHT: Works under the administrative direction of the Clinical Director, who advises on matters such as clinical operations of the inpatient and emergency room departments and patient relationships. The technologist plans and schedules the day-to-day work of the Radiology Department. When working as a team member on difficult emergency procedures, employee receives direction from the medical officer who indicates which actions should be performed. The technologist is responsible for the technical procedures to accomplish these directions.GUIDELINES: Guidelines include hospital regulations, departmental policies and procedures, technical references, professional journals and textbooks. Individual uses initiative, resourcefulness and judgment in deviation from established precedent as new developments are constantly being published. The technologist must use judgment to deviate from standard procedures and tables to compensate for patient's injuries, illness, or physical disabilities in accordance with established precedent and methods of calculation. The technologist maintains up-to-date knowledge of new developments in the field and exercises judgment to evaluate their usefulness and recommend adoption by the department.COMPLEXITY: Independently performs a variety of diagnostic ultrasound scans from routine, uncomplicated, ambulatory patients, to those who are markedly obese, critically ill or with potentially life teatening conditions or with other physical or mental disabilities limiting patients' ability to cooperate with the exam. The work also involves performance of a variety of routine radiographic examinations and performance of a number of more complex examinations under the direction of the radiologist. The examinations require coordination of the positioning of patients and the operation of x-ray equipment. The technologist occasionally must use basic formulae to set up standards operating procedures or to accommodate patients who are substantially more robust or frail than normal. The technologist occasionally devises non-standard positioning and equipment set up to accommodate patients who are suffering from illnesses, deformities or injuries.SCOPE AND EFFECT: The purpose of the work is to operate the Radiology Department of the hospital in its goal to provide high quality x-ray, and ultrasound studies for doctors to use in diagnosis and treatment of patients. The completed imaging studies affect the accuracy and reliability of physicians' diagnosis and treatment.PERSONAL CONTACTS: Personal contacts are with patients, doctors, and with fellow employees.PURPOSE OF CONTACTS: These contacts are for the purpose of making imaging studies. Contacts with doctors are to resolve problems concerning scheduling of patients and requested procedures. Those with fellow workers are to resolve problems concerning maintenance of equipment and space or ordering supplies. Contacts with patients are to explain the procedures to be accomplished, often to patients who are unfamiliar with x-ray examinations and to direct patients how to move to achieve correct positioning. Some patients are ill, injured, or nervous which requires the technologist to provide reassurance and comfort. Personal contact with patients is for providing instructions for exam preparation and for familiarizing the patient for the nature of the exam to be done. Contact with clinicians is to obtain additional clinical information that will assist in performing that procedure that will have the optimal diagnostic outcome; the technologist may also discuss preliminary findings. Contact with other health care personnel including clinicians and registered technologists from other reservation hospitals occurs during training sessions provided. Constant communication (contact) with other hospital employees; i.e. nurses, housekeepers, et cetera, to facilitate operating a busy diagnostic section. Occasionally interviewed to keep up-to-date on latest advances.PHYSICAL DEMANDS: Work requires long periods of standing. There is some bending and lifting. Considerable physical effort involved in positioning patients who are unable to assists or cooperate. Heavy lifting of totally incapacitated patients is done only with the help of other employees.WORK ENVIRONMENT: The work area is appropriately lighted and temperature controlled to keep the units from overheating; telephones are provided. Potential exposure to respiratory and other communicable disease and to contamination by patients' body fluids.GOVERNMENT FURNISHED PROPERTY: The IHS shall provide all necessary equipment and supplies. The Northern Cheyenne Service Unit will be responsible for getting the Contractor access and clearance to all computer services necessary to carry out his/her duties.COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors," and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. Access/clearance to all pertinent computer systems, including completing the Security Checklist, Rules of Behavior form, Security training; and if necessary, a Business Associate Agreement and Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Service Unit.CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer.CONTRACTING OFFICER'S REPRESENTATIVE (COR): The Contracting Officer's Representative (COR) shall be responsible for: (1) Monitoring the Contractor's technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoices to the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107, with a courtesy copy to the Contracting Officer's Representative (COR). The Contractor agrees to include the following information on each invoice: (1) Contractor's name and address; (2) Contact name, title, and telephone number; (3) Contract Number; (4) Invoice number and date; (5) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed; (6) Remit to Address; (7) Taxpayer Identification Number (Employer Identification Number or Social Security Number); and (8) Data Universal Numbering System (DUNS) number (to ensure payment is made to the correct bank account) and vendor mailing address, as provided in the System for Award Management (SAM), formerly known as the Central Contractor Registration (CCR) database. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107.PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children's services are provided.CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Northern Cheyenne Service Unit. Fingerprints must also be taken as part of the pre-employment process and must be completed before the technologist is allowed to work.SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. All IHS regulations and policies applicable to these Acts shall be enforced. The Contractor shall comply with IHS facility infection control and safety procedures, practices, and standards.PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION - COMMERCIAL ITEMS (OCT 2014): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: FACTOR 1: UNRESTRICTED STATE LICENSE = 35 POINTS. Subfactor 1.1 Potential contractors must submit a copy of State license with the price quote; FACTOR 2: RESUME = 35 POINTS. Subfactor 2.1 Potential contractors must submit a copy of resume with the price quote. Resumes must include information relating to: (a) Professional Education; (b) Specialized training; (c) Certificates; and (d) Previous jobs; and FACTOR 3: PAST PERFORMANCE = 30 POINTS. Subfactor 3.1: The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least tee contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable. Technical and past performance, when combined, are considered approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-7, 52.204-9, 52.204-13, 52.204-16, 52.204-17, 52.204-18, 52.204-19, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-2, 52.223-5, 52.223-6, 52.223-10, 52.223-17, 52.224-1, 52.224-2, 52.225-25, 52.227-14, 52.227-17, 52.228-5, 52.232-18, 52.232-39, 52.237-2, 52.237-3, 52.242-15, 52.242-17, 52.244-6, 52.245-1, 52.245-9, 352.203-70, 352.215-70, 352.222-70, 352.223-70, 352.224-70, 352.224-71, 352.226-3, 352.227-70, 352.237-70, 352.237-71, 352.237-72, 352.237-73, 352.237-74, 352.239-73 and 352.239-74. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.204-10, 52.209-6, 52.209-10, 52.219-8, 52.219-28, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-50, 52.222-54, 52.223-18, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at https://www.acquisition.gov/ and http://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-352-solicitation-provisions-contract-clauses/index.html.PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer, if the electronic Representations and Certifications section of the System for Award Management (SAM) is not completed. Contractors intending to conduct business with the Federal Government must register with the System for Award Management (SAM). SAM replaces the Department of Defense's Central Contractor Registration (CCR) database. SAM is now the primary Government repository, which retains information on Government contractors. You may register via the Internet at www.sam.gov. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 6:00 p.m. on August 25, 2016. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your name and address. Offers will also be accepted by e-mail at Rita.Langager@ihs.gov or by fax at (406) 247-7108.ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.
RFQ-10-16-059-REL Department of Health and Human Services Indian Health Service
8/11/16, 7:39 PM