Dental SOW onsite - Final.docx

Statement of Work On-Site Dental Services

Project

Dental Services for _______ Job Corps Civilian Conservation Center (JCCC)

General Information

1.0 Scope of Work

The Contractor Dentist, Dental Hygienist and Dental Assistant shall provide dental care services for all students on Center, in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, state and local laws, and guidelines of the American Dental Association. Dental services are required on a weekly basis to assist students in attaining and maintaining optimal oral health. The oral health care services must comply with Job Corps policies, requirements, and guidelines and must also include analysis and use of the most efficient and cost-effective practice of contemporary, evidence-based health care possible given available time, resources, and personnel.

These services will involve coordinating and integrating the Dental Care services program with other health and wellness components/activities at Center and providing oral health care services to enrollees and established students of the Center.

The Contractor shall furnish all labor, services, permits, licenses, as needed to fulfill the work requirements herein, for the hours required based on the Center’s On Board Strength (OBS). In addition, the Contractor shall insure that all Contractor personnel and their agents are covered by professional liability (malpractice) insurance and general liability insurance during the entire performance period and agrees to indemnify and hold harmless the Job Corps Center from any actions taken by, for, or against the Contractor or their agents that could result in additional expenses, fees, or lawsuits.

2.0 Background

Job Corps is a U.S. Department of Labor (DOL), Employment and Training Administration (ETA) program. Job Corps is designed to assist young people who need and can benefit from the wide-range of services provided at a Job Corps center. Services include the following: basic education, High School Diploma (HSD) program; General Educational Development (GED); vocational skills training; residential living program; healthcare; and related support services. The comprehensive combination of training and support services is designed to help each student become a responsible and productive citizen. Student populations range from 100 to over 300 students depending on the Center’s On-Board Strength (OBS). Job Corps is a self-paced program: therefore, a student’s length of enrollment varies. Students may remain in the program for up to two years, but the average length of enrollment is approximately eight months.

3.0. Technical Requirements / Tasks

3.1. General Tasks

Provision of dental services requires, but is not limited to:

3.1.1. The ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, typically ranging from 16 to 24 years age.

3.1.2. Provision of all procedures authorized by the State Board of Dentistry, with a general emphasis on early detection, diagnosis of oral health problems, basic oral health care, dental hygiene, and prevention/education (e.g. oral hygiene instructions, risk assessments, relationship with employability, oral health and wellness)

3.1.3. An elective oral examination, including bitewing x-rays, priority classification, and treatment plan, shall be completed and recorded on the Job Corps approved oral examination form,

3.1.4. Upon student request and with consent perform dental procedures to treat basic oral disease and correct oral health conditions that may represent employability barriers, to include: basic restorations, simple extraction of pathological teeth, root canal therapy on anterior/other strategic teeth, replacement of missing upper anterior teeth with a removable prosthesis, and dental hygiene treatment for periodontal disease, provide appropriate prescriptions to treat student conditions as needed.

3.1.5. Comply with Job Corps infection control policies and procedures

3.1.6. Provide written diagnosis and treatment plan for each student within two weeks after completion of the initial dental appointment and obtain consent for voluntary care before proceeding with such treatment

3.1.7. Provide student services in such a manner to obtain positive student satisfaction survey results as determined by Job Corps.

3.2. Additional Tasks:

3.2.1. Ensure patient privacy for all assessments, exams, and procedures; maintain, safeguard, and ensure the confidentiality of all required student health records when they are in the health clinic or in the possession of health and wellness team members, according to the Health Insurance Portability and Accountability Act (HIPAA);

3.2.2. Not to engage in any research projects and/or publications relating to Job Corps health activities without prior written approval from the Job Corps National Office in Golden, CO;

3.2.3. Advise and assist the health education instructor in the development and implementation of the Dental Health Education Program; Provide the center with documentation of dental education, in the student health record or dental record

3.2.4. Ensure dental equipment is properly cleaned and schedule for maintenance;

3.2.5. Report adverse student behavior incidents to the Health & Wellness Manager (HWM) or Contracting Officer’s Representative (COR); and

3.2.6. Understand that dental services shall be subject to monitoring and review by Job Corps assessment teams, and cooperation with such teams is required. Participate in DOL and Forest Service assessments, completing requested questionnaires, conferences and monthly teleconferences.

3.2.7. Are responsible for maintaining their own malpractice/professional liability insurance and general liability insurance for each individual and/or company, with each contractor working on students listed as a covered entity.

4.0. Government Furnished

Adequate workspace, equipment, supplies, and materials as needed to accomplish the work requirements outlined herein, including examination rooms and furniture, assessment equipment, telephone, computer, a fax machine, prophylaxis supplies, gloves, masks, and similar items. Prescription and over-the-counter medications will be disbursed at the Center. These supplies and property shall be utilized during the performance of this contract only while providing student care.

Contractor shall report to:

_______ Job Corps Center

Address:

5.0. Deliverables / Schedule

5.1. Deliverables

Key Deliverables

** Each center will develop their own form in coordination with the provider.

· Documentation of all examinations, tests, treatments, medications, referrals, etc. on approved Job Corps Health and Wellness Program forms, supplied by the center, to be maintained in Students’ Health Records (SHR);

· Review of and authorization of standing orders for healthcare annually, in accordance with Technical Assistance Guide M: Health Care Guidelines; and

· Reports to the Center Director (CD) and HWM on all health- related matters including student medical separations, justifications for and costs of special services, Health and Non-Health Care Guidelines, equipment repair and replacement needs, depletion of medical supplies and medications, and other areas deemed appropriate.

· The federal Government reserves the right to have the Job Corps Regional Health Coordinator and other authorized/qualified personnel conduct audits of Contractor services and student medical records to verify that quality services are being performed. A copy of any audit report shall be provided to the Contractor and Contracting Officer (CO) within two weeks of the audit. Within two weeks after receipt of the audit report, the Contractor shall submit a performance plan for improving services to the Contracting Officer (CO) for approval. The Contractor shall implement the approved performance plan immediately.

5.2. Schedule and Availability:

5.2.1. Dental services are required on a weekly basis, during days of the week and hours of the day established in coordination with Center personnel. The days and times of services shall be upon mutual agreement between the Contractor and center personnel and must be considered reasonable. A reasonable schedule would be considered providing services once a week, M-F, 8am – 5pm; however, evenings and weekends can be considered reasonable if mutually agreed upon by Contractor and center personnel. The contract employee will receive two (2) 15-minute breaks and a non-paid lunch break of 30 minutes during an eight-hour day.

5.2.2. Center OBS and the PRH may change at any time; consequently, the quantity of required Dental services hours may vary, depending on the needs of the student population. However, any changes to the required hours will be executed via a bilateral modification to the contract

5.2.3. Key Personnel must provide a current contact number to the Center’s Health and Wellness Director (HWD) or COR. When Key Personnel are unavailable for an extended time, as determined by the Contracting Officer, the Contractor will provide an acceptable substitute to provide services with prior approval from the Contracting Officer.

5.2.4. Contractor will contact the CD or designee 24 hours in advanced for cancellation of services. For planned absences, the Contractor will coordinate with Center staff and the CO to provide an approved substitute, as well as a current emergency contact number.

5.2.5. Contractor Personnel will not be scheduled to work on the following Government holidays:

· New Year’s Day – January 1

· Martin Luther King Junior’s Birthday – Third Monday in January,

· Presidents Day – third Monday in February,

· Memorial Day – Last Monday in May,

· Juneteenth Day – June 19th,

· Independence Day – July 4,

· Labor Day – First Monday in September.

· Columbus Day – Second Monday in October,

· Veteran’s Day – November 11,

· Thanksgiving Day – fourth Thursday in November

· Christmas Day – December 25

6.0. Travel

Travel is not anticipated or authorized for this statement of work.

7.0. Contractor’s Key Personnel

7.1. The Dentist, Dental Hygienist, and Dental Assistant are considered key personnel and must meet these minimum requirements. The job corps program is run by the Department of Labor (DOL). Key personnel shall be approved by DOL prior to award or replacement:

7.1.1. Must be registered/licensed with the state in which Dental services will be provided; all licensing requirements/certification/accreditation of the contractor’s staff must be maintained during the entire performance period with proof being submitted at the request of the Government.

7.1.2. The dentist must have an active, unrestricted license to practice as an independent practitioner

7.1.3. The dentist shall provide a copy of the Drug Enforcement Administration (DEA) Certification

7.1.4. May be subject to a criminal background check and drug testing as prerequisites for contract performance. Information obtained through the background check may be used in determining contractor’s qualification for this contract. Information regarding a person’s race, national origin, color, sex, religion, disability, genetic information (including family medical history), or age will not be evaluated or have any impact on the determination of qualifications for this contract.

7.1.5.1 Government will terminate the contract for convenience if the background check is determined to be unacceptable or if any aspect would jeopardize the health and safety of the students.

8.0. Security Requirements

The space, equipment, and supplies used by contractor personnel shall be secured at all times, per Center requirements. The Contractor shall review and be familiar with Center security procedures.

9.0. Data Rights

Student records and all reports generated are property of the US Government.

10.0. Governing Regulations, Handbooks, and References:

The Contractor shall provide Health and Wellness (H&W) services as specified in the following documents:

· Job Corps Federal Regulations (Title 20 Code of Federal Regulations, Part 684 as amended, Job Corps Program under Title TV-B of the Job Training Partnership Act.

· Applicable Technical Assistance Guides (TAG s)

· Job Corps Physician Desk Reference

· Job Corps Health & Wellness information and Department of Labor PRH: https://supportservices.jobcorps.gov/health/Pages/default.aspx https://prh.jobcorps.gov/