HHSI249201300011I__Mobile_Mammography_Services.docx

DOCX document 188 KB Posted Jul 3, 2013

Attached to: Mobile Mammography Services
Solicitation number: 13-249-SOL-00027
Issued by: Department of Health and Human Services Indian Health Service

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PART I - THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

HHSI249201300011I

Mobile Mammography Services

B.1 PURPOSE OF CONTRACT:

The Tucson Area Indian Health Service (TAIHS) depends on contracting outside resources with a wide range of expertise in order to provide services not readily available within IHS. This firm-fixed unit priced contract will provide mammography screening services through the use of a mobile unit for those IHS patients who present themselves for healthcare at one of the following IHS (or Tohono O’odham Nation) facilities:

a) San Xavier Health Center (SXHC): located in Tucson, Arizona. For pricing purposes services for the SXHC is a 30 mile radius from the SXHC.

b) Sells Service Unit – Sells Indian Hospital (SSU): located in Sells, Arizona (60 miles west of Tucson). For pricing purposes services for the Sells area is a 60 mile radius from Sells, Arizona.

c) Santa Rosa Health Clinic (SRHC): located in Santa Rosa, Arizona (87 miles west of Tucson). For pricing purposes services for the Santa Rosa area is a 60 mile radius from Santa Rosa, Arizona.

d) San Simon Health Center (SSHC): located in San Simon, Arizona (98 miles west of Tucson). For pricing purposes services for the San Simon area is a 60 mile radius from San Simon, Arizona.

The unit price paid to the Contractor shall be considered as payment in full for services provided under this contract. In no way shall the contractor attempt to bill or collect any monies for services provided under this contract from any IHS patient (or any alternate resource for which the patient may be eligible).

B.2 PRICING:

The quantities in the Schedule are for pricing purposes and basis for evaluation for award and do not represent what the Government will order. The Government has a known need for mobile mammography services but cannot pre-determine precise quantities. The Contractor shall provide a price for each scenario (mobile mammography clinic including 1 to 5 exams; mobile mammography clinic including 5 to 10 exams, etc.) as described in the Line Items below. The Government is using the Indefinite-Delivery, Requirements type contract because exact quantities cannot be pre-determined. The Government will issue orders in accordance with the Ordering and Requirements Clauses as needs arise and the contractor will be reimbursed for exact quantities performed at the prices quoted. The Government will Order during the life of this contract a minimum of $5,000 and a maximum of $860,000. Each scheduled clinic may have a maximum of 40 exams scheduled. The Government ‘historically’ orders 6 clinics per year for each site.

a. BASE YEAR PRICING: JULY 01, 2013 – SEPTEMBER 30, 2013 Item No.

Type of Services/Location

Yearly Estimated Quantity

Unit of Issue

Unit Price

San Xavier Health Center:

Mobile Mammography Clinic including exams exam

$3,000.00 b.

Mobile Mammography Clinic including exams

$1,500.00 c.

Mobile Mammography Clinic including exams

$1,000.00 d.

Mobile Mammography Clinic including exams

$750.00 e.

Mobile Mammography Clinic including exams

$600.00 f.

Mobile Mammography Clinic including exams

$500.00 g.

Mobile Mammography Clinic including exams

$428.50 h.

Mobile Mammography Clinic including exams

$375.00 i.

Mobile Mammography Clinic including exams

$333.00 j.

Mobile Mammography Clinic including exams

$300.00 k.

Mobile Mammography Clinic including exams

$273.00 l.

Mobile Mammography Clinic including exams

$250.00 m.

Mobile Mammography Clinic including exams

$231.00 n.

Mobile Mammography Clinic including exams

$214.00 o.

Mobile Mammography Clinic including exams

$200.00 p.

Mobile Mammography Clinic including exams

$190.00 q.

Mobile Mammography Clinic including exams

$178.00 r.

Mobile Mammography Clinic including exams

$168.00 s.

Mobile Mammography Clinic including exams

$161.00 t.

Mobile Mammography Clinic including exams

20 to 24 exams

$160.00 u.

Mobile Mammography Clinic including exams

25 to 29

$155.00 v.

Mobile Mammography Clinic including exams

30 to 34

$140.00 w.

Mobile Mammography Clinic including exams

35 to 40

$135.00 x.

SXHC fairs/community clinic (weekday) up to 40 exams

Clinic

$3,200.00 y.

SXHC fairs/community clinic (weekend) up to 40 exams

Clinic

$3,875.00

Sells Service Unit – Sells Indian Hospital:

Mobile Mammography Clinic including exams

$3,300.00

Mobile Mammography Clinic including exams

$1,650.00

Mobile Mammography Clinic including exams

$1,100.00

Mobile Mammography Clinic including exams

$825.00

Mobile Mammography Clinic including exams

$660.00

Mobile Mammography Clinic including exams

$550.00

Mobile Mammography Clinic including exams

$471.00

Mobile Mammography Clinic including exams

$412.00

Mobile Mammography Clinic including exams

$367.00

Mobile Mammography Clinic including exams

$330.00

Mobile Mammography Clinic including exams

$275.00

Mobile Mammography Clinic including exams

$254.00

Mobile Mammography Clinic including exams

$236.00

Mobile Mammography Clinic including exams

$220.00

Mobile Mammography Clinic including exams

$208.00

Mobile Mammography Clinic including exams

$196.00

Mobile Mammography Clinic including exams

$185.50

Mobile Mammography Clinic including exams

20 to 24

$177.00

Mobile Mammography Clinic including exams

25 to 29

$167.00

Mobile Mammography Clinic including exams

30 to 34

$150.00

Mobile Mammography Clinic including exams

35 to 40

$143.00

SSU fairs/community clinic (weekday) up to 40 exams

$3,540.00

SSU fairs/community clinic (weekend) up to 40 exams

Clinic

$4,175.00

Santa Rosa Health Center:

Mobile Mammography Clinic including exams

$3,450.00

Mobile Mammography Clinic including exams

$1,725.00

Mobile Mammography Clinic including exams

$1,150.00

Mobile Mammography Clinic including exams

$862.00

Mobile Mammography Clinic including exams

$690.00

Mobile Mammography Clinic including exams

$575.00

Mobile Mammography Clinic including exams

$493.00

Mobile Mammography Clinic including exams

$432.00

Mobile Mammography Clinic including exams

$384.00

Mobile Mammography Clinic including exams

$345.00

Mobile Mammography Clinic including exams

$314.00

Mobile Mammography Clinic including exams

$287.50

Mobile Mammography Clinic including exams

$266.00

Mobile Mammography Clinic including exams

$247.00

Mobile Mammography Clinic including exams

$230.00

Mobile Mammography Clinic including exams

$222.00

Mobile Mammography Clinic including exams

$209.00

Mobile Mammography Clinic including exams

$197.50

Mobile Mammography Clinic including exams

$187.00

Mobile Mammography Clinic including exams

20 to 24

$184.00

Mobile Mammography Clinic including exams

25 to 29

$174.00

Mobile Mammography Clinic including exams

30 to 34

$156.00

Mobile Mammography Clinic including exams

35 to 40

$148.00

SRHC fairs/community clinic (weekday) up to 40 exams

$3,680.00

SRHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,350.00

San Simon Health Center:

Mobile Mammography Clinic including exams

$3,550.00

Mobile Mammography Clinic including exams

$1,775.00

Mobile Mammography Clinic including exams

$1,184.00

Mobile Mammography Clinic including exams

$887.50

Mobile Mammography Clinic including exams

$710.00

Mobile Mammography Clinic including exams

$592.00

Mobile Mammography Clinic including exams

$508.00

Mobile Mammography Clinic including exams

$444.50

Mobile Mammography Clinic including exams

$395.00

Mobile Mammography Clinic including exams

$355.00

Mobile Mammography Clinic including exams

$323.00

Mobile Mammography Clinic including exams

$296.00

Mobile Mammography Clinic including exams

$274.00

Mobile Mammography Clinic including exams

$236.50

Mobile Mammography Clinic including exams

$226.00

Mobile Mammography Clinic including exams

$216.00

Mobile Mammography Clinic including exams

$206.00

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

$158.00

Mobile Mammography Clinic including exams

35 to 40

SSHC fairs/community clinic (weekday) up to 40 exams

$3,740.00

SSHC fairs/community clinic (weekend) up to 40 exams

$4,425.00

b. OPTION YEAR I: OCTOBER 01, 2013 – SEPTEMBER 30, 2014 Item No.

Type of Services/Location

Yearly Estimated Quantity

Unit of Issue

Unit Price

San Xavier Health Center:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SXHC fairs/community clinic (weekday) up to 40 exams

SXHC fairs/community clinic (weekend) up to 40 exams

Clinic

$3,875.00

Sells Service Unit – Sells Indian Hospital:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SSU fairs/community clinic (weekday) up to 40 exams

SSU fairs/community clinic (weekend) up to 40 exams

Clinic

$4,175.00

Santa Rosa Health Center:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SRHC fairs/community clinic (weekday) up to 40 exams

SRHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,350.00

San Simon Health Center:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SSHC fairs/community clinic (weekday) up to 40 exams

SSHC fairs/community clinic (weekend) up to 40 exams

c. OPTION YEAR II: OCTOBER 01, 2014 – SEPTEMBER 30, 2015 Item No.

Type of Services/Location

Yearly Estimated Quantity

Unit of Issue

Unit Price

San Xavier Health Center:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SXHC fairs/community clinic (weekday) up to 40 exams

SXHC fairs/community clinic (weekend) up to 40 exams

Clinic

$3,875.00

Sells Service Unit – Sells Indian Hospital:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SSU fairs/community clinic (weekday) up to 40 exams

SSU fairs/community clinic (weekend) up to 40 exams

Clinic

$4,175.00

Santa Rosa Health Center:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SRHC fairs/community clinic (weekday) up to 40 exams

SRHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,350.00

San Simon Health Center:

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

Mobile Mammography Clinic including exams

30 to 34

Mobile Mammography Clinic including exams

35 to 40

SSHC fairs/community clinic (weekday) up to 40 exams

SSHC fairs/community clinic (weekend) up to 40 exams

d. OPTION YEAR III: OCTOBER 01, 2015 – SEPTEMBER 30, 2016 Item No.

Type of Services/Location

Yearly Estimated Quantity

Unit of Issue

Unit Price

San Xavier Health Center:

Mobile Mammography Clinic including exams

$3,150.00

Mobile Mammography Clinic including exams

$1,575.00

Mobile Mammography Clinic including exams

$1,050.00

Mobile Mammography Clinic including exams

$787.50

Mobile Mammography Clinic including exams

$630.00

Mobile Mammography Clinic including exams

$525.00

Mobile Mammography Clinic including exams

$450.00

Mobile Mammography Clinic including exams

$394.00

Mobile Mammography Clinic including exams

$350.00

Mobile Mammography Clinic including exams

$315.00

Mobile Mammography Clinic including exams

$287.00

Mobile Mammography Clinic including exams

$262.50

Mobile Mammography Clinic including exams

$242.50

Mobile Mammography Clinic including exams

$225.00

Mobile Mammography Clinic including exams

$210.00

Mobile Mammography Clinic including exams

$176.00

Mobile Mammography Clinic including exams

$169.00

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

$162.75

Mobile Mammography Clinic including exams

30 to 34

$147.00

Mobile Mammography Clinic including exams

35 to 40

$141.75

SXHC fairs/community clinic (weekday) up to 40 exams

$3,360.00

SXHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,068.75

Sells Service Unit – Sells Indian Hospital:

Mobile Mammography Clinic including exams

$3,465.00

Mobile Mammography Clinic including exams

$1,733.00

Mobile Mammography Clinic including exams

$1,155.00

Mobile Mammography Clinic including exams

$866.00

Mobile Mammography Clinic including exams

$693.00

Mobile Mammography Clinic including exams

$578.00

Mobile Mammography Clinic including exams

$495.00

Mobile Mammography Clinic including exams

$433.00

Mobile Mammography Clinic including exams

$385.00

Mobile Mammography Clinic including exams

$346.50

Mobile Mammography Clinic including exams

$289.00

Mobile Mammography Clinic including exams

$267.00

Mobile Mammography Clinic including exams

$248.00

Mobile Mammography Clinic including exams

$218.00

Mobile Mammography Clinic including exams

$195.00

Mobile Mammography Clinic including exams

20 to 24

$185.85

Mobile Mammography Clinic including exams

25 to 29

$175.35

Mobile Mammography Clinic including exams

30 to 34

$157.50

Mobile Mammography Clinic including exams

35 to 40

$150.15

SSU fairs/community clinic (weekday) up to 40 exams

$3,717.00

SSU fairs/community clinic (weekend) up to 40 exams

Clinic

$4,383.75

Santa Rosa Health Center:

Mobile Mammography Clinic including exams

$3,622.50

Mobile Mammography Clinic including exams

$1,811.00

Mobile Mammography Clinic including exams

$1,208.00

Mobile Mammography Clinic including exams

$906.00

Mobile Mammography Clinic including exams

$724.50

Mobile Mammography Clinic including exams

$604.00

Mobile Mammography Clinic including exams

$518.00

Mobile Mammography Clinic including exams

$454.00

Mobile Mammography Clinic including exams

$403.00

Mobile Mammography Clinic including exams

$362.25

Mobile Mammography Clinic including exams

$302.00

Mobile Mammography Clinic including exams

$279.00

Mobile Mammography Clinic including exams

$259.00

Mobile Mammography Clinic including exams

$241.50

Mobile Mammography Clinic including exams

$233.00

Mobile Mammography Clinic including exams

$219.00

Mobile Mammography Clinic including exams

$207.00

Mobile Mammography Clinic including exams

20 to 24

$193.20

Mobile Mammography Clinic including exams

25 to 29

$182.70

Mobile Mammography Clinic including exams

30 to 34

$163.80

Mobile Mammography Clinic including exams

35 to 40

$155.40

SRHC fairs/community clinic (weekday) up to 40 exams

$3,864.00

SRHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,567.50

San Simon Health Center:

Mobile Mammography Clinic including exams

$3,727.50

Mobile Mammography Clinic including exams

$1,164.00

Mobile Mammography Clinic including exams

$932.00

Mobile Mammography Clinic including exams

$745.00

Mobile Mammography Clinic including exams

$622.00

Mobile Mammography Clinic including exams

$533.00

Mobile Mammography Clinic including exams

$467.00

Mobile Mammography Clinic including exams

$415.00

Mobile Mammography Clinic including exams

$372.75

Mobile Mammography Clinic including exams

$339.00

Mobile Mammography Clinic including exams

$311.00

Mobile Mammography Clinic including exams

$288.00

Mobile Mammography Clinic including exams

$248.33

Mobile Mammography Clinic including exams

$237.00

Mobile Mammography Clinic including exams

$227.00

Mobile Mammography Clinic including exams

20 to 24

$196.85

Mobile Mammography Clinic including exams

25 to 29

$185.00

Mobile Mammography Clinic including exams

30 to 34

$165.00

Mobile Mammography Clinic including exams

35 to 40

$157.00

SSHC fairs/community clinic (weekday) up to 40 exams

$3,927.00

SSHC fairs/community clinic (weekend) up to 40 exams

$4,646.25

e. OPTION YEAR IV: OCTOBER 01, 2016 – SEPTEMBER 30, 2017 Item No.

Type of Services/Location

Yearly Estimated Quantity

Unit of Issue

Unit Price

San Xavier Health Center:

Mobile Mammography Clinic including exams

$3,150.00

Mobile Mammography Clinic including exams

$1,575.00

Mobile Mammography Clinic including exams

$1,050.00

Mobile Mammography Clinic including exams

$787.50

Mobile Mammography Clinic including exams

$630.00

Mobile Mammography Clinic including exams

$525.00

Mobile Mammography Clinic including exams

$450.00

Mobile Mammography Clinic including exams

$394.00

Mobile Mammography Clinic including exams

$350.00

Mobile Mammography Clinic including exams

$287.00

Mobile Mammography Clinic including exams

$262.50

Mobile Mammography Clinic including exams

$242.50

Mobile Mammography Clinic including exams

$225.00

Mobile Mammography Clinic including exams

$210.00

Mobile Mammography Clinic including exams

$176.00

Mobile Mammography Clinic including exams

$169.00

Mobile Mammography Clinic including exams

20 to 24

Mobile Mammography Clinic including exams

25 to 29

$162.75

Mobile Mammography Clinic including exams

30 to 34

$147.00

Mobile Mammography Clinic including exams

35 to 40

$141.75

SXHC fairs/community clinic (weekday) up to 40 exams

$3,360.00

SXHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,068.75

Sells Service Unit – Sells Indian Hospital:

Mobile Mammography Clinic including exams

$3,465.00

Mobile Mammography Clinic including exams

$1,733.00

Mobile Mammography Clinic including exams

$1,155.00

Mobile Mammography Clinic including exams

$866.00

Mobile Mammography Clinic including exams

$693.00

Mobile Mammography Clinic including exams

$578.00

Mobile Mammography Clinic including exams

$495.00

Mobile Mammography Clinic including exams

$433.00

Mobile Mammography Clinic including exams

$385.00

Mobile Mammography Clinic including exams

$346.50

Mobile Mammography Clinic including exams

$289.00

Mobile Mammography Clinic including exams

$248.00

Mobile Mammography Clinic including exams

$218.00

Mobile Mammography Clinic including exams

$195.00

Mobile Mammography Clinic including exams

20 to 24

$185.85

Mobile Mammography Clinic including exams

25 to 29

$175.35

Mobile Mammography Clinic including exams

30 to 34

$157.50

Mobile Mammography Clinic including exams

35 to 40

$150.15

SSU fairs/community clinic (weekday) up to 40 exams

$3,717.00

SSU fairs/community clinic (weekend) up to 40 exams

Clinic

$4,383.75

Santa Rosa Health Center:

Mobile Mammography Clinic including exams

$3,622.50

Mobile Mammography Clinic including exams

$1,811.00

Mobile Mammography Clinic including exams

$1,208.00

Mobile Mammography Clinic including exams

$906.00

Mobile Mammography Clinic including exams

$724.50

Mobile Mammography Clinic including exams

$604.00

Mobile Mammography Clinic including exams

$518.00

Mobile Mammography Clinic including exams

$454.00

Mobile Mammography Clinic including exams

$403.00

Mobile Mammography Clinic including exams

$362.25

Mobile Mammography Clinic including exams

$302.00

Mobile Mammography Clinic including exams

$279.00

Mobile Mammography Clinic including exams

$259.00

Mobile Mammography Clinic including exams

$241.50

Mobile Mammography Clinic including exams

$233.00

Mobile Mammography Clinic including exams

$219.00

Mobile Mammography Clinic including exams

$207.00

Mobile Mammography Clinic including exams

20 to 24

$193.20

Mobile Mammography Clinic including exams

25 to 29

$182.70

Mobile Mammography Clinic including exams

30 to 34

$163.80

Mobile Mammography Clinic including exams

35 to 40

$155.40

SRHC fairs/community clinic (weekday) up to 40 exams

$3,864.00

SRHC fairs/community clinic (weekend) up to 40 exams

Clinic

$4,567.50

San Simon Health Center:

Mobile Mammography Clinic including exams

$3,727.50

Mobile Mammography Clinic including exams

$1,164.00

Mobile Mammography Clinic including exams

$932.00

Mobile Mammography Clinic including exams

$745.00

Mobile Mammography Clinic including exams

$622.00

Mobile Mammography Clinic including exams

$533.00

Mobile Mammography Clinic including exams

$467.00

Mobile Mammography Clinic including exams

$415.00

Mobile Mammography Clinic including exams

$372.75

Mobile Mammography Clinic including exams

$339.00

Mobile Mammography Clinic including exams

$311.00

Mobile Mammography Clinic including exams

$288.00

Mobile Mammography Clinic including exams

$248.33

Mobile Mammography Clinic including exams

$237.00

Mobile Mammography Clinic including exams

$227.00

Mobile Mammography Clinic including exams

20 to 24

$196.85

Mobile Mammography Clinic including exams

25 to 29

$185.00

Mobile Mammography Clinic including exams

30 to 34

$165.00

Mobile Mammography Clinic including exams

35 to 40

$157.00

SSHC fairs/community clinic (weekday) up to 40 exams

$3,927.00

SSHC fairs/community clinic (weekend) up to 40 exams

$4,646.25

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

The Contractor shall provide mobile mammography screening services (clinics) to Tucson Area Indian Health Service patients at four separate locations and areas within a 60 mile radius on a routine basis as described herein. All four locations are within the Tohono O’odham Nation in Southern Arizona (Attachment 1 for map).

C.1 MOBILE MAMMOGRAPHY SCREENING SERVICES SHALL INCLUDE:

a. Screening mammograms, diagnostic radiological interpretations, consultations, and reporting services.

b. All supplies (i.e. film, markers, large and small cassettes and other necessary supplies), materials, equipment, personnel and travel necessary for mammography services including gowns for the IHS patients.

c. Provision of a mobile mammography unit (with Food & Drug Administration (FDA) certified mammography equipment) that accommodates wheelchair patients.

d. Up to 40 patients per mobile mammography screening service (clinic).

e. Digital mammography screening;

f. Each mammogram shall include a minimum two views of each breast (mediolateral oblique & craniocaudal).

g. Breast cancer education shall be provided to each IHS patient being screened through video or pamphlets.

h. Case conference with IHS staff as necessary and as requested by each designated site contact.

C.2 SITE LOCATIONS:

a. The Contractor shall provide a Mammography Mobile Unit at location specified within respective catchment area located at or near each of the following sites (see Attachment I for map):

i. San Xavier Health Center - located 5 miles south of Central Tucson.

ii. Sells Indian Hospital- located 60 miles west of Tucson,

iii. Santa Rosa Health Center- located 87 miles northwest Tucson

iv. San Simon Health Center- located 98 miles west of Tucson.

b.	The Contractor’s mobile unit shall be provided space by the respective designated site contact.
c.	The Contractor shall arrange parking with the designated site contact in advance of each scheduled service.

d. The Contractor is responsible for set-up of the mobile unit and returning the site to its original condition upon completion of each service.

C.3 HOURS OF OPERATION & SCHEDULING:

	a.	Mobile mammography services shall be provided between the normal business hours of 9:00 am - 5:00 pm,			Monday through Friday and occasional Saturdays to accommodate health fairs (with the exception of federal		holidays as cited at http://www.opm.gov/fedhol/).
	b.	Routine service/clinics shall be scheduled on a monthly basis for some clinics and at the discretion of the		schedulers for others based on needs and the number of clinics purchased. Clinics will always be scheduled a			month in advance. These are routine screenings and clinics so there will be no emergency needs for the	contractor to address in scheduling clinics. Sells service unit projects current needs and may schedule clinics		to reflect the following:
		i.	Once monthly at the Sells Indian Hospital. Sells also purchased two additional clinic days to meet health				fair and community needs.
		ii.	Every other month at the San Xavier Health Center with one additional clinic added to meet health fair				and community needs. Scheduler reserves the right to schedule these additional clinics as appropriate		giving the contractor at least a month notice of scheduled clinic days.
		iii.	Santa Rosa Health Center has purchased three (3) onsite clinics for use at their scheduler's discretion to				meet patient needs. Santa Rosa also purchased one additional clinic to meet health fair and community		needs.
		iv.	San Simon Health Center has purchased three (3) clinics for use at their scheduler's discretion to meet			patient needs onsite. San Simon has also purchased one additional clinic to meet health fair and			community needs.
c.	In the event that a clinic is cancelled due to unforeseen natural events, mechanical failure or other delays an	alternate date shall be scheduled at the time of cancellation.
d.	Sells Service Unit is only estimating the number of clinics needed to meet current patient needs and will only pay for scheduled clinics for which the mobile unit sets up service for screening. The estimated quantity of clinics may not all be met in one service year.

C.4 TECHNICAL & PROFESSIONAL REQUIREMENTS:

In accordance with the Mammography Quality Standards Act (MQSA) mandated by the FDA, American College of Radiology (ACR) and the Joint Commission the contractor shall:

a.	Sign the Indian Health Service patient’s encounter forms at each site locations. (Attachment 2)
	b.	Provide an ethically professional relationship with IHS patients and all IHS hospital staff.
	c.	Display the mobile unit’s FDA certificate and provide a copy to the Contracting Officer’s Representative
		prior to award.
d.	Provide each mammographer’s certification to the Contracting Officer’s Representative.

C.5 PERSONNEL QUALIFICATION REQUIREMENTS:

	a.	The contractor shall certify to the contracting officer that the contractor’s mammography personnel meet all	the	minimum requirements listed below prior to award and submit copies of the following documents to the	project officer prior to commencement of services:
i.	Radiologists shall:
	(A) Hold a valid license to practice medicine in the State in which services are to be performed.
	(B) Be professionally certified in Diagnostic Radiology by the American Board of Radiology.
	(C) Currently possess unrestricted diagnostic radiology privileges at a JCAHO accredited hospital.
	(D) Provide written evidence of mammography quality assurance studies and/or activities conducted	under the direction of a Joint Commission accredited hospital.
ii. Radiologic Technologists shall hold a current and valid registration as a Radiologic Technologist and	Mammographer by the American Registry of Radiologic Technologist (ARRT).

b. Medical Malpractice Insurance

i.	Evidence of medical malpractice insurance shall be submitted with the contractor’s proposals.
ii.	After contract award, the contractor shall provide a completed Certification for each provider to the	COR.
iii.	Evidence of medical malpractice insurance for continuous coverage, including license renewals, etc. shall		be submitted to the COR on a yearly basis.

C.6 SIGNED MEDICARE ASSIGNMENT OF BENEFITS:

The Contractor shall sign a Medicare Assignment of Benefits that allows the Indian Health Service to bill 3rd party	payers for both technical and professional components of the mammography services.
HHSI249201300011I

SECTION D - PACKAGING AND MARKING

Mammography films and reports shall be labeled in accordance with the Mammography Quality Standards Act (MQSA) & the American College of Radiology (ACR). Reports shall be sent to the designated site contact person and marked for following individuals:

1.	For Sells Indian Hospital Patients
	Attn: Michelle Eaglehawk
		Sells Indian Hospital

PO Box 548 Sells, Arizona 85634 520/383-7336 (P) 520/383-7325 (F)

2.	For San Simon Health Center
	Attn: Michelle Eaglehawk
		Sells Indian Hospital

PO Box 548 Sells, Arizona 85634 520/383-7336 (P) 520/383-7325 (F)

3.	For Santa Rosa Health Center
	Attn: Tina Miles
	Sells Indian Hospital

PO Box 548 Sells, Arizona 85634 520/383-5570 (P) 520/383-5572 (F)

4.	For San Xavier Health Center
	Attn: Brenda Neufeld, MD
	San Xavier Health Center

7900 South J Stock Road Tucson, Arizona 85746 520/295-2550 (P) 520/295-2609 (F)

HHSI249201300011I

SECTION E - INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

The following contract clauses pertinent to this section are hereby incorporated by reference (by Citation Number, Title, and Date) in accordance with the clause at FAR "52.252-2 CLAUSES INCORPORATED BY REFERENCE" in Section I of this contract. See FAR 52.252-2 for an internet address www.acquisition.gov/far/ (if specified) for electronic access to the full text of a clause.

		TITLE
NUMBER	FEDERAL ACQUISITION REGULATION (48 CFR Chapter 1)		DATE

52.246-4	INSPECTION OF SERVICES--FIXED-PRICE	AUG 1996
	HHSI249201300011I

SECTION F - DELIVERIES OR PERFORMANCE

HHSI249201300011I

F.1 PERIOD OF PERFORMANCE:

Performance period of this contract is to begin on July 1, 2013 and shall not extend beyond the completion date of September 30, 2013 (base year) plus four (4) option years, unless the period is changed by written modification of the contract issued and signed by the Contracting Officer. If the Government exercises its option to renew pursuant to FAR Clause No. 52.217-9, Option to Extend the Term of the Contract, the following schedule shall prevail:

1st Option Year: October 01, 2013 – September 30, 2014 2nd Option Year: October 01, 2014 – September 30, 2015 3rd Option Year: October 01, 2015 – September 30, 2016 4th Option Year: October 01, 2016 – September 30, 2017

F.2 PERFORMANCE CONDITIONS:

a. This contract is a non-personal services contract, as defined in FAR 37.101, under which the contractor is an independent contractor;

b. The Contractor shall perform the required services described independently of Government Supervision except as stated therein.

c. No employer-employee relationship exists. Direct supervision aspects of the relationship can be minimized to where they are incidental to the services required and are for administrative guidance only.

d. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment).

e. None of the services furnished under the Statement of Work shall be subcontracted or transferred to another Contractor or organization without the specific prior written approval of the Contracting Officer.

F.3 DELIVERABLE REPORTS:

Mammography examinations and film interpretation:

a. The contractor shall provide typed transcriptions of mammography reports, including film interpretation to the three designated contact persons for each site within 7 working days of the examination, except when:

(1) There are abnormal findings. These shall be brought to the immediate attention of the designated contact person listed in Section D by telephone and facsimile report and patient’s original films shall be mailed to designated contact person within 24 hours.

(2) For patients, who have had previous mammogram films that are not readily available, the typed transcriptions shall be provided to the IHS within 7 days of the contractor’s receipt of the films.

b. All interpretations and reports shall be in compliance with FDA and American College of Radiology standards.

c. Typed transcriptions will be in the Breast Imaging Reporting & Data System (BIRADS) format.

d. Any films loaned to the Contractor by IHS or other facilities must be returned.

e. A list of mammography patients seen will be provided to each designated contact person and the project officer.

f. Patients shall receive notification of their results in layman terms per the Mammography Quality Standards Act (MQSA) within one week after exam.

g. The Contractor may charge film retrieval costs for patient’s films that are over one (1) year old. These films if requested are necessary for surgery or other needs by the Indian Health Service.

F.4 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

		TITLE
NUMBER	FEDERAL ACQUISITION REGULATION (48 CFR Chapter 1)	DATE

52.242-15 STOP-WORK ORDER AUG 1989

SECTION G - CONTRACT ADMINISTRATION DATA

G.1 CONTRACTING OFFICER RESPONSIBILITY:

Authority to negotiate changes in terms, conditions, or amounts cited in this contract is reserved to the Contracting Officer.

G.2 CONTRACTING OFFICER’S REPRESENTATIVE (COR) RESPONSIBILITIES:

The Contracting Officer shall designate in writing the Contracting Officer’s Representative (COR) representing the Government for the purpose of this contract. A copy of this designation will be provided to the Contractor. The major responsibility of the COR is to ensure contractor accountability, monitoring contract performance, and assist the Contractor in the resolution of program problems encountered during the performance of this contract. Other duties specifically delegated are as follows:

a. Interpreting the statement of work.

a. Recommending to the Contracting Officer changes in requirements.

	c.	Coordinating with the each designated site contact person to provide the contractor with the IHS patients list	for each clinic.
	d.	Performing technical inspections and acceptances.
e.	Receiving and processing invoices for payment.

G.3 GOVERNMENT RESPONSIBILITIES:

The Government shall schedule the IHS patients, inform patients of mammogram preparation requirements and provide the contractor a listing of patients scheduled at each site.

G.4 INVOICES:

a. The Contractor shall submit a proper invoice on a monthly basis to the following address:

Albuquerque Indian Health Service

Attn: Financial Management Branch

5300 Homestead Road, NE

Albuquerque, New Mexico 87110

Also, a courtesy copy shall be provided to the COR via email at michelle.eaglehawk@ihs.gov

b. Payment shall be made by Electronic Funds Transfer (EFT) upon receipt of a contractor’s proper invoice. A properly invoice is described in Section I.5, Prompt Payment. Improperly prepared invoices will be returned to the Contractor, which may result in delay of payment.

c. The unit price invoiced and paid to the Contractor shall be considered as payment in full for services provided under this contract.

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.1 QUALITY CONTROL:

a. The Contractor shall provide services within the terms and conditions of this contract and in accordance with the Mammography Quality Standards Act (MQSA) and American College of Radiology (ACR) standards.

b. The Contractor shall be responsible for monitoring and evaluating the safety, quality and appropriateness of the mammography services provided and shall maintain the quality control program.

H.2 MEDICAL MALPRACTICE INSURANCE:

See Section I.6

H.3 IMMUNIZATIONS/ CLEARANCES/ CREDENTIALING/ORIENTATIONS:

a. The Contractors’ employees shall be immunized against Rubeola (measles), Rubella (German measles) and Hepatitis B, plus provide annual negative TB test results. See Attachment 3. Exception(s) to Rubeola (measles) are as follows:

i. Individuals born in 1957 or after can be considered immune and shall provide documentation of physician-diagnosed measles, laboratory evidence of measles immunity, or adequate immunization with two doses of live measles vaccine on or after their first birthday.

ii. Individuals born prior to 1957 need not be considered susceptible; measles vaccine or proof of immunity is therefore not required.

iii. Individuals who are allergic to a component of vaccine and/or have a history of a severe reaction to vaccine will not be required to receive that vaccine.

b. The Contractor’s employees are subject to criminal background checks prior to performing services in accordance with contract terms and conditions. The contractor shall ensure that each of their employees comply with completing Attachment 4. The contractor shall be responsible for the cost of the criminal background checks and should consider this in their proposal pricing.

c. If required, the contractor shall complete the Sells Service Unit credentialing process for each of its employees as coordinated by the COR prior to performing services.

d.	If required by the COR, the contractor’s employees shall complete a 6-hour Sells Service Unit Orientation at the cost of the contractor prior to performing services and should consider this in their proposal pricing.
H.4	BUSINESS ASSOCIATE AGREEMENT CLAUSE (APRIL 2005):

Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulation, the Standards of Privacy of Individual Identifiable Health Information at 45 C.F.R. Parts 160 and 164, Subparts A and E ("Privacy Rule"), and 45 C.F.R. Parts 160 and 164, Subparts A and C (“Security Rule”), the Indian Health Service is required to enter into an agreement with the Business Associate, pursuant to which the Business Associate shall comply with and appropriately safeguard Protected Health Information ("PHI”) that it will use and disclose when performing functions, activities or services ("Services") for the Indian Health Service. The Business Associate by signing the contract shall comply with the following terms in addition to other applicable contract terms and conditions relating to the safekeeping, use and disclosure of PHI.

Definitions Terms used in this Agreement, but not otherwise defined, shall have the same meaning as those terms contained within the Privacy Rule.

a. Agreement: “Agreement” shall mean this clause and any other provisions of this contract that are incorporated by reference;

b. Business Associate: “Business Associate” shall mean the Contractor, also known as ASSURED IMAGING WOMEN’S WELLNESS

c. Covered Entity: “Covered Entity” shall mean the Indian Health Service;

d. Designated Record Set: “Designated Record Set” shall mean (1) a group of records maintained by or for a covered entity that is: (i) The medical records and billing records about individuals maintained by or for a covered health care provider, (ii) The enrollment, payment, claims adjudication, and case or medical management record systems maintained by or for a health plan, or (iii) Used, in whole or in part, by or for the covered entity to make decisions about individuals. (2) For purposes of this paragraph, the term record means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used, or disseminated by or for a covered entity. (45 C.F.R. § 164.501)

e. Individual: “Individual” shall have the same meaning as the term "individual" in 45 C.F.R. § 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 C.F.R. § 164.502(g);

f. Protected Health Information: “Protected Health Information” shall have the same meaning as the term “protected health information” in 45 C.F.R. § 160.103, limited to the information created or received by the Contractor from or on behalf of the IHS.

Section 1 - Privacy Rule Compliance The Business Associate agrees to comply with the applicable Business Associate Agreement requirements under the Privacy Rule and the provisions of this Agreement throughout the term of this Agreement. The Business Associate agrees that it will require that all of its agents, employees, subsidiaries, affiliates and subcontractors, to whom the Business Associate provides PHI, or who create or: receive PHI on behalf of the Business Associate for the IHS, agree to comply with the Privacy Rule. Any subcontracts shall be let as provided for in this contract but, notwithstanding any exemption from any requirement for written consent contained in the subcontracting clause, the Business Associate shall nonetheless obtain the Contracting Officer's written consent before placing any subcontract pursuant to which the Business Associate discloses PHI to the subcontractor.

Section 2 - Permitted Uses and Disclosures The Business Associate shall not use or disclose PHI except as provided for in this Agreement, the Privacy Rule or other applicable law, to perform functions, activities or services for or on behalf of the IHS as specified herein. The Business Associate agrees that it may use or disclose PHI on behalf of the IHS only; {I) upon obtaining the authorization of the patient to whom the PHI pertains (45 C.F.R. §§ 164.502(a)(I)(iv) and 164.508(b); (2) without an authorization for the purpose of treatment, payment or health care operations (45 C.F.R. §§ 164.502(a)(I)(ii) and 164.506); or (3) without an authorization or consent, if in accordance with 45 C.F.R. §§ 164.506, 164.510, 164.512, 164.514(e), 164.514(t) or 164.514(g). Except as otherwise limited in this Agreement, the Business Associate may use PHI for the management and administration of the Business Associate or to carry out responsibilities of the Business Associate that are required by law.

Section 3 - Safeguards The Business Associate shall develop and use appropriate procedural, physical and electronic safeguards to protect against the use or disclosure of PHI in a manner not permitted by the Privacy Rule or this Agreement. The Business Associate will limit any use, disclosure or request for use or disclosure of PHI to the minimum amount necessary to accomplish the intended purpose of the use, disclosure or request in accordance with the applicable requirements of the Privacy Rule.

Section 4 - Safeguards for Electronic PHI The Business Associate shall implement administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity and availability of any electronic PHI that it creates, receives, maintains, or transmits on behalf of the IHS as required by the Security Rule and ensure that any agent, including a subcontractor to who it provides such information, agrees to implement reasonable and appropriate safeguards to protect it.

Section 5- Reporting of Disclosure The Business Associate shall promptly report to the IHS any knowledge of uses or disclosures of PHI that are not in accordance with this Agreement or applicable law and any security incidents involving electronic PHI of which it becomes aware. In addition, the Business Associate shall mitigate, to the extent practicable, any harmful effect that is known to the Business Associate of a use or disclosure of PHI by the Business Associate in violation of the requirements of the Privacy Rule.

Section 6 - Records: IHS Access The Business Associate shall maintain records of PHI received from or created or received on behalf of the IHS and shall document subsequent uses and disclosures of such information by the Business Associate.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Nov 14, 2017.