A04_-Updated_Scope_of_Work_0002.docx

SCOPE OF WORK: Idaho BLM Incident Medical Director

The purpose of this scope of work is to retain the nonpersonal health care services required by Idaho State Law to provide Emergency Medical Services (EMS) medical direction for medical units established on incidents that occur primarily within Bureau of Land Management (BLM) Idaho jurisdiction. Retained services will be utilized at the request of BLM Idaho for up to seven working days per calendar year and are expected to be performed remotely. The contract will be valid for one year with the option to extend up to four additional years.

While performing services for an incident, if physical site visits are requested by BLM Idaho, or the Medical Unit, the Government will pay a modified daily rate that includes their transportation, per diem, benefits, overtime premiums, and salary for actual days worked on the incident. If services are needed past the initial retained seven-day period, the Government shall pay an additional daily rate for each workday needed. Please specify this cost in bid proposals.

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).

The contractor shall indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during performance. The contractor shall maintain medical liability insurance, in a coverage amount acceptable to the State of Idaho requirements, which is not less than the amount normally prevailing within the local community for the medical specialty concern. The contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at FAR 52.237-7, including the maintenance of medical liability insurance.

The medical director is an Idaho licensed physician with experience in EMS and, if requested by Idaho BLM, will have overall responsibility for the medical aspects of care provided by licensed EMS personnel within the medical unit and incident for those resources from out of state or from in-state without a physician sponsor.

This includes but is not limited to development of the medical supervision plan, provider credentialing, protocol development and approval, patient care review, incident visits and contemporaneous on-line medical control.

Medical Director Services shall include:

· Medical Supervision Plan: As required by Idaho EMS PC rule, a medical supervision plan will be established by the contractor outlining the medical oversight of licensed EMS personnel.

· Protocol Review and Approval: The contractor will review and approve treatment protocols of individual EMS providers in accordance with Idaho scope of practice for individual licensure levels.

· Subject Matter Expert (SME): As requested by the medical unit leader, provide advice and guidance on medical issues, and provide guidance on the incident medical plan. Will serve as liaison to local medical community in the case of a critical incident.

· Patient Care Report (PCR) Review/Quality Assurance: Oversee a quality assurance program that evaluates the quality of medical care provided, will review all critical incidents, and provide input on patient care matters.

· Incident Site Visits: The medical director will be available for on-site fire medical unit visits as requested by the medical unit leader. While on site, the medical director will not serve in a patient care provider role but may be called upon to render aid if the need arises during the normal course of their duties as a Medical Director. Personal transportation and lodging will be handled by the contractor.

· Online Medical Direction: The medical director will be available to answer questions and provide direction to EMS providers in the field. The medical director, or approved designee, will provide a response by phone within 10 minutes from initial contact while providing incident oversight.