Attachment_D_-_Statement_of_Work.pdf

Attachment D: Statement of Work

STATEMENT OF WORK

The overall intent of this contract is to acquire non-personal health care services for a qualified Contractor under a Government service contract. The contractor shall provide the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. Work performance shall be performed according to the requirements and conditions contained in this Statement of Work.

The Health and Human Services (HHS), Phoenix Area Indian Health Service (PAIHS), Phoenix Indian Medical Center (PIMC), located in Phoenix, Arizona is seeking a Professional Healthcare Medical Group who can provide Hematology/Oncology Services.

PIMC is a general medical and surgical hospital which provides comprehensive health services primarily to Native Americans and Alaskan Natives. PIMC serves as a referral hospital for difficult and complex cases from other hospitals and health centers located throughout the PAIHS. It also serves as the primary health facility for a large number of urban Indians.

The Contractor shall provide medically necessary Hematology/Oncology Services for PIMC, located in Phoenix, Arizona. The Contractor shall provide Professional Healthcare Medical Group, Hematology/Oncology Specialists, who can fully provide Hematology/Oncology services to patients within the specifications of the “Scope of Work”, within the standards of practice, and in accordance to The Joint Commission, Centers for Medicare & Medicaid Services (CMS), Health Promotion/Disease Prevention (HPDP) requirements, and PIMC policies.

The overall scope of this contract is to contract for Professional Healthcare Medical Group to provide Hematology/Oncology Services at PIMC, also referred to herein as the “work site”. The Contractor will be expected to have the necessary ability and education, training, licensing, and previous work experience to perform the work according to the requirements and conditions contained in this Scope of Work Statement. Services shall be in the form of providing specialized Hematology/Oncology Services at PIMC.

The Contractor is required to be fully credentialed/privileged after award of the contract and be “Board Certified” or “Board Eligible” in hematology and/or oncology.

1. SCHEDULES/LOCATIONS/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

SCHEDULE: The Contractor is requested to provide services, for 12-month base period and four (4) 12-month option periods. This service is required by clinic once a week with an estimated fifty-two (52) clinics per contract year. A “Clinic” is defined as one (1) day for eight (8) hours. The Clinic will be within the PIMC hours of operations 5 days a week between 8:00 am - 5:00 pm (0800 - 1700).

Additional Clinics may be added by mutual agreement of both parties with prior agreement and coordination with the Government.

LOCATION: All services shall be performed at the following location:

Centers of Excellence (COE) Department Phoenix Indian Medical Center 4212 N. 16th Street Phoenix, AZ 85016

SHIFTS: Contractors will be expected to abide by the facility’s Uniform Code and shift hour assigned, modalities of charting and care delivery and other rules and regulations of the facility.

Work within a designated schedule prepared by the COE Department or his/her designee. Any period of absence or changes in the schedule will be communicated with the Chief of the COE or his/her designee 14 days prior, except for emergency situations.

Services:

A) Hematology/Oncology Clinic

SHIFTS: Contractor shall schedule for lunch no longer than 30 minutes per Clinic. The Service Unit shall make every effort to submit a schedule two (2) weeks in advance. Clinics may be cancelled or shortened without time restriction or monetary penalty before the contractor’s employee arrives for duty.

Hematology/Oncology Clinic

Clinic Hours (Monday through Friday): 8 hours: 8:00 am - 5:00 pm (0800 - 1700)

NOTE: The duration of each work “Clinic” shift may vary due to patient load, clinical complexity, weather and other circumstances.

Hematology/Oncology: It is estimated that there will be fifty-two (52) Clinics per contract year at 8 hours per Clinic per week. (420) hours per year; estimated 15 patients per Clinic.

Contractors shall attend assigned meetings, participate fully as staff members, and actively participate in ongoing quality management activities and any other PIMC or Indian Health Services initiatives deemed applicable to the specialist’s work.

B) Hematology/Oncology Consultation Services

On Call Telephonic Consultation Services: The contactor shall provide on-call telephone consultations from PIMC staff on location at PIMC. Emergent inpatient consultation services are to be provided 24 hours a day, 7 days a week and 365 days a year at the contractors location/institution. Availability is required for acceptance of or transfer to a facility providing a higher level of care, if appropriate. Consultation services are estimated at 40 hours per calendar year and shall be charged in accordance with the Attachment A - Rate Schedule. The call must be thoroughly documented and the documentation time cannot be included in the actual talk or keyboarding time.

QUALIFICATIONS/CERTIFICATIONS:

Training: Successful completion of an Accreditation Council for Graduate Medical

Education (ACGME) or American Osteopathic Association (AOA) - accredited residency in internal medicine, followed by successful completion of an accredited fellowship in oncology and/or hematology.

Certification: Current certification is required in BLS (Basic Life Support) Insurance: Appropriate medical malpractice liability coverage.

Licensure: Applicants must have active, current unrestricted medical license in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

Contractor shall assure each license is in good standing.

2. PRICE SCHEDULE

The unit prices paid to the Contractor shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any IHS patient, or from any alternate resource for which the patient may be eligible, any monies for services provided under this award.

Clinic services shall be inclusive of all other fees (holiday, overtime), including, all city, state, federal and local taxes, and all miscellaneous costs associated with the provision of services. The government will pay fixed price Clinic rate.

Contractor shall be paid only for actual time services are performed under the terms of the contract at the fixed price rate for On Call Consultation Services. The quantities are estimated hours and estimated totals not to exceed.

See Attachment A – Price Schedule

Government housing not available.

3. STATEMENT OF WORK:

The overall scope of this contract is to acquire a qualified Contractor under a Government service contract. The contractor shall provide the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. Work performance shall be performed according to the requirements and conditions contained in this Statement of Work. The contract resulting from this solicitation includes:

The contract resulting from this solicitation includes:

The Contractor shall be expected to assist and provide services and duties as may be requested for the normal operational requirements for the department and personnel. The Contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure of the Contractor to meet these standards can result in termination of this contract. The Contractor’s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work

During the performance of their duties, the Contractor shall provide for the consistent performance of patient care processes according to the standards for TJC accreditation program within IHS. These standards include: The Comprehensive Accreditation Manuals for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

The Contractor should be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software applications. The Contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the Service Unit. The Contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the

Contractor can relate constructively to IHS employees, Contractors, vendors and individuals from the Native American community. Due to some limited driving requirements, the Contractor should have a current, valid state driver’s license from any of the 50 United States or the Commonwealth of Puerto Rico.

The Contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services. The Contractor shall maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal contract employee is compatible with the expectations of the IHS staff.

The Contractor must utilize the electronic health record for chart documentation.

The Contractor’s employee(s) and subcontractors shall be sensitive to the unique culture factors of the people they treat, which may include use of an interpreter as necessary in communication of services being rendered. Unique cultural factors that may contribute to the patient’s treatment include: use of their language communications; village and tribal customs; use of traditional healers; isolation; housing conditions and lack of resources.

Prepare and complete, in a timely fashion, the medical and other required records for all patients.

Adhere to the guidelines for his/her behavior and action as outlined in the Service Excellence Guidelines to enhance relations between employees, departments, patients, patient’s families and visitors.

Subject his/her performance to the hospital’s Quality Improvement Program, as the same may from time to time be in effect in accordance with the requirements of TJC and external regulatory agencies

Abide by the lawful ethical principles of his/her profession.

Abide by the bylaws, rules and regulations, general conduct of care, and Policy and Procedures set forth at PIMC.

Documentation in the patient’s health record are to be completed at the time services are rendered. During the performance of their duties, the contractor shall provide for the consistent performance of patient care processes according to the standards for TJC accreditation program within IHS. These standards include: The Comprehensive Accreditation Manuals for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

The contractor should be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software applications. The contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to PIMC. The contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the contractor can relate constructively to IHS employees, contractors, vendors and individuals from the Native American community. The contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services.

4. CONDITIONS FOR REMOVAL/REPLACEMENT OF CONTRACTORS

EMPLOYEE):

As mutually agreed between the Contracting Officer and the Contractor there may be grounds for removal and/or replacement of a Contractor employee. The Contractor’s employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this award.

The Contractor shall request government pre-approval to substitute or replace any of the Contractor’s employee of which it has provided qualifications and resumes under this contract.

All Contractor-requested substitutes or replacements’ qualifications, experience and professional certifications must be at least equal to or greater than the original Contractor’s employee provided by the Contractor under this contract.

5. CONTRACTOR REQUIREMENTS:

To be considered for award the offer must comply with the following responsibility factors.

Failure to provide the following responsibility factors in the response may disqualify an offeror from further consideration.

The Contractor may be group or organization in which a qualified provider providing services meets the stated qualification requirements described herein.

Contractor’s employee shall be in attendance for every scheduled shift.

The Contractor shall provide services in such a manner as to meet the highest standards of professional ethics and conduct particularly in regard to confidentiality and patient rights. If at any time during the term of the contract, the Government suspect's unprofessional behavior and practices, the Contractor will be contacted and requested to take appropriate action to correct the behavior or remove the Contractor’s employee.

The Contractor shall contact the Chief, COE or the Acting and be responsible for all documentation required for the Hematologists/Oncologists.

The Contractor shall be responsible for notifying the Chief, COEor the Acting in case of an emergency or inclement weather that would prevent him/her from providing his/her schedule/shift.

The Contractor shall be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software.

The Contractor shall not be authorized to perform any services for the Government until the IHS Governing body has granted the Contractor such privileges in writing. Federal contract employees do not accrue any form of retirement, social security, insurance or any other form of benefits.

The Contractor shall comply with all IHS facility infection control and safety procedures, and standards, including influenza vaccines from October through March.

The Contractor shall provide for the consistent performance of patient care process according to the standards of TJC and/or Centers for Medicare Services (CMS) who supplies accreditation to the health center(s). These standards shall include: The Comprehensive Accreditation Manual for

Hospitals, the Laboratory Standards, and Ambulatory Care Standards as they represent the scope of services of this contract.

The Contractor shall assist and provide services and duties as may be requested for normal operational requirements for the department and personnel. The Contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure of the Contractor to meet these standards can result in the cancellation of the contract.

The Contractor shall have sufficient knowledge, competence and experience in providing these services on a regular scheduled clinic at PIMC. The Contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the Contractor can relate constructively to IHS employees, Contractors, patients, clients and individuals from the Native American Community.

The Contractor shall inform the COR, Contracting Officer or Program Manager or their designated representative of any problems encountered or which may be encountered in connection with meeting the needs of the Contractor’s duties.

The Contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services as there will be some moderate lifting with regard patients, supplies, medications, and equipment.

The Contractor shall maintain acceptable standards of personal hygiene and grooming such that their image as a Federal contract employee is compatible with the expectations of the IHS staff.

The Contractor shall be required to provide regular report of hours worked to the Designated COR with an invoice. This report shall be verified by the Chief of the Centers of Excellence, or, his/her designee, that can confirm the coverage.

The Contractor(s) shall designate an individual who will be the “Project Manager” that will be available to discuss any problems or issues that arise with the COR. (Reference Addendum to FAR 52.212-2 Evaluation – Commercial Items, Technical Evaluation Factors, B. Key Personnel).

The Contract shall obtain and maintain, at his/her own expense, RN licensure and certifications required in the performance of the contract, and shall comply with all laws, regulations, (Federal, State, Tribal and respective hospital) ordinances in the performance of this contract.

If required by the Service Unit, the IHS will provide training for the Contractor’s employee on Electronic Health Records (EHR), the Contractor shall complete medical records on the same day, in the EHR, in accordance with The Joint Commission (TJC) requirements, the Scope of Work Statement. Failure to abide by this requirement is basis for cancellation of this contract.

After given access the EHR, the Contractor(s) shall be required to enter medical patient information, laboratory and X-Rays, etc. into the electronic health record. Medical Records will be the property of the U.S. Government and will be placed in each patient’s chart at the health center. The Medical Records shall not leave the premises.

Pursuant to the Federal Information Security Management Act (FISMA) of 2002 the Contractor shall complete the Computer Security Awareness Training (CSAT) course before computer access is provided or within a few days after receiving their access and annually after that.

Within the Health and Human Services (HHS), there is a requirement for this training to be completed annually by all employees that includes the Contractor.

The Contractor shall comply with all IHS facility infection control and safety procedures, and standards. During the performance of this contract, the Contractor shall provide for the consistent performance of patient care process according to the standards of TJC and/or Centers for Medicare Services (CMS) who supplies accreditation to the Phoenix Indian Medical Center. These standards shall include: The Comprehensive Accreditation Manual for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

Upon award, the selected Contractor’s employee shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the health center. The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/.

Documented evidence of the clearances shall be provided to the Contracting Officer Representative at the PIMC.

All financial, statistical, personnel, and technical data which is furnished produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. Such data or information shall not be released nor legal rights claimed by the Contractor without prior written consent of the Contracting Officer. Any presentation of any statistical or analytical materials, or any reports based on information obtained from performance by this contract will be subject to review and approval of the Contracting Officer. (Refer to HHSAR 352.270-4b Protection of Human Subjects).

6. MAJOR DUTIES REQUIRED:

The overall scope of this contract is to temporarily recruit and hire a qualified contractor under a Government Non-Personal Services contract. The Contractor shall have the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. The contract resulting from this solicitation shall:

The Professional Healthcare Medical Group shall provide routine hematology/oncology consultation coverage at PIMC for at least eight hours weekly for 48 to 52 weeks of the year. The Contractor shall provide consultation that will cover both the diagnostic and therapeutic evaluation and management of patients with cancer and blood disorders.

The Contractor shall see both new patients and follow-up patients. There should be close attention to providing continuity of care for these patients.

The Contractor shall provide 24/7/365 (on call) coverage for emergency consultation within two

(2) hours by phone or other means to assess a problem or to assist in stabilizing or arranging transfer of a patient to a facility where hematology and oncology emergencies can be adequately stabilized and treated. Emergent hematology/oncology consultation will cover both the diagnostic and therapeutic evaluation and management of patients with cancer and blood disorders.

The Contractor shall review and recommend improvements when needed in the policy and procedures that provide for the organization scheduling and general practice of the oncology clinic.

The Contractor shall review and recommend improvements when needed in the policy and procedures that provide for the provision of oncology chemotherapy delivered at PIMC.

The Contractor shall participate in a bi-monthly multidisciplinary tumor board meetings at PIMC when the provider is present on campus.

The Contractor shall utilize written clinical documentation practices consistent with the medical records system of the Indian Health Service so that a comprehensive and legible evaluation is completed on new and follow-up patients.

The Contractor shall provide evidence of participation in a peer review program.

The Contractor shall be qualified for and maintain appointment on the medical staff of PIMC in accordance with the PSU medical staff bylaws.

The Contractor shall complete all required medical staff trainings by posted deadlines.

The Contractor shall complete, in a timely fashion, medical services and other required records for all patients.

The Contractor shall adhere to the guidelines for his/her behavior and action as outlined in the Service Excellence Guidelines to enhance relations between employees, departments, patients, patient’s families and visitors.

The Contractor shall abide by the lawful ethical principles of his/her profession.

The Contractor shall provide proper and adequate medical care within accepted professional standards.

The contractor shall show evidence of physical examination within the preceding twelve (12) months wherein a Physician certifies that the Contractor exhibits no medical condition or physical disability which would interfere with the performance of his or her duties.

The contractor(s) shall attend a PIMC orientation or equivalent and all Contractors, Students, Volunteers and Temporary Staff are required to provide immunization records as proof of immunity or disease for MMR, Varicella, Hepatitis B or declination form, Hepatitis B titer for staff with potential for contact with blood or body fluids, seasonal influenza vaccine (October- March), Tdap and two TB Skin tests with results administered in the past 12 months, one must be within 30 days prior to the start date. Persons with LTBI are required to complete the TB screening form and will be referred to the Employee Health Provider. Meningococcal is required for microbiology staff who are routinely exposed to isolates of Neisseria meningitides, boosters are needed every 5 years if the risk continues. Volunteers, contractors, students and temporary staff without proof of immunity or vaccination cannot report to duty, be scheduled into orientation, or be issued a badge until the immunization status has been confirmed. Employee health creates a file for all contractors, students, volunteers, and temporary staff. Contracting Coordinators/Supervisor are responsible to obtain complete immunization records for contractors and fax to the Employee Health Office for clearance.

7. CONTRACTOR MINIMUM REQUIREMENTS/QUALIFICATIONS:

A. The contractor shall provide the Government with the qualifications of Hematologist/Oncologist

B. When physicians have been confirmed for an assignment with the Government, upon request, the contractor will provide the Government with the clinical certification and license requirements found.

C. Basic Requirement: Successful completion of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA)- accredited residency in internal medicine, followed by successful completion of an accredited fellowship in oncology and/or hematology.

D. License: Applicants must have active, current unrestricted medical license in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States. Contractor shall assure each license is in good standing. The contractor must provide documentation of completion of Hematology and/or Oncology Fellowship and/or board certification.

E. According to current PIMC Policy as referenced by the PIMC Credentialing Education and Competency Plan. All Contractor’s employee’s personnel shall have current certification described.

F. All Contractors must provide copy of resume for file. Contractor file will be kept by the COE Department for verification of license or certificate, The medical staff office file will contain personal information such as home, address, and phone number, next of kin, person to notify in case of emergency, health requirements The COE Department file will contain mandatory in-service and continuing education, competency assessments and awards or disciplinary action.

G. Contractor is responsible for his/her own reliable transportation, travel, hotel, and per diem expenses in the performance of this contract. Travel Costs may be reimbursed at the Federal Travel Regulation for mileage, lodging, MI&E up to the not to exceed line item dollar value of the award.

H. Contractor is responsible for maintaining satisfactory standard of competence, conduct, appearance and integrity. The quality of work performance of the Contractor shall be subject to review.

I. Contractor shall abide by PIMC Standard of Conduct and policies and procedures.

J. Contractor is responsible for notifying the Chief, COE or Designee if he/she will be late or will be unable to work due to illness or any other reason.

K. Contractors who become sick while on duty will seek medical care from their own private physician, unless Contractor is eligible to receive health care from Indian Health Service.

L. Contractor is responsible for completing time sheets for actual hours worked.

M. Certification/License: The physician must possess and maintain an active unrestricted license. Current certification is required in BLS (Basic Life Support).

8. CONTRACTOR CREDENTIALS:

The contractor shall provide a list of qualified candidates and the following documents per candidate as applicable:

a) Current Resume.

b) Two (2) letters of reference from current or previous employers.

c) Verification of Employment (VOE) required from a current or previous employer within the last three (3) years.

d) Copy of a valid, unrestricted medical license.

e) Copy of valid BLS (Basic Life Support).

f) Copy of appropriate medical malpractice liability coverage.

g) OMB NO 0917-0028, Addendum to Declaration of Federal Employment (OF-306).

h) Current Health Status Report.

i) Certificate of Immunization.

j) Child Care Form, Addendum OMB Approved Form-2012.

9. SECURITY CLEARANCES:

The contractor shall ensure their employees have been properly screened prior to presenting to PIMC for employment under this contract. The contractor shall inform their employees to obtain Fingerprint cards or electronically submit their fingerprints through the PIMC Human Resources Department and complete the appropriate background investigation form which will be submitted for processing. No performance under this contract shall be allowed until the contractor’s employee is cleared through the PIMC Human Resources Department and issued a badge.

10. SUPERVISORY CONTROLS:

The Chief, COE, or supervising designee, provides primarily administrative supervision. The supervising designee sets overall health care objectives and specifies resources available. The Chief, COE provides for clinical supervision on a 24-hour, media and tour of duty coverage. The Chief, COE reviews work performance on a periodic basis in order to evaluate proficiency in providing health care, discuss deficiencies and problems encountered. Work performance is reviewed for conformance to IHS policy.

11. DELIVERABLES:

The Contractor is required to provide a copy of each Contractor’s employee profile to the Contracting Officer Representative prior to providing services at the PIMC.