Orthopedics_SOW.doc

Statement of Work

Orthopedic Services

Background Information

The National Institutes of Health (NIH) is the nation’s foremost federally funded biomedical research institution. It is comprised of twenty-seven Institutes, Centers and Divisions. The NIH Clinical Center is the on-site 242-bed hospital for the NIH campus comprised of clinical, laboratory and administrative staff who support the Institutes as they conduct clinical research working with inpatients and outpatients participating in research studies at the NIH. Whereas the Clinical Center has a clinical support team to address a broad variety of routine medical issues that may arise during a course of treatment, in some instances, a specialist is required for emergency consultations. The NIH does not have a full-time orthopedic surgeon on staff, necessitating a formal agreement with external contractors to provide emergency, urgent and routine orthopedics consultations.

Purpose and Objective

Contractor will provide Routine, Urgent and Emergent Orthopedic care as determined by the attending physician. Services rendered will include 24/7 routine, urgent and emergent consultation on site. The contractor will discuss the case with the NIAMS physician and will provide follow-up that meets patient care requirements. Such care may be provided on-site or, (in instances in which transport of the patient is appropriate), may be provided in a nearby clinic or office setting.

Deliverables

· The vendor will perform all consultative services onsite and work at the direction of the patient’s NIH attending physician.

· The orthopedic contractor will discuss the case with the NIAMS physician and is expected to respond within two hours of notification.

· If surgery is required, the preferred location for surgery is within the designated operating suites and clinics in the NIH Clinical Center. However, if the surgery is beyond the capabilities of the NIH, surgery can be performed at a hospital that has the necessary orthopedics equipment and supplies to promote patient safety.

· If the patient requires urgent surgery, the attending physician will discuss the case with the Orthopedic Contractor and the NIH anesthesiologist on call to see if the surgery can be performed at the Clinical Center. If the procedure cannot be performed safely at the NIH, the contractor will coordinate with the attending NIAMS physician to arrange for the transfer of the patient to a nearby hospital where the contractor has privileges for surgery.

· Surgical patients will also be seen by the orthopedic contractor for a medically appropriate number (minimum of one visit) of outpatient visits to assess post-surgical progress. Follow-up care for postoperative patients will meet the community standard for the provision of orthopedics care.

Requirements

The contractor must be a skilled orthopedics Board Certified Orthopedic Surgeon with at least five years post-residency experience. Must have familiarity with orthopedic oncologic procedures as well as experience performing procedures on pediatric patients who have genetically determined skeletal disease or bone dysplasia.

1. The contractor will be a licensed in a state, territory or commonwealth of the United States or District of Columbia.

2. The contractor shall be board certified in Orthopedic Surgery.

3. The contractor will provide personal medical liability insurance at the standard $1 million per claim/$3M aggregate.

4. The contractor shall indemnify the Government for any liability producing act or omission by the contractor during the contract performance. Contractors shall not be considered at any time employees of the Federal Government for any purpose.

5. The contractor shall comply with all hospital policies and requirements established by the Joint Commission on the Accreditation of Healthcare Organizations. http://www.jointcommission.org/

6. The contractor must provide necessary credentialing documents and references for privileges in the Clinical Center.

7. The contractor must provide proof of a negative TB test, and documentation of Hepatitis B vaccination before reporting to work at the Clinical Center

On-Call schedule

The contractor will be available to provide routine, urgent or emergent orthopedics consultations 24/7. The contractor may utilize other members of his/her practice to provide coverage when the primary contractor is out of town to assure proper management of CC patients Government Responsibilities

· To review vendor invoices for accuracy.

· The NIH cannot commit to a specified volume for consultations since they are urgent in nature and cannot be predicted. All coordination of cases will be the responsibility of the attending NIH physician and contractor.

Clearances

Contractor will have access to patient information via Clinical Research Information System and NIH/CC email.

Patient Confidentiality

The database has the right to privacy concerning all Clinical Center data. The contractor shall agree to comply with the provisions of the Privacy Act of 1974, as amended, and the agency rules, regulations and policies implementing the ACT.

Any patient data identified/utilized/transmitted with be subject to the Privacy Act and confidentiality requirements under which the Clinical Center operates. All information pertaining to specific clinical Center patients is protected from unauthorized use or disclosure by the Privacy Act of 1974. Violation of the Act may involve the imposition of criminal penalties.

Neither the contractor nor approved subcontractor shall refer to the NIH or any of its affiliates, employees, agents, or medical or research staff in any press release or promotional statements without the prior written approval of the NIH. The NIH shall not refer to the contractor or subcontractor or any of its affiliates, employees, agents, or medical or research staff in any press release or promotional statements without the prior written approval of the contractor and/or subcontractor.

Quality Assurance

Contractor shall sign the log sheet located at the Clinical Center admissions desk in the Bldg. 10 CRC.

Security and Privacy of information

The contractor agrees to comply with the requirements of the HHS AISPP Handbook, Version 2.0 regarding confidentiality of information. (Handbook is available at http://irm.cit.nih.gov/policy/aissp.html). All contractor staff will access to NIH automated systems must sign in a Commitment to Protect Privileged Information Contractor Agreement form. Failure to comply with the requirements of the document shall constitute grounds for termination.

Period of Performance Base Period: September 30, 2018 through September 29, 2019

Option Period 1: September 30, 2019 through September 29, 2020

Option Period 2: September 30, 2020 through September 29, 2021

Option Period 3: September 30, 2021 through September 29, 2022

Option Period 4: September 30, 2022 through September 29, 2023 Invoice Requirements

The contractor shall submit an invoice with the following information;

1. Invoice monthly

2. Dates of work

3. Total for entire invoice

(1). The contractor shall submit the original and a copy of the invoice correctly as follows:

a. An original to the following designated payment officer

National Institutes of Health, OFM

Commercial Accounts, Room 4B-432

2115 East Jefferson Street, MSC 8500

Bethesda, MD 20892-8500

b. One copy to the Administrative Officer at:

National Institutes of Health

Clinical Center

Attn: Nyna Konishi

Building 10 CRC, Room 7-2561

10 Center Drive, Bethesda, Maryland 20892 c.

Inquiries regarding payment of the invoices should be directed to the designated payment office, Attention: Chief, Accounts Payable Branch, (301) 496-6088.