2. Statement of Work SOW - posting.doc

Statement of Work

Radiologist (On Call, On Site & Remote) Background Information

The National Institutes of Health (NIH) is the nations federally funded biomedical research institution. It is comprised of twenty-seven Institutes, Centers and Divisions. The NIH Clinical Center (NIH/CC) supports the intramural clinical programs of the Institutes and is located on the NIH campus in Bethesda Maryland. A fully functioning clinical facility houses 242 inpatient beds and 12 outpatient clinics and 3 day hospitals. The Clinical Center supports patient care with a clinical Radiology Department (RAD&IS) to address a broad variety of radiologic medical issues that may arise during a course of treatment. This support is offered continuously 365 days a year. The NIH Radiology Department has vacancies yet to be filled and thus there is a need for contract Diagnostic Radiologists (Neuroradiologists/Body Imaging), Interventional Radiologists and Nuclear Medicine Physicians to staff the Radiology department, On Call, On Site and Remotely. Therefore, it is necessary to initiate a formal agreement with external contractors to provide routine radiologic and scheduled on-call coverage/consultations for diagnostic

(neuroradiology/body imaging), interventional radiology and Nuclear Medicine services.

Purpose and Objective The contractor shall provide qualified, medically licensed individuals who are qualified Diagnostic Radiologists, Neuroradiologists, Interventional Radiologists and/or Nuclear Medicine Physicians. The incumbent will perform all medical activities in the RAD&IS within the NIH/CC on the Bethesda MD campus or remotely if requested.

In general, the Interventional Radiologist will work daily from 7:30am to 4:30pm per month, and take rotating call per departmental policy from 5pm to 8am Monday thru Thursday and from Friday 5pm to Monday 8am for the period of performance specified in the final contract, The diagnostic radiologist (neuroradiology and or body imaging specialists) will work 8:00 a.m. – 5:00 p.m. M-F and take rotating remote off-site call 5:00pm – 8:00 a.m. Monday through Thursday and Friday 5:00pm through 8 a.m. Monday morning.

The nuclear medicine physician will work between core hours of 8:00 a.m. and 5:00 pm. M-F and or hourly after hours and weekends by request of section chief.

Once the contract is awarded and qualified proposed physician candidates (who meet the requirements within the Statement of Work and within the Contracts Requirements section) are identified by the vendor he, she or they will complete the credentialing process of the CC/NIH in order to begin work.

The contractor shall report directly to the section chief or deputy chief, however on a daily or weekly basis, they may report to the daily Attending Radiologist or nuclear medicine physician as designated by section or deputy section chief.

Deliverables

· The contractor shall perform radiologic services onsite at the NIH at the direction of the RAD&IS section chief.

· During duty hours the incumbent will be available to discuss a case with the patient’s NIH physician requesting a consultation, procedure, or imaging study.

· The incumbent radiologist will perform all activities expected of a certified radiologist including but not limited to:

· Expert review and evaluation of multi-modality imaging studies,

· Perform interventional radiology procedures such as venous access devices, diagnostic biopsies, therapeutic drainage, and be assistive to NIH radiologist and interventional chief or deputy of interventional radiology.

· Perform neuroradiology procedures such as lumbar puncture, provide access and administer intrathecal chemotherapy or contrast under fluoroscopic guidance.

· Perform fluoroscopic imaging such as contrast esophagram, UGI and Small bowel follow through, and barium enema.

· Oversee the administration of diagnostic or therapeutic Radiopharmaceuticals.

· Communicate with RAD&IS technical staff directly in order to provide instructions for performing imaging studies and/or answer any technical questions.

· Review of completed studies or procedures in order to provide the interpretation or results of the procedure to the clinician in a timely manner.

· Communicate directly with the requesting clinician the results of the urgent or emergent studies performed.

· Meet expected turnaround time of less than 24 hours for written reporting of routine studies, with immediate verbal reporting of findings for urgent cases or critical results.

· Document all care provided in the PACRIS and or other systems and when appropriate, directly in the patient’s hospital medical record.

Requirements The contractor should provide individuals who are, Board Certified Diagnostic Radiologists or nuclear medicine physicians with at least two years post-residency experience with general body imaging and or neuroradiology studies including MR, CT, Ultrasound, , plain films and general fluoroscopy, and/or general nuclear medicine procedures, PETCT including oversight of administration of diagnostic and therapeutic radiopharmaceuticals.

The contractor should provide individuals who are Board Certified Diagnostic Radiologists with a CAQ or MOC in vascular and interventional radiology or Board certified Diagnostic and Interventional Radiologists with at least two years post-residency experience with interventional radiology studies, including vascular access, biopsy, abscess drainage, embolization for abdominal or thoracic bleeding, IVC filter placement, thrombolysis or other emergent procedures as determined by the Chief or Deputy Chief Interventional Radiology.. The contractor must have familiarity with these diagnostic radiologic procedures, and these common interventional radiologic procedures, as well as experience performing procedures on all ages of patients.

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

2. The contractor shall be board certified by the American Board of Radiology, and with CAQ or MOC in vascular and interventional radiology, Board certified in Diagnostic and Interventional Radiology.

3. The diagnostic radiologist in body imaging and/or neuroradiology shall be board certified by the American Board of Radiology

4. The nuclear medicine physician must be board certified by the American board Radiology and of nuclear medicine or the ABNM

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

6. 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.

7. 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/

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

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

10. The contractor shall complete and maintain appropriate Radiology department, Clinical Center and NIH/HHS trainings and competencies.

11. Serves as consultant to clinical and research physicians regarding research or clinical problems involving radiologic studies. Is responsible for interpretation of all categories of imaging procedures and outlines the best route to obtain further diagnostic information in collaboration with the primary care physician.

On-Call schedule The Radiologist/s must be available for core hours which vary by section, take rotating call per departmental policy from 5pm to 8am Monday thru Thursday and from Friday 5pm to Monday 8am Remote Schedule

The Radiologist must be available as needed by the section chief for a number of hours scheduled per month.

Government Responsibilities

· To review contractor invoices for accuracy.

· Notify the contractor of need for an on-site radiologist and or interventional radiologist 4 weeks in advance.

Clearances

The contractor will have access to patient information via Clinical Research Information System (CRIS) 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 will 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.

Travel

Travel expenses will not be reimbursed.

FEDERAL INFORMATION AND INFORMATION SYSTEMS SECURITY

Include when contractor/subcontractor personnel will (1) develop, (2) have the ability to access, or (3) host and/or maintain Federal information and/or Federal information system(s). For more information see:

HHS Information Security Program Policy at:

http://intranet.hhs.gov/infosec/docs/policies_guides/ISPP/Information_Security_Program_Policy.pdf and

HHS Contractor Oversight Guide:

http://intranet.hhs.gov/infosec/docs/policies_guides/COG/Contractor_Oversight_Guide.pdf

PERSONALLY IDENTIFIABLE INFORMATION (PII):

Include when contractor/subcontractor personnel will have access to, or use of, Personally Identifiable Information (PII), including instances of remote access to or physical removal of such information beyond agency premises or control. For more information see:

OMB Memorandum M-06-15, Safeguarding Personally Identifiable

Information (05-22-06):

http://www.whitehouse.gov/omb/memoranda/fy2006/m-06-15.pdf

OMB Memorandum M-06-16, Protection of Sensitive Agency

Information (06-23-06):

http://www.whitehouse.gov/OMB/memoranda/fy2006/m06-16.pdf

OMB Memorandum M-06-19, Safeguarding Against and Responding to the Breach of Personally Identifiable Information:

http://www.whitehouse.gov/omb/memoranda/fy2006/m06-19.pdf

Guide for Identifying Sensitive Information, including Information in Identifiable Form, http://ocio.nih.gov/security/NIH_Sensitive_Info_Guide.doc

OMB Memorandum M-07-16, Protection of Sensitive Agency Information. http://www.whitehouse.gov/omb/assets/omb/memoranda/fy2007/m07-16.pdf

PHYSICAL ACCESS TO A FEDERALLY-CONTROLLED FACILITY:

Include when contractor/subcontractor personnel will have regular or prolonged physical access to a Federally-controlled facility. For more information see:

Homeland Security Presidential Directive/HSPD-12, Policy for a Common Identification Standard for Federal Employees and Contractors (08-27-04):

http://www.whitehouse.gov/news/releases/2004/08/print/20040827-8.html

OMB Memorandum M-05-24, Implementation of Homeland Security Presidential Directive (HSPD) 12 – Policy for a Common Identification Standard for Federal Employees and Contractors (08-05-05): http://www.whitehouse.gov/omb/memoranda/fy2005/m05-24.pdf Federal Information Processing Standards Publication (FIPS PUB) 201-1 (Updated June 26, 2006): http://csrc.nist.gov/publications/fips/fips201-1/FIPS-201-1-chng1.pdf

HHS Interim Policy: Contractual Implementation of Homeland Security Presidential Directive (HSPD) 12, Policy for a Common Identification Standard for Federal Employees and Contractors [Draft]

NIH INFORMATION SECURITY

Information Security tc "Information Security " \l 5is applicable to this acquisition.

The Statement of Work (SOW) requires the Contractor to perform one, or any combination, of the following on behalf of the Government:

1. Develop, have the ability to access or host and/or maintain a Federal information system(s).

2. Access or use of sensitive information or Personally Identifiable Information (PII).

3. Remotely access federal information or physically remove sensitive federal information or PII beyond agency premises or control.

4. All IT equipment procurement requests (servers, desktops, laptops, Blackberries, PDAs, data storage devices, and all information processing equipment)

Pursuant to Federal and HHS Information Security Program Policies the following requirements apply to this acquisition:

Federal Information Security Management Act of 2002 (FISMA), Title III, E-Government Act of 2002, Pub. L. No. 107-347 (Dec. 17, 2002); http://csrc.nist.gov/drivers/documents/FISMA-final.pdf

NIH PHYSICAL ACCESS SECURITY

Physical Access Security tc "Information Security " \l 5 is applicable to this acquisition.

In accordance with OMB Memorandum M-05-24, background investigations must be completed for all contractor/subcontractor personnel who have (1) access to sensitive information, (2) access to Federal information systems, (3) regular or prolonged physical access to Federally-controlled facilities, or (4) any combination thereof. [Reference: Definition of “Federally-controlled facilities” at Federal Acquisition Regulation (FAR) Subpart 2.1, Definitions]

The Statement of Work (SOW) requires the Contractor to have regular or prolonged physical access to a Federally-controlled facility, thereby requiring compliance with the following regulations/policies:

Homeland Security Presidential Directive/HSPD-12, Policy for a Common Identification Standard for Federal Employees and Contractors (08-27-04):

http://www.whitehouse.gov/news/releases/2004/08/print/20040827-8.html

OMB Memorandum M-05-24, Implementation of Homeland Security Presidential Directive (HSPD) 12 – Policy for a Common Identification Standard for Federal Employees and Contractors (08-05-05): http://www.whitehouse.gov/omb/memoranda/fy2005/m05-24.pdf

HHS Interim Policy: Contractual Implementation of Homeland Security Presidential Directive (HSPD) 12, Policy for a Common Identification Standard for Federal Employees and Contractors [Draft]

HHS Office of Security and Drug Testing, Personnel Security/Suitability Handbook (02-01-05):

http://www.knownet.hhs.gov/acquisition/pssh.pdf

POSITION SENSITIVITY DESIGNATIONS

The following position sensitivity designation(s) and associated suitability determination(s) and background investigation requirements apply to this acquisition.

[ ] Level 6: Public Trust -High Risk (Requires Suitability Determination with a BI). Contractor/subcontractor employees assigned to a Level 6 position are subject to a Background Investigation (BI).

[ ] Level 5: Public Trust - Moderate Risk (Requires Suitability Determination with NACIC, MBI or BI). Contractor/subcontractor employees assigned to a Level 5 position with no previous investigation and approval shall undergo a National Agency Check and Inquiry Investigation plus a Credit Check (NACIC), a Minimum Background Investigation (MBI), or a Limited Background Investigation (LBI).

[X ] Level 1: Non Sensitive (Requires Suitability Determination with an NACI). Contractor/subcontractor employees assigned to a Level 1 position are subject to a National Agency Check and Inquiry Investigation (NACI).

The Contractor shall submit a roster by name, position, e-mail address, phone number and responsibility, of all staff (including subcontractor staff) working under this acquisition where the contractor will develop, have the ability to access, or host and/or maintain a federal information system(s). The roster shall be submitted to the Project Officer, with a copy to the Contracting Officer, within 14 calendar days of the effective date of this acquisition. Any revisions to the roster as a result of staffing changes shall be submitted within 15 calendar days of the change. The Contracting Officer will notify the Contractor of the appropriate level of suitability investigation required for each staff member. An electronic template, "Roster of Employees Requiring Suitability Investigations," is available for contractor use at: http://ais.nci.nih.gov/forms/Suitability-roster.xls

Upon receipt of the Government's notification of applicable, required Suitability Investigations, the Contractor shall complete and submit the required forms within 30 days of the notification.

Contractor/subcontractor employees who have met investigative requirements within the past five years may only require an updated or upgraded investigation.

Contractor/subcontractor employees shall be required to comply with the HHS criteria for the assigned position sensitivity designations prior to performing any work under this acquisition. The following exceptions apply:

Levels 5 and 1: Contractor/subcontractor employees may begin work under this acquisition after the contractor has submitted the name, position and responsibility of the employee to the Project Officer.

Level 6: In special circumstances the Project Officer may request a waiver of the pre-appointment investigation. If the waiver is granted, the Project Officer shall provide written authorization for the contractor/subcontractor employee to work under this acquisition.

INFORMATION SECURITY and PRIVACY TRAINING Contractors/subcontractors shall receive security and privacy training commensurate with their responsibilities for performing work under the terms and conditions of their contractual agreements.

The Contractor shall ensure that each contractor/subcontractor employee has completed the NIH Computer Security Awareness Training and the NIH Privacy Awareness course at: http://irtsectraining.nih.gov/ or an equivalent training course specified by NIH prior to performing any work under this acquisition, and thereafter completing the NIH-specified fiscal year refresher course during the period of performance of this acquisition.

The Contractor shall maintain a list by name and title of each Contractor/Subcontractor employee working under this acquisition who has completed the NIH required training. The list (along with any subsequent updates to the list) shall be provided to the Project Officer. Any additional security training completed by Contractor/Subcontractor staff shall be included on this list. [The list of completed training shall be included in the first technical progress report. (See Article C.2. Reporting Requirements). Any revisions to this list as a result of staffing changes shall be submitted with the next required technical progress report.]

Additional security training requirements commensurate with the position may be required as defined in NIST Special Publication 800-16, Information Technology Security Training Requirements ( http://csrc.nist.gov/publications/nistpubs/800-16/800-16.pdf ). This document provides information about information security training that may be useful to the Contractor.

Contractor/subcontractor staff shall be required to complete the following additional training prior to performing any work under this acquisition:

RULES OF BEHAVIOR

The Contractor/subcontractor employees shall be required to comply with and sign the NIH Information Technology General Rules of Behavior at: http://irm.cit.nih.gov/security/nihitrob.html

PERSONNEL SECURITY RESPONSIBILITIES

The Contractor shall perform and document the following actions:

Contractor Notification of New and Departing Employees Requiring Background Investigations The Contractor shall notify the Contracting Officer, the Project Officer, and the Security Investigation Reviewer within five working days before a new employee assumes a position that requires a suitability determination or when an employee with a suitability determination or security clearance stops working under this acquisition. The Government will initiate a background investigation on new employees requiring suitability determination and will stop pending background investigations for employees that no longer work under this acquisition.

New employees: Provide the name, position title, e-mail address, and phone number of the new employee. Provide the name, position title and suitability determination level held by the former incumbent. If the employee is filling a new position, provide a description of the position and the Government will determine the appropriate suitability level.

Departing employees:

Provide the name, position title, and suitability determination level held by or pending for the individual.

Perform and document the actions identified in the Contractor Employee Separation Checklist (attached) when a Contractor/subcontractor employee terminates work under this acquisition. All documentation shall be made available to the Project Officer and/or Contracting Officer upon request.

COMMITMENT TO PROTECT NON-PUBLIC DEPARTMENTAL INFORMATION SYSTEMS AND DATA

Contractor Agreement

The Contractor and its subcontractors performing under this SOW shall not release, publish, or disclose non-public Departmental information to unauthorized personnel, and shall protect such information in accordance with provisions of the following laws and any other pertinent laws and regulations governing the confidentiality of such information:

_18 U.S.C. 641 (Criminal Code: Public Money, Property or Records)

_18 U.S.C. 1905 (Criminal Code: Disclosure of Confidential Information)

_Public Law 96-511 (Paperwork Reduction Act)

Contractor Employee Non-Disclosure Agreement

Each Contractor/subcontractor employee who may have access to non-public Department information under this acquisition shall complete the Commitment to Protect Non-Public Information – Contractor Employee Agreement http://ocio/docs/public/Nondisclosure.pdf . A copy of each signed and witnessed Non-Disclosure agreement shall be submitted to the Project Officer prior to performing any work under this acquisition.

NIH Identification and Parking

IDs

Employees hired to work under this contract will be citizens of the United States, or, if aliens have the appropriate permits to work. The contractor must comply with the ID requirements listed below:

(1) HHS ID Badge requires a background check, fingerprints and 2 appointments on campus at DPSAC during business hours to be issued the HHS ID Badge.

(2) If at any time the contractor vacates or is dismissed from the contract obligations the HHS ID Badge and Parking permits are returned within one day upon dismissal or at the termination of the contract.

Parking

The consultant will receive a general parking permit. The consultant shall abide by the rules and regulations as set forth by the NIH Police and Parking Office.