SOW_-_Claremore_Cardiology_Clinics.doc

STATEMENT OF WORK

CARDIOLOGY CLINIC SERVICES

Purpose:

The purpose of this request is to contract for a Cardiologist to provide cardiology clinic services on-site at the Claremore Indian Hospital, 101 S. Moore, Claremore OK 74017.

Background:

The services of a cardiologist providing an in-house clinic will be beneficial for patients residing in the Claremore Service Unit instead of utilizing the contract health system to an outside contractor.

Procedures:

The contractor shall provide Cardiology services as deemed necessary to evaluate and treat eligible patients residing in the Claremore Service Unit. Clinics shall be by appointment only. The Cardiologist shall perform an evaluation of cardiovascular diseases, order labs in EHR as necessary, interpret EKG’s done in-house, and order referrals in EHR. The Cardiologist shall, when necessary, recommend referral to in- house specialties or referral for higher level of care or diagnostics. Referrals to outside contractors shall be in conjunction with a staff physician and shall utilize the contract health system. Documentation of services provided shall be in accordance with standard clinic practice and applicable to all regulatory guidelines. Cardiology clinics shall be scheduled as 1 full day per week to equal 4 days per month based on facility need and Cardiologist availability.

Work Schedule

1. Contractor shall schedule in advance full day clinic schedules based on facility needs and the contractor’s availability.

2. Contractor shall complete orientation prior to beginning work.

3. Full day clinic hours shall be scheduled from 8:00 AM through 4:30 PM.

4. Clinics dates shall be scheduled 4 months in advance and if cancelled due to contractor unavailability shall be rescheduled within 30 calendar days.

Project Officer:

The Project Officer representing the Government for the purpose of this contract will be Kimberly Hale, 101 S. Moore Claremore, Oklahoma 74017. Telephone 918-342-6201.

Qualifications of Contractor Personnel:

The Contractor shall assure that all personnel are appropriately licensed and trained to provide cardiology services. The contractor shall provide Cardiologists that are Board Certified in their field or the appropriate licensed personnel working under the direction of a Cardiologist. Contract is contingent on Cardiologist being contracted, credentialed and privileged by the Claremore Service Unit medical staff through the Claremore Service Unit medical staff bylaws.

Special terms and conditions:

Contractor shall maintain the security of patient data and comply with the Privacy

Act of 1974.

Minimum Qualifications:

The contractor shall have a permanent, current, full and unrestricted license to practice medicine in a state, District of Columbia, the Commonwealth of Puerto Rico or a territory of the United States. The providers shall have expertise or experience in cardiology care by practical experience, must have completed an accredited residency training program in Cardiology or board certification in Cardiology, though board certification is not required.

Failure or Inability to Perform Services:

The Contractor shall submit a plan which outlines a course of action, should the contractor be unable to carry out the duties outlined within the contract.

Evaluation of Technologists:

Claremore Indian Hospital will periodically evaluate the performance and professional quality of services provided through documentation review. The Contractor shall make provision whereby unsatisfactory performance will be addressed in a mutually agreed upon manner. The contractor shall perform quality assurance activities that are acceptable to the Facility’s Accreditation body regarding Cardiology services.

Reference Material:

The contractor shall be required to develop familiarity and abide by current policies, procedures, by-laws, and regulations of clinical and medical staff of the Claremore Indian Hospital in regards to documentation and safe guarding of patient information. These are available upon request from the Clinical Director at the CIH 101 S. Moore, Claremore, OK 74017.

Contact with Indian Children Individuals providing a service which involves regular contact with, or control over, Indian children, are subject to a character investigation. IHS personnel offices will conduct these investigations following award of non-personal services contract unless in the judgment of the Contracting Officer, in consultation with the Personnel Officer, investigation may be waived based on prior investigations on file. Until the Contracting Officer has been notified of the result of the investigation, such individuals shall not have unsupervised contact with Indian Children.

Kimberly Hale

Inpatient Pharmacy Technician

Chief Executive Officer