27R00003_Comb_Syn_PWS.pdf

RFP: 75H70627R00003

Combined Synopsis 1

COMBINED SYNOPSIS/SOLICITATION

Request for Proposal (RFP) No. 75H70627R00003

Firm-Fixed-Price (FFP), Non-Personal Healthcare Services acquisition to provide one (1) Obstetrician/Gynecologist (OB/GYN) Physician and required nursing support services to support the

Cheyenne River Service Unit (CRSU), Cheyenne River Health Center (CRHC), Eagle Butte, South Dakota. The requirement includes a one (1)-year base period and four (4) one-year option periods for a total potential period of performance of five (5) years.

A. NOTICE TYPE

This is a combined synopsis/solicitation for commercial services prepared in accordance with the format prescribed in FAR Subpart 12.6, as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation. Proposals are being requested, and a separate written solicitation will not be issued.

This solicitation incorporates all provisions and clauses applicable to this acquisition as of the date of issuance.

B. CONTRACT AWARD

The Great Plains Area Indian Health Service (IHS) intends to award a Firm-Fixed-Price (FFP), Non-Personal Healthcare Services acquisition to provide one (1) Obstetrician/Gynecologist (OB/GYN) Physician and required nursing support services to support the Cheyenne River Service Unit, Cheyenne River Health Center, Eagle Butte, South Dakota.

This acquisition is being conducted in accordance with FAR Part 12, Acquisition of Commercial Products and Commercial Services.

The anticipated contract award will be made in response to Request for Proposal (RFP) No. 75H70627R00003 The Contractor shall provide all personnel, supervision, management, credentialing, licensing, administrative support, and other resources necessary to perform the required OB/GYN physician services and nursing support services in accordance with the Performance Work Statement (PWS).

The Contractor shall perform as an independent contractor. Contractor personnel shall not be considered employees, agents, or representatives of the Indian Health Service or the Federal Government.

C. SOLICITATION PROVISIONS AND CLAUSES

This solicitation and incorporated provisions and clauses are those in effect through:

Federal Acquisition Circular (FAC) 2026-01, effective March 13, 2026.

Applicable Federal Acquisition Regulation (FAR) and Health and Human Services Acquisition Regulation (HHSAR) provisions and clauses apply to this acquisition.

D. SET-ASIDE INFORMATION

This requirement is issued as an:

Indian Small Business Economic Enterprise (ISBEE) Set-Aside NAICS Code: 561320 – Temporary Help Services Size Standard: $34.0 Million The Contractor shall meet all applicable ISBEE eligibility requirements at the time of proposal submission and award.

Combined Synopsis 2

E. CONTRACT TYPE AND PRICING REQUIREMENTS

The anticipated contract type is:

Firm-Fixed-Price (FFP), Non-Personal Healthcare Services Contract The Contractor shall provide all resources necessary to satisfy the requirements identified in the Performance Work Statement.

The Contractor’s firm-fixed prices shall include all costs associated with performance of the applicable physician services CLINs and nursing support services CLINs, including but not limited to:

• Physician and nursing support personnel compensation;

• Employee benefits;

• Payroll expenses;

• Credentialing and privileging costs;

• Required medical licenses and certifications;

• Recruitment and retention expenses;

• Administrative support;

• Quality assurance activities;

• Medical staff coordination;

• Management and supervision;

• Professional liability insurance;

• Overhead;

• Profit; and

• Any other costs necessary to perform the contract requirements.

The Government will not provide separate reimbursement for costs incurred by the Contractor in performing this requirement unless specifically authorized by the Contracting Officer. Physician services and nursing support services shall be separately priced under their applicable CLINs.

The Contractor shall be responsible for managing staffing resources necessary to meet the Government’s requirements.

The Contractor shall ensure continuous availability of qualified OB/GYN physician services and required nursing support services throughout the period of performance and shall be responsible for recruitment, scheduling, and replacement of Contractor personnel as necessary to meet contract requirements.

F. PRICE SCHEDULE

Offerors shall provide separate Firm-Fixed-Price (FFP) monthly prices for each physician services and nursing support services Month of Service (MOS) CLIN in accordance with the Performance Work Statement.

Unit of Issue: MOS – Month of Service One (1) MOS represents one month of the applicable OB/GYN physician services or nursing support services provided to the Cheyenne River Service Unit, Cheyenne River Health Center.

The Contractor shall provide sufficient qualified OB/GYN physician personnel and nursing support personnel to meet Government requirements. The Government does not guarantee utilization beyond the stated requirement or any minimum level of service except as identified in the resulting contract.

The Contractor’s proposed monthly price for each CLIN shall include all personnel, supervision, management, credentialing, licensing, administrative support, and other resources necessary to perform the services associated with that CLIN.

CLIN Description Unit of Issue Quantity Unit Price Extended

Price

0001 Base Year - One (1) Obstetrician/Gynecologist (OB/GYN) Physician Services MOS 12 $________ $________

Combined Synopsis 3

CLIN Description Unit of Issue Quantity Unit Price Extended

Price

0002 Base Year - Nursing Support Services to Support One (1) OB/GYN Physician MOS 12 $________ $________

1001 Option Year One - One (1) Obstetrician/Gynecologist (OB/GYN) Physician Services MOS 12 $________ $________

1002 Option Year One - Nursing Support Services to Support One (1) OB/GYN Physician MOS 12 $________ $________

2001 Option Year Two - One (1) Obstetrician/Gynecologist (OB/GYN) Physician Services MOS 12 $________ $________

2002 Option Year Two - Nursing Support Services to Support One (1) OB/GYN Physician MOS 12 $________ $________

3001 Option Year Three - One (1) Obstetrician/Gynecologist (OB/GYN) Physician Services MOS 12 $________ $________

3002 Option Year Three - Nursing Support Services to Support One (1) OB/GYN Physician MOS 12 $________ $________

4001 Option Year Four - One (1) Obstetrician/Gynecologist (OB/GYN) Physician Services MOS 12 $________ $________

4002 Option Year Four - Nursing Support Services to Support One (1) OB/GYN Physician MOS 12 $________ $________

Totals MOS 120 $________ $________ Total Evaluated Price (Base Period + All Option Periods): $________________ Price Evaluation The Government will evaluate proposed pricing based on the Total Evaluated Price for the entire potential period of performance.

The Total Evaluated Price will be the sum of the extended prices for all physician services and nursing support services CLINs for the base period and all option periods. Each extended price will be calculated by multiplying the proposed firm-fixed monthly MOS price by the quantity of 12 MOS for the applicable CLIN.

The Government will evaluate price fairness and reasonableness using one or more of the following techniques:

• Comparison of proposed prices received from Offerors;

• Comparison with the Government Independent Government Cost Estimate (IGCE);

• Comparison with historical pricing information for similar healthcare staffing requirements; and/or

• Other appropriate price analysis techniques in accordance with FAR Part 15.

The Government will consider the relationship between price and the technical benefits offered in determining the proposal that represents the best value to the Government.

Prices that appear unrealistically low may be evaluated to determine whether the Offeror understands the requirements and possesses the capability to successfully perform the contract.

G. DESCRIPTION OF REQUIREMENT

The purpose of this requirement is to obtain Firm-Fixed-Price Non-Personal Healthcare Services for OB/GYN physician services and required nursing support services for the Cheyenne River Service Unit (CRSU), Cheyenne River Health Center (CRHC).

The Contractor shall provide a qualified, licensed, and credentialed OB/GYN Physician and qualified nursing support personnel to support women’s healthcare services at the following location:

Cheyenne River Service Unit Cheyenne River Health Center 24276 166th Street Eagle Butte, SD 57625

Combined Synopsis 4

The Government anticipates requiring support from one (1) licensed OB/GYN Physician with required nursing support services to meet clinical operational requirements at the Cheyenne River Service Unit.

The Contractor shall provide qualified OB/GYN physician personnel and nursing support personnel necessary to satisfy the requirements identified in the Performance Work Statement (PWS).

The Contractor shall be responsible for providing personnel who meet all applicable requirements, including:

• Current and unrestricted professional licenses or certifications, as applicable;

• Board certification or eligibility for the OB/GYN Physician, as applicable;

• Credentialing and privileging requirements;

• Applicable background investigation requirements;

• Required certifications and qualifications;

• Compliance with applicable medical staff requirements; and

• Any other requirements identified in the Performance Work Statement.

The Contractor shall provide appropriate staffing resources to maintain continuity of OB/GYN healthcare services and shall be responsible for recruitment, scheduling, supervision, and management of Contractor personnel.

The Government is purchasing professional healthcare support services measured in Months of Service (MOS). The Government is not purchasing individual labor hours or individual personnel.

The Contractor shall perform as an independent contractor and shall retain responsibility for the supervision, direction, and control of Contractor personnel.

The Contractor shall ensure that all physician and nursing support personnel maintain required licenses, credentials, privileges, certifications, and qualifications, as applicable, throughout the contract period.

H. PLACE OF PERFORMANCE AND PERIOD OF PERFORMANCE

Place of Performance Services shall be performed at:

Cheyenne River Service Unit Cheyenne River Health Center 24276 166th Street Eagle Butte, South Dakota 57625 The Contractor may be required to coordinate services with Government personnel, clinical departments, medical staff, and administrative personnel to support continuity of patient care.

Period of Performance The anticipated period of performance is:

Base Period:

One (1) year Option Periods:

Four (4) additional one-year option periods Maximum Contract Duration:

Five (5) years The Government may exercise option periods in accordance with applicable FAR provisions, including FAR 52.217-9, Option to Extend the Term of the Contract.

The Government reserves the right to exercise options based on continued need, availability of funds, satisfactory contractor performance, and the best interests of the Government.

Combined Synopsis 5

I. INSTRUCTIONS TO OFFERORS

FAR 52.212-1 Instructions to Offerors—Commercial Products and Commercial Services (SEP 2023) applies to this acquisition.

Offerors shall submit a complete proposal addressing all requirements contained within this solicitation and the Performance Work Statement (PWS).

Proposals shall be submitted on company letterhead, signed and dated by an authorized representative, and shall include the following:

• Solicitation Information o Solicitation number: 75H70627R00003.

o Offeror’s legal business name, address, telephone number, and email address of the point of contact.

o Unique Entity Identifier (UEI) number and applicable registration information.

• Price Proposal o Completed Price Schedule identifying the separate firm-fixed monthly Month of Service (MOS) prices for the OB/GYN physician services and nursing support services CLINs for the base period and all option periods.

o Proposed pricing shall include all costs necessary to provide the applicable OB/GYN physician services or nursing support services in accordance with the Performance Work Statement.

• Technical Capability Information Offerors shall provide information demonstrating the ability to provide qualified OB/GYN physician services and required nursing support services, including:

• Ability to provide licensed and qualified OB/GYN physicians and qualified nursing support personnel meeting applicable education, licensure/certification, credentialing, and BLS requirements;

• Physician qualifications, education, training, certifications, and clinical experience; and nursing support personnel qualifications, education, licensure/certification, BLS, and relevant clinical support experience;

• Credentialing and privileging process;

• Ability to meet applicable Indian Health Service medical staff requirements;

• Experience providing women’s healthcare services;

• Ability to support rural or underserved healthcare environments;

• Ability to provide continuity of clinical services; and

• Experience supporting similar healthcare service requirements.

• Management Approach Information

Offerors shall provide a management approach addressing:

• Recruitment capability;

• Availability of qualified physician and nursing support resources;

• Physician and nursing support scheduling and coverage procedures;

• Credentialing and licensing management;

• Quality assurance procedures;

• Contractor oversight;

• Communication procedures with Government personnel;

• Continuity of operations planning; and

• Contingency plans for staffing interruptions.

• Past Performance Information

Offerors shall provide recent and relevant past performance information, including similar physician staffing, OB/GYN services, nursing support services, women’s healthcare services, or other comparable non-personal healthcare service contracts, if available.

Past performance information should include:

• Contract number;

• Customer/agency name;

Combined Synopsis 6

• Description of services performed;

• Period of performance;

• Point of contact information; and

• Any other relevant information demonstrating successful contract performance.

• Required Representations and Certifications

Offerors shall provide:

• Completed representations and certifications from SAM.gov;

• Acknowledgment of solicitation amendments, if issued;

• A statement specifying the extent of agreement with all solicitation terms, conditions, and requirements;

and

• Any additional information requested within this solicitation.

Failure to provide required information may result in the proposal being excluded from consideration.

BASIS FOR AWARD

FAR 52.212-2 Evaluation—Commercial Products and Commercial Services The Government will evaluate proposals in accordance with FAR 52.212-2, Evaluation—Commercial Products and Commercial Services.

The Government intends to award a Firm-Fixed-Price, Non-Personal Healthcare Services Contract to the responsible Offeror whose proposal conforms to all solicitation requirements and is determined to provide the best value to the Government.

The Government intends to evaluate proposals and make an award without discussions. Therefore, Offerors should submit their best technical and price proposal initially.

The Government reserves the right to conduct discussions, request clarification, or seek additional information if determined necessary by the Contracting Officer.

The Government may reject any proposal that does not demonstrate an acceptable level of technical capability, compliance with solicitation requirements, or ability to successfully perform the required services.

Evaluation Factors The Government will evaluate proposals using the following factors:

• Technical Capability

• Past Performance

• Management Approach

• Price

The individual members of the evaluation team will evaluate proposals based on completeness of information, qualifications, experience, capability, and overall risk associated with successful contract performance.

Technical Capability, Past Performance, and Management Approach are non-price factors.

The Government will evaluate the overall merits, strengths, weaknesses, deficiencies, and risks associated with each proposal.

The non-price factors, when combined, are significantly more important than price. However, price remains an important consideration, and the Government may select a higher-priced proposal when the evaluated technical advantages, experience, and reduced performance risk justify the additional cost.

Combined Synopsis 7

Technical Factor Rating Definitions

ADJECTIVAL RATINGS

Outstanding:

Proposal greatly exceeds all minimum requirements of the criteria; demonstrates exceptional capability; has a high probability of successful performance; and contains no significant weaknesses or deficiencies.

Good:

Proposal exceeds all minimum requirements of the criteria; demonstrates above-average capability; has a strong probability of successful performance; and contains no significant weaknesses.

Acceptable:

Proposal meets all minimum requirements of the criteria; demonstrates adequate capability; has an acceptable probability of successful performance; and contains no significant weaknesses or deficiencies.

Marginal:

Proposal fails to adequately meet one or more requirements of the criteria; demonstrates limited capability; has an uncertain probability of successful performance; and contains significant weaknesses or deficiencies.

Unacceptable:

Proposal fails to meet minimum requirements of the criteria; demonstrates inadequate capability; has a low probability of successful performance; and requires major revisions.

Factor 1 – Technical Capability The Government will evaluate the Offeror’s ability and approach to provide qualified OB/GYN physician services and required nursing support services in accordance with the requirements identified in the Performance Work Statement (PWS).

The Offeror shall demonstrate:

• Ability to provide licensed and qualified OB/GYN physicians;

• Ability to meet applicable credentialing and privileging requirements;

• Ability to provide physicians with appropriate education, training, experience, and qualifications;

• Experience providing obstetric and gynecologic healthcare services;

• Ability to support hospital and outpatient clinical operations;

• Ability to maintain continuity of OB/GYN physician and nursing support services;

• Ability to provide qualified replacement personnel, when necessary;

• Understanding of rural healthcare environments and/or Indian Health Service healthcare operations; and

• Ability to successfully perform all requirements identified in the Performance Work Statement.

The Government will evaluate the Offeror’s demonstrated capability, qualifications, proposed approach, and overall likelihood of successfully meeting contract requirements.

Factor 2 – Past Performance The Government will evaluate the Offeror’s recent and relevant past performance.

Relevant past performance may include:

• OB/GYN physician services;

• Physician staffing and nursing support services;

• Women’s healthcare services;

• Hospital-based clinical support services;

• Non-personal healthcare service contracts; and/or

• Similar healthcare staffing requirements.

Recent past performance is defined as contracts performed within three (3) years from the solicitation closing date.

Offerors shall provide sufficient information for the Government to evaluate the quality and relevance of previous performance.

Combined Synopsis 8

Past performance information should include:

• Customer/agency name;

• Description of services performed;

• Period of performance;

• Contract type and dollar value, if available;

• Point of contact information; and

• Any other relevant information demonstrating successful performance.

The Government may consider information obtained from:

• Contractor Performance Assessment Reporting System (CPARS);

• Government databases;

• References provided by the Offeror;

• Federal procurement records; and

• Other available sources.

Offerors without recent and relevant past performance, or where past performance information is unavailable, may receive a neutral evaluation. A neutral rating will not be considered either favorable or unfavorable.

Factor 3 – Management Approach The Government will evaluate the Offeror’s ability to manage contract performance and provide reliable OB/GYN physician coverage and required nursing support.

The Offeror shall address:

• Recruitment and retention capability;

• Availability of qualified OB/GYN physician and nursing support resources;

• Physician and nursing support scheduling and coverage management;

• Credentialing, privileging, and licensing management procedures;

• Quality assurance procedures;

• Clinical oversight and performance monitoring;

• Communication processes with Government personnel;

• Contractor management and supervision procedures; and

• Contingency plans for physician or nursing support availability issues, staffing shortages, or unexpected interruptions.

The Government will evaluate the Offeror’s ability to provide effective management, maintain continuity of services, and reduce performance risk.

Factor 4 – Price The Government will evaluate the Total Evaluated Price for the entire potential period of performance, including all physician services and nursing support services CLINs for the base period and all option periods.

The Government will evaluate price fairness and reasonableness using appropriate price analysis techniques, which may include:

• Comparison of proposed prices received from Offerors;

• Comparison with the Independent Government Cost Estimate (IGCE);

• Comparison with historical pricing information;

• Market research information; and/or

• Other appropriate price analysis techniques in accordance with FAR requirements.

The Government will consider the relationship between price and technical capability in determining the proposal that represents the best value.

Combined Synopsis 9

The Government may select a higher-priced proposal if the Contracting Officer determines that the additional technical capability, demonstrated experience, reduced performance risk, or other advantages provide the best overall value to the Government.

J. CONTRACT TERMS AND CONDITIONS

FAR 52.212-4, Contract Terms and Conditions—Commercial Products and Commercial Services (NOV 2023), applies to this acquisition.

Additional FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses applicable to this acquisition are incorporated by reference and/or provided in full text within the resulting contract.

The Contractor shall comply with all applicable Federal, Department of Health and Human Services, Indian Health Service, and facility-specific requirements identified in the solicitation, Performance Work Statement, and resulting contract.

The Contractor shall perform as an independent contractor and shall retain responsibility for the supervision, direction, control, compensation, and management of Contractor personnel.

Nothing in the resulting contract shall be construed as creating an employer-employee relationship between the Government and Contractor personnel.

K. ADDITIONAL FAR/HHSAR REQUIREMENTS

The Federal Acquisition Regulation (FAR), Health and Human Services Acquisition Regulation (HHSAR), and applicable Indian Health Service-specific requirements apply to this acquisition.

The Contractor shall comply with all applicable requirements identified in:

• This solicitation;

• The Performance Work Statement;

• Resulting contract terms and conditions;

• Applicable Federal healthcare requirements;

• Credentialing and privileging requirements; and

• Facility policies and procedures applicable to Contractor personnel.

The Contractor shall ensure all physician and nursing support personnel maintain required licenses, certifications, credentials, privileges, and qualifications, as applicable, throughout the contract period.

L. PROPOSAL SUBMISSION INFORMATION

Submit proposals electronically to:

Great Plains Area Indian Health Service Attn: David Jones, Contract Specialist Email: David.Jones@ihs.gov Questions Due: October 14, 2026, 12:00 PM CDT Proposals Due: October 20, 2026, 12:00 PM CDT Offerors must have:

• A valid Unique Entity Identifier (UEI);

• A Taxpayer Identification Number (TIN); and

• An active registration in the System for Award Management (SAM.gov).

Acceptance Period The Offeror agrees to hold proposed prices firm through:

November 30, 2026

Combined Synopsis 10

The proposal must provide complete, accurate, and current information required by this solicitation.

Failure to submit required information may result in the proposal being determined incomplete or ineligible for award.

No contract award shall be made to any vendor listed on the HHS Office of Inspector General Exclusions List at the time of award.

Invoice Processing Platform (IPP) The Indian Health Service utilizes the Department of Treasury’s Invoice Processing Platform (IPP) for electronic submission and processing of payment requests.

Invoices submitted under any resulting contract shall be submitted electronically through IPP in accordance with applicable HHSAR requirements.

Contractors are encouraged to register for IPP prior to contract award if they have not already established an account.

IPP assistance is available through the IPP Helpdesk.

If the Contractor believes use of IPP would be unduly burdensome, the Contractor shall include an explanation with its proposal for consideration by the Contracting Officer.

PWS 11

PERFORMANCE WORK STATEMENT

OB/GYN Physician Services

Cheyenne River Health Center (CRHC) Cheyenne River Service Unit Eagle Butte, South Dakota

Acquisition Type: Firm-Fixed-Price (FFP) Month-of-Service (MOS) Service Type: Non-Personal Healthcare Services

Contract Structure: Base Year Plus Four (4) Option Years

1. GENERAL

This Performance Work Statement (PWS) describes the requirements for non-personal healthcare services for one (1) Obstetrician/Gynecologist (OB/GYN) Physician with appropriate nursing support personnel to provide OB/GYN services to support the mission of the Indian Health Service (IHS), Great Plains Area, Cheyenne River Service Unit (CRSU), Cheyenne River Health Center (CRHC), Eagle Butte, South Dakota.

The Contractor shall provide all personnel, professional expertise, supervision, management, and resources necessary to provide OB/GYN services in accordance with the requirements contained within this PWS.

This contract is a non-personal healthcare services contract as defined by FAR Part 37.101. The Contractor shall be an independent contractor and shall retain responsibility for professional medical judgment, diagnosis, treatment decisions, and clinical care provided by the Contractor’s physician.

The Government shall evaluate the quality, acceptability, and compliance of services provided but shall not control or direct the professional medical judgment of the Contractor.

2. BACKGROUND

The Indian Health Service (IHS), an agency within the Department of Health and Human Services (HHS), is responsible for providing Federal healthcare services to American Indians and Alaska Natives.

The IHS Great Plains Area provides healthcare services through hospitals, health centers, health stations, and clinics located throughout North Dakota, South Dakota, Nebraska, and Iowa.

The Cheyenne River Health Center (CRHC), located in Eagle Butte, South Dakota, provides healthcare services to eligible patients residing on the Cheyenne River Sioux Reservation and surrounding communities.

CRHC provides comprehensive healthcare services including primary care, emergency services, pharmacy, laboratory, radiology, inpatient services, specialty clinics, and community health services.

Due to the rural location and specialty healthcare needs of the patient population, CRHC requires contracted OB/GYN physician services to ensure continued access to specialty care.

3. OBJECTIVE

The objective of this contract is to provide uninterrupted OB/GYN services to support patient care requirements at the Cheyenne River Health Center.

The Contractor shall provide professional OB/GYN services including, but not limited to:

PWS 12

• Gynecological evaluations and treatment;

• Preventive healthcare services;

• Prenatal and pregnancy-related care;

• Family planning services;

• Screening and treatment of reproductive health conditions;

• Patient education and counseling;

• Specialty consultations; and

• Procedures within the physician’s approved clinical privileges.

Services shall be provided consistent with applicable professional standards, CRHC policies, IHS requirements, and accepted standards of medical practice.

4. PERIOD OF PERFORMANCE

The anticipated period of performance shall consist of:

Period Duration

Base Year Twelve (12) Months

Option Year 1 Twelve (12) Months

Option Year 2 Twelve (12) Months

Option Year 3 Twelve (12) Months

Option Year 4 Twelve (12) Months The Government may exercise option periods in accordance with applicable Federal Acquisition Regulation (FAR) provisions, subject to:

• Continued Government need;

• Availability of funds;

• Satisfactory Contractor performance; and

• Approval by the Contracting Officer.

The Contractor shall not assume continuation of services beyond the current exercised period unless the Government provides written notice exercising the applicable option period.

5. PLACE OF PERFORMANCE

Services shall be performed at:

Cheyenne River Health Center Cheyenne River Service Unit 24276 166th Street Airport Road Eagle Butte, South Dakota 57625

The Contractor may be required to coordinate patient care activities with other CRHC locations or healthcare providers as necessary to support continuity of care.

6. DESCRIPTION OF SERVICES

The Contractor shall provide one (1) qualified OB/GYN Physician to provide specialty healthcare services at CRHC.

PWS 13

The Contractor shall provide sufficient nursing support staff to assist the Physician in fulfillment of OB/GYN services.

The physician shall provide services within the scope of approved clinical privileges, including but not limited to:

6.1 Outpatient OB/GYN Services

Services may include:

• Comprehensive gynecological examinations;

• Evaluation and treatment of gynecologic conditions;

• Preventive healthcare services;

• Prenatal care;

• Reproductive healthcare services;

• Family planning counseling;

• Menstrual and menopausal disorder evaluation;

• Screening and treatment of sexually transmitted infections;

• Cervical cancer screening and follow-up; and

• Patient education regarding diagnosis, treatment, and prevention.

6.2 Procedures

The Contractor shall perform procedures consistent with physician privileges and CRHC capabilities, including:

• Colposcopy with biopsy;

• Endometrial biopsy;

• Vulvar biopsy;

• Cryotherapy/cryosurgery; and

• Other approved outpatient gynecologic procedures.

6.3 Consultations

The Contractor shall:

• Provide specialty consultations;

• Coordinate care with CRHC healthcare providers;

• Recommend appropriate referrals;

• Participate in continuity of care activities; and

• Document consultations in the patient medical record.

7. WORK SCHEDULE AND SERVICE REQUIREMENTS

7.1 Schedule of Services

The Contractor shall provide one (1) OB/GYN Physician with adequate nursing support to complete the scheduled specialty clinic services at the Cheyenne River Health Center.

The anticipated clinic schedule is:

• Tuesday and Wednesday

• 8:00 a.m. – 8:00 p.m.

• Including a ½ hour unpaid meal break

The Contractor’s schedule may be adjusted based on patient care requirements, facility needs, and coordination with the Clinical Director or designee.

Services shall not normally be scheduled during Federal holidays unless approved by the Government.

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The Contractor shall ensure adequate availability during scheduled clinic hours to complete all assigned patient care responsibilities.

7.2 Estimated Level of Effort

The Government estimates the requirement to be approximately:

One (1) OB/GYN Physician with nursing support for approximately 832 hours annually.

The estimated hours are provided for acquisition planning, workload estimation, and Independent Government Cost Estimate (IGCE) purposes only.

The estimated hours:

• Do not establish a minimum guarantee of hours;

• Do not establish an hourly labor arrangement;

• Do not modify the Firm-Fixed-Price Month-of-Service structure; and

• Do not relieve the Contractor of responsibility for completing all required services identified in this

PWS.

The Contractor shall provide all required OB/GYN physician services and nursing support services for the separate fixed monthly prices established under the applicable CLINs.

7.3 Continuity of Services

The Contractor shall provide reliable and uninterrupted OB/GYN physician services throughout the period of performance.

The Contractor shall:

• Provide qualified replacement personnel when necessary;

• Ensure replacement providers meet all credentialing and privileging requirements;

• Notify the Government of anticipated service interruptions; and

• Coordinate replacement coverage with the Contracting Officer’s Representative (COR).

The Contractor shall provide makeup clinic dates when service interruptions are caused by the Contractor, when approved by the COR.

8. CONTRACTOR RESPONSIBILITIES

The Contractor shall provide all personnel, supervision, management, and resources necessary to perform the requirements of this contract.

The Contractor shall ensure the assigned OB/GYN Physician and nursing support staff:

• Maintains appropriate professional qualifications;

• Performs services within approved clinical privileges;

• Provides safe and effective patient care;

• Maintains required licenses and certifications;

• Completes required documentation;

• Complies with CRHC policies and procedures; and

• Meets all requirements identified within this PWS.

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8.1 Clinical Responsibilities

The OB/GYN Physician shall:

• Evaluate, diagnose, and treat patients within the scope of OB/GYN practice;

• Provide appropriate medical treatment and follow-up care;

• Obtain and document patient histories and physical examinations;

• Develop treatment plans;

• Order and interpret appropriate diagnostic studies;

• Provide patient education;

• Coordinate care with other healthcare providers;

• Provide referrals and consultations when clinically indicated; and

• Participate in quality improvement activities as required.

• The nursing support staff shall:

Provide appropriate nursing support to chaperone sensitive exams;

Assist in taking vital signs;

Point of Care (POC) testing as required to fulfill OB/GYN services;

Patient education as directed by the OB/GYN Physician;

Participate in quality improvement activities as required.

8.2 Electronic Health Record (EHR) Responsibilities

The Contractor and any nursing support staff that accompanies the Contractor shall utilize the Government-provided electronic health record system, including RPMS/EHR, for documentation and clinical activities.

The Contractor and any nursing staff that accompanies the Contractor shall:

• Enter and sign medical documentation;

• Complete required orders and notes;

• Document patient encounters accurately and completely;

• Follow CRHC documentation procedures; and

• Maintain compliance with applicable CMS and IHS documentation requirements.

8.3 Prescriptions and Formulary Compliance

The Contractor shall comply with the CRHC Pharmacy and Therapeutics Committee approved formulary.

The Physician shall:

• Prescribe medications consistent with the IHS formulary;

• Obtain required approvals for non-formulary medications;

• Follow applicable prescribing policies; and

• Maintain compliance with applicable Federal and State requirements.

8.4 Referrals and Consultations

The Contractor shall follow IHS and CRHC procedures for referrals and consultations.

The physician shall:

• Identify the need for specialty referral when appropriate;

• Coordinate referrals with applicable CRHC personnel;

• Document referral recommendations;

PWS 16

• Communicate relevant clinical information; and

• Support continuity of patient care.

9. PERSONNEL QUALIFICATIONS AND CREDENTIALING REQUIREMENTS

The Contractor shall provide an OB/GYN Physician and nursing support staff who meet all applicable professional, licensing, credentialing, and privileging requirements.

The Contractor shall provide personnel with the following qualifications:

9.1 Physician - Education

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited institution.

9.2 Nursing Support Staff - Education

Appropriate diploma, degree, or certification appropriate for the scope of the nursing level of education.

9.3 Licensure

• Current, active, and unrestricted license to practice medicine in at least one United States state or territory.

Nursing support staff shall be certified or licensed according to their scope of practice.

9.4 Board Certification

The physician shall be:

• Board certified; or

• Board eligible in Obstetrics and Gynecology through an appropriate recognized medical certification organization.

9.5 Experience

The physician shall possess:

• Completion of OB/GYN residency training; and

• Relevant clinical experience providing OB/GYN services.

Experience in rural healthcare settings for both the Physician and nursing support staff is preferred.

9.6 Required Certifications

The physician shall maintain:

• Current Basic Life Support (BLS); and

• Advanced Cardiac Life Support (ACLS), when applicable to assigned privileges.

The nursing support staff shall maintain current Basic Life Support (BLS) certification.

10. CREDENTIALING AND PRIVILEGING

Prior to providing patient care, the Contractor’s physician and nursing support staff shall complete CRHC credentialing and privileging requirements.

The Contractor shall submit required credentialing documentation for the physician and nursing support staff, including but not limited to:

• Current medical license (Physician); nursing license or certification as appropriate to the scope of practice (nursing support staff);

• Board certification documentation (Physician);

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• Curriculum vitae/resume (Physician and nursing support staff);

• DEA registration (Physician);

• Professional references (Physician and nursing support staff);

• Malpractice history (Physician);

• Continuing medical education documentation;

• BLS certification (Physician and nursing support staff) and ACLS certification (Physician), as applicable;

• Immunization records (Physician and nursing support staff);

• Background information; and

• Other documents required by the Credentialing Committee.

The physician and nursing support staff team shall not provide clinical services until credentialing and privileging approval has been granted by the appropriate CRHC and IHS authorities.

The Contractor and nursing support staff shall maintain all required credentials throughout the contract period.

11. MEDICAL RECORDS AND DOCUMENTATION REQUIREMENTS

11.1 Medical Documentation Requirements

The Contractor and the nursing support staff shall complete all medical documentation in accordance with:

• Indian Health Service (IHS) requirements;

• Cheyenne River Health Center (CRHC) Medical Staff Bylaws;

• Centers for Medicare and Medicaid Services (CMS) documentation standards;

• Applicable Federal and State requirements; and

• Accepted standards of professional medical practice.

The Contractor shall ensure all patient encounters are documented accurately, completely, and timely.

Documentation shall include, as applicable:

• Patient history and physical examinations;

• Assessment and diagnosis;

• Treatment plans;

• Procedures performed;

• Medication orders;

• Diagnostic orders;

• Consultations;

• Patient education;

• Follow-up recommendations; and

• Other clinical information necessary for continuity of care.

11.2 Electronic Health Record Documentation

The Physician and nursing support staff shall document all patient encounters in the Government-provided electronic health record system.

The Physician shall:

• Complete medical records within twenty-four (24) hours of the patient encounter;

• Ensure all entries are dated and authenticated;

• Complete required electronic signatures;

• Enter orders accurately;

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• Maintain accurate clinical documentation; and

• Correct deficiencies identified through medical record review.

Failure to complete required medical records may result in delayed acceptance of services and may be considered unsatisfactory performance.

11.3 Medical Record Confidentiality

The Physician and the nursing support staff shall protect all patient medical information in accordance with applicable privacy and security requirements, including HIPAA regulations.

The Physician and nursing support staff shall not:

• Remove medical records from the facility without authorization;

• Access patient information without a legitimate clinical need;

• Disclose patient information except as authorized; or

• Use patient information for purposes unrelated to contract performance.

12. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

12.1 Purpose

The purpose of this Quality Assurance Surveillance Plan (QASP) is to establish procedures for monitoring Contractor performance and ensuring services provided meet the requirements of this Performance Work Statement (PWS).

The Government shall evaluate Contractor performance through surveillance methods appropriate to the services provided.

Government surveillance shall focus on service quality, compliance, and completion of required deliverables.

12.2 Performance Requirements Summary

Performance Requirement Performance Standard Surveillance Method

OB/GYN Physician Coverage

Contractor provides qualified physician services as scheduled

COR review of schedules and clinic records

Medical Documentation Patient records completed accurately and timely EHR/HIM review

Credentialing Requirements Physician maintains current credentials and privileges Credentialing review

Professional Conduct Services performed in accordance with applicable standards

Observation, complaints, and performance reviews

HIPAA/Privacy Compliance

Patient information protected in accordance with requirements Security/privacy reviews

12.3 Performance Deficiencies

When deficiencies are identified, the COR shall notify the Contractor and Contracting Officer as appropriate.

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The Contractor may be required to provide:

• Explanation of the deficiency;

• Corrective action plan;

• Timeline for correction; and

• Documentation demonstrating resolution.

The Government reserves all rights and remedies available under the contract for failure to meet performance requirements.

13. GOVERNMENT FURNISHED PROPERTY AND SERVICES

The Government shall provide property, equipment, and support necessary for the Contractor to perform required services.

Government furnished support may include:

13.1 Facility Space

CRHC shall provide appropriate clinical workspace, including:

• Examination rooms;

• Office space, when available;

• Utilities;

• Telephone access;

• Standard office equipment; and

• Administrative support necessary for clinic operations.

13.2 Medical Equipment and Supplies

The Government shall provide medical equipment and supplies normally available within the facility for patient care.

Government furnished items may include:

• Examination equipment;

• Medical supplies;

• Personal protective equipment (PPE);

• Access to diagnostic equipment; and

• Other resources necessary for patient care.

13.3 Electronic Systems Access

CRHC shall provide authorized access to applicable Government systems necessary for performance, including:

• Electronic Health Record (EHR);

• Clinical documentation systems; and

• Other approved information systems.

The Physician and nursing support staff shall comply with all Government information security requirements associated with system access.

13.4 Administrative Support

CRHC shall provide reasonable administrative support associated with patient care operations, including:

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• Patient scheduling support;

• Medical records support;

• Credentialing coordination; and

• Coordination with clinical departments.

14. CONTRACTOR FURNISHED ITEMS AND SERVICES

Except for items specifically identified as Government furnished, the Contractor shall provide all resources necessary to accomplish contract requirements.

The Contractor shall provide:

• Qualified OB/GYN Physician personnel;

Qualified nursing support staff;

• Professional management and supervision;

• Professional liability insurance;

• Required licenses and certifications;

• Personal professional equipment normally required for practice;

• Transportation, lodging, and meals unless otherwise authorized; and

• Any other resources necessary to fulfill contract requirements.

14.1 Professional Liability Insurance

The Contractor shall maintain professional liability insurance coverage consistent with applicable requirements and customary standards for the medical specialty.

Proof of insurance may be requested by the Government at any time during contract performance.

14.2 Travel and Lodging

Unless otherwise authorized by the Contracting Officer, the Contractor shall be responsible for:

• Transportation;

• Lodging;

• Meals;

• Per diem; and

• Related travel expenses.

Government housing may be available, when authorized and available, at applicable prevailing rates.

15. SECURITY, HIPAA, AND PRIVACY REQUIREMENTS

15.1 General Security Requirements

The Contractor shall protect all Government information, patient information, and Government resources accessed or created during performance of this contract.

The Contractor shall comply with all applicable Federal laws, regulations, Indian Health Service (IHS) policies, and Cheyenne River Health Center (CRHC) requirements related to privacy, security, confidentiality, and protection of healthcare information.

The Contractor shall ensure information is accessed, used, stored, transmitted, and disclosed only as authorized and necessary to perform contract requirements.

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15.2 HIPAA Compliance

The Contractor shall comply with the Health Insurance Portability and Accountability Act (HIPAA) and all applicable implementing regulations regarding the protection of Protected Health Information (PHI).

The Contractor shall:

• Access patient information only for authorized healthcare activities;

• Protect patient privacy and confidentiality;

• Prevent unauthorized disclosure of PHI;

• Follow CRHC procedures for release of medical information; and

• Immediately report suspected privacy violations.

The Contractor shall ensure all personnel performing services under this contract understand and comply with HIPAA requirements.

15.3 Personally Identifiable Information (PII)

The Contractor shall protect all Personally Identifiable Information (PII) encountered during performance of this contract.

The Contractor shall implement appropriate safeguards to prevent:

• Unauthorized access;

• Unauthorized disclosure;

• Loss of information;

• Improper use; or

• Unauthorized alteration of Government or patient information.

15.4 Electronic Health Record and Information System Security The Contractor shall use Government information systems only for authorized contract-related activities.

The Contractor shall:

• Protect assigned user credentials;

• Maintain confidentiality of passwords;

• Never share accounts;

• Access only information necessary to perform assigned duties;

• Follow applicable IHS cybersecurity requirements;

• Secure workstations when unattended; and

• Report suspected security incidents.

15.5 Security and Privacy Training

The Contractor shall complete required privacy, security, and compliance training identified by CRHC or IHS prior to accessing Government systems or patient information.

Training may include:

• HIPAA privacy training;

• Information security awareness;

• Patient confidentiality requirements;

• Infection prevention training; and

• Facility-specific safety requirements.

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15.6 Reporting Security Incidents

The Contractor shall immediately notify appropriate CRHC personnel of any suspected or confirmed:

• Unauthorized disclosure of PHI;

• Loss of patient information;

• Unauthorized system access;

• Lost Government equipment;

• Security incidents; or

• Other privacy concerns.

16. GENERAL CONTRACT REQUIREMENTS

16.1 Independent Contractor Relationship

This contract is for non-personal healthcare services.

The Contractor is an independent contractor and shall be responsible for:

• Employment decisions;

• Personnel management;

• Compensation;

• Benefits;

• Taxes;

• Insurance; and

• Other employer-related responsibilities.

Nothing in this contract shall be interpreted as creating an employer-employee relationship between the Government and Contractor personnel.

16.2 Compliance With Laws and Regulations

The Contractor shall comply with all applicable:

• Federal laws and regulations;

• State licensing requirements;

• IHS policies;

• CRHC policies;

• CMS requirements;

• Medical staff bylaws;

• Credentialing requirements; and

• Professional standards of practice.

16.3 Professional Conduct

The Contractor shall maintain professional conduct consistent with healthcare standards expected within an IHS healthcare facility.

The Contractor shall:

• Treat patients, families, and staff respectfully;

• Maintain professional communication;

• Provide culturally appropriate healthcare;

• Protect patient dignity and confidentiality; and

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• Practice within approved clinical privileges.

16.4 Emergency Situations

The Contractor shall cooperate with CRHC during emergency situations affecting healthcare operations, including:

• Natural disasters;

• Public health emergencies;

• Facility emergencies;

• Patient care emergencies; and

• Other situations requiring coordination of healthcare resources.

The Contractor shall make reasonable efforts to maintain continuity of required services during emergency situations.

16.5 Conflict of Interest

The Contractor shall not employ any individual whose participation would create a conflict of interest with Federal requirements.

The Contractor shall comply with applicable Department of Health and Human Services (HHS) conflict of interest requirements.

16.6 Security Access and Identification

The Contractor shall:

• Display required identification credentials;

• Follow facility access…