ATTACHMENT B 36C10X23Q0265 STATEMENT OF OBJECTIVES Amend 1 Tracked.docx

B.3 Statement of Objectives

Healthcare Services Gaps in Care

1. Introduction.

The Department of Veterans Affairs (VA) through the Northern Arizona VA Health Care System (NAVAHCS) has identified challenges that exist to include inadequate access to care and gaps in care coordination for healthcare services. Inadequate access to care includes categories such as shortage of medical providers/high turnover due to location and housing challenges, lack of consistency and trust in the healthcare delivery system, large number of social & health disparities, medically underserved population, negative impacts of the digital divide, and lack of reliable transportation. The gaps in health services include categories such as primary care, mental health, women’s health, large variety of specialty care services (OBGYN, OT, PT, Audiology, Endocrinology, etc.), and ancillary services to include radiology, health education, home health, wound care, and laboratory services. Robust and forward-facing clinical providers serving in these remote settings is the best way to meet these unique needs, along with proper care coordination strategies.

1. Scope.

The overall goal is to fill the healthcare services gaps in care. The Contractor shall provide all labor and supervision required to meet the requirements of this contract. Initially, in phase one, provide Adult, Family and Mental Health Certified Nurse Practitioners (NPs) and Mental Health specialist (Psychologist, Clinically Licensed Social Workers or Psychiatrists) to provide a range of healthcare services as outlined in the objectives section. In phase two of the task session other specialist providers will be required to such as Audiologist, Ophthalmologists, Physical Therapists, Occupational Therapists, and OB/GYN LIP (Women’s or Midwife certified APRN or MD). These services have been divided into a “phased approach” that will start out with basic care needs identified by NAVAHCS and expand into robust wellness care coordination to include Women’s Health, Physical Medicine and Rehab, sight, and hearing.

These services need to be provided via the VA clinic-in-a-clinic concept that NAVAHCS has with IHS/ tribal (638) as well as using Mobile Medical Clinics. Initial clinic locations shall include the Chinle and Kayenta clinics. NAVAHCS will work with the Contractor to expand NP and Mental Health services into Hopi and Tuba City clinics as well as provide these services via Contractor mobile medical clinic services as needed.

1. Type of Contract.

This contract is a labor hourfirm fixed price contract.

1. Period of Performance.

The period of performance will be a base period of 12 months.

1. Place of Performance.

Performance shall take place at Government facilities in the NAVAHCS region as well as Contractor’s Mobile Medical Units when required.

Chinle VA Clinic Highway 191 and Hospital Drive Chinle, AZ 86503-8000

Kayenta VA Clinic US Highway 160, 1/2 mile south of mile post 394.4 Kayenta, AZ 86033

Polacca VA Clinic Highway 264 Mile Post 388 Polacca, AZ 86042

Tuba City VA Clinic 167 North Main Street Tuba City, AZ 86045-0600

1. Travel.

Travel is not required.

1. Objectives.

The contractor shall provide a phased approach to healthcare services gaps in care, meeting the following objectives throughout the period of performance.

· Task #1 Phase 1 Initial service Needs: direct primary care, depression screening, diabetes screening, Medicare diabetes prevention program, diabetes self-management training, mammography screening, sleep study, and mental health.

· Task #2 Phase 2 Cardiovascular Wellness services: audio, RN RD group education, alcohol misuse screening and counseling, tobacco screening, medical nutrition therapy, ultrasound AAA screening, IBT for cardio disease, IBT obesity, CT calcium scoring, and pulmonary function testing.

· Task #3 Phase 3 Screening Services: HEP A/B/C screening, bone mass measurement, women’s wellness, men’s wellness, age required wellness, HIV screening, STI screening, mass even for flu shot administration/pneumovax vaccine, immunization clinic, glaucoma testing, fecal occult/Cologuard, lung cancer screening, advanced healthcare directive (Will/Power of Attorney/etc.), DNA testing, and educational space sourcing.

· Task #4 Phase 4 Telehealth services.

· Task #5 (Ongoing) Report all patient information into the VA’s Electronic Health Records System (EMR).

1. Government-Furnished Information, Equipment, and Facilities.

NAVAHCS shall provide the Contractor with the following:

· Access to Government facilities,

· EMR Access and Training,

· VA clinic protocols and procedures,

· VA/IHS Credentialing Support,

· Office space as required, and

· Access to adequate equipment and supplies.