3(k)_SOW Physical therapist.docx

Note: The terms Contractor, Contract Provider and Physical Therapist shall mean the provider or providers of care throughout this document.

1. Scope of Work. The Contractor shall supply an individual to provide personal medical services to all Active Duty beneficiaries within the capabilities normally granted to a board certified Physical Therapist.

A. The Physical Therapist shall meet or exceed the industry standards in accordance with established principles, practices and ethics of the Physical Therapy profession. The standards of performance for all employees provided by the contractor shall reflect the degree and care, skill and learning expected of a reasonably prudent healthcare provider in the Physical Therapy profession in the state of their practice.

B. The Physical Therapist will provide professional service, instruction and supervision to U.S. Coast Guard locations specified in the Performance Work Statement (PWS) (Attachment 3).

2. Qualifications. The provider of Physical Therapy services shall possess and maintain for the duration of this agreement:

A. A diploma from an accredited school of Physical Therapy.

B. A current unrestricted active license to practice Physical Therapy from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands;

C. A current certification in the field of Physical Therapy.

D. “No unfavorable information on file” rating with the National Practitioners Data Bank (NPDB).

E. A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP).

F. A minimum of two (2) years recent experience (immediately preceding the submission of this offer).

3. Credential Review. Prior to commencement of this agreement, the Contractor shall submit the following credentials to be reviewed for technical acceptability.

A. A current curriculum vitae including AT LEAST the following information:

(1) Degrees earned;

(2) Career History;

(3) Awards and certifications received;

(4) Professional Training/Courses attended in the past two (2) years;

(5) Professional organization affiliation and memberships; and

(6) Previous work reference(s) including name of organization(s), number of years services rendered, address and name of the point of contact with telephone number;

(7) Date of birth (to be used only for the purposes of independent query of the NPDB;

(8) Social security number;

(9) Evidence that active Physical Therapy has been practiced during 3 of the last 5 years immediately preceding performance under this contract;

(10) “No adverse information on file” with the National Practitioners Data Bank (NPDB).

ATTACHMENT 3(k) Page of

PHYSICAL THERAPY SERVICES

Rev. 11/1/18

B. Copies of:

(1) A diploma from an accredited school of Physical Therapy;

(2) A current unrestricted active license to practice Physical Therapy from one of the 50 states, District of Columbia, Puerto Rico, Guam, or the U. S. Virgin Islands;

(3) A list of any malpractice claims filed, or pending or settled, and/or any other adverse professional actions, that involve the contractor;

(4) A current certification from the American Physical Therapy Association;

(5) A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP).

(6) Proof of insurability against malpractice in the amount of one million ($1,000,000) dollars per occurrence;

(7) Three letters of recommendation from previous employers.

(8) Evidence of immunity to Hepatitis “A” and “B” and evidence of freedom from chronic communicable disease(s) i.e., HIV, TB and Sexual transmitted diseases (within 30 days of start of work);

4. Professional Services. The Contractor shall perform a full range of professional Physical Therapy concepts and practices on site, using government furnished facilities, equipment and supplies to a variety of patients. All aspects of Physical Therapy service shall be commensurate with the capabilities of the provider and the Medical Department including but not limited to the items listed below and in the PWS. The Contractor shall provide a full range of Physical Therapy services commensurate with the capabilities of the clinic including compiling a history and providing detailed recommendations/instructions to include, but not limited to:

A. History, detailed examination, testing, and evaluation of the management of common musculoskeletal conditions. Provide manual muscle and joint testing, total muscoloskeletal range of motion evaluations and diagnosis.

B. Treatment plan, therapeutic exercise, neuromuscular reeducation, functional activities, gait training, orthothics training, prosthetic training, kinetic activity training, electrical stimulation, iontophoresis, phonophoresis, manual traction, mechanical traction, massage, contrast baths, ultrasound, apply hot and cold packs, and vasopneumatic devices and whirlpool diathermy.

C. Case consultation with referring Medical Officer.

D. Post surgical care consultations from referring medical officers.

E. Provide immediate evaluation and management of emergent problems, as they occur, in addition to regularly scheduled appointments.

F. Provide individual counseling about the effects and benefits of prescribed exercise regimens, physical fitness, and other related programs.

G. Participate in the Health Services Quality Improvement Program.

H. Provide instruction to clinic staff on an ad hoc basis.

5. Hours of Performance. The contractor shall provide all aspects of personal Physical Therapy services at locations in the PWS (Attachment 3) and hours specified by the Clinic Administrator.