3(m)_SOW Primary Care Physician.docx

Note: The terms Contractor, Contract Provider and Primary Care Physician shall mean the provider(s) of care throughout this document.

1. Scope of Work. The Contractor shall supply a medical professional to provide personal medical services to all eligible beneficiaries within the capabilities normally granted to a board certified Family Medicine/Internal Medicine (Primary Care) Physician.

A. The Primary Care Physician shall meet or exceed the industry standards in accordance with established principles, practices and ethics of their 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 Family Medicine/Internal Medicine profession in the state of their practice.

B. The Primary Care Physician 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 Primary Care Physician services shall possess and maintain for the duration of this agreement:

A. A diploma from an accredited school of medicine.

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

C. A current board certification in Family Medicine or Internal Medicine.

D. A Current Drug Enforcement Agency (DEA) registration certification.

E. A “no unfavorable information on file” rating with the National Practitioner Data Bank (NPDB).

F. 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).

G. A minimum of two (2) years recent clinical 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 Primary Care medicine has been practiced during 3 of the last 5 years immediately preceding performance under this contract;

ATTACHMENT 3(m) Page of

PRIMARY CARE PHYSICIAN SERVICES

Rev. 11/1/18

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

B. Copies of :

(1) A diploma from an accredited school of medicine;

(2) A current unrestricted active license to practice medicine 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 Board certification from the American Board of Family Practice;

(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 & 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) Current Drug Enforcement Agency (DEA) registration/certification.

(9) 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 Outpatient Primary Care Physician's services on site, using government furnished facilities, equipment and supplies, to a variety of patients. All aspects of Outpatient Primary Care services 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.

A. History, detailed examination, testing and diagnosis;

B. Treatment plan recommendation and review;

C. Case consultation with referring Medical Department Representative;

D. Expert opinion in related medical board action;

E. Provide preoperative and postoperative care;

F. Provide immediate evaluation and management of emergent conditions as they occur in addition to regularly scheduled appointments;

G. Prepare and submit appropriate documentation as specified in applicable regulations (to include fitness for duty reports, progress notes, Periodic Health Assessments, etc.);

H. If a medical emergency occurs to a patient who is receiving services from the Contractor, the Contractor shall immediately notify the Medical Department for assistance, and report the nature of the emergency to the Commanding Officer or his authorized representative.

I. Participate in the Health Services Quality Improvement Program.

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

5. Performance. The Contractor shall provide all aspects of personal Primary Care Physician’s services at locations in the PWS (Attachment 3) and hours specified by the Clinic Administrator.