75H70522R00009 RFP Package.pdf

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

Ogema MN 56569 40520 County Hwy 34 Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR235

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/11/2022 1500 CT

06/08/2022

JENNIFER RICHARDSON

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70522R00009

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 31 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Bemidji MN 56601 2225 Cooperative Ct NW, Rm 200

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$30.00

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULE

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Indian Health Service

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

WILLIAM F. FISHER

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

** SEE SECTION B.5 BID SCHEDULE**

jerichardson Highlight jerichardson Highlight jerichardson Highlight jerichardson Highlight

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

31 2 of

75H70522R00009

NURSE PRACTITIONER OR PHYSICIAN ASSISTANT SERVICES

SECTION A

A.1 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION BLOCK

B.1 CONTRACT ADMINISTRATION DATA

B.2 INVOICES

B.3 PLACE OF PERFORMANCE

B.4 PERIOD OF PERFORMANCE

B.5 SCHEDULE OF PRICE/COST

B.6 METHOD OF PAYMENT

B.7 CONTRACTING OFFICER REPRESENTATIVE (COR)

B.8 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 FEDERAL ACQUISITION REGULATIONS PROVISIONS AND CLAUSES INCORPORATED BY REFERENCE

C.2 FEDERAL ACQUISITION REGULATIONS FULL TEXT PROVISIONS AND CLAUSES

C.3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION

(HHSAR) (48 CFR CHAPTER 3) CLAUSES

C.4 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 APPLICABLE DOCUMENTS

D.2 DEFINITIONS

D. BAC3 KGROUND IN VESTIGATION

D.4 SECURITY NOTICE

D.5 IMMUNIZATIONS

D.6 BUSINESS ASSOCIATE AGREEMENT

D.7 IEE CERTIFICATION

SECTION E – SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERS by reference

E.2 52.212-2 EVALUATION – COMMERCIAL ITEMS

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS by reference

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 CONTRACT ADMINISTRATION DATA

Contract Administration: All contract administration matters will be handled by the following individuals:

CONTRACTOR NAME AND ADDRESS:

SAM Number (UEI): _________________

DUNS: ____________

Cage: _____________

Name: ____________

Phone: ____________ E-Mail: _____________________________

Person responsible for Contractor Performance Assessment Reporting System (CPARS), reporting if different from above:

Name: ______________

Title: _______________

CONTRACTOR REGISTRATION: All required information must be in the System for Award Management (SAM) at www.sam.gov.

GOVERNMENT:

Jennifer Richardson Indian Health Service 2225 Cooperative Ct NW, Rm 202 Bemidji, MN 56601

Jennifer.Richardson@IHS.Gov 218-444-0537

NAICS:

The associated North American Industrial Classification System (NAICS) code for this procurement is 561340 with a small business size standard of $30M

CONTRACT TYPE: Firm-Fixed Price

B.2 INVOICES: In accordance with the Prompt Payment Act, payment will be due 30 days after receipt of services or receipt of a proper invoice, whichever is later.

INVOICE INSTRUCTIONS:

Contractor shall provide all invoices to –

David.bellware@ihs.gov & BEM_AOInvoices@ihs.gov

At a minimum, a properly prepared invoice shall include:

1) Name and address of the Contractor.

2) Invoice date and invoice number. (The Contractor should date invoices as close as possible to the date of the mailing or transmission.)

3) IHS Contract No. TBD

4) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed.

5) Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of lading number and weight of shipment will be shown for shipments on Government bills of lading.

6) Name and address of Contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

7) Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice.

8) Contractor Taxpayer Identification Number (TIN):________________

9) Unique Entity Identifier (SAM):______________

Improperly prepared invoices or statements shall be returned to the contractor and may delay payment.

B.3 PLACE OF PERFORMANCE:

WHITE EARTH HEALTH CENTER NAYTAHWAUSH HEALTH CENTER

40520 COUNTY HIGHWAY 34 238 CHURCH STREET

OGEMA, MN 56569 NAYTAHWAUSH, MN 56566

PINE POINT SATELLITE CLINIC

47520 282nd STREET

PONSFORD, MN 56575

B.4 PERIOD OF PERFORMANCE: BASE PLUS (4) OPTION YEAR

BASE YEAR: 08/01/2022 – 07/31/2023

OPTION YEAR 1: 08/01/2023 – 07/31/2024

OPTION YEAR 2: 08/01/2024 – 07/31/2025

OPTION YEAR 3: 08/01/2025 – 07/31/2026

OPTION YEAR 4: 08/01/2026 – 07/31/2027

B.5 SCHEDULE OF PRICE /COSTS: Up to (3) total NP’s or PA’s may be required

BASE YEAR HOURS HOURLY RATE TOTAL

0001) NURSE PRACTIONER 2,080 $ $

0002) PHYSICIAN ASSISTANT 2,080 $ $

OPTION YEAR 1 HOURS HOURLY RATE TOTAL

0003) NURSE PRACTIONER 2,080 $ $

0004) PHYSICIAN ASSISTANT 2,080 $ $

OPTION YEAR 2 HOURS HOURLY RATE TOTAL

0005) NURSE PRACTIONER 2,080 $ $

0006) PHYSICIAN ASSISTANT 2,080 $ $

OPTION YEAR 3 HOURS HOURLY RATE TOTAL

0007) NURSE PRACTIONER 2,080 $ $

0008) PHYSICIAN ASSISTANT 2,080 $ $

OPTION YEAR 4 HOURS HOURLY RATE TOTAL

0009) NURSE PRACTIONER 2,080 $ $

0010) PHYSICIAN ASSISTANT 2,080 $ $

B.6 ADMINISTRATIVE DATA:

Method of Payment:

a) The IHS Bemidji Division of Finance is designated for payment processing. Payment shall be made by electronic funds transfer (EFT). Payment shall be made in arrears.

b) The Contractor’s rate identified for services described herein is considered as an all-inclusive rate. All-inclusive is defined to include but is not limited to services, travel, lodging, liability insurance, fringe benefits, federal, state and local taxes, and all other costs pertinent to the performance of this contract.

B.7 CONTRACTING OFFICER REPRESENTTIVE (COR). The COR will be appointed in writing by the CO after the contract is awarded. The CO will provide a copy of this designation and COR contact information to the Contractor.

The role of program and technical personnel in monitoring the contract is to assist and advise the Contracting Officer, and act as the COR when so designated by the Contracting Officer. The COR does not have the authority to change or alter the order amount, terms and conditions.

COR activities include—

1. Providing technical monitoring during contract performance and advising the Contracting Officer relating to delivery, acceptance, or rejection of deliverables in accordance with the terms of the contract;

2. Assessing contractor performance;

3. Recommending necessary changes to the schedule of work and period of performance to accomplish the objectives of the contract (The COR shall provide the Contracting Officer a written request along with an appropriate justification and a funding document, if additional funds are needed.)

4. Reviewing invoices/vouchers and recommending approval/disapproval by the Contracting Officer, including providing comments regarding anything unusual discovered in the review;

5. Reviewing and recommending approval or disapproval of technical submissions, subcontractors, overtime, travel, and key personnel changes;

6. Assisting the Contractor in the resolution of technical problems encountered during performance; and

7. Participating, as necessary, in various phases of the contract closeout process;

8. Provide receiving authorization within two days of services/items received or invoiced

POINT OF CONTACT:

David Bellware

PERFORMANCE WORK STATEMENT

Primary Care Nurse Practitioner or Physician Assistant

I. GENERAL.

1.1. Description of Work. The Contractor shall provide personnel to perform the non-personal professional services of up to three full time equivalent primary care Nurse Practitioner or Physician Assistants in Family Practice or Pediatrics.

Services are to be performed for the White Earth Service Unit at the White Earth Health Center, Naytahwaush Health Center or the Pine Point Health Center. The provider may be required to provide services in any/all of these areas should the need arise. The provider shall be required to perform Emergent, Urgent, acute, and primary care work as required in an outpatient setting, and as permitted by licensure and scope of practice. The contract employees performing this service are hereafter referred to as Health Care Providers (HCPs).

1.1.1. This contract is a non-personal services contract and is not intended to create an employer-employee relationship between the Government and the individual contract health care providers only to the extent necessary for providing the healthcare services required under this contract. The performance of healthcare services by the individual contract health care providers under a non-personal services contract are subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service health care providers engaged in comparable healthcare services. The Federal Government assumes no responsibility for any personal injury claims alleging negligence by the individual contract health care providers within the scope of the health care provider’s performance of the non-personal services contract. Federal Tort Claims Act does not apply. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the contract health care provider may be associated.

SPECIFIC TASKS. The contract HCPs shall perform essentially the same duties as those required of any Government Civil Service HCPs of similar experience and in similar duty assignments.

The HCPs shall be fully aware that, other than ancillary and support personnel, the HCPs shall be fully prepared to provide all of the emergency services required without assistance or supplementation by other White Earth Service Unit providers.

The HCPs will also be required to respond to cardiac arrest victims when a code is called. HCPs performing services under this contract shall have sufficient experience to be able to adequately diagnose and treat diseases/injuries; perform medical procedures/tasks to include, but not limited, to the following:

Skin Reproductive System Head Central Nervous System Eyes Cardiovascular System Ears Gastrointestinal System Nose Lymphatic System Throat Musculoskeletal System Neck Genitourinary System Psychiatric

Disease Central and Peripheral Nervous

Systems Major

Trauma Endocrine System

1.1.2. The HCPs shall provide initial emergency medical care required to any presenting patient requiring it in life-threatening situations.

1.1.3. The HCPs shall be required to complete the following procedures and tasks including, but not limited to:

Incision and drainage Suture simple lacerations Nail trephination Remove sutures Sling or swath injuries Bandage Utilize paraprofessional staff as appropriate Reduce dislocations and fractures when appropriate Secure and maintain an adequate airway by such means as oral airways

B.8 PERFORAMNCE WORK STATEMENT

Stabilize and evaluate cervical spine injuries as appropriate

Remove foreign bodies as appropriate

Venous punctures for lab studies and interpret results

Local anesthesia

Consult with consultants on the appropriate utilization of HIPAA

Interpret electrocardiograms

Obtain an adequate history, physical and assessment on each patient and develop a treatment plan

Splint and stabilize traumatic injuries to extremities Administer intravenous, intramuscular and subcutaneous medications as appropriate Secure and maintain adequate intravenous access by peripheral and by central routes

Coordinate with accepting facility and other ER Departments when patient transport is needed

Complete all required paperwork Provide interpretation of radiographs Respond to cardiopulmonary arrest as appropriate and arrange appropriate backup from the EMS

The HCP shall examine all presenting patients for emergency medical care to render a medical assessment of their condition, take appropriate action.

The HCP shall provide immediate evaluation and management of emergency patients as they present themselves for care. When treating urgent and non-urgent patients (and sufficient patients are available in these categories), the HCPs shall see all those screened while on duty.

The HCPs shall provide definitive medical care to reduce the emergency situation and enable the patient to safely continue care as an outpatient with follow-up care as required. Follow-up of abnormal reports is the responsibility of the ordering physician. However, to assure correct medical follow-up for these patients, all abnormal x-ray and lab reports received on patients seen by the contractor’s HCP shall be reviewed by the HCP on duty at the time these reports are available for review. HCP shall review laboratory and x-ray reports daily and take the appropriate action.

The HCP shall provide emergency medical care to outpatients.

The HCP shall respond to “Medical Emergency/Code Blue” (cardiac or respiratory arrest) medical emergency alerts within the hospital and provide resuscitation treatment until more specialized treatment arrives. Should resuscitation efforts be unsuccessful, the HCPs shall pronounce the patient dead, complete necessary records, and notify the next-of-kin, if the next-of-kin is physically present.

Patients presenting themselves with non-acute conditions will be reassured and treated in priority as established by medical triage.

The HCP shall prepare appropriate narrative summaries and patient profile changes, document history, physical examinations, and preoperative diagnosis. The HCP shall maintain documentation of treatment in accordance with established procedures and medical standards.

The HCP shall use an electronic medical record system for keeping records, ordering of ancillary procedures, ordering of medications, writing doctor’s orders, and performing other required patient record functions.

The HCP shall perform emergency procedures compatible with the medical facility’s operating capacity and equipment. The HCP shall respond to mass casualty situations in accordance with Service Unit procedures.

The HCP shall attend meetings and trainings as required by the White Earth Service Unit. The Clinical Director (CD) may require contract providers to participate in Quarterly Peer Review and medical staff meetings with all providers.

The HCP shall become familiar with the Service Unit formulary. The HCP shall prescribe pharmaceuticals according to the availability of drugs listed therein. The HCP uses only prescription forms provided by the facility for outside prescriptions.

The HCP shall remain in the facility throughout the tour of duty, except in response to emergencies and/or disaster ambulance runs.

The HCP shall maintain medical records in accordance with White Earth Service Unit Health Information Management and facility medical staff by-laws. Medical records completed by the contract provider shall be subject to review by the Clinical Director and a medical records review committee established by the White Earth Service Unit.

The HCP shall be notified of deficiencies in his/her entries and shall be instructed to correct the deficiencies. All records generated in the performance of the contract will remain the property of and subject to exclusive control of the government.

The HCP shall use an electronic medical record system (provided by the WESU) in order to facilitate documentation of patient care.

The HCP shall verify the content and correctness of all prepared and/or transcribed reports by affixing his/her own electronic signature to all copies of the document and validating its contents.

The HCP shall document appropriate history, physical examination, required laboratory and x-ray examinations, and preliminary diagnosis (as appropriate) prior to healthcare treatment.

The HCP shall provide patient referrals to outside practitioners only after providing notification to the White Earth Service Unit in accordance with Purchased and Referred Care procedures at the White Earth Service Unit.

Lab tests, x-rays, pharmaceuticals, referrals, etc. shall be ordered independently on the computer, using the Electronic Health Record System by the HCP.

The HCP shall order consults in the electronic medical record system per White Earth Service Unit Purchased and Referred Care, "Referral and Preauthorization Process.”

The HCP shall use White Earth Service Unit facility electronic medical record for inputting and retrieval of all patient data.

The provider under this contract is considered key personnel and mission essential. This means the provider shall make every attempt to be at work on time and work their assigned shift regardless of inclement weather conditions or other circumstances when the White Earth Health Center is opened for patient care activities.

The HCP shall complete all documentation of care provided in the White Earth Service Unit computer programs for which training was/is provided.

The HCP will provide services to the pediatric and adult populations in compliance with current standards of care.

II. QUALIFICATIONS AND REQUIREMENTS.

The HCP shall have graduated from an accredited educational college or university in a Family practice or Pediatric primary care specialty program and must be licensed as an NP or PA in good standing in a state, Puerto Rico or District of Columbia. The providers qualify by meeting the following standards:

a. HCP shall have a minimum of two years’ experience as a practicing provider in the last three years.

Educational time counts as practicing experience. Time spent in an administrative capacity as a claims reviewer, medical school instructor, medical director, internet physician, etc. does not qualify as practicing time.

b. HCP shall be a Nurse Practitioner (NP) or Physician Assistant (P.A.) and be capable of treating pediatric patients from birth through 21 years of age or Family practice capable of treating patients from birth through end of life.

c. HCP shall maintain the appropriate Board Certification in Family Practice or Pediatrics.

d. HCPs shall have and maintain, at all times and at Contractor expense, current certification in Basic Life Support (BLS) and, Advance Cardiac Life Support (ACLS) for Family Practice, and Pediatric Advanced Life Support (PALS) for Family Practice and Pediatric Specialties.

e. HCPs shall possess and maintain at all times a current Drug Enforcement Administration (DEA) registration number.

f. HCP must comply with the medical staff bylaws of the WESU.

g. HCP must complete all necessary background check requirements to include a favorable adjudication on a cNACI investigation as required by IHS Policy.

h. HCP will meet all employee health requirements including required vaccinations as determined by local and IHS Policy.

The following shall disqualify, at any time, any provider from consideration/performing under this contract. If none of these conditions are applicable, the contractor shall provide a letter so stating.

A provider under probation/revocation/indictment/suspension action at any time from any state, the District of Columbia, Commonwealth of Puerto Rico, Guam or U.S. Virgin Islands where the provider has/had a license;

A provider who has a documented past of sexually abusing people whether convicted or not;

A provider who is chemically (alcohol or drug) dependent or impaired;

A provider who was previously convicted of any felony;

A provider who is awaiting possible adverse action administration action by any state licensing board;

failure of the contractor or provider to disclose any information listed herein.

A provider who fails to meet sufficient privileging requirements to successfully receive White Earth Medical

Executive Committee approval for Medical Staff appointment.

CONTRACTOR REQUIREMENTS.

The Contractor shall not employ any individual to provide direct health care services who is listed on the Health and Human Services (HHS) list of providers excluded from federally funded health care programs. The list may be found at http://oig.hhs.gov/fraud/exclusions.asp.

The HCP shall be a U.S. citizen or otherwise meet other applicable requirements.

The HCP shall successfully complete a criminal history background check.

The HCP shall maintain malpractice insurance in accordance with Industry recommendations and IHS/ WESU requirements.

The HCP shall be able to read, write, and speak English well enough and enunciate with sufficient clarity to effectively communicate with patients and other health care providers.

The HCP shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that the

HCP can relate to a variety of patients from diverse backgrounds.

The HCP shall be able to operate a personal computer utilizing Microsoft applications, such as Word, Excel, and efficiently utilize an Electronic Medical Record. The providers shall be able to type and have had experience using computers. The providers will not be required to type a certain amount of words per minute. White Earth Service Unit will provide computer training on their electronic medical records system. Failure to learn the computer system at White Earth Service Unit and perform actions independently within 2 weeks of beginning service may be grounds for immediate removal of the provider.

The HCP shall use the various clinical automation systems as required, such as, but not limited : EHR; PACS, Vista

The HCP shall be required to meet Continuing Medical Education (CME) requirements as determined by the provider’s State of licensure. The Government will not reimburse for these costs.

III. ADMINISTRATIVE.

1.1. This is a locum tenens procurement, therefore the use of short-term rotating HCPs seriously detracts from continuity of patient care that is of utmost importance. Substitutes may be permitted during scheduled or unscheduled absences of the primary HCP. The Contractor shall have adequate pre-credentialed/pre-privileged replacement HCPs available in such instances so a lapse in coverage does not occur. Substitutes shall be as qualified and privileged as the primary HCP.

Substitutes are not allowed so the HCP can accept another assignment or to meet the needs of the Contractor. Note – The Contractor’s attention is directed to the fact that normal credentialing/ privileging process takes approximately 30 days, and this is the same for replacement personal. There is no allowance/excused lapse in coverage based on a change of personnel, and may be considered grounds for termination for cause.

IV. ORIENTATION AND TRAINING.

Prior to working, HCPs will be provided a Government paid orientation to familiarize HCP with the policies and procedures of the White Earth Service Unit. Orientation attendance will be required of all HCPs and will be scheduled by the medical staff secretary or COR during normal duty hours.

The Contractor shall ensure that each HCP is knowledgeable of the policies and procedures of his/her specific place of duty and of the medical activity. The Contractor shall ensure HCPs receive any staff training required by the White Earth Service Unit, as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefings. This training shall be conducted during the scheduled shift of the HCP.

Government Unique Training. The Government may elect to provide unique Government training to HCPs who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the HCP. When directed by the Contracting Officer (CO), HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract.

Such training shall require a performance commitment by the Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a HCP fails to satisfy the performance commitment after the HCP receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the HCP fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first. Details of any subsequent training agreement will be agreed upon by all parties, and such training agreements will be designated by modification to the contract.

The HCP shall attend all and take all training prescribed for personnel as required by White Earth Service Unit. Training shall be part of the workday.

HCPs shall attend training provided by White Earth Service Unit regarding their unique computer systems and programs.

Failure to learn the computer system at White Earth Service Unit and perform actions independently within 2 weeks of beginning service may be grounds for immediate removal of the provider.

V. ELECTRONIC MEDICAL RECORD KEEPING SYSTEMS.

The Government will provide training to HCPs in the Electronic Medical Record Keeping Systems and other procedures that the medical activity's staff is required to use. Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with the Health Insurance Portability and Accountability Act (HIPAA) Security Rule. Refer to the Additional Information section “ADP Security Requirements” in this contract for further guidance.

Electronic Health Record (EHR) contains the facilities’ appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the White Earth Service Unit. The Government will provide training to HCPs in the EHR and/or other procedures that the medical activity’s staff is required to use. Access to such patient data systems is an “Automated Data Processing Sensitive” position requiring compliance with the Health Insurance Portability and Accountability Act (HIPAA) Security Rule.

Training for EHR and other computer training will be scheduled through the medical secretary and/or COR prior to the HCPs providing direct patient care. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor.

If additional training is needed due to mission changes, the White Earth Service Unit Information Management Office will conduct required computer training. This training will be at no cost to the Contractor. The COR will schedule this training.

VI. REPORTING REQUIREMENTS.

The Contractor shall submit reports to the medical secretary and/or COR as requested for use in monitoring Contractor performance. Such reports may include, but are not limited to: personnel recruitment/credential status; time sheets, etc.

Safety. The Contractor shall ensure that its HCPs comply with all installation safety regulations. Such regulations include, but are not limited to, general safety, fire prevention, and waste disposal. Copies of these regulations are on file in the medical activity safety office or may be obtained through the COR.

Hours of Performance.

Billing. The Government will only pay for hours, days or units actually worked/provided. The Contractor shall only submit payment requests for hours, days or units actually worked/provided. Submitting a payment request for more than the amount due based on the number hours, days or units actually worked/provided may constitute fraud or a false claim and may result in administrative or criminal action or both.

The providers shall be able to provide services during normal business hours from 0800-1630 Hrs Monday through Friday excluding government holidays. A minimum break of 30 minutes will be given during the shift if patient care permits.

Work hours and days will be determined by the White Earth Service Unit, and confirmed by the contractor. Schedules are subject to change due to cancellations, staff changes, organization day, emergencies, exodus, training holidays and unexpected events.

Signing in prior to scheduled time will not be considered as hours worked. The above timeframes are subject to change.

The hours do not include any break periods to eat. Break times are not billable. The contract physician shall be prepared to be the sole provider of medical treatment in the facility and shall remain in the facility through the shift. The government reserves the right to verify the hours worked by the HCPs by sign-in/sign-out sheet, checking computer logs, use of a time clock, etc.

On-call Services: On-call services shall not be required.

Overtime/Extended Shift: Overtime is not authorized under this contract.

Unscheduled Absences. Unscheduled absences shall be called into the medical secretary, charge nurse or the Clinical Director by the contractor at least 24 hours before the start of the shift or as soon as possible prior to the start of a shift in case of acute illness. The contractor shall only be paid for actual hours worked.

Hours worked do not include travel time to reach the facility or other place of performance.

The HCP shall be rested and fully physically and mentally capable of performing the duties required under this contract.

The HCP shall not have worked the eight hours before beginning services at White Earth Service Unit.

Closures. During anticipated closure of the facility due to White Earth Service Unit , declared training, holidays or during unplanned closure of the facility due to natural disasters, emergencies, severe weather, or otherwise, the Contractor shall not invoice the Government for services not performed and the Government will not be liable to the Contractors for any such closures.

Holidays. There are eleven federal holidays observed by the facility.

The following is a list of legal federal holidays as referred to elsewhere in the contract.

New Year's Day Birthday of Martin Luther King, Jr.

President's Day Memorial Day JuneTeenth Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day

NOTE: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above

CONDUCT.

The Contractor shall ensure that each HCP records the time worked according to procedures determined by the White Earth Service Unit to include documenting hours on the time sheet.

The Clinical Director, where services are being performed, or his/her representative, will define the scope of practice. The Contractor shall ensure that its HCPs do not introduce new procedures or services without prior approval of the CD or representative. In disagreements or deviations from established or new protocols, the CD, or representative, will be the deciding authority.

The Contractor shall ensure that its HCPs comply with White Earth Service Unit policies regarding personal appearance and conduct.

The Contractor shall ensure that its HCPs abide by federal and local White Earth Service Unit regulations and requirements concerning the nature of limited privileged communication between patients and the HCP as may be necessary for security and personnel reliability programs. The Contractor shall also ensure that its HCPs abide by federal and local White Earth Service Unit regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act of 1996. All regulations referenced are available for review from the COR White Earth Service Unit. All medical records and reports are and will remain the property of the Government.

Contractor shall abide by all White Earth Service Unit policies/rules. All personnel shall maintain and support the standards necessary to meet Accreditation Association of Ambulatory Health Care (AAAHC) and CMS (Centers for Medicare and Medicaid Services) certification. When commencing work under this contract, Contractor shall obtain an in-processing checklist from the COR and provide the COR a copy when completed. The Contractor shall wear a White Earth Service Unit identification badge. The COR will assist the Contractor in obtaining the identification badge through the White Earth Service Unit, Division-Security Officer. Upon termination of work at this White Earth Service Unit Contractor is required to return the clinic identification badge and out-process through the activities identified on the out-processing checklist obtained from the COR.

The Contractor shall ensure that its HCPs abide by White Earth Service Unit bylaws, the AAAHC, HHS, and Medical Department regulations with regard to Utilization Review and Quality Assurance directives, including, but not limited to, in-service training, maintenance of records, performance evaluation, and release of medical information.

The Contractor shall ensure that its HCPs make use of all appropriate equipment; supplies and services made available by the Government and shall ensure that its HCPs make referrals and seek consultations, as deemed necessary, for the optimal care of the patients.

REMOVAL OF HCPS.

Removal of HCPs. At any time during the performance of this contract, the CO or COR may direct the Contractor to immediately remove any HCP whose actions or impaired/insubordinate state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other HCPs, Government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the Contractor.

If the need for a removal occurs, the COR or the Bemidji Area Contracting Office will contact the Contractor's point of contact and direct the Contractor to remove that individual from the facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the CO. The Contractor shall formally meet with the COR or Bemidji Area Contracting Office to discuss further action in accordance with the White Earth Service Unit Medical Staff By-laws. A review of the basis for removal will be made by the CO within three working days after the COR directed the removal.

If, after any investigation deemed necessary by the CO and discussions with the Contractor's representative, the CO concludes that the HCP’s impairment requires permanent removal from performance under the contract, the CO will notify the Contractor that permanent removal is required. In the event of disagreements between the Government and the Contractor's representative concerning matters of impaired/insubordinate HCPs, the decision of the CO will be final.

During the period of time between the removal and the final decision of the CO, the Contractor shall provide a backup/replacement HCP in accordance with the terms and conditions of this contract.

The White Earth Service Unit has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. The Medical By-laws outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

Inquiries. Contractor shall ensure that its personnel do not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR, who will relay them to the White Earth Service Unit Chief Executive Officer (CEO). There shall be no interviews, comments, or any other response without the knowledge and approval of the White Earth Service Unit CEO. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the assigned COR for the HCP.

Smoking. The Contractor shall ensure that its HCPs comply with the White Earth Service Unit smoking policy.

Complaints. Complaints will be validated by the COR and be reported in writing to the CO and to the Contractor for action, if it constitutes a failure to perform, as determined by the Government. Patients may also be a source of legitimate complaints that constitute a failure to perform. The Contractor shall have no more than two substantiated complaints per 12-month period per HCP. Any patient complaints received on services provided by the HCP will be taken very seriously at the White Earth Service Unit and as such will be considered a part of the inspection process. The CD will submit documentation to the COR regarding all patient and/or clinical complaints. Receipt of two valid complaints on the HCP within any twelve-month period may be considered grounds for immediate removal.

Conflict of Interest.

The Contractor/HCP shall not bill the patient for services rendered under this contract. The Contractor/HCP shall be prohibited from receiving compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

The Contractor or HCP shall not, while performing services under this contract; advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or HCP at any place other than as designated under this contract and shall ensure that its HCPs do not do so.

The Contractor’s HCPs are not prohibited by reason of their employment under this contract from conducting private practice provided there is no conflict with the performance of services under this contract, subject to any agreement between the Contractor and its employees. The CO will unilaterally resolve any issues concerning potential conflicts pertaining to the performance of this contract, not including disputes solely (as determined by the CO) between the Contractor and its employees.

The Contractor shall not use Government facilities or other Government property in connection with conducting a private practice or business and shall ensure that its employees do not do so.

Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which are furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The Contractor shall not release any of the above information without prior written consent of the CO and shall ensure that its employees do not do so. The Contractor shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication and shall ensure that its employees do not do so.

RESPONSIBILITY AND PROCEDURES.

If any suit or action is filed or any claim is made against the HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the Contractor, the CO and the CD of the appropriate services and promptly furnish them copies of all pertinent documents received.

The Contractor and HCP shall cooperate with the Government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim. The HCP may, at the HCP’s own expense, participate in defense of such claim or litigation.

QUALITY MANAGEMENT.

Quality Control Plan (QC). The Contractor is required to follow the current QC program in place at the White Earth Service Unit to ensure that the medical services are provided at a level of quality that meets White Earth Service Unit standards.

Quality Assessment and Improvement (QA&I). The Government will monitor the Contractor's performance under this contract using the QA&I procedures established by the medical activity and pursuant to the Contract Terms and Conditions-Commercial Items clause, paragraph entitled Inspection/Acceptance. Additionally, the Contractor's performance is subject to scheduled and unscheduled review by the QA&I Committee as defined by the medical activity Quality Assurance (QA) Plan.

CONTRACTOR REPRESENTATION.

The Contractor shall designate a representative for this contract. This representative may be employed under another contract/task order with the Contractor at the same White Earth Service Unit. At least ten working days prior to performance start date, the Contractor shall provide in writing to the COR, Contractor representative contact information.

Changes in the contract representative, at any time after contract commencement, shall be in writing to the COR at least five working days prior to the change.

The Contractor's representative shall, at no additional cost, meet with the COR when requested by the COR to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the CO for resolution.

The Contractor shall provide points of contact (POC) information for administration of the contract during normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies. Accordingly, the named individual(s) shall possess sufficient corporate authority to effectively deal with emergency situations and the telephone number provided shall be functioning at all times other than normal business hours.

If there are different POCs for different conditions, such as weekdays, weekends, holidays, clearly provide such information.

GOVERNMENT PROPERTY

The Government will provide use of all available White Earth Service Unit facilities and support services, materials, publications and forms, equipment, and specialty clothing required for contract performance (except as designated in the contract). The Contractor shall ensure that its HCPs keep Government-furnished supplies, equipment, and work areas in a safe, orderly and clean condition. The Contractor shall notify the Government whenever maintenance of equipment is required. Personal long distance calls are not authorized and the cost of all personal long distance calls made will be deducted from the Contractor’s invoice.

The Government will provide a White Earth Service Unit identification card. The Contractor shall ensure its HCPs comply with White Earth Service Unit policy regarding the identification cards. The HCP shall coordinate with the COR in obtaining an identification badge and vehicle decal. The HCP shall wear the identification badge in accordance with White Earth Service Unit policy. The HCP shall surrender both identification badge and vehicle decal to the COR on his/her last contracted day of duty at the White Earth Service Unit.

Any space or equipment used by the Contractor’s HCPs in performance of this contract may be used by the Government for other purposes during his/her absence. Items of clothing, personal effects, or equipment may not be able to be secured at all locations. The Government will not incur any liability for theft, damage to, or loss of such personal items.

Emergency Health Care for HCPs. The White Earth Service Unit will provide emergency health care for injuries or life threatening medical emergencies occurring while on duty. The Contractor shall reimburse the Government for such services as billed by the White Earth Service Unit unless the HCP is otherwise authorized to receive such services at no cost (e.g., is retired military or other).

CONTRACTOR FURNISHED SUPPLIES/SERVICES.

Uniforms. The Contractor shall provide or ensure HCPs have their own stethoscopes and smocks.

The Contractor shall provide badges for all HCPs providing services under this contract.

REQUIREMENTS FOR MEDICAL LICENSE/CERTIFICATION AND DRUG ENFORCEMENT

ADMINISTRATION (DEA) CERTIFICATE.

The Contractor shall ensure that each of its HCPs follows any medical license and DEA certification requirements specified in this contract to perform at White Earth Service Unit. The Contractor shall ensure that each of its HCPs meets all applicable licensing and certification requirements.

All contract health care providers must maintain a current, active, valid and unrestricted license or authorizing document from any U.S. state, District of Columbia; or U.S. territory or jurisdiction to provide health care within the scope of practice for a specific health care discipline. In addition, contract health care providers who write prescriptions for controlled substances must have a current Drug Enforcement Agency (DEA) certificate or Controlled Drug Substance number as appropriate. The Contractor shall ensure that renewal actions are accomplished well before expiration of the provider’s license and/or DEA certification to ensure compliance with the contract.

VII. ACCESS TO GOVERNMENT INFORMATION SYSTEMS

Contractor Employees Who Require Access to Government Information Systems (IS). All Contractor employees with access to a government info system must be registered in the Information Technology Access Control (ITAC ) at commencement of services, and must successfully complete the Information Systems Security Awareness (ISSA) Training prior to access to the IS and then annually thereafter. The contractor will be required to comply with the IHS Business Associate Agreement.

FEDERAL ACQUISITION REGULATIONS

52.252-2 Clauses Incorporated by Reference. This contract incorporates one or more clauses by reference, with same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

Also, the full text of a clause may be accessed electronically at this address: www.acquisition.gov

52.202-1 Definitions.

52.204-19 Incorporation by Reference of Representations and Certifications.

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities.

52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.

52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services 52.223-18 Encouraging Contractor Policies to Ban Text Messaging While Driving.

52.225-13 Restrictions on Certain Foreign Purchases.

52.232-39 Unenforceability of Unauthorized Obligations.

52.232-40 Providing Accelerated Payments to Small Business Subcontractors.

52.233-3 Protest after Award.

52.233-4 Applicable Law for Breach of Contract Claim.

52.217-8 Option to Extend Services (Nov 1999) The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months.