RFQ 75H70626Q00059 - Pharmacist Services - LB-3.12.26.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

IHSGREATPLAINS AREA CODE 16. ADMINISTERED BYCODE

X

X

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR159

REQUEST FOR

PROPOSAL

(RFP)

INVITATION

FOR BID (IFB)

10. THIS ACQUISITION ISCODE

REQUEST FOR

QUOTE (RFQ)

14. METHOD OF SOLICITATION

13b. RATING

NORTH AMERICAN INDUSTRY

CLASSIFICATION STANDARD

(NAICS):

SMALL BUSINESS

1700 ET605-226-7724WENDA WRIGHT

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70626Q00059

5. SOLICITATION NUMBER

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

1 9 IHS1523286OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Aberdeen SD 57401

115 Fourth Ave, SE

Federal Building

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

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

ISSUE DATE

DELIVERY FOR FREE ON BOARD

(FOB) DESTINATION UNLESS

BLOCK IS MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS THIS CONTRACT IS A RATED

ORDER UNDER THE DEFENSE

PRIORITIES AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

8(A)

Aberdeen Area Indian Health Servic WOMEN-OWNED SMALL

BUSINESS (WOSB)

ECONOMICALLY DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

ABERDEEN SD 57401-4301

115 4TH AVENUE SE

Great Plains Area IHS

Great Plains Area IHS

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

A. This is a combined synopsis/solicitation for commercial products or commercial services prepared in accordance with the format in Federal Acquisition Regulation (FAR) Part 12, Acquisition of Commercial Products and Commercial Services (Title VIII of the Federal Acquisition Streamlining Act of 1994) (Public Law 103-355) & FAR 37.6, Non-Personal Health Care Services Contract (10 U.S.C. 2304 and 41 U.S.C 253). This announcement constitutes the only solicitation;

offers are being requested and a written

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

DATED . 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 (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Government Use Only)

OFFER

STANDARD FORM 1449 (REV. 11/2021)

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: REFERENCE

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. 11/2021) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

solicitation will not be issued.

The Great Plains Area Indian Health Service (IHS) intends to award a Firm Fixed-Price, Non-Personal

Health Care Service, Commercial Item, Labor Hour, Purchase Order, in response to Request for Quote

(RFQ) 75H70626Q00059. Award will be made on an

"all-or-none" basis.

This acquisition is a set-aside for small business concerns, This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov.

B. The unit pricing must be all inclusive (to include but not be limited to travel, lodging, per diem, fringe benefits, federal, state and local taxes) plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.

Complete the SF-1449. Lowest Price Technically

Acceptable

This acquisition is for one (1) Registered

Pharmacist to provide services on a Full-Time basis. This is a 100% Indian Small Business

Economic Enterprise set-aside. The associated

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

9 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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75H70626Q00059

NAICS Code is 561320, which has a small business standard of $34.0 million dollars. The period of performance will be Date of Award through

7/4/2026.

C. See attached Performance Work Statement.

Services will be provided for the Lower Brule

Service Unit, Indian Health Service, 601 Gall

St., Lower Brule, South Dakota.

D. Attached are the Federal Acquisition Regulations (FAR) & Health & Human Services

Acquisition Regulation (HHSAR) provisions and clauses that are applicable.

Delivery: 07/04/2026

1 Period of Performance: Date of Award through July

4, 2026

Regular Hours (NTE)

740 Hours @ $_________/Hour, totaling $___________

E. FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial

Services (Deviation November 2025).

Quotes shall be submitted on company letterhead stationery, signed, dated and it shall include:

1. Solicitation number RFQ 75H70626Q00059.

2. Closing Date: March 23, 2026 at 12:00 pm CST

3. Name, address and telephone number of company and email address of contact person.

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements of the solicitation. This may include product literature, or other documents, if necessary.

5. Terms of any express warranty

6. Price and any discount terms

7. "Remit to" address, if different than mailing address.

8. Acknowledgment of Solicitation Amendments (if any issued)

9. Statement stating ability to meet qualifications and the requirements of the Statement of Work Continued ...

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Sponsored by GSA

FAR (48 CFR) 53.110

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75H70626Q00059

10. Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information)

11. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offerors that fail to furnish required information, or reject the terms and conditions of the solicitation may be excluded from consideration.

F. FAR 52.212-2 Evaluation - Commercial Products and Commercial Services (Deviation November 2025)

Basis of award is Lowest Price, Technically

Acceptable "LPTA" offer. The Government will not use the formal source selection procedures described in FAR part 15. The Government will evaluate offers utilizing the procedures of FAR

12.203 Evaluation. Offers will be evaluated for

acceptability, but not ranked using the non-price factors/sub-factors. All non-price factors and sub-factors will be rated as either "acceptable" or "unacceptable". The Government intends to evaluate and make award without discussion with the offerors other than minor clarifications, unless discussions are determined to be necessary. A decision on the technical acceptability of each offeror's quotations will be made. For those offeror's which are determined to be technically acceptable, award will be made to that vendor with the lowest overall price.

(a) The LPTA evaluation process will be accomplished as follows - Technical Acceptability will be comprised of three subfactors: 1.)

Meeting all areas under the "Scope of Work"; 2.)

Past Performance; and, 3.) Price.

1.) Each offeror's technical quotations will be evaluated to determine if the offeror provides a sound, compliant approach that meets the requirements of the "Scope of Work". Contractors shall possess the following in order to be considered technically acceptable:

Continued ...

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75H70626Q00059

- Ability to provide a Pharmacist(s) in a timely manner who can provide on-site pharmaceutical services to beneficiary patients of all ages that present for care to the LBHC.

- Ability to assist with completion of background investigation paperwork for the Contract

Registered Pharmacist(s) in a timely manner prior to assignment.

- Ability to provide a Contract Registered

Pharmacist(s) who can interact with patients and clinical staff in a customer friendly and culturally sensitive manner.

- Ability to provide a Contract Registered

Pharmacist(s) who possess Electronic Health

Record experience.

2.) Past Performance: The offeror shall provide a list of contracts under which they have performed same or similar services to this RFQ requirement within the last three (3) years. The Government shall assess the offeror's ability to perform the effort described in the Request for Quote (RFQ).

The assessment process will result in an overall technical rating of Acceptable/Non Acceptable or

Neutral/Unknown. Offerors with no relevant past or present performance history shall receive the rating "neutral or unknown", meaning the rating is treated neither favorably nor unfavorably.

3.) Price: The Pricing must be completed for all line items and all option years, if applicable, and will be evaluated as to completeness and reasonableness.

(b) Options. N/A

(c) Notice of Award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party.

Before the offer's specified expiration time, the

Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

N. Offers will be accepted electronically, Submit via e-mail to the following:

Continued ...

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(A) (B) (C) (D) (E) (F)

75H70626Q00059

Great Plains Area Indian Health Service

Attn: Wenda Wright, Contract Specialist

115 4th Ave. SE, Room 309

Aberdeen, SD 57401

Email: wenda.wright@ihs.gov

Questions in regards to this solicitation shall be submitted in writing by either email no later than March 17, 2026, 12:00pm CST. Contractors will need a UEI number, TIN number, and be registered with www.sam.gov.

SECURITY CLEARANCE:

A security pre-clearance must be performed for any employees referred to IHS through this contract.

Fingerprints must be completed and adjudicated prior to services being performed under this contract.

No contract award shall be made to any vendor or provider listed on the OIG Exclusion List http://exclusions.oig.hhs.gov throughout the duration of the contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Performance of this contract will require routine access by employees of the Contractor or its subcontractors to facilities or systems controlled by the Indian Health Service (I.H.S.).

Before starting work requiring routine access to I.H.S. facilities or systems each person must complete a FBI National Criminal History Check

(Fingerprint Check) adjudicated by an I.H.S.

employee using the Office of Personnel Management Personnel Investigations Processing System.

Contractors shall allow five business days for I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capability is available from the Contracting Continued ...

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75H70626Q00059

Officer.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of

Inspector General List of Excluded

Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance, the Contractor shall provide the

Contracting Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a

Time and Materials, Labor-Hour or Cost

Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed

Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractors suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, Continued ...

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75H70626Q00059 contractors, volunteers, or IHS employees with

IPA's or MOA's to tribal organizations please, click here IHS Sexual Abuse Prevention website.

When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and

Time to their Supervisor, COR, and Kimmen LeBeau, e-mail: Kimmen.LeBeau@ihs.gov

ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.

Quotation must set forth full, accurate and complete information as required by the Request for Quotation (RFQ) and be returned no later than the date referenced. All required information must be submitted in order to be considered responsive and eligible for award.

No contract award shall be made to any vendor listed on the OIG Exclusions List at http://exclusions.org.hhs.gov throughout the duration of the contract.

Contractor must be registered with the System for

Award Management (SAM) at www.sam.gov

The Government reserves the right to accept or reject services, if the level of performance is unacceptable.

"Pharmacist will arrive on a Business Day ONLY to complete all Orientation and Background procedures. The Clinical Director or Designee will ensure all Orientation and Background procedures have been completed and an email will be sent to the Contracting department to state as such. The Pharmacist will NOT see patients until

Background/Fingerprints have been cleared."

"The standards of medical practice and duties of the Contractor through its Pharmacist shall be determined pursuant to the bylaws of the Service

Continued ...

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Unit. The regulations of the hospital, applicable provisions of law, other rules and regulations of any and all governmental authorities relating to licensure and regulation of physicians and hospitals must be followed. Also the standards and recommendations of Centers for Medicare and

Medicaid Services (CMS) or the Accreditation

Organization must be adhered to. The Contract

Pharmacist shall be required to participate in a quality improvement program, which is consistent with current requirements for ongoing monitoring and evaluation of the quality and appropriateness of care."

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Indian Health Service

Office of Management Services Division of Acquisition Policy (DAP)

5600 Fishers Lane Rockville, MD 20857

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

SOLICITATION/SOURCES SOUGHT/RFI #: _________________________________________________

PROJECT TITLE: ________________________________________________________

DATE: ___________________________________________________________________

In accordance with 25 U.S.C. 47 the Buy Indian Act, the signature below constitutes self-certification that the Offeror meets the definition of an “Indian Economic Enterprise” (HHSAR 326.601) in response to this Sources Sought Notice, Request for Information (RFI) or Solicitation and resultant contract.

The enterprise must meet the definition of “Indian Economic Enterprise” throughout the following time periods:

(1) At the time an offer is made in response to this solicitation;

(2) At the time of contract award; and

(3) During the full term of the contract performance period. At any point during these periods, if the Contractor no longer meets the eligibility requirements, the contractor must provide immediate written notification to the Contracting Officer.

Individual Contracting Officers may require documentation of eligibility before awarding a set-aside or sole source contracts under the Buy Indian Act and awards may be subject to protest if the eligibility of the successful Offeror is in question. In addition to the self-certification requirements, successful Offerors must also be registered with the System of Award Management (SAM).

Any false or misleading information submitted by an enterprise when submitting an offer in consideration of an award set-aside under the authority of the Buy Indian Act is a violation of the law and punishable under 18 U.S.C. 1001.

False claims submitted as part of contract performance are subject to the penalties enumerated in 31 U.S.C. 3729 to 3731 and 18 U.S.C. 287.

REPRESENTATION

The Offeror represents as part of its offer that it does _____, does not _____ meet the definition of an “Indian Economic Enterprise” with “Indian Ownership” under the authority of the Buy Indian Act.

Name of the 51% owner of IEE Firm

Certifying Signature

Print Name

Name of Federally Recognized Tribal Entity

Business Name

DUNS Number

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LOWER BRULE INDIAN HEALTH CENTER

PERFORMANCE WORK STATEMENT FOR PHARMACIST SERVICES

Background of the Contract

The mission of the Lower Brule Indian Health Center is to provide the best possible healthcare services to the Lower Brule Sioux Tribe and all other qualified Native Americans. To meet this mission, the Lower Brule Indian Health Center has identified a need for an all-inclusive, non-personal service contract for a Registered Pharmacist. The Lower Brule Indian Health Center is also referred to as the Lower Brule Service Unit throughout this Performance Work Statement.

Purpose of the Contract

The purpose of this contract is to maintain and continue pharmaceutical services at the Lower Brule Indian Health Center.

To maintain the highest quality of healthcare and pharmacy services to the people we serve, the Lower Brule Service Unit requires the contract pharmacy services support during leave and/or training of the staff and Chief pharmacist. The care provided by the Contractor through its employees shall be as comprehensive as the Indian Health Service (IHS) supplied facilities, equipment, and support services permit. The Contractor shall furnish the necessary personnel to provide Registered Pharmacist(s) recruitment, credentialing, and placement services to the Lower Brule Service Unit in the Great Plains Area of the Indian Health Service. The service unit requires these services be provided in the time period stated.

The contract resulting from this solicitation shall:

• Be a non-personal health care services contract under which the Contractor is an independent contractor.

• Allow the Government to evaluate the quality of professional and administrative services provided.

• Require the Contractor to indemnify the Government for any liability-producing act or omission by the Contractor, its employees and agents occurring during contract performance.

• Require the Contractor to maintain liability insurance which is not less than the amount normally prevailing within the local community for the medical specialty concerned.

• Require the Contractor to assume sole and exclusive responsibility for employee federal taxes, Social Security, unemployment insurance, and workman’s compensation.

• Require the Contractor to provide daily compensation and travel reimbursements to each

Contract Pharmacist as appropriate.

• Contractor shall ensure that all qualified staff are physically on-site and available for duty no later than 30 days after contract award (if applicable).

Place of Performance

Lower Brule Health Center Indian Health Service 601 Gall St Lower Brule, SD 57548

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Period of Performance

The Period of Performance is from Date of Award through 07/04/2026, Monday through Friday, between 8:00AM-4:30PM. Work shifts will normally be eight (8) hours in length, with a 30-minute lunch. The Contractor will work no more than 40 hours per week, depending on staffing needs each week, and as scheduled with the Chief Pharmacist or their designee. Up to thirty (30) minutes may be allowed at the end of the scheduled shift to accommodate unexpected patient care only with approval from the Pharmacy Supervisor or designee. Only hours worked that are pre-approved by the Chief Pharmacist or their designee will be approved for payment. The contract pharmacist will not work on federal holidays, overtime, or compensation time.

Government Furnished Property, Facilities, and Services

Pharmacist(s) placed by the Contractor will be authorized to use all areas of the medical treatment facility available to civil service and commissioned personnel in similar positions. The same restrictions apply to contract pharmacists as any other Indian Health personnel to use these areas for official business activities only.

Contract pharmacist(s) will be authorized to use all administrative and professional support available to Indian Health Service personnel. This will include but not be limited to: copy machines, fax machines, printers, drug information resources, email, and telephone service.

Contractors will follow the same rules, regulations, policies, and procedures that the permanent IHS government employees follow.

Each contract pharmacist(s) shall be provided with an orientation to the Lower Brule Service Unit and the Indian community being served. The Chief of Pharmacy or a designated representative shall provide the initial orientation and continuing orientation prior to the contract pharmacist performing his/her assignments.

The Lower Brule Service Unit shall provide all medical and non-medical equipment and supplies in the facility for the care and management of patients.

The Lower Brule Service Unit shall provide all required blank government forms applicable to the Indian Health Service. The Chief of Pharmacy or a designated representative will provide an appropriate orientation to the necessity of such forms.

Candidate Presentation:

The Contractor shall present a candidate to the Lower Brule Health Center Contracting Officer’s Representative (COR) for review by the Pharmacy Supervisor within five (5) business days of the purchase order and will include the following documentation for the Contract Pharmacist:

1. Full name

2. Date of birth

3. Social security number

4. Phone number

5. E-mail address

6. Current curriculum vitae with listing of all work experience, and explanations for any employment gaps

7. Signed Release of information

8. Minimum of three (3) letters of reference (preferably within the past 6 months); must have (1)

Pharmacist PWS Page 3 of 12 clinical supervisor and (2) peers from the same discipline

In the event the Pharmacy Supervisor does not accept the Contract Pharmacist, the documentation will be sent to the COR for review/comments and the Contractor will have three (3) business days to present a new Contract Pharmacist.

Upon acceptance of a Contract Pharmacist, a full background investigation shall be sent to the contractor.

The Contractor is responsible for ensuring that proposed Contract Pharmacist possess the requisite credentials to allow for performance of all objectives identified. The contractor shall send a fully completed background investigation back within seven (7) days. The entire candidate presentation and paperwork completion shall be accomplished within thirty (30) days.

Once a Contract Pharmacist has been cleared for suitability with a completed background check and has been granted privileges, the Contractor shall submit a confirmation service agreement and include the following information:

1. Contract Pharmacist name and phone number

2. Dates of service

3. Confirmation of Contractor’s completion of Contract Pharmacist’s orientation to this scope of work

4. Point of contact and phone number

Prior to the assumption of duty on any scheduled work shift, the Contract Pharmacist may be briefed by the service unit Pharmacy Supervisor or his/her designee concerning any matter relevant to the Contract Pharmacist’s responsibilities under the terms of this contract. The Contractor shall advise the COR, or his/her designee of any problem encountered in connection with meeting the needs of patients treated by the Contract Pharmacist.

Conflict of Interest

The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of Health and Human Services (HHS) unless such a person seeks and receives approval in accordance with the Department of HHS.

Continuity of Services

The Contract Pharmacist’s services are considered vital to the Government and must be continued with minimal interruption. In order to minimize interrupted services, the Contractor shall exercise best efforts and cooperation to provide coverage during periods of permanent staff absences.

In the event the Contractor is unable to fulfill the purchase order requirements for whatever reason; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the purchase order is immediately required. The government’s right to fulfill its need outside this contract(s) does not waive its right to the issuance of a cure notice nor does it waive its right to terminate.

Character Investigation

CRIMINAL BACKGROUND CHECK REQUIREMENT. The Government will conduct, at the government expense, a Tier 2 with Subject Interview (T2S) and state criminal history checks on individuals providing direct, unsupervised child care services under this contract. This investigation will

Pharmacist PWS Page 4 of 12 be conducted at the expense of the Government and will be based upon the Federal Bureau of Investigation (FBI), state and local criminal history repositories.

The Contract Pharmacist(s) are subject to Public Law 101-630, The Indian Child Protection and Family Violence Prevention Act. The Indian Health Service Personnel Office will conduct the criminal background investigations, and obtain fingerprints on each Contract Pharmacist provided by the Contractor. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contract Pharmacist(s) must not have unsupervised contact with Indian children or access to Federal Information System that contain Personally Identifiable Information (PII) or Protected Health Information (PHI). The investigation may take several months to complete. Contract Pharmacists receiving unfavorable background investigations shall not be employed. If at any time the Contractor fails to meet or maintain suitability or eligibility for Federal employment, the Contractor will be removed from providing services at the Lower Brule Health Center.

The Contractor shall submit completed personnel background check applications within seven (7) working days after candidate acceptance. Any corrections needed to the background investigation process must be completed and resubmitted within seven (7) days.

Individuals shall have the right to obtain a copy of any background check pertaining to themselves and to challenge the accuracy and completeness of the information contained in the report.

Contractor Furnished Equipment, Facilities, and Services

The Contractor shall provide the qualified personnel in order to complete the Contractor's responsibilities at the Lower Brule Indian Health Center. The Lower Brule Indian Health Center does not anticipate a need for contractor furnished equipment.

The Contractor shall be responsible for travel, lodging, per diem, fringe benefits, health and life insurance, Social Security, Federal, State, and Local taxes, plus any other costs pertinent to the performance of this contract.

Scope of Work

The Contractor shall furnish a Registered Pharmacist to provide, support, and maintain pharmaceutical services to patients at the Lower Brule Indian Health Service, as requested by the Chief Pharmacist or their designated representative, for the term of this contract. The contract pharmacist(s) shall perform pharmacy services compatible with the facilities operation, capacity and equipment of the Lower Brule Indian Health Service. Contract pharmacists shall cover the range of pharmacy services typically provided in a rural civilian practice of similar size. Contract performance shall be according to the requirements contained in this Performance Work Statement.

All contract pharmacists shall be required to participate in a clinic-based quality improvement program that is consistent with current Accreditation Association for Ambulatory Health Care (AAAHC) requirements for ongoing monitoring and evaluation of quality and appropriateness of care; and serve as a member of a health care team providing care on a regular basis.

The main duties of the contract pharmacist(s) will be checking prescriptions for accuracy before dispensing them to the patient and counseling the patients, but must also be knowledgeable in the following pharmacy functions:

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• The contract pharmacist(s) shall be able to read medication orders from the prescriptions and process prescription orders in the Electronic Health Record (EHR), and check for completeness, appropriateness, and allergies. The contract pharmacist(s) shall ensure that all medications that are prescribed are on the Lower Brule Service Unit formulary. The contract pharmacist(s) shall check for any drug-drug and drug-food interactions. The contract pharmacist(s) shall provide instructions to all prescribing practitioners as to substitutions of medications as applicable and answer any medical questions pertaining to medications and patient care.

• The contract pharmacist(s) must be able to work independently and may also be required to work as the sole pharmacist on certain occasions when the permanent staff is attending meetings, completing administration assignments, or on leave.

• In the clinic area, the contract pharmacist(s) must be able to enter the prescriptions using the computer software system. The computer software will provide a label and medication information sheet for each prescription. The contract pharmacist(s) must be able to accurately fill the prescription, attach the prescription and auxiliary labels to the bottle, and dispense the medications. The contract pharmacist(s) shall appropriately counsel the patients on their medications.

• The contract pharmacist(s) shall determine appropriateness of the medications. When a medication order is incomplete or inappropriate, a medication the patient is allergic to, or for non-formulary medication(s), the contract pharmacist(s) must then clarify the order with the prescriber before filling the medications. The contract pharmacist(s) shall review all medication orders for drug-drug and food-drug interactions; and access renal function.

All medications that need to be adjusted or changed shall be brought to the attention of the prescriber.

• The contract pharmacist(s) shall interact with other medical professionals within the clinic in order to solve problems that occur in the ordering and delivery of medications.

• The contract pharmacist(s) shall keep complete records as far as controlled medications.

The Contractor and /or the contract pharmacist(s) shall immediately advise the Chief Pharmacist or their designated representative of any problem(s) encountered or which may be encountered in connection with meeting the needs and concerns of patients. The contract pharmacist(s) shall notify the Chief of Pharmacy or their designated representative immediately when he/she is unable to perform due to illness or family emergency, i.e., death, etc.

When the Chief Pharmacist is absent, the contract pharmacist(s) shall follow the delegation of authority posted in the pharmacy and perform duties as assigned by the Chief Pharmacist's designee.

Contract Registered Pharmacist Qualifications

The Contract Registered Pharmacist(s) shall:

• Be a graduate of a school of pharmacy approved by a state-accrediting agency.

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• Possess a current, active, unrestricted license from any of the 50 US states, the Commonwealth of Puerto Rico, or the District of Columbia.

• Maintain continuing education/certification, and have a current Basic Life Support (BLS) certification.

• Have a minimum of 2 years of experience as a pharmacist within the past 36 months, and must meet all background investigation requirements.

• Not have any work or health restrictions that interfere with the performance of pharmacy services.

• Speak, understand, read, and write English fluently and communicate with sufficient clarity to be understood by Lower Brule Service Unit personnel and the Native American community.

• Possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that he/she can relate constructively to patients from Native American communities.

• Maintain standards of personal hygiene and grooming such that his/her image as a

Registered Pharmacist is compatible with the expectations of the Great Plains Area Indian Health Service clinical staff and the Native American community.

Contractor Technical Requirements

The Contractor shall possess the following:

• Ability to provide pharmacist(s) in a timely manner who can provide on-site pharmaceutical services to beneficiary patients of all ages that present for care to the

LBHC.

• Ability to assist with completion of background investigation paperwork for the Contract Registered Pharmacist(s) in a timely manner prior to assignment.

• Ability to provide Contract Registered Pharmacist(s) who can interact with patients and clinical staff in a customer friendly and culturally sensitive manner.

• Ability to provide Contract Registered Pharmacist(s) who possess Electronic Health Record Experience.

Special Contractor Responsibilities

The Contractor shall be responsible to ensure that the Contract Registered Pharmacist(s) providing services under this contract is fully trained and completely competent to perform the required work.

The Contractor shall be required to maintain records that document competence and performance level of Contractor employees working under this contract in accordance with AAAHC and other regulatory body requirements.

The Lower Brule Service Unit's Chief Pharmacist, or their designated representative, shall

Pharmacist PWS Page 7 of 12 monitor the contract pharmacist's work to ensure contract compliance and not withstanding other contract requirements, upon request of the Contracting Officer. The Contractor shall remove the contract pharmacist(s) who does not comply with orientation requirements, meet competency requirements, or complete the assignments for the contract work being performed under this Performance Work Statement. If removed, the Contractor shall immediately provide another qualified, contract pharmacist who will meet these requirements and complete the assignments listed within this Performance Work Statement. The Contractor's failure to submit successful applicants shall not excuse nonperformance of contract requirements.

The contractor must perform the required work, in accordance with AAAHC or other regulatory body standards. The contractor is required to develop and maintain the following documents for each Contract employee working on the contract : credentials and qualifications for the job, a competence assessment checklist (an assessment of knowledge, skills, abilities, and behaviors required to perform a job correctly and skillfully, including knowledge and skills required to provide care for certain patient populations, as appropriate); a current performance evaluation supporting the ability of the contract employee to successfully perform the work required in this solicitation; and listing of relevant continuing education for the last two years. The Contractor shall maintain and provide copies of these records upon request.

Verification of Licensure

To ensure that the contract Registered Pharmacist(s) providing services under this contract is properly licensed and that the Lower Brule Service Unit is aware of any disciplinary actions taken against such pharmacist, the Contractor shall:

• Provide a copy of licensure ensuring that each pharmacist placed at the Lower Brule Service

Unit holds a current, active pharmacy license that is in good standing.

• Inform IHS of the status of all licenses for each Registered Pharmacist(s) providing services under this contract at the Lower Brule Service Unit.

• Provide all information regarding performance and disciplinary actions that is collected on the pharmacist placed under this contract to the Service Unit's Chief Pharmacist.

• Certify that all information on the contract Registered Pharmacist(s) has been reviewed and verified by the Contractor. This certification must include a statement that the Contractor has found no reason to reject the pharmacist application.

Evaluation and Performance Requirements

The Contractor shall allow the Government to evaluate the quality of professional and administrative services provided with the technical requirements of this contract. This assessment will include observations of the work system, methods and execution. Examples of monitoring methods include, but are not limited to: appropriateness of candidate placement (e.g., number or removals, number of early terminations of assignments due to personality conflict, poor work habits, inadequate skills for the assignment, unprofessional or discourteous behavior). An assessment spreadsheet with these methods will be monitored by the Pharmacy Supervisor and the Contracting Officers’ Representative (COR). The Contract Pharmacist’s performance will be monitored through peer review/competency, identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable. These evaluations may be used as a record of contract performance history for the

Pharmacist PWS Page 8 of 12 purpose of evaluation in other competitive or non-competitive acquisitions.

All services rendered shall be in accordance within the Contract Pharmacist’s professional training and experience, and with current standard medical practices to assure quality care. The Contract Pharmacist(s) must perform at a level that is satisfactory and in accordance to all applicable laws, policies, rules, regulations, and within the Performance Work Statement.

NEGLIGENT BEHAVIOR. Any negligent behavior or any behavior jeopardizing patient safety will not be tolerated. Professional Review Action may be taken if activity, demeanor or conduct of the Contract Pharmacist(s) is detrimental to patient care, disruptive to the service unit operation, in violation of IHS policy, or is unethical. Each incident will be evaluated and documented, and the Pharmacy Supervisor will notify the COR, and provide copies of pertinent documentation as soon as possible when the necessity to exercise such authority becomes apparent. These incidents may be grounds for immediate removal.

PERFORMANCE SURVEILLANCE PLAN. Performance surveillance monitors will be established to comply with regulatory guidelines and to monitor contract performance. The performance surveillance plan has been developed to outline the Indian Health Service’s general plan in providing effective and systematic surveillance and reporting of all aspects of contract performance. This plan recognizes the responsibility of the Contractor to carry out its own quality control obligations in the performance of this contract.

Surveillance will be accomplished through review of the Contractor’s performance against requirements listed in the work statement and performance standards listed in this plan. Performance-based incentives are consistent with the intent and purpose of the contract.

Upon completion of the contract, the Government will complete and keep on record the Contractor’s performance evaluation form based on the following objectives.

OBJECTIVE/

TASK

PERFORMANCE

STANDARD

ACCEPTABLE

QUALITY

LEVEL (AQL)

SURVEILLANCE

METHOD/

MEASURES

CONTRACT

OR

INCENTIVE

DISINCENTIVE/

DEDUCT

PERFORMANCE

OBJECTIVE 1

The Contractor shall establish a technical approach and management plan for the placement of Pharmacist(s) into temporary assignments at LBHC providing coverage when requested

Once a task order/request is received:

Contractor shall locate a Pharmacist and complete all paperwork within established time frames

Present candidate(s) within five (5) days of contract award and if found unacceptable, locate a

Placement of staff 100% of the time

Pharmacy Supervisor shall submit monthly spreadsheet of placement dates to the COR to monitor the placement requirement of coverage when requested

Favorable Contractor performance evaluation

Unfavorable

Pharmacist PWS Page 9 of 12 replacement within three (3) days.

Complete IHS background investigation information and return to LBHC within seven (7) days.

OBJECTIVE 2

All Contract Pharmacist(s) shall perform in accordance with clinical standards

Care provided is within clinical standards of care

100% found on peer reviews

Pharmacy peer reviews and / or competencies will be completed and will review the following elements:

-Appropriateness of new prescription(s), including appropriate dose, allergy review, formulary process followed, and counseling literature documented.

-Accurate verification and dispensing of medication, including allergy review and counseling documentation.

performance evaluation, removal from contract until such time the Contract Pharmacist(s) meet qualification standards

OBJECTIVE 3

Contract Pharmacist(s) are capable and knowledgeable of effective communication

Contract Pharmacists shall be respectful, courteous, and culturally sensitive to IHS patients and staff

No more than two (2) valid complaints per Contract Pharmacist annually

The Contractor shall respond to the COR in writing whenever they receive notice of a valid complaint against a Contract Pharmacist with an explanation of what was done to address the matter

The invoice will be put on hold until the complaint is investigated and resolved in seven

(7) working days, removal from contract until such time the Contract Pharmacist(s) meet qualification standards

All required

95% completion, Periodic sampling

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Contract Officer’s Representative:

The Contracting Officer’s Representative (COR) representing the Government for the purpose of this contract shall be designated in writing by the Contracting Officer at the Great Plains Area Indian Health Service.

The COR is responsible for:

1. Monitoring the Contractor’s technical progress including surveillance, assessment, and performance and recommending to the Contracting Officer changes in requirements,

2. Interpreting the Performance Work Statement,

3. Performing technical evaluation as required,

4. Performing technical inspection and acceptance required by this contract,

5. Assisting the Contractor in the resolution of technical problems encountered during performance, and

6. Serving as systems manager to ensure compliance with the Privacy Act.

The designated COR for this contract is:

Michelle Chmela, COR I Lower Brule Health Center 601 Gall St.

Lower Brule, SD 57548

OBJECTIVE 4

Contract Pharmacist(s) shall complete all required trainings on time training is completed on time no deviations Contractor performance evaluation contract performance evaluation, suspension or termination of all physical and/or electronic access privileges and removal from contract until training is completed

OBJECTIVE 6

Contract Pharmacist(s) are aware of all laws, regulations and policies related to Privacy, Confidentiality and HIPAA, and complies with all standards of privacy

Pharmacist(s) comply with all laws, regulations and policies relating to Privacy, Confidentiality and

HIPAA

100% compliance, no deviation

Pharmacist shall provide copies of all required trainings to the Pharmacy Supervisor, HIM will report any violation to the Pharmacy Supervisor for review

Immediate removal of Contract Pharmacist from contract

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Phone: (605) 473-8172 Email: Michelle.Chmela@ihs.gov

The designated Technical Point of Contact (TPOC) for this contract is:

Sierrah Ellenbecker, Chief Pharmacist Lower Brule Health Center 601 Gall St.

Lower Brule, SD 57548 Phone: (605) 473-8188 Email: Sierrah.Ellenbecker@ihs.gov

Issuance of changes which affect the articles, terms, or conditions of this contract will be accomplished through the Contracting Officer who is the only party authorized to bind the Government to the contract.

Compensation:

The Contractor shall be responsible for all inclusive costs, and there will be no differential pay for government holidays, overtime, compensation time, and night differential. “All inclusive” is defined to include travel, lodging, per diem, fringe benefits, Federal/State/Local taxes, plus any other costs pertinent to the performance of this contract, including overtime and holiday pay.

Payment Process:

The Contractor shall submit a weekly invoice for services rendered that are mutually agreed upon by the Contractor and the Project Officer, or her designated representative, and follow IPP Guidelines.

The following information MUST be included on each invoice submitted for the Finance Department to process payment:

Contractor/Vendor Name Mailing Address Telephone Number Tax Identification Number (TIN) Invoice Date and Number Purchase Order Number (in Block #3 of the OF-347 form) Description of services provided, quantity, unit of issue, unit price, and the total amount due

UEI

1. Authority

1.1. No person other than the Contracting Officer has the authority to bind the Government with respect to this contract.

1.2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

mailto:Michelle.Chmela@ihs.gov mailto:Sierrah.Ellenbecker@ihs.gov

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1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer.

1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer.

1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

1.3.4.2. Expend hours in excess of a specified level of effort.

CLAUSES INCORPORATED BY REFERENCE

(Non-Personal Health Care Service, Commercial)

FAR CITATION: 52.252-2: Clauses Incorporated by Reference. (FEB 1998) I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date ____

1. 52.203-17…