25Q00222-Solicitation Package.pdf

75H70625Q00222

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

08/29/2025 IHS1503174

1 2

1300 Hospital Road P.O. Box 160 Belcourt ND 58316

Belcourt PHS Indian Hospital Multiple

FARRAH AZURE

09/05/2025 1200 CT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Firm Fixed-Price, Nonpersonal Service, for a Temporary Registered Pharmacist at the Quentin N Burdick Memorial Health Care Facility in Belcourt, ND.

1 1 Temporary Registered Pharmacist Period of Performance: 09/15/2025 to 12/14/2025

2 1 Temporary Registered Pharmacist (Option Line Item) 12/15/2025 Period of Performance: 12/15/2025 to 03/14/2026

3 1 Temporary Registered Pharmacist Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 2

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70625Q00222

(Option Line Item)

03/15/2026

Period of Performance: 03/15/2026 to 06/14/2026

4 1 Temporary Registered Pharmacist

(Option Line Item)

06/15/2026

Period of Performance: 06/15/2026 to 09/14/2026

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.

Unique Entity

ID:__________________________________

The Unique Entity ID (UEI) is required, provided you do not have one, you may visit SAM.gov to obtain one. You will need a UEI to be awarded the purchase order and must be registered with an

Active, Registration in the System for Award

Management (SAM), you can register at www.sam.gov

Federal Tax ID

Number:__________________________________

Email Address:__________________________________

Net Terms:__________________________________

The quoter is hereby notified that they must be registered in SAM (System for Award Management) before the Government will issue an award.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

A. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.

B. The Great Plains Area Indian Health Service (IHS) intends to award a firm-fixed price, non-personal healthcare service, single award, purchase order for a Temporary Registered Pharmacist at the Quentin N Burdick Memorial Health Care Facility, Belcourt, North Dakota in response to RFQ 75H70625Q00222.

C. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2025-04/2025-06-11.

D. This RFQ is set aside 100% Indian Economic Enterprise Small Business (ISBEE) and the associated NAICS Code is 621399, which has a small business standard of $12.5 million.

E. The quoted 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 pricing.

CLIN 0001 – Temp Registered Pharmacist – See Performance Work Statement – 3 months $____________ CLIN 0002 – Temp Registered Pharmacist – See Performance Work Statement – 3 months $____________ CLIN 0003 – Temp Registered Pharmacist – See Performance Work Statement – 3 months $____________ CLIN 0004 – Temp Registered Pharmacist – See Performance Work Statement – 3 months $____________

F. Temporary Registered Pharmacist to be provided for the duration of the contract per the Performance Work Statement (PWS)

G. The period of performance will be three (3) months from date of award, with three (3) additional three-month option periods, for a total potential period of performance of twelve (12) months, if all options are exercised.

H. FAR 52.212-1 Instructions to Offerors-Commercial Items and Commercial Services (Sep 2023).

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

1. Solicitation number 75H70625Q00222;

2. Closing Date: September 5, 2025 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. Price and any discount;

6. “Remit to” address, if different than mailing address;

7. A completed copy of the representations and certifications at FAR 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

8. Acknowledgment of Solicitation Amendments (if any issued);

9. 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);

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

In addition, Contractors shall provide the following:

• Name and phone number of three (3) professional references.

• Shall meet the qualifications in the Statement of Work and provide copies of requested documents.

• Complete and sign Child Care Position Provisional Authorization

• Complete and sign the Declaration for Federal Employment – Optional Form 306.

• Complete and sign Addendum to Declaration for Federal Employment (OF306).

• Complete and sign Licensure Requirement Form.

• Copy of malpractice insurance coverage.

• Copy a degree from a qualified medical science program.

• Maintain continuing education/certification.

• Copy of current Basic Life Support (BLS).

• Current immunization record.

DO NOT INCLUDE PERSONAL IDENTIFIABLE INFORMATION (PII) on any documents that are being submitted.

Attachments:

• Performance Work Statement

• Provisions and Clauses incorporated by reference and full text

• Contractor’s Performance Conditions & Responsibilities

• Mandatory Seasonal Influenza

Basis of Award is Best Value. Best Value award will be made to the responsible offeror whose quotation is determined to represent the best value to the Government. The following factors will be evaluated: (1) Technical Approach, (2) Qualifications and Experience, (3) Staffing and Key Personnel, (4) Past Performance, and (5) Price; however, price will be evaluated for fairness and reasonableness and will remain a substantial factor in the selection decision.

Best Value Determination: Technical factors (1-4), when combined, are more important that price. However, price will be considered in the overall best value determination and may become the deciding factor if quotations are determined to be technically equal.

Technical Factor 1 – Technical Approach

(a) Solicitation Submittal Requirements:

Proposals, which merely offer a statement to conduct/provide services in accordance with the requirements in the Governments SOW, will not be eligible for award. The offeror must submit an explanation that meet the requirements identified under Technical Requirements; Ability to provide AART registered contractors, Prompt and continuous coverage, Ability to timely complete the background investigation paperwork, and Electronic Health Record Experience.

(b) Basis of Evaluation:

This factor will be evaluated as “ACCEPTABLE” if explanation meets the requirements identified under Technical Requirements; Ability to provide AART registered contractors, Prompt and continuous coverage, Ability to timely complete the background investigation paperwork, and Electronic Health Record Experience which comply with the requirements outlined above, are submitted. If an explanation of one or more Requirements is not provided, and/or do not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

Technical Factor 2 – Qualifications and Experience

(a) Solicitation Submittal Requirements:

Proposals, which merely offer a statement to conduct/provide services in accordance with the requirements in the Governments SOW, will not be eligible for award. The offeror must submit an explanation that identifies the vendor and staff experience in providing pharmacy services in hospital/clinic settings; professional licensure and certifications; compliance with regulatory requirements (e.g., Joint Commission, USP <797>/<800>, DEA, FDA, IHS).

(b) Basis of Evaluation:

This factor will be evaluated as “ACCEPTABLE” if the explanation meets the requirement for qualifications and experience capabilities and responsibilities to meet the following: Tour of Duty/Schedule, Description of Services, Contractor Responsibility and Personnel Requirements, which comply with the requirements outlined above, are submitted. If an explanation of one or more of the following: Tour of Duty/Schedule, Description of

Services, Contractor Responsibility and Personnel Requirements and/or do not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

IHS reserves the right to make multiple awards, which is most advantages to the Government. This is a competitive solicitation and the offer your firm submits will be used by IHS to determine, which of the quantities listed within are, “estimate only” and it is not the intent of IHS to be obligated to order the “quantities.”

Technical Factor 3 – Staffing and Key Personnel

(a) Solicitation Submittal Requirements:

Proposals, which merely offer a statement to conduct/provide services in accordance with the requirements in the Governments SOW, will not be eligible for award. The offeror must submit an explanation that meet the requirements identified under Technical Requirements; Availability and suitability of licensed pharmacists and technicians, credentialing and privileging process, contingency/back-up plan.

(b) Basis of Evaluation:

This factor will be evaluated as “ACCEPTABLE” if explanation meets the requirements identified under Technical Requirements; Ability to provide an adequate and well-structured staffing plan, qualifications of key personnel including education, professional licensure, certifications, and timely availability. If an explanation of one or more Requirements is not provided, and/or do not comply with the requirements, this factor will receive an “UNACCEPTABLE” rating.

Technical Factor 4 – Past Performance

Offerors do not need to provide any information under this factor as the US Government will base the evaluation on all INTERIM and FINAL Contractor Performance Assessment Reports (CPARs) that are recent and relevant. The CPARs will be retrieved from official US Government sources, including, but not limited to, the Contractor Performance Assessment Reporting System and the Past Performance Information Retrieval System.

(b) Basis of Evaluation:

Recency:

For the purposes of this solicitation, a past performance record is recent if the CPAR final date of assessment listed in the “Period of Performance Being Assessed” block is within the 24-month period preceding the proposal due date.

Relevancy:

For the purposes of this solicitation, a past performance record is relevant if the CPAR business sector is listed as “Services”.

In order to receive an "acceptable" rating for this factor, an Offer's recent and relevant CPARs must NOT include one or more INTERIM and/or FINAL CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more INTERIM and/or FINAL CPARs with a rating of "MARGINAL" in two or more categories. If an Offeror has one or more CPARs with a rating of "UNSATISFACTORY" in one or more categories OR one or more CPARs with a rating of "MARGINAL" in two or more categories, the Offeror's past performance will be evaluated as "UNACCEPTABLE".

In the case of an Offeror without a record of recent and relevant past performance or for whom information on past performance is not available or so sparse that no meaningful past performance rating can be reasonably assigned, the Offeror may not be evaluated favorably or unfavorably on past performance. Therefore, the Offeror shall be determined to have unknown past performance. In the context of acceptability/unacceptability, “unknown” shall be considered “acceptable.” An “UNACCEPTABLE” rating for a single factor will result in the Offeror’s entire proposal being rated “UNACCEPTABLE”.

Factor 5 – Price

Completed Price Schedule Sheet

(b) Basis of Evaluation:

The Government will evaluate price based on the total proposed price calculated as the sum of bid item 0001 Base Year, item 0002 Option Year 1, item 0003 Option Year 2, item 0004 Option Year 3 and item 0005 Option Year 4 that includes Contract cost, Subcontractor cost, Overhead and Profit. Analysis will be performed by one or more of the following techniques to ensure a fair and reasonable price:

(i) Comparison of proposed prices received in response to the RFP.

(ii) Comparison of proposed prices with the IGE.

(iii) Comparison of proposed prices with available historical information.

Note: A price that is found to be either unreasonable high or unrealistically low in relation to the proposed work may be indicative of an inherent lack of understanding of the solicitation requirements and may result in the overall proposal being considered unacceptable.

INTENT TO AWARD WITHOUT DISCUSSIONS

The Government intends to evaluate proposals and award a contract without discussions with Offerors.

Therefore, the Offeror's initial proposal should contain the Offeror's best terms from a price and technical standpoint. The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary. In the event discussions are held, a competitive range determination will be made. If the Contracting Officer determines that the number of proposals that would otherwise be in the competitive range exceeds the number at which an efficient competition can be conducted, the Contracting Officer may limit the number of proposals in the competitive range to the greatest number that will permit an efficient competition among the most highly rated proposals. However, The Government reserves the right to conduct discussions if the Contracting Officer later determines them to be necessary.

J. FAR 52.212-2 Evaluation – Commercial Products and Commercial Services (November 2021). See attachment for full text. Technical Approach, Qualifications/Experience, Staffing/Key Personnel, Past Performance, and Price are the evaluating factors with technical factors (1-4) when combined are more important than price. However, price will be considered in the overall best value determination and may become the deciding factor if quotations are determined to be technically equal.

K. FAR 52.212-3 Offeror Representations and Certifications-Commercial Products and Commercial Services (May 2024) (DEVIATION FEB 2025). See attachment for full text. The Offeror shall complete only paragraph

(b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) website accessed through http://www.acquisition.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (p) of this provision.

L. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (November 2023). Applied to this acquisition and it’s incorporated by reference.

M. FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders-

Commercial Products and Commercial Services (January 2025) (DEVIATION FEB 2025). See attachment for full text.

N. FAR 52.217-5 – Evaluation of Options (JUL 1990). See attachment for full text.

O. FAR 52.217-8 – Option to Extend Services (NOV 1999). See attachment for full text.

P. FAR 52.217-9 – Option to Extend the Term of the Contract (MAR 2000). See attachment for full text.

http://www.acquisition.gov/

Q. Attached are the additional Federal Acquisition Regulations (FAR) & Health & Human Services Acquisition Regulation (HHSAR) clauses that are applicable.

R. Offers will only be accepted electronically, submit via email to the following:

Quentin N Burdick Memorial Health Care Facility Indian Health Service - Belcourt Service Unit Attn: Farrah Azure, Purchasing Agent 1300 Hospital Loop Belcourt, ND 58316 Email: farrah.azure@ihs.gov

Questions in regards to this solicitation shall be submitted in writing by email no later than Monday, September 5, 2025, 12:00pm CST.

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 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, 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 mailto:farrah.azure@ihs.gov http://exclusions.oig.hhs.gov/ http://exclusions.oig.hhs.gov/ https://www.ihs.gov/sexualabuseprevention/training/ 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.

Invoice Processing Platform (IPP)

The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system

In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov

“Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer”.

mailto:Kimmen.LeBeau@ihs.gov https://obamawhitehouse.archives.gov/sites/default/files/omb/memoranda/2015/m-15-19.pdf https://www.ipp.gov/ mailto:IPPCustomerSupport@fiscal.treasury.gov

Quentin N. Burdick Memorial Health Care Facility, Indian Health Service

PHARMACY DEPARTMENT

PERFORMANCE-BASED WORK STATEMENT

FOR MEDICAL / PROFESSIONAL SERVICES (NON-PERSONAL SERVICE) REGISTERED PHARMACIST

A. DESCRIPTION OF SERVICES

The Contractor shall provide individuals for the positions listed within to perform pharmaceutical services at the Quentin N. Burdick Memorial Health Care Facility, herein referred to as QNBMHCF.

These services shall be performed in accordance with all federal, state, local laws and regulations, commercial professional standards, Indian Health Service policy and practice standards, The Joint Commission (TJC) and this Performance-based Work Statement (PWS).

B. SCOPE OF WORK.

The Contractor shall provide individual(s) for the following services: Registered Pharmacist in Outpatient Pharmacy setting.

Work will be conducted using electronic health records and pharmacy automation. Performance of duties shall meet applicable AAAHC standards and procedures compatible with the QNBMHCF’s operating capacity and equipment. All procedures shall comply with QNBMHCF infection control and safety procedures, practices, and standards.

The contractor will report to the director of pharmacy or designee. The contractor will perform work independently. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the QNBMHCF authorized representative.

C. PERIOD OF PERFORMANCE

The Period of Performance 3 months from award date, base plus 3 options to extend an additional 3 months. Hours worked are M-F, between 8:00am and 7:00pm; with a possibility of 4-10 hour days, as scheduled with the Pharmacy Director. Only hours worked that are pre-approved by the Pharmacy Director or designee will be approved for payment. The work shifts will be scheduled as needed during the period of performance dates, no more than 40 hours per week depending on staffing needs. Typical work week will be 40 hours/week on Monday thru Friday. Work shifts will normally be eight (8) hrs, with a 30 minute lunch, as scheduled with the Pharmacy Director. Same for ten (10) hour day, 30 minute lunch. Federal Government holidays, compensation time, including overtime are excluded. This contract will terminate when period of performance expires, if funds availability imposes constraints or services are no longer needed.

D. EDUCATION/TRAINING/QUALIFICATIONS OF CONTRACTOR PERSONNEL Individual position specific education/training/qualification requirements. Requirements pertaining to position described herein include:

1. Bachelors, Masters, or Doctoral degree in Pharmacy from a college of pharmacy accredited by the American Council on Pharmaceutical Education (ACPE).

2. A current, valid, unrestricted license to practice Pharmacy in any one of the fifty States, the

District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.

3. Be Basic Life Support (BLS) certified.

4. Working knowledge of pharmacy computer systems, such as the IHS Electronic Health Record (EHR), Resource Patient Management System (RPMS), ScriptPro Central Workflow Management system and Pyxis.

5. The contract pharmacist shall be able to o Process prescription order in the IHS Electronic Health Record (EHR), and check for completeness, appropriateness, dosing, and allergies. The contract pharmacist shall assure that all medications prescribed are on QNBMHCF’s formulary. The contract pharmacist shall check for drug-drug and food interactions, contraindications and warnings. Will assess renal function by calculating the patient’s height, weight, age, serum creatinine, and the creatinine clearance. The contract pharmacist 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.

o Deliver comprehensive pharmaceutical services within the personnel, supply, and equipment capabilities of the facility.

o Counsel patients regarding safe and effective use of medications.

o Review patient profiles in electronic health records to closely monitor medication therapy to identify medication-related problems and propose solutions.

o Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.

o Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.

o Provide medication related information and training to clinical staff (ie, newly marketed medications; appropriate use of medications; comparison of current medication therapies; and other topics as deemed appropriate by the department head).

o Provide clinical direction to pharmacy personnel.

o Assist with inventory control of pharmaceuticals and supplies in the pharmacy, specifically scheduled pharmaceuticals, and maintain pharmacy security.

o Maintain appropriate records and security of all scheduled controlled substances according to applicable regulations and local policy.

o Consult with other specialty practitioners to provide optimal patient pharmaceutical care.

o Participate in quality improvement efforts o Maintain clean and safe work areas according to applicable regulations and local policy.

o Document significant medication interactions and pharmacy interactions with prescribers. Conduct Adverse Drug Reaction (ADR) and medication error reporting in accordance with local policy.

o Participate in medication use evaluations as necessary.

E. ADDITIONAL REQUIREMENTS:

Working knowledge of general computer applications/software to include Microsoft Office programs, MS outlook (E-Mail), Access, Excel, PowerPoint, and internet familiarity is required. A working knowledge of IHS Electronic Health Record (EHR), Resource Patient Management System (RPMS), ScriptPro Central Workflow Management system and Pyxis are preferred.

Speak, understand, read, and write English fluently and communicate with sufficient clarity to be understood by QNBMHCF personnel and the Native American community.

Knowledge of and ability to apply medical privacy and confidentiality standards including the HIPPA, accreditation standards of TJC and QNBMHCF clinical practice guidelines.

Contract personnel shall be able to walk, stand, bend, sit, and use computers for prolonged periods of time. Much conversation with patients occurs through a thick window so ability to hear well is necessary to perform the duties.

Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines. Provides care within ethical and legal boundaries.

Serves and participates in committees, functions and other meetings as directed. Provides relevant and timely information as needed and assists with decision making and process improvement. Participates in customer service initiatives, and medical readiness activities designed to enhance health services.

Ensures a safe work environment, safe work habits and patient safety in accordance with regulatory agencies, infection control policies, and implemented process improvements.

The contract pharmacist shall keep complete records related to controlled medications. This would include documenting scheduled medications per policy, reviewing and signing off on the daily controlled substance report within 24 hours of previous business day.

The contract pharmacist must understand and support local Service Unit and Departmental Policy, participate in problem-resolution, and adapt and incorporate change as needed.

The Contractor and/or the contract pharmacist shall immediately advise the Pharmacy Director or representative, of any problem(s) encountered or which may be encountered in connection with meeting the needs and concerns of patients.

The contract pharmacist must demonstrate effective customer service skills with cultural sensitivity and respect to internal and external customers, in face-to-face, electronic and telephonic communications.

Must be able to use conflict resolution skills when necessary.

F. DOCUMENTATION. All contract personnel shall prepare documentation to meet or exceed established standards of the QNBMHCF. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of a health care record.

All documentation shall comply with HIPAA and all required protected health information policies as required in this PWS.

G. ANNUAL TRAINING REQUIREMENTS. All contract personnel shall complete annual training as required to comply with HIPAA, TJC, IHS Computer Security Policy, IHS Safety and other relevant training that is deemed necessary during contract period.

H. RECORDS. The contractor shall manage all records created for Government use in accordance with records management procedures Records Disposition-Procedures and Responsibilities. All records containing Privacy Act material when collecting, safeguarding, maintaining, using, accessing, amending, and disseminating personal information in a system of records, shall be protected per HIPAA guidelines.

I. ENGLISH LANGUAGE REQUIREMENT. Contract personnel shall read, understand, speak, and write English well enough to effectively communicate with patients and QNBMHCF staff.

J. APPEARANCE. Contract personnel shall present a neat, professional appearance and be easily recognized as a contract personnel. Clothing shall be appropriate for patient care. Personnel shall wear and have readily visible, IHS issued identification at all times when on duty.

K. COMPUTER SECURITY: ACCESS TO NETWORK. Contract personnel requiring access to the IHS network shall have completed a National Agency Check (NAC) verified. This is accomplished by completing the Electronic Questionnaires for Investigations Processing (e-QIP) or if applicable, completing a SF 85P, Questionnaire for Public Trust Positions. Personnel shall submit all required forms through the QNBMHCF for submission to the Office of Personnel Management (OPM) Personnel Security Program Management. The candidate for entry must have a favorable background investigation allowing issuance of a restricted area badge; and must carry a valid state ID.

L. PRIVACY AND CONFIDENTIALITY: PATIENT LISTS. All patient lists shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the QNBMHCF without prior written permission by the respective Service Unit’s Chief Executive Officer.

M. PATIENT SENSITIVITY: Contract personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships and cultural sensitivity and respect.

N. CONTRACTOR CONTACT INFORMATION. Contract personnel shall provide functioning contact telephone number so that clinic closures and other issues can be addressed as needed.

O. TYPE OF WORK. The contractor will provide pharmacy services in a busy ambulatory care/outpatient pharmacy using electronic health records and pharmacy automation systems.

The contract pharmacist must be able to enter the prescriptions using the IHS RPMS (Resource Patient Management System) computer software system and complete the medication dispensing process using ScriptPro Central. The computer software will provide a label for each prescription. The contract pharmacist must be able to accurately count, and attach the prescription and auxiliary labels to the bottle, and dispense the medications. The contract pharmacist shall appropriately counsel the patients on their medications.

The majorities of the daily duties include but are not limited to:

• Verifying accuracy of prepared product prepared by pharmacy personnel before dispensing to patient and counseling on safe and effective use of the medication.

• Answering patient questions via telephone or in person using computer systems as appropriate to provide accurate and timely response.

• Completing required documentation per local policy.

• Work will mostly be conducted in a busy refill window interacting with patients through a thick glass window.

P. WORKLOAD

The contractor will assist other pharmacy staff with filling/verifying/dispensing approximately 1000- 1200 prescriptions per day

Q. CONTRACTOR RESPONSIBILITIES AND REQUIREMENTS

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

The Contractor shall be required to maintain records that document competence/performance level of Contractor personnel working under this contract in accordance with TJC and other regulatory body requirements. The Contractor shall provide a current copy of competence assessment checklist and annual performance evaluation to the Pharmacy Director.

The contracting officer representative (COR), or designated representative, shall monitor the contract pharmacist’s work to ensure contract compliance. Notwithstanding other contract requirements, upon request of the Contracting Officer, the Contractor shall remove the contract pharmacist who will not/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.

R. POINT OF CONTACT

The Contractor shall provide a point of contact and alternate that shall have full authority to act on all matters relating to the daily operation of this contract. The Contractor shall designate these individuals, in writing, to the Contracting Officer prior to the contract performance start date.

S. REPLACEMENT STAFF

The Contractor shall have adequate replacement personnel available to meet contract replacement requirements to ensure a lapse in coverage does not occur. All replacement personnel shall meet or exceed position qualifications.

T. SCHEDULE/WORK LOCATION. The Government reserves the right to move contracted personnel to sections/departments within the respective QNBMHCF Service Unit to provide support commensurate with their experience.

a. OVERTIME. Overtime is not authorized under this contract.

b. SCHEDULED ABSENCES. All scheduled absences shall be coordinated with the Prime contractor who will notify the pharmacy director.

c. UNSCHEDULED ABSENCES. Unscheduled absences are those absences not coordinated at least two weeks in advance. The contractor pharmacist will coordinate with the Prime contractor who will notify the pharmacy director, or designee as early as possible of unscheduled absences. Notification must be given within a minimum of 2 hours of start of shift (ie, acute illness).

U. ORIENTATION AND TRAINING.

The Government will provide mandatory orientation and training for all contract personnel prior to their providing services. The Government will notify and suspense ongoing training requirements for all contract personnel. A complete credentials package and security clearance application shall be submitted prior to beginning orientation and training. No contract personnel shall begin orientation unless a complete credentials package has been submitted. Orientation takes approximately four hours to complete and shall be at no additional cost to the government. Orientation consists of walk-thru of the QNBMHCF Service Unit, fire and safety training, review of infection control policies, providing proof of immunizations and other training requirements.

V. VERIFICATION OF LICENSURE

To ensure that the contract Registered Pharmacist providing services under this contract is properly licensed and that the QNBMHCF is aware of any disciplinary actions taken against such pharmacist, the Contractor shall:

1. Provide a copy of licensure for each pharmacist placed at QNBMHCF to verify the contractor holds a current, active pharmacy license that is in good standing.

2. Inform IHS of the status of all licenses for each Registered Pharmacist providing services under this contract at the QNBMHCF.

3. Obtain at least one letter of reference from a health care provider who has knowledge of the

Contract employee’s pharmacy practice skills.

4. Provide all information regarding performance and disciplinary actions that is collected on the pharmacist who would be placed under this contract to the Pharmacy Director.

6. Certify that all information on Contract Registered Pharmacist 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’s application. The names of the contractors, their titles, telephone number, dates of contracts, and the name of the Contractor’s representative collecting and reviewing such information must be recorded in writing and made available to the QNBMHCF by the Contractor.

7. The Contractor shall only submit applications for personnel who are readily available (no later than 2 weeks of contract award), can reasonably be anticipated to be approved and perform contract services. Recurring submission of packages for personnel who lack required qualifications, or who will not work under the contract, is unacceptable and will be considered a failure to perform.

W. PREVENTATIVE, PROPHYLACTIC, AND FOLLOW-UP PROCEDURES The Contractor shall ensure all personnel are in compliance with preventive, prophylactic and follow-up procedures, as well as infection control and employee health program procedures, as established by the QNBMHCF.

X. HEALTH REQUIREMENTS Contract personnel shall provide documentation of required immunizations, including COVID-19 vaccination and seasonal influenza vaccination to the pharmacy director for employee health when reporting for duty.

The U.S. Occupational Safety and Health Administration (OSHA) requires all personnel having occupational exposure to blood or body fluids, or other potentially infectious materials, receive the Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B

Y. COMMUNICATION The Contractor shall ensure all personnel maintain open and professional communication with members of the QNBMHCF. Complaints validated by the pharmacy director or designee shall be reported in writing to the COR, contracting office and the Contractor for action. Failure of the Contractor to correct validated complaints shall be considered a failure to perform.

Z. GOVERNMENT FURNISHED PROPERTY AND SERVICES The Government will provide the following equipment, supplies, and services listed below: See Supplies

AA. CRIMINAL BACKGROUND CHECK REQUIREMENT The Government will conduct criminal background checks on individuals providing childcare services under this contract. With the consent of the Great Plains Area Director and Service Unit Pharmacy Director as evidenced by a signed temporary waiver, contract personnel may provide contract services prior to completion of background checks, however, the individual shall be within sight and continuous supervision of staff personnel.

BB. PROPERTY. All contract personnel shall have joint use of the facilities and equipment in performance of this contract.

CC. OFFICE/WORK/LOCKER AREA Those areas (ie, desk drawer, work space) provided for the use by contract personnel shall be maintained in a clean and orderly manner. Office space will be shared with other members of the QNBMHCF, therefore; personnel shall ensure any decorative items are discouraged but if present, but be professional, modest appearance. The government will not be responsible for loss or damage of personal items brought onto QNBMHCF property.

DD. PERSONAL PROTECTIVE EQUIPMENT (PPE) The Government will furnish all appropriate PPE.

The Government will be responsible for any repair, cleaning and inventory required for the PPE.

This does not include any type of uniform or laboratory coat which shall be Contractor provided.

EE. SUPPLIES The QNBMHCF will provide medical and non-medical supplies (office supplies, forms) commonly used in the facility for the care and management of patients. Those supplies will remain the property of the Government and be used exclusively for services rendered in the

QNBMHCF.

FF. ADMINISTRATIVE SUPPORT Contract personnel are authorized to use all administrative support available to Government employees. This includes the use of copy machines, fax machines, telephones, to include Defense Switching Network (DSN) lines and long distance if required for work related purposes. The same restrictions to limit use of these items for Official Government business apply.

GG. SERVICES SUMMARY The Services Summary provides a synopsis of the key performance objectives that relate directly to standards of performance required to meet mission needs. The performance threshold identifies the minimum acceptable levels of service required for each objective. These objectives and threshold levels are critical to mission success.

PERFORMANCE OBJECTIVE PERFORMANCE THRESHOLD

Compliance with scheduling requirements 1 valid complaint per employee per quarter

Compliance with duty hours 1 valid complaint per employee per quarter

Compliance with training requirements 0 valid complaints

Compliance with appearance requirements 1 valid complaint per employee per quarter

Compliance with documentation 1 valid complaint per employee per quarter

Compliance with HIPAA requirements 0 valid complaints Clinical competence and accuracy of records maintenance

1 valid complaint

A detailed weekly invoice must be submitted to the COR or designee with proper signature authority no later than 12:00pm on next business day following the workweek completed.

The COR will maintain a log of invoices and balance of remaining contract dollars.

The COR shall monitor the Contractor’s technical/post progress and promptly inform the Contracting Officer of any problems or potential problems encountered.

The Government reserves the right to accept or reject services if the level of work is unsatisfactory.

CLAUSES INCORPORATED BY REFERENCE

(Firm Fixed-Price, Non-Personal Service – Commercial Items)

FAR CITATION: 52.252-1 Solicitation Provision Incorporated by Reference. (FEB 1998) This solicitation incorporates one or more solicitation provisions by reference, with the same force and defect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer.

In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es): www.acquisition.gov/far.

52.252-2 Clauses Incorporated by Reference. (FEB 1998) This purchase order incorporates one or more clauses by reference, with the 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/far

“System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.”

I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date

1. 52.204-7 System for Award Management November 2024

2. 52.204-9 Personal Identity Verification of Contractor Personnel January 2011

3. 52.204-13 System for Award Management Maintenance. October 2018

4. 52.204-16 Commercial and Government Entity Code Reporting August 2020

5. 52.204-18 Commercial and Government Entity Code Maintenance August 2020

6. 52.204-19 Incorporation by Reference of Representations and Certifications December 2014

7. 52.212-1 Instructions to Offerors – Commercial Items September 2023

8. 52.212-4 Contract Terms and Conditions—Commercial Products and Commercial

Services November 2023

9. 52.222-55 Minimum Wages for Contractor Workers Under Executive Order 14026 January 2022

10. 52.224-1 Privacy Act Notification April 1984

11. 52.224-2 Privacy Act April 1984

12. 52.225-25 Prohibition on Contracting with Entities Engaging in Certain Activities

Or Transactions Relating to Iran – Representation and Certifications June 2020

13. 52.232-39 Unenforceability of Unauthorized Obligations June 2013

14. 52.237-7 Indemnification and Medical Liability Insurance January 1997

15. 52.244-6 Subcontracts for Commercial Products and Commercial Services January 2025

(DEVIATION FEB 2025)

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses in Full Text No. FAR Citation Clause Title Clause Date

1. 52.204-29 Federal Acquisition Supply Chain Security Act Orders – Representation and Disclosures

December 2023

2. 52.212-2 Evaluation-Commercial Products and Commercial Services November 2021

3. 52.212-3 Offeror Representations and Certifications – Commercial Products and Commercial Services May 2024 (Deviation FEB 2025)

4. 52.212-4 Contract Terms and Conditions – Commercial Products and Commercial Services

November 2023

5. 52.212-5 Contract Terms and Conditions Required to…