75H70922R00002.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

Billings MT 59101 P.O. Box 36600 2900 4th Avenue North Billings Area Indian Health Service

CODE 16. ADMINISTERED BYCODE

X

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR224

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

07/20/2022 1700 ET

07/05/2022

VELVETT CUMMINS

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H70922R00002

5. SOLICITATION NUMBER

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

1 109 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

15. DELIVER TO

Billings MT 59101 P.O. Box 36600 2900 4th Avenue North

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$30.00

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

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Billings Area Indian Health Service

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Registered Nursing Services Area-wide contracts to include all seven (7) Billings Area Service Units: Crow, Blackfeet, Fort Belknap, Northern Cheyenne, Fort Peck, Wind River, Little Shell.

Firm Fixed Price, Non-Personal Service Healthcare Purchase Order for Registered Nurse Services Contractor shall perform in accordance with the Performance Work Statement. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in subpart

12.6. This RFP is issued as a 100 percent Indian

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

HEREIN, IS ACCEPTED AS TO ITEMS:

X

XX

DATED

VELVETT E. CUMMINS

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

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

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

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

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

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

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

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

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

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Economic Enterprise Small Business Set-Aside

(IEESB).The associate NAICS code is 561320 with a small business size standard of S30 million. The quoted "unit price" shall be an all-inclusive price. All "inclusive unit price" is defined to include travel, lodging, per diem, fringe benefits, plus all other costs pertinent to the performance of this contract. The government anticipates making multiple awards against this

RFQ. This will be a IDIQ with Base year and Four

Options Years.

Delivery: 08/31/2023

Period of Performance: 09/01/2022 to 08/31/2023

1 Emergency Room Nurses 1 EA

Per Vendor, a Minimum of 520 hours towards any line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

(Option Line Item)

09/01/2022

2 Inpatient (Medical/Surgical) Nurses 1 EA

Per Vendor, a Minimum of 520 hours towards any

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

109 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 109

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70922R00002 line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

3 Outpatient (Clinic) Nurses 1 EA

Per Vendor, a Minimum of 520 hours towards any line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

4 Labor and Delivery (Obstetric) Nurses 1 EA

Per Vendor, a Minimum of 520 hours towards any line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

5 Surgical-Circulating Nurses 1 EA

Per Vendor, a Minimum of 520 hours towards any line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

6 Public Health Nurses 1 EA

Per Vendor, a Minimum of 520 hours towards any line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

Continued ...

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

Sponsored by GSA

FAR (48 CFR) 53.110

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

4 109

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

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

75H70922R00002

7 Clitical Care Nures 1 EA

Per Vendor, a Minimum of 520 hours towards any line item or combination of line items. Maximum of 60,000 hours of any line item or combination of line items. Rates may be adjusted on on a quarterlybasis, an approved/modified price schedule will be included with each adjustment.

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

Sponsored by GSA

FAR (48 CFR) 53.110

NOTICE TO QUOTERS

REQUEST FOR QUOTES (RFQ): 75H70922R00002

QUOTE DUE DATE: Quotes are due Tuesday July 20, 2022 @ 1700 PM EASTERN.

RETURN RFQ TO: Via email only to velvett.cummins@ihs.gov subject line: 75H70922R00002

GENERAL DESCRIPTION:

Firm Fixed Price, Non Personal Healthcare Service Contract for Registered Nurse (RN) Services, Area-wide contracts to include all seven (7) Billings Area Service Units: Crow, Blackfeet, Fort Belknap, Northern Cheyenne, Fort Peck, Wind River, Little Shell. This will be a IDIQ contract Base year with four Option years. This solicitation is set-aside for Small Business Indian Firms (SBIF) pursuant to the Buy Indian Act 25 U.S.C. 47. If IHS does not receive at least two offers that are reasonably priced offers from SBIF’s, IHS will then evaluate quotes and consider award to other small business concerns under the following 5-tier cascading set-aside (in order of first consideration to last consideration); (if no awards can be made to a small business vendor with one of those socio-economic designations, then, other small business quotes will be reviewed. ):

1st Tier: Small Business Indian Firms

2nd Tier: Service Disabled Veteran Owned Small Businesses

3rd Tier: Certified HubZone Small Businesses

4th Tier: Small Disadvantage Businesses

5th Tier: All other Small Business Concerns.

The RFQ issued as a 100% Indian Economic Enterprise Small Business (IEESB) Set-Aside.

The associated NAICS code is 561320 with a small business size standard of $30 million.

The Base Period of Performance shall be from September 1, 2022 through August 31, 2023.

The quoted “unit price” shall be an all-inclusive price. All “inclusive unit price” is defined to include travel, lodging, perdiem, fringe benefits, plus all other costs pertinent to the performance of this contract. Multiple awards will be made against this RFQ, if advantageous for the government.

BASIS FOR AWARD:

The basis for award will be based on "Best Value" with trade-offs that takes in consideration the Listed: Technical, Past Performance, and Cost. Therefore, in addition to price the government will consider the Evaluation factors in determining the successful quote that represent best value to the government. HIS reserves the right to make a single award or multiple awards whichever is most advantages to the Government.

mailto:velvett.cummins@ihs.gov

1. RESPONSIBILITY

To be eligible for an award, an Offeror must be determined responsible in accordance with the standards in FAR Part 9.104.

2. ADJECTIVAL RATINGS

The Technical Evaluation Team will identify strengths, weaknesses, and deficiencies. Since factors are listed in descending order of importance, as technical ratings and relative advantages and disadvantages become less distinct, difference in price between proposals are of increased importance in determining the most advantageous proposal. Conversely, as differences in price become less distinct, differences in rating and relative advantages and disadvantages between proposals are of increased importance to the determination. The technical evaluation will be attained through a determination and analysis of strengths, weaknesses, and risks of each proposal. Technical risks will be included in the final evaluation of each factor and will not be evaluated as a separate factor. In the assessment of technical risk, the Government evaluators will consider all available information. The following is an adjectival rating system that will be used to evaluate Offeror’s proposals: ADJECTIVAL, RATING, DESCRIPTION

Outstanding Greatly exceeds all minimum requirements of the criteria; has a high probability of success;

contains no weaknesses or deficiencies. Good Exceeds all the minimum requirements of the criteria; has an above average probability of success; contains no significant weaknesses and only minor correctable weaknesses exist. Acceptable Meets all the minimum requirements of the criteria; has an average probability of success; no significant weaknesses and no deficiencies. Marginal Fails to meet one or more of the minimum requirements of the criteria; low probability of success; major weaknesses and/or significant number of deficiencies exists. Unacceptable Fails to meet any of the minimum requirements of the criteria; proposal needs major revisions; very low probability of success.

3. PRICE EVALUATION

The price proposal shall be evaluated to determine the Offeror's ability to carry out its proposed technical approach and indicate that the Offeror understands the nature and extent of the work to be performed. The total price of each contract line item shall be added together to arrive at an overall total. The total of all options years shall be added together to arrive at an overall evaluated total, which will be evaluated for overall reasonableness of price. Offerors must include the formulas and factors used in calculation of the data.

4. AWARD WITHOUT DISCUSSIONS & COMPETITIVE RANGE DETERMINATIONS

The Government intends to evaluate proposals and award a contract without discussions with Offerors (except for clarifications as described in FAR 15.306(a)). 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.

5. AWARD

An award will be made on a best value basis; both price and other factors considered. An award will be made only in the event that the Offeror's proposal is found to be technically acceptable, based upon the evaluation criteria, and the Offeror is determined responsive and responsible in accordance with the terms and conditions of this solicitation. Contractor must be registered with the System for Award Management. The website to register at is: www.sam.gov

The Government reserves the right to make award on other than the low estimated offer based on technical qualifications.

INSTRUCTION TO QUOTERS:

To be considered an acceptable quote, the following items must be completed and returned by the due date stated above.

1. Complete and sign SF-1449 – Solicitation/Contract/Order For Commercial Items (Signature required)

2. Complete Annual Representation & Certifications form, including under this section the Taxpayer

Identification Number(Section K, 52.212-3 Offeror Representation and Certification-Commercial Items)

3. Candidate Resume (to include last employer), must include DOB & contact phone number for phone interview, on Resume.

4. Proof of Candidate License(s), and should be active

5. Submit a Technical Proposal addressing each evaluation factor

6. Submit a Cost Proposal addressing price.

7. Buy Indian Act Indian Economic Enterprise Representation Form

8. List of previous contracts.

9. Proof of Malpractice Insurance Coverage

ATTACHMENTS:

1. SF-1449

2. Performance Work Statement

3. Clauses incorporated by reference

4. Clauses incorporated in full text

5. Attachments/Forms

NO CONTRACT AWARD SHALL BE MADE TO ANY VENDOR OR PROVIDER LISTED ON THE OIG EXLUSION LIST http://exlusions.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 http://www.sam.gov/ http://exlusions.oig.hhs.gov/

PROVIDER. SECURITY CLEARANCE 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. Read the solicitation in it’s entirety, all required information must be submitted and will be the responsibility of the company, in order to be considered responsive and eligible.

DEPARTMENT OF HEALTH & HUMAN SERVICES

INDIAN HEALTH SERVICE

BUY INDIAN ACT

INDIAN ECONOMIC ENTERPRISE

REPRESENTATION FORM

Indian Health Service Office of Management Services

Division of Acquisition Policy (DAP) 5600 Fishers Lane

Rockville, MD 20857

SOLICITATION/SOURCES SOUGHT/RFI #: 75H70922R00002

PROJECT TITLE: Registered Nurse Services

DATE: 06/28/2022

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 Federally Recognized Tribal Entity Name of the 51% owner of IEE Firm

Business Name Certifying Signature

DUNS Number Print Name

Request for Proposal: CRHC22-16

RN Services – I

352.237-74 Non-Discrimination in Service Delivery (DEC 2018)

As prescribed in HHSAR 337.103(e), the Contracting Officer shall insert the following clause in solicitations and contracts:

Non-Discrimination In Service Delivery (December 18, 2015)

It is the policy of the Department of Health and Human Services that no person otherwise eligible will be excluded from participation in, denied the benefits of, or subjected to discrimination in the administration of HHS programs and services based on non-merit factors such as race, color, national origin, religion, sex, gender identity, sexual orientation, or disability (physical or mental). By acceptance of this contract, the contractor agrees to comply with this policy in supporting the program and in performing the services called for under this contract. The contractor shall include this clause in all sub-contracts awarded under this contract for supporting or performing the specified program and services. Accordingly, the contractor shall ensure that each of its employees, and any sub-contractor staff, is made aware of, understands, and complies with this policy.

(End of clause) http://farsite.hill.af.mil/reghtml/regs/other/hhsar/337.htm#P4_128

BAO PWS June 9, 2022

Billings Area Performance Work Statement (PWS) for Non-

Personal Services

Registered Nursing Services

Table of Contents

Section Page

1.0 General 2

2.0 Scope 2 - 3

3.0 Applicable Documents 3

4.0 Definitions 4 - 6

5.0 Government Furnished Information, Property, & Services 6 - 7

6.0 Contractor Furnished Property 7

7.0 Performance-Based Requirements 7 - 8

8.0 Conduct 8

9.0 Work Schedule 9

10.0 Contractor Qualification Requirements 10 - 11

11.0 Credentialing 10

12.0 Background Check 10

13.0 Health Requirements/Conditions of Employment 10 - 11

14.0 Transportation and Lodging 11

15.0 Performance Evaluation 11

16.0 Identification of Contractor 11

17.0 Management of Medical Information 11

18.0 IHS Information Technology Systems 11 - 12

19.0 Orientation 12

20.0 Language Requirements and Cultural Awareness 12

21.0 Challenges to Conflicts 12

22.0 Technical Point of Contact 12

23.0 Performance based Matrix 13

24.0 List of Exhibits 14

Performance Work Statement (PWS) Non-Personal Services

Registered Nursing Services

1.0 General: This performance work statement (PWS) describes the requirements for non-personal service Registered Nursing Services to support the mission of the Indian Health Service (IHS).

1.1 Background: IHS is an agency within the U.S. Department of Health and Human

Services and is responsible for providing federal health services to American Indians and Alaska Natives. The provision of health services to members of federally recognized tribes grew out of the special government to government relationship between the federal government and Indian tribes. The IHS is the principal federal health care provider and health advocate for the Indian people. The goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indians and Alaska Natives. The IHS currently provides health services to approximately 1.5 million American Indians and Alaska Natives who belong to more than 557 federally recognized tribes in 34 states. There is a nationwide shortage of nurses which is amplified by the remote and rural areas served by the Indian Health Service. This performance work statement covers requirements for the Billings Area. The positions to be filled: Registered Nurses (RN), for the provision of emergency room, critical care, outpatient, inpatient (Medical/Surgical), Labor & Delivery, operating room and public health nursing services.

1.2 Billings Area Office (BAO) Indian Health Service provides support to seven (7) Service Units across Montana and Wyoming, which include health stations and hospitals, providing ongoing healthcare services. BAO hospitals include: Blackfeet Service Unit, which includes the Heart Butte Health Station; Crow Service Unit, which include the Lodge Grass Health Station and Pryor Health Station; Fort Belknap Service Unit, which includes the Eagle Child Health Station. BAO ambulatory facilities include: Fort Peck Service Unit, which is comprised of the Chief Redstone Clinic and Verne E. Gibbs Clinic;

Northern Cheyenne Service Unit; Wind River Service Unit.

2.0 Scope: The Contractor shall provide registered nursing (RN) services in accordance with

Section 7.0, performance based requirements.

2.1 Duties and responsibilities consist of providing RN services in an Outpatient (clinic), Critical Care, Emergency Room, Medical/Surgical (inpatient), Obstetric (Laborr & Delivery), Medical/Surgical (inpatient), Surgical (operating room) and Public Health settings to IHS patients. If determined necessary, the Contractor may accompany a patient on direct patient care related transports.

2.1.1. Place of Performance: Services shall be performed at hospitals, health stations and other healthcare facilities in the Billings Area Indian Health Service within the State of Montana and Wyoming.

2.1.2. Period of Performance: Will be include a base ordering period of twelve months (12) plus four (4) one-year option periods. Task orders will be issued with specified periods of performance.

3.0 Applicable Documents: Please see the web link listed unless document is listed as an attachment.

3.1 The Joint Commission on Accreditation of Healthcare Organizations (The Joint

Commission) http://www.jointcommission.org

3.2 Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov

3.3 Need for Background Checks: Section 231 of Public Law 101-647, The Crime Control Act of 1990. https://www.govinfo.gov/content/pkg/STATUTE-104/pdf/STATUTE-104- Pg4789.pdf

3.4 Need for supervision with Children: Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

https://www.govinfo.gov/content/pkg/CFR-2002-title42-vol1/xml/CFR-2002-title42-vol1-part136-subpartK.xml

3.5 Accreditation Association for Ambulatory Health Care (AAAHC) http://www.aaahc.org

3.6 Section 231 of Public Law 101-647, the Crime Control Act of 1990.

http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.sh tml

3.7 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

http://www.nicwa.org/policy/law/protection/index.asp

3.8 Health Insurance Portability and Accountability Act (HIPAA) of 1996.

http://www.cms.hhs.gov/hipaa

3.9 Privacy Act of 1974. http://www.usdoj.gov/oip/privstat.htm

3.10 Revised American Nurses Association Code of Ethics and Standards of Practice and

Care (1996) http://www.nursingworld.org

3.11 State Nurse Practice Act for the Contractor’s licensing state http://medi smart.com/practice.htm

3.12 IHS Service Unit and Health Center Policies, Procedures and Protocols. (See section

11.0 for a list of attachments and exhibits)

3.13 Federal Computer Security Act of 1987.

https://www.congress.gov/100/statute/STATUTE-101/STATUTE-101-Pg1724.pdf

3.14 Information Systems Security Awareness (ISSA). https://www.ihs.gov/issa/

3.15 Federal Code of Conduct. http://www.ihs.gov

3.16 IHS General Directives. http://www.ihs.gov/adminmggrresouces

3.17 IHS Computer Security Directives. http://www.ihs.gov/adminmggresources

3.18 Nurse License Look up. http://www.nursys.com

http://www.jointcommission.org/ http://www.cms.hhs.gov/ http://www.cms.hhs.gov/ https://www.govinfo.gov/content/pkg/STATUTE-104/pdf/STATUTE-104-Pg4789.pdf https://www.govinfo.gov/content/pkg/STATUTE-104/pdf/STATUTE-104-Pg4789.pdf https://www.govinfo.gov/content/pkg/CFR-2002-title42-vol1/xml/CFR-2002-title42-vol1-part136-subpartK.xml https://www.govinfo.gov/content/pkg/CFR-2002-title42-vol1/xml/CFR-2002-title42-vol1-part136-subpartK.xml http://www.aaahc.org/ http://www.aaahc.org/ http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.nicwa.org/policy/law/protection/index.asp http://www.cms.hhs.gov/hipaa http://www.usdoj.gov/oip/privstat.htm http://www.usdoj.gov/oip/privstat.htm http://www.nursingworld.org/ http://www.nursingworld.org/ http://medi%E2%80%90smart.com/practice.htm http://medi%E2%80%90smart.com/practice.htm http://medi%E2%80%90smart.com/practice.htm https://www.congress.gov/100/statute/STATUTE-101/STATUTE-101-Pg1724.pdf https://www.ihs.gov/issa/ http://www.ihs.gov/ http://www.ihs.gov/ http://www.ihs.gov/adminmggrresouces http://www.ihs.gov/adminmggrresouces http://www.ihs.gov/adminmggresources http://www.ihs.gov/adminmggresources http://www.nursys.com/ http://www.nursys.com/

4.0 Definitions:

4.1. Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of the contract.

4.2. Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

4.3. Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

4.4. Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

4.5. Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

4.6. Contractor: The Company awarded a legal binding contract to provide supplies and/or services.

4.7. Contracting Officer’s Representative (COR): A federal employee who assists the ordering/issuing activity contracting officer in the administration of task orders issued under this contract. The COR is primarily responsible for the technical assistance and day-to-day program management of the ordering activity’s task orders. Ordering activities may have different designators for this employee (e.g.

GTR – Government Technical Representative, COTR–Contracting Officer’s Technical Representative, or PO Project Officer). The Service Unit Director of Nursing (DON), designated Supervisory Clinic Nurse (SCN), or Technical Point of Contact (TPOC) providing assistance with management of facility Task Order(s), will be responsible for monitoring the technical progress including surveillance and assessment of performance for this order. Technical Point of Contact: Tara Peterson, Nurse Executive, (406) 601-0827.

4.8. Cooperative Attitude: Behavior that is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

4.9. Cultural Awareness: Realization and respect for American Indian and Alaska Native practices.

4.10. Customer: Patients, staff and visitors of an IHS service unit and health center.

4.11. Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor’s performance.

4.12. Dependability: Qualities of being trusted and being able to repeat the same task to yield the same result.

4.13. Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

4.14. Government Vehicle: An IHS owned motor vehicle or a vehicle leased by IHS through agreements with the General Services Administration (GSA) or through commercial rental agreements.

4.15. Health Insurance Portability and Accountability Act (HIPPA): a US law designated to provide privacy standards to protect patients’ medical records and other health information provided to health plans, doctors, hospitals and other health care providers.

4.16. Health Station: A facility physically separated from a hospital, with a wide range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray which are available at least 40 hours a week for outpatient care.

4.17. Non-personal Services Contract: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.

4.18. Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

4.19. Ordering Activity Contracting Officer: A Government employee of IHS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contract. The Ordering Activity CO has the authority to make initial determinations on all matters of dispute regarding task orders.

4.20. Orientation: An activity designed to provide basic familiarization of the facility and transition the nurse into the IHS Service Unit and/or Health Center and the nursing unit where the services will be provided.

4.21. Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance to specifications and to standards of good workmanship; the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business-like concern for the interest of the customer.

4.22. Patient Outcome: End result of nursing care.

4.23. Performance based Matrix: Lists the services to be monitored and the standards to be applied.

4.24. Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

4.25. Service Unit: The local administrative unit of IHS.

4.26. Standards of Practice and Standards of Care: Authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional nursing practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or specialty practice.

4.27. Task Order: An order issued in accordance with the terms of the contract that details an ordering activity’s specific requirements. An ordering activity’s written order to obtain services, at a minimum will include the following where applicable:

description of services, skill categories, hours, price, period of performance, contract number, and the ordering activity’s task order number.

4.28. Tour of Duty: The time of day the nurse is scheduled to perform nursing services duties; to include thirty minutes to one hour lunch as scheduled for Internal Medicine or Family Practice.

4.29. Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

4.30. Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

5.0 Government Furnished Information, Property and Services:

5.1. Information: Government unique information related to this requirement, which is necessary for Contractor performance, will be made available to the Contractor.

The Contracting Officer or designee will be the point of contact for identification of any required information to be supplied by the Government.

5.2. Joint Use by the Government and the Contractor: Except for the property and service listed in 5.3 and 6.0, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

5.3. Contractor Exclusive Use:

5.3.1. Personal Protective Equipment (PPE): The Government will furnish the

Contractor with appropriate PPE other than specified in paragraph 4 of the contract. 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.

5.3.2. The Government will provide facility specific contractor identification badges for each contractor. A minimum fee of $10.00 will be charged for lost or destroyed badges.

5.4. Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures. Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of nursing services or includes mandates made by the IHS Service Units/Health Centers while the nurse is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

6.0 Contractor Furnished Property:

6.1. Except for the property specified in paragraph 3 as government furnished, the

Contractor shall provide all uniforms and other personal medical instruments subject to the following:

6.1.1. Uniforms and Lab Coats: Uniforms and Lab Coats shall conform to the requirements of the Indian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Chief Nurse Executive at each IHS facility.

6.1.2. Other personal medical instruments: “Other personal medical instruments” are defined as Contractor owned items and may include but not is limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR, SCN or TPOC prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

7.0 Performance-Based Requirements: The Contractor shall provide professional registered nurses (RN) for the delivery of patient care through performance of nursing duties and management of patient’s needs as described in the PWS and as identified by the Service Unit to the Billings Area Indian Health Service hospitals, clinics and health stations.

7.1. The Contractor RN shall perform in accordance with the competency standards listed in

Section 11, Exhibits.

7.2. The contractor shall provide registered nursing services in direct patient care. Specific tasks include the following. The Contractor RN shall:

7.2.1. Provide full range of emergency care to patients of all age ranges.

7.2.2. Exercise Knowledge of the nursing procedures and its application to clinical practices in order to provide individualized, goal oriented nursing care to the pediatric and adult patient.

7.2.3. Exercise knowledge of scientific and psychosocial nursing theory, principles, practices, and techniques in order to plan and provide quality nursing care which meets the physical, spiritual, and social-cultural needs of the Native American/Alaskan Native patient.

7.2.4. Exercise knowledge of biological aspects of disease processes and illness in order to recognize complications and implement appropriate therapeutic intervention required.

7.2.5. Exercise knowledge of the medications and dosages in order to recognize their desired effects, side effects, and complications of their use.

7.2.6. Exercise knowledge of childhood immunizations, vaccines and up to date patient education resources and information.

7.2.7. Analyze the results of various medical procedures and translate them into appropriate nursing interventions.

7.2.8. Work effectively and harmoniously within the health care teams and with Native American/Alaskan Native patients and their families.

7.2.9. Provide Inter-Facility transports when needed and supported by schedule requirements.

7.2.10. Follow facility policies and procedures, JACHO, OSHA, I.H.S. and other federal licensing, accreditations, and regulating body standards.

7.2.11. Coordinate care teams, offer guidance, and support to team members.

7.2.12. Teach and offer appropriate health education to staff, patients, and customer owners.

7.2.13. Perform clinical procedures, intravenous access, and phlebotomy, point of care laboratory testing, IVIG infusions, EKG, SVN Respiratory Treatments and response to emergency codes.

7.3. The Contractor RN shall be subject to peer review per Joint Commission standards.

7.4. The Contractor RN shall meet the Safety management reporting requirements in accordance with the Service Unit Safety Measure Policy.

8.0 Conduct: The Contractor shall meet standards as listed in the Federal Code of Conduct.

8.1. The Government reserves the right to remove from the facility any Contractor employee failing to abide with the Federal Code of Conduct.

8.2. A Contractor RN demonstrating impaired judgment will not be allowed to continue working on the contract. The Government reserves the right to remove from the facility any Contractor RN whom in the judgment of a licensed healthcare practitioner is impaired.

9.0 Work Schedule: The Supervisory Clinic Nurse (SCN) at each IHS facility will determine specific tour of duty for each Contractor RN within the scope of the task order. The Contractor RN will be scheduled to work 40 hours per week. Contractor RN shall work in accordance with the tour of duty as scheduled to meet the patient care needs of the Service Unit facility. The Contractor RN will be scheduled for lunch breaks of thirty minutes to one hour as assigned and/or rotated, based upon department scheduling.

9.1. Overtime, Holiday, Call-Back and On-Call hours shall be performed as agreed upon by the

SCN and Contractor RN and within the limits of the task order. Overtime hours will be scheduled where there are departmental coverage gaps, to ensure adequate staffing for patient care.

9.2. The Contractor RN shall provide notice of unavailability to Contractor and the department SCN or designee prior to any absence from work. The Contractor RN shall provide notification at least fifteen (15) days in advance of a desired absence if the length of the absence exceeds eight (8) work hours. Verifiable emergencies are the only exception to the advanced notification requirements.

9.3. The Contractor shall provide a qualified replacement RN for any absence of more than 8 work hours.

9.4. All Contractor RNs shall complete the credentialing and clearance requirements at the appropriate level before reporting for work.

10.0 Contractor Registered Nurse Qualification Requirements:

10.1. Experience. The Contractor RN shall have thirty-six (36) months of nursing experience, with a minimum of twelve months (12) in the specialty required by the contract, unless otherwise approved by the Contracting Officer and selecting SCN.

10.1.1. Experience shall equip the Contractor RN with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the nursing services category to be filled.

10.2. License/Registration. The Contractor RN shall possess a current, valid, unrestricted nursing license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract.

10.3. Motor Vehicle Operator’s License. The Contractor RN shall possess a valid state driver’s license throughout the term of this contract.

10.4. Certifications. The Contractor RNs shall possess current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS).

10.5. Degree or Diploma. The Contractor RNs shall possess a degree or diploma from a professional nursing program approved by the legally designated state accrediting agency at the time of the program was completed by the applicant.

11.0 Credentialing:

12.0 Background Checks / Clearance: As directed by the Contracting Officer, the Contractor

RN shall provide all requested information necessary to perform background checks. The Contractor RN shall comply with the requirement to obtain security investigations. The Contractor RN shall work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. All completed forms will be reviewed by the Contractor RN and forwarded to the Government personnel. IHS will immediately remove a Contractor from the position if at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

13.0 Health Requirements/Conditions of Employment:

13.1. Medical Evaluation: The Contractor RN shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

13.2. Immunization: The Contractor RN shall provide the documentation of the following:

A. Hepatitis A – 2 dose series at 0 and 6 months.

B. Hepatitis B – 3 dose series at 0, 1, and 6 months or documented immunity. A signed declination of Hepatitis B vaccination series will be accepted.

C. Measles, Mumps, Rubella (MMR) – 2 doses or titer documentation.

D. Varicella (chickenpox) – 2 doses, titer documentation or history of varicella/shingles.

E. Tetanus, diphtheria, pertussis (Tdap/Td) – 1 dose of Tdap, then tetanus (Td) booster every 10 years thereafter.

F. Meningococcal – Two vaccines (MenACWY and MenB) recommended for microbiologists routinely exposed to N. meningitides.

G. Documentation of annual TB test – may include Mantoux TB skin test (PPD). All registered nurses require the 2 step TST. Acceptable lab testing: Quantiferon Gold or T-Spot test. For positive TB test results, please submit a copy of recent chest x-ray results.

H. Influenza – MANDATORY annual vaccination.

I. Highly encourage COVID vaccination.

14.0 Transportation and Lodging: The Contractor shall be responsible for all applicable

Federal, State, and Local Taxes, Meals, Travel/Transportation. Lodging is available but must be paid for by the Contractor or Contractor RN. Government quarters are available at prevailing rental rates plus utilities, as applicable, if government quarters are utilized. The Contractor shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters.

15.0 Performance Evaluation:

15.1. The Contractor’s performance will be evaluated in accordance with the standards set forth in the contract and Performance-based Matrix of section 10.0.

15.2. Substantiated reports written by any customer dealing with patient safety, infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

16.0 Identification of Contractor: The Contractor RN shall wear a government issued contractor identification badge during performance of duty.

17.0 Management of Medical Information: The Contractor RN shall manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols.

17.1. The Contractor RN shall ensure adherence to Department of Health and Human

Services (DHHS) IT system security policies and procedures. The IT policies and procedures will made available to the Contractor RN upon request.

17.2. The Contractor RN shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

18.0 IHS Information Technology Systems: The Contractor RN shall possess basic knowledge, skills, and abilities to use a computer.

18.1. The Contractor RN shall adapt to and successfully utilize IHS information technology systems that are deemed by the SCN as necessary for acceptable contractor performance.

18.2. The Contractor RN shall ensure that IHS information technology system security policies and procedures are adhered to. The IT policies and procedures will be made available to the Contractor at each IHS facility.

19.0 Orientation: The Contractor RN providing service under this contract shall attend mandatory orientations and training specified by the IHS, the Service Unit or the SCN.

20.0 Language Requirements and Cultural Awareness: The Contractor RN shall read, understand, speak, and write English to effectively communicate with patients and other health care workers, and shall be respectful of the local, American Indian and Alaska Native culture.

21.0 Challenges to Conflicts: The Contractor RN shall maintain an appropriate professional demeanor in the presence of patients and with each other. Harmony and good communication between the staff is necessary to maintain the best patient care environment and all staff members are expected to contribute to a positive milieu. Violent language, profanity, and any threatening behaviors are specifically prohibited.

22.0 Technical Point of Contact: Tara Peterson, Nurse Executive, (406) 601-0827.

BAO PWS June 9,

23.0 Performance – Based Matrix

Performance based Task Indicator Standard Quality Assurance Incentives

State the end results or outputs that you, the customer will formally accept or reject.

For the requirement, state the feature(s) of end result that will be surveilled.

For each “indicator,” state a performance level that, when met, means the task has been performed satisfactorily.

This Standard describes “What Success Looks Like.”

For each “Standard”, state the method used to check performance (i.e. random sampling, 100% inspection, periodic inspection, customer complaints).

List Positive and Negative Incentives. Address method of linking payment to quality of service.

Contractor shall provide Nursing services in the delivery of patient care to the Billings Area Indian Health Service.

Competency

Compliance

Patient Outcomes

Professionalism

Credentialing

Documentation

Service Quality

Perform 100% required tasks at 100% of the required competencies (refer to 11.0)

100% compliance with IHS Service Units and/or Health Centers published Policies; Procedures; Standards of Care;

and hospital and nursing Protocols.

No reports of breached patient safety, infection control, and other procedures that might adversely affect patient outcome.

Performance characterized by continual cultural awareness and focus on customer service. 100 percent adherence to the Nursing Code of Ethics and Federal Code of Conduct.

Uninterrupted credentialing as defined in 6.0 to 6.8 for period of contract.

100% percent of all documentation meets established IHS Medical Facility, JCAHO, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

Satisfaction with quality of service is evidenced by valid customer inputs.

See QASP. Surveillance systems will include periodic inspections and customer complaints.

Payment of contract price for satisfactory service.

Contractor performance will be evaluated using the Contractors Performance Assessment Report (CPAR).

The evaluation will be considered when future IHS Contract selections are made.

24.0 List of Exhibits. To be provided by the Contracting Officer upon request.

24.1. Witten Competency Assessments

a. Confidentiality/HIPAA/Patient’s Rights

b. EMTALA Compliance Exam, 2004

c. Age Specific…