A03 - Statement of Work.pdf

Statement of Work (SOW)

1. PROJECT TITLE: Mobile Mammography Services

2. BACKGROUND/PURPOSE: The Service Unit requires mobile Mammography Services at Blackfeet Community Hospital (BCH).

3. SCOPE: The purpose of the contract is to provide mobile professional mammography examination services including screenings exams, diagnostics exams, ultra-sonography and bone density scans and diagnostic interpretation services using digital radiographic imaging techniques to improve the quality and timeliness of interpretations for diagnoses and treatment of patients presenting at BCH for health care. The services affect a broad range of patients and impacts the attending physician/providers ability to provide direct patient care.

4. APPLICABLE DOCUMENTS: Accreditation from the American College of Radiology (ACR).

Certification from Federal Food and Drug Administration (FDA) / Mammography Quality Standards Act (MQSA). Annual Physicist Report. Registry from American Registry of Radiologic Technologists (ARRT) for technologist. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) reporting requirements. Centers for Medicare & Medicaid Services (CMS) guidelines. Health Information Portability and Accountability Act (HIPAA).

5. TASKS: The Contractor shall provide non-personal healthcare services. The Contractor shall be responsible for providing all equipment and services required for the performance of breast examinations, collection, storage and transmission of images, diagnostic interpretations, and professional judgment and diagnosis for specific medical treatment. The Contractor shall maintain medical liability insurance, which is not less than the amount normally prevailing within the local community for the medical specialties concerned. The Contractor shall ensure that any subcontracts for the provision of services covered contains the requirement of the clause at 52-237-7, including the maintenance of medical liability insurance.

A. The Contractor shall provide mobile digital mammography exam services as ordered by the attending physician. The Contractor personnel shall independently perform professional reads/interpretations of all imaging studies performed and shall be available for phone consultation for verbal interpretation of any procedure.

B. The Contractor shall complete exams to include mammogram screenings and diagnostic mammography, 3D Mammography, breast ultra-sonography, dual x-ray absorptiometry (DEXA) scans, and further advanced diagnostic mammography imaging as ordered based on screening results.

C. The Contractor shall be responsible for all equipment, materials and incidentals required for patient screening exams, diagnostic exams and all associated services including imaging techniques, positioning, and quality of exam imaging transmitted for interpretations.

D. The Contractor shall perform all exams using appropriate equipment with electronic capabilities for diagnostic interpretations to be completed electronically. All exams and diagnostic interpretations shall be digitized utilizing an approved Radiographic and Picture Archiving and Communication System (PACS) network and computerized system. All patient exams shall be entered into the electronic health record (EHR) and the

Resource and Patient Management System (RPMS) system of the HIS and will provide a hard copy report by facsimile within seven days post exam.

E. The Contractor shall transfer patient images to other facilities that IHS does not have access to, if requested by the provider.

F. The Contractor shall provide the mobile mammography coach with all equipment tools, incidentals, connection capability requirements to perform services safely in accordance with JCAHO, FDA/MQSA and CMS guidelines.

G. The Contractor shall provide a full clinic day of eight (8) hours for each visit. Visits may be canceled by the BCH due to inclement weather which will be rescheduled as per agreement with the Contractor.

H. The Contractor shall provide all required QA/QS licenses, certificates and/or any reporting requirements. The Contractor shall provide registered technologists and qualified radiologists certified for mammography to perform all exams and interpretations.

I. The Contractor shall be responsible for all patient screening exams, diagnostic exams and all associated services including imaging techniques, positioning, and quality of exam imaging transmitted for interpretations.

J. The Contractor shall ensure consultations provided by offsite radiologists are conducted under the general direction of the physician in charge, clinical director or provider ordering the procedure/image.

K. The Contractor shall adhere to all current guidelines and regulations within DHHS, PHS, IHS, and BCH’s Medical Staff regulations, procedures and by-laws. The Contractor personnel performing services shall abide by JCAHO, CMS, FDA/MQSA and HIPAA regulations and shall comply with all JCAHO, FDA/MQSA and BCH safety procedures and infection control policies.

L. The Contractor personnel shall perform all patient care services within accepted professional standards and demonstrate cultural sensitivity.

M. The Contractor shall be responsible for maintenance of the mobile coach, proper functioning and upgrades of the mobile coach and its equipment and software involved with the transmission and viewing of the images, including transfering to other facilities that BCH is not able to access.

6. DELIVERABLES AND DELIVERY SCHEDULE: The Contractor shall coordinate the dates with the Service Unit Radiology Department. The onsite services shall be available for a minimum of two days per month with an optional four days per month. Onsite visits will be alternating days of the week and will be determined by the Contracting Officer's Representative (COR) and mammography scheduler. In the event of inclement weather or days in which the Contractor’s mobile coach is inoperable and the scheduled services are unable to be provided, services must be rescheduled to assure that the minimum numbers of days are performed each month.

7. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION: The BCH will assist with scheduling. The BCH will provide a level parking area for the mobile coach to park, free of snow and debris. The medical information will remain the property of the Indian Health Service and is subject to all records management policies and procedures.

8. INFORMATION TECHNOLOGY REQUIREMENTS:

A. The Contractor shall sign a data exchange agreement with the IHS and establish a virtual private network (VPN) for use in the performance of this contract.

B. The BCH will provide a minimum of 100mbps connectivity to the contractor over VPN.

C. The Contractor shall utilize and comply with the IHS Health Level Seven (HL7) standards of operation. The Contractor shall interface with the patient healthcare ordering system Digital Imaging and Communications in Medicine (DICOM Worklist).

D. The Contractor shall retrieve the orders via DICOM Worklist and shall transmit the final report with diagnostics results via HL7 interface.

E. The Contractor shall transmit all medical images to the IHS DICOM interface for storage.

9. PLACE OF PERFORMANCE: Blackfeet Community Hospital, 760 Hospital Circle RD, Browning MT 59417

10. PERIOD OF PERFORMANCE: The period of performance is for one year from the date of award plus four option periods if exercised.

Base Period: TO BE DETERMINED AT AWARD Option Year 1: TO BE DETERMINED AT AWARD Option Year 2: TO BE DETERMINED AT AWARD Option Year 3: TO BE DETERMINED AT AWARD Option Year 4: TO BE DETERMINED AT AWARD

11. SECURITY: In order to comply with the requirements of Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Act and P.L. 101-647, the Crime Control Act of 1990, a Child Care National Agency Check and Investigation (CNACI) must be completed for your radiology technologists. Moreover, fingerprints must be taken as part of the pre-employment process and must be completed before the radiology technologists are allowed to work. The CNACI, fingerprints and access/clearance to all pertinent computer systems should be coordinated with the Service Unit.