ATTACHMENT 1 - STATEMENT OF WORK Am1.docx

Attachment No. 1 Statement of Work 04/10/2024

I. SCOPE OF WORK:

Services are required at the Indian Health Service Portland Area of Responsibility for nurse support services (locum registered nurse) for eligible patients.

II. OBJECTIVE:

To provide nursing support services (RN) five days per week. The purpose of the work is to improve the overall health care status of the eligible American Indian, Alaska Native patient population served. Provide family- orientated primary medical care services at Warm Springs Health and Wellness Center.

III. PERIOD OF PERFORMANCE AND LOCATION:

A. Services will be performed at the following location:

Warm Springs Health and Wellness Center Indian Health Service 1270 Kot-Num Rd Warm Springs, OR 97761

Colville Service Unit – Nespelem Clinic 19 Lakes Street Nespelem, WA 99155

Wellpinit Service Unit 6203 Agency Loop Road

Yakama Service Unit 401 Buster Road Toppenish, WA 98948

B. The period of performance: 240 DAYS upon receipt of background investigation clearance.

IV. STATEMENT OF WORK:

A. The Contractor shall provide nursing support services during clinic operating hours as scheduled not to exceed 40 hours per week. Regular hours of clinic are from 8:00 a.m. to 5 p.m. Monday through Friday. The clinic is not open on federally recognized holidays or certain day(s) of closure pursuant to an Executive Order by the President of the United States. Inclement weather conditions or facility issues (electrical, water, etc.) may also hinder the normal operating hours and notice of closure will be provided as soon as is practicable by each of the Service Unit administrative staff.

A. The RN will perform nursing duties to focus on providing nursing support to providers in the medical clinic. Analyze nursing practice to ensure the nursing process is provided for the treatment of the patients. Assist patients and clinic staff in the medical department and on telephone. Supports a culture that fully embraces internal, external and organizational customer service.

B. Patient education is provided and documented in primary and secondary patient encounters. Nursing notes are documented within 24 hours of the visit and delinquent visit information is done within 24 hours of notification by medical records or Government representative. Demonstrates time management and prioritization. Returns phone messages within 24 business hours. Consistently documents telephone, chart review, and patient care coordination in the patient record.

C. Monitors the walk-in schedule and without request, offers assistance to the hourly triage nurse.

D. Reviews daily schedule; makes changes if needed, participates in the planning process with team, and reviews reminder’s prior to visit.

E. Participates and meets coordination of care as assigned.

a. Coordinates or manages referrals with the facilitators and makes sure that some communication with the patient has been taken within 14 days. (Prior authorization has been obtained or appointment scheduled, etc.).

b. Demonstrates the ability to preplan patient visit and case manage complex patient needs.

c. Coordinate and manage patient visits at ancillary clinics (Mobile Medical Unit, Senior Clinic, Well-Child, etc.).

d. Demonstrates the ability to prioritize care and responds appropriately to urgent medical needs.

e. Reports off and transfers care appropriately at the end of shift or prior to breaks.

B. The RN Contractor to obtain preliminary health history and make physical assessments, recognizing the ranges of “normal” and the manifestations of common abnormalities. From the assessment, makes appropriate referrals to other team members or provides the necessary service.

C. The RN contractor to function under established routines and medical protocols, orders x-rays and laboratory test, diagnostic procedures, consultation services, etc. Interprets selected laboratory findings and as appropriate, initiates action for necessary care.

D. The RN Contractor to teach individuals and families about home care such as treatments, medications, nutrition and preventative health tests.

E. The RN Contractor shall administer oral and parenteral medications, assist the provider and perform diagnostic and therapeutic procedures. Assist with casting, suturing, wound debridement, dressings, and provides/ assists in the provision of emergency treatment etc.

F. The RN Contractor shall manage all aspects of patient care electronically, using knowledge and skill of existing automation equipment required supporting all clinical/ medical programs i.e. IHS-EHR, Microsoft Office, and Outlook, etc.

G. The RN Contractor will work closely with allied health professionals (i.e. community health nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the families’ medical, psychological, and social problems.

H. The RN Contractor to operate a variety of medical equipment to include, but not limited to, tonometry, electrocardiogram, electronic fetal monitor, and pulmonary function tests.

V. INDIAN HEALTH SERVICE RESPONSIBILITIES:

A. The Warm Springs Indian Health Service shall provide all medical and non-medical equipment and supplies used in the Indian Health Service medical department for patient care.

B. The Warm Springs Indian Health Service shall provide an on-going method of monitoring and evaluation of the quality and appropriateness of patient care, and of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

C. Each RN Contractor shall be provided with an orientation to the Indian Health Service and the Indian Community being served. The initial orientation and continuing orientation shall be provided by the Service Unit Representative.

D. The Service Unit will be responsible for informing the Contractor of any facility closure due to conditions described in Section IV.A. above as soon as is practicable. Such notification methods shall be mutually agreed upon by both parties.

VI. QUALIFICATIONS:

A. The Register Nurse contractor shall maintain the following qualifications as a minimum:

· Degree: Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant

· Licensure: Applicants must have an active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

· Current training (no more than 2 years) in Basic Life Support (BLS) and, preferably, Advanced Cardiovascular Life Support (ACLS) through the American Heart Association (AHA).

B. The contractor shall complete, sign and return the required forms within 10 days after award:

· Certification Of Immunization

· Declaration of Employment

· Certification of Education and Insurance

· HIPPA Agreement

· Addendum to Declaration for Federal Employment (OF 306) Indian Health Service Child Care & Indian Child Care Worker Positions

C. Additional information may be required by IHS.

D. The Contractor must meet the Service Unit’s requirements for Credentialing and Privileging as stated in the Medial Staff By-Laws, IHS manual, State scope of practice requirements and national certifying body requirements.

VIII. PAYMENT SCHEDULE:

A. The hourly rate awarded is the Contractor’s contract price for services that covers all related costs to provide services on-site. See attached Schedule of Items.

B. Payment shall be made in accordance with the hourly rate of the Awarded Contractor’s list for the services provided at the clinic site.

C. Payment shall be made in accordance with the Prompt Payment Final Rule (5 CFR 1315, September 29, 1999), which states that disbursement will be made within 15 days of an accepted and Approved Invoice by a Contracting Officer when presented to the Finance Office.

D. Vendor shall maintain an “Active” status with the System Award Management (SAM) as prescribed by the Electronic Funds Transfer (EFT) procedures.

E. The Government is obligated only to the extent of authorized purchases actually made and received under this purchase order.

IX. INVOICING:

A. INVOICING:

IPP invoicing is exercised with Invoices submitted monthly, covering the 1-31 days or however many days are in the specific month covered by the invoice.

For payment status, please e-mail POR_AODFMPAYABLES@IHS.GOV.

Note: Invoice must match the purchase order in description. Improper invoices will be rejected.

Upon receipt, the COR shall review the invoice(s) for accuracy. Payments will be made after submission of a proper invoice and after the Government accepts the services. Payment shall be made only for services actually completed at time of invoice submission.

B. ADMINISTRATION:

The contractor (RN) shall utilize Indian Health Service time keeping sheet for recording hours of contract performance. The Contractor shall sign the Record of Service Delivered, and record the time each day for the following events: arrival, departure for any reason including lunch and any subsequent return, and departure for the day.

The Contract Officer’s Representative (COR) and site contact under this contract shall be provided up award of the purchase order. The COR’s responsibilities will be to coordinate with the provider the technical aspects of this service and review of performance hereunder. The Contract Officer’s Representative does not have the authority to change or alter the order amount, terms or conditions of this purchase order.

X. ADDITIONAL TERMS & CONDITIONS:

A. MALPRACTICE COVERAGE

The Contractor shall provide professional liability (malpractice) coverage, in amounts that are reasonable and customary in the community for the appropriate specialty (not less than $1,000,000 per occurrence), covering liability for personal injury or property damage, including legal representation and expense of defense of any such liability claims, actions or litigation, resulting from participation by the Contractors employees under this requirement. This coverage may come from any source, but shall clearly cover the Contractors employees while participating under this agreement. The Contractors employees must provide documentary proof of the insurance coverage and such proof will be attached to this agreement. The Contractors employees further agree not to seek indemnification from either the United States or the Indian Health Service for any settlement, verdict or judgment resulting from any claim or lawsuit arising out of the negligent acts or omissions of its employees while working at this site.

Under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2401(b), 2671-80, the Federal government is liable for property damage, personal injury, or death caused by the negligence of any Federal government employee acting within the scope of her/his employment, and Training Site’s obligations under this agreement, including supervision of students. All claims alleging medical malpractice and other negligence by IHS physicians, dentists, nurses, and other health professionals are processed under this Act. The law provides that medical malpractice claims must be filed against the United States, not the individual health professional.

B. HIPPA REQUIREMENT

Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulation, the Standards of Privacy of individual Identifiable Health Information at 45 C.F.R. Part 160 and 164, Subpart A and E ("Privacy Rule"), the Indian Health Service is required to enter into an agreement with the Business Associate , pursuant to which the Business Associate shall comply with and appropriately safeguard Protected Health Information ("PHI") that it will use and disclose when performing functions , activities or services ("Services") for the Indian Health Service. The Business Associate, by signing the contract, shall comply with the following terms in addition to other applicable contract terms and conditions relating to the safekeeping, use and discloser of PHI.

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