A06 - PWS FBSU Radiology Services.pdf

Billings Area Performance Work Statement (PWS) for Radiology Staffing

Services

FBSU Radiology 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 8 - 9

8.0 Conduct 9

9.0 Work Schedule 9

10.0 Deliverables 10

11.0 Contractor Qualification Requirements 10

12.0 Background Check 10 - 11

13.0 Health Requirements/Conditions of Employment 11

14.0 Transportation and Lodging 11

15.0 Performance Evaluation 11

16.0 Identification of Contractor 12

17.0 Management of Medical Information 12

18.0 IHS Information Technology Systems 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 Attachments and Exhibits 14

Performance Work Statement (PWS) Radiology Staffing

Radiology Services

1.0 General: This performance work statement (PWS) describes the requirements for Radiology Staffing Services to support the mission of the Indian Health Service (IHS) at Fort Belknap Service Unit (FBSU) located at Harlem, MT.

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.

FBSU provides Radiology Services to the Ft. Belknap Reservation communities, covering 1,014 square miles in north-central Montana. There is a nationwide shortage of Radiologic Technologists which is amplified by the remote and rural areas served by the Indian Health Service. Permanent staff cover the FBSU Radiology Department during normal business hours (M-F, 7am-7pm). Contracted services will cover weekends, week-nights, holidays, and additional days. This performance work statement covers requirements for the Billings Area. The positions to be filled: Radiology Services.

1.2 Fort Belknap Hospital, Billings Area-Indian Health Service, Harlem, Montana provides support to the Ft. Belknap Indian Reservation.

2.0 Scope: The Contractor shall provide Radiology services in accordance with Section 7.0, performance-based requirements. The purpose is to provide Radiologic Technologists for the following (see below).

This will allow FBSU to provide continuous Radiology Services 24/7, 365 days per year.

• CLIN # 1 Regular Hours – 4,160 (2 FTE’s)

• CLIN # 2 Over Time Hours – 1,248 (2 FTE’s)

• CLIN # 3 Holiday Hours – 156 (2 FTE’s)

• CLIN #4 Standby Hours—1,374 (2 FTE’s)

2.1 Contract Radiologic Technologists are required to fulfill the jobs throughout the course of the funding period (typically 12 months). Service provided includes radiology studies for diagnosis and treatment of patients at the Fort Belknap Service Unit. Clear and accurate studies are essential to enable the provider to evaluate and treat the patient's condition. Timely response to call-back request from FBSU Emergency Department and accurate completion of the examinations requested by the provider is required for ongoing facility function. The examinations performed must be delivered to the ordering provider, returned for official reading by the radiologist and filed away with the diagnostic report. Also, the patient exam must be entered and completed in the Resource and Patient Management System (RPMS) and Picture Archiving and Communications System PACS computer systems for proper Physician’s Computer Company PCC and billing information. These duties are an integral part of the total patient care, continuity of patient care, patient care evaluation and research.

2.1.1. Place of Performance: Services shall be performed at the Fort Belknap Hospital, 669 Agency Main Street, Harlem, Montana 59526.

2.1.2 Period of Performance:

Base Year March 10, 2026, through March 09, 2027 Option Year 1 March 10, 2027, through March 09, 2028 Option Year 2 March 10, 2028, through March 09, 2029 Option Year 3 March 10, 2029, through March 09, 2030 Option Year 4 March 10, 2030, through March 09, 2031

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 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

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

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

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

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

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

3.9 IHS Service Unit and Health Center Policies, Procedures and Protocols. (See section 11.0 for a list of attachments and exhibits)

3.10 Federal Computer Security Act of 1987. https://www.congress.gov/100/statute/STATUTE-

101/STATUTE-101-Pg1724.pdf

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

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

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

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

3.15 Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors" and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all 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/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.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 https://www.congress.gov/100/statute/STATUTE-101/STATUTE-101-Pg1724.pdf 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/adminmggrresouces http://www.ihs.gov/adminmggresources affected contractor and subcontractor personnel. Indian Health Manual, Chapter 21-Diagnostic Imaging Part 3- Professional Services.

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 ARRT Standards of Ethics

4.5. Contracting Officer (CO): A Government employee with the authority to enter, 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).

4.8. Technical Point of Contact (TPOC): Responsible for monitoring technical progress including surveillance and assessment of performance for this order.

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

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

4.11. Customer: Patients, staff and visitors to an IHS service unit and health center.

4.12. 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.

https://www.arrt.org/pages/earn-arrt-credentials/initial-requirements/ethics/ethics-requirements

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

4.14. 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.

4.15. Health Insurance Portability and Accountability Act (HIPAA): 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 radiology, 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 Contractor Physician into the IHS Service Unit and/or Health Center and the department 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 Radiology 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. 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, jobs, price, period of performance, contract number, and the ordering activity’s task order number.

4.27. Tour of Duty: The time of day the Radiologic Technologist is scheduled to perform the services.

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

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

5.0 Government Furnished Information, Property and Services:

The IHS will provide all necessary equipment and supplies. The Fort Belknap Service Unit will be responsible for ensuring Contractor personnel complete all requirements necessary for access and clearance to all computer services necessary to carry out his/her duties. Ft. Belknap Radiology Department currently has a GE Definium 646 fixed room, and a portable GE AMX Navigate. A furnished apartment is available for rent (rate based on current IQMS rental agreement) and use by Radiology Personnel.

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 medical provider services or includes mandates made by the IHS Service Units/Health Centers while the candidates are 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 Clinical Director at the IHS facility.

6.1.2. Other personal medical instruments: “Other personal medical instruments” are defined as Contractor owned items. 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 medical Radiologic

Technologists with an active State of Montana license and /or ARRT (R) for the delivery of patient care through performance of provider 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. Contractor Candidates shall comply with IHS facility policies, procedures, protocols and Standards of Care.

a. The contractor shall provide Radiology services in direct patient care.

b. The Contractor shall ensure 100% percent of all documentation meets established IHS

Medical Facility, Joint Commission, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

c. The contractor personnel shall have the necessary education, training, licensing, previous work experience, and competence in being able to provide the services within the department. The purpose of the services is to perform Diagnostic Radiologic exams for outpatient clinics, inpatient wards, and the emergency department. The technologists shall report daily to the Imaging Supervisor or designee for a schedule of work to be performed.

d. The Contractor Candidate shall perform specific tasks to include the following:

e. Perform radiologic examinations as scheduled for use in clinical diagnosis, patient screening, monitoring patient therapy and status, and other authorized purposes. Performs radiologic studies for diagnosis to assist clinicians during emergency and routine exams utilizing highly specialized equipment. Independently perform a variety a routine diagnostic radiographic examination. Routine exams performed are skull, facial, mastoids, sinuses, spine, pelvis, abdomen, chest, and extremities. Perform procedures requiring deviation from standard guidelines for positioning and for setting technical factors due to patient’s condition or other unusual circumstances (unconscious patient, paraplegic patient, seriously injured or otherwise physically and mentally unable to cooperate). Performs special (complicated) procedures on critically ill and injured patients for whom accuracy and efficiency of the diagnostic procedure are critical; recommends deviations from the standard for positioning and technique manipulation.

f. Assures that the requisition for examination is properly executed and the request has been made by the proper authority. Assures that patients are properly attired and prepared for requested examination. Positions patient and make the required exposures for examinations.

g. Receives patients and explains examinations to be performed and methods to be used.

Instructs patients on required examinations/preparations prior to appointment for examination, explaining procedures to patients in sufficiently understood lay terms so as to make the patient knowledgeable of what is expected to facilitate a superior examination at the time of imaging. Correlates clinical history, pertinent clinical data and other ancillary diagnostic examinations to obtain radiographic images of optimal value.

h. Maintain professional expertise to recognize anatomy of various structures within the abdomen and pelvic cavities. Review and evaluate the quality of the images taken. Shall be able to recognize and correct errors in the quality of the image with very little or no supervision in his/her routine work and to discuss problems with the Physician or Radiologist.

i. Schedule patients for examinations, taking into consideration the complexity of reservation travel, special requirements of patients, and type of exam requested to allow for efficient use of limited time. Be cognizant of scheduling factors with consideration given for referral patients requiring transportation from various reservation sites. Evaluate requests for critical and/or emergency procedures and change the schedules to accommodate patients of a higher priority.

j. Maintain and update database records of patients examined, examinations performed, and views taken. Maintain records of diagnostic interpretations in a systemic retrieval system to maintain confidentiality.

k. Protect the patient from direct or secondary radiation by using proper exposures, and proper coning to expose only the designated area. Follow radiation protection guidelines by wearing personnel dosimeter badges while working with and around radiation.

l. Ensure radiology equipment is properly maintained and repaired, that all related areas are kept in a clean, neat, and orderly condition. Monitor work area to ensure that a safe environment is maintained. Adjust the physical layout or adjust procedures and technique in order to eliminate safety hazards or minimize the risk of injury to patients and personnel.

m. Keep x-ray equipment clean and be responsible for quality control activities which include but are not limited to making minor adjustments to equipment such as setting up wedges and when necessary changing transverse length adjusters.

n. Perform daily required calibration tests and record appropriate equipment errors in the log.

Recognize equipment malfunction(s) and notify Imaging Supervisor or designee immediately.

Describe problem(s) and communicate with Imaging Supervisor or designee and Service engineer as required. After repair of equipment, the contractor personnel verifies that service engineer performed post repair quality control tests that indicated that equipment is operating according to the manufacturer's specifications and/or standards.

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

p. Exercise Knowledge of the radiology procedures and its application to clinical practices to provide individualized, goal-oriented care to the pediatric and adult patient.

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

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

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

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

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

v. The Contractor 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 Provider 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 Provider whom in the judgment of a licensed healthcare practitioner, is impaired.

9.0 Work Schedule: The Program Manager at the IHS facility will determine specific work hours for each

Contractor within the scope of the task order. Contractor shall work in accordance with the work hours to meet the patient care needs of the Service Unit facility.

Weekend Hours: (7:00 pm on Friday through 8:00 am Monday) to include 10 hours on Saturday, 10 hours on Sunday, with remaining hours as callback OT

Weeknight Hours: Starting at 7:00 pm to include 10 hours (Monday through Thursday) as callback OT

Additional Day will include 10-hour shift in Radiology Department

Holiday will include 10 hours with remaining hours as callback OT

Hours shall be performed as agreed upon by the Program Manager and Contractor and within the limits of the task order.

9.1 The Radiology Technologist shall provide notice of unavailability to their employer (The Contractor).

9.2 The Contractor shall provide a qualified replacement Technologist for any unavailability.

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

10.0 Deliverables:

10.1. Monthly Data Report: The contractor shall provide a monthly data report that identifies the task order, Contract Line-Item Number (CLIN), Contractor Radiologic Technologist’s name, dates of service, quantity of hours worked, and hourly rate. The Contractor shall provide a summary of task order hours authorized, hours worked, balance of hours remaining, estimated monthly invoice amount, and estimated balance of funds remaining.

10.2. The Contractor shall notify the Contractor Officer and the COR via email when 75% of the authorized hours or 75% of the obligated funding has been expended.

10.3. The contractor shall submit invoices with verified time sheets, utilizing IPP.

11.0 Contractor Radiology Qualification Requirements:

11.1. Experience. The contractor personnel shall have the necessary education, training, licensing, previous work experience, and competence in being able to provide the services within the department. The purpose of the service is to perform Diagnostic Radiologic exams for outpatient clinics, inpatient wards, and the emergency department.

11.1.1. Experience shall equip the Contractor Radiologic Technologist with the knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the radiology services category to be filled.

11.2. License/Registration. The Contractor Radiologic Technologist shall possess a current, valid, unrestricted Radiology 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.

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

11.4. Certifications. The Contractor Radiologic Technologist shall possess current Basic Life Support (BLS).

11.5. Review of Qualifying Factors. The Clinical Director at the onboarding IHS facility, or their designee, will review all required documentation, conduct candidate interview, and reference checks for each Contractor Physician, to ensure verification and compliance prior to proceeding with background check/clearance process.

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

Technologist shall provide all requested information necessary to perform background checks. The Contractor Radiologic Technologist shall comply with the requirement to obtain security investigations. The Contractor 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 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 Radiologic Technologist 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 Radiologic Technologist 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 may be available but is limited and must be paid for by the Contractor or Contractor Radiologic Technologist. 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 24.0.

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 Radiologic Technologist shall wear a government issued contractor identification badge during performance of duty.

17.0 Management of Medical Information: The Contractor Radiologic Technologist 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 Radiologic Technologist shall ensure adherence to Department of Health and

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

17.2. The Contractor Radiologic Technologist 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 Radiologic Technologist shall possess basic knowledge, skills, and abilities to use a computer.

18.1. The Contractor Radiologic Technologist 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 Radiologic Technologist 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 Radiologic Technologist 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 Radiologic Technologist 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 Radiologic Technologist 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: Bette Jo Snider, R.T. (R) (M)

BAO PWS June 30, 2022

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 Radiology services in the delivery of patient care at the Fort Belknap Service Unit, of the Billings Area Indian Health Service.

Competency

Compliance

Quality

Patient Outcomes

Professionalism

Documentation

Maintain 100% of the required competencies (refer to Section 25.0)

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

and hospital and nursing Protocols.

Perform 100% of the required tasks (refer to Section 7.0) during scheduled tour of duty (refer to Section 9.0)

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 at 100% adherence to the Nursing Code of Ethics and Federal Code of Conduct.

100% percent of all documentation meets established IHS Medical Facility, Joint Commission, and Centers for Medicare and Medicaid Services (CMS) standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

See QASP. Surveillance systems will include direct observation, periodic inspections, validated customer complaints, random sampling, and verification of documentation provided by the contractor.

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.

BAO PWS June 30, 2022

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

24.1. Exhibits

A - Quality Assurance Surveillance Plan (QASP) B - Contract Data Requirements List (CDRL) DD Form 1423

24.2. Attachments

24.2.1. Witten Competency Assessments

a. Confidentiality/HIPAA/Patient’s Rights

b. EMTALA Compliance Exam, 2004

24.2.2. Contract Radiologic Technologist Orientation Check List

24.2.3. Standard Emergency Codes

24.2.4. Confidentiality: Legal and Ethical Concerns in Healthcare

24.2.5. EMTALA – Emergency Medical Treatment and Labor Act

24.2.6. What are Age‐Specific Competencies?

24.2.7. An Introduction to the Native American Culture

24.2.8. Verbal and Telephone Orders

24.2.9. Latex Allergy

24.2.10.Immunization documentation 24.2.11.Required certification documentation