ACL Optometrist Non Personal Healthcare Services.docx

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Acoma Canoncito Laguna Service Unit Optometrist Non Personal Healthcare Services
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Optometry Services for ACL IHC

Purpose and Background:

The Albuquerque Area Indian Health Service has a requirement for non-personal contract services for provision of on-site optometry services within Optometry Department of the Acoma-Canoncito-Laguna Indian Health Center (ACLIHC). The health center is located on the Acoma Pueblo Indian Reservation at 80B Veteran Blvd., Acoma, New Mexico 87034. As a non-personal service contractor, the contractor shall provide services independent of any Government supervision. Administrative direction and orientation of all systems and policies and procedures of the ACL IHC will be provided after the on-boarding process has been completed.

Pursuant to Federal Acquisition Regulation (FAR) Part 37, as a non-personal service contractor, the personnel/staff 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 employee.

The contractor is responsible for collection and payment of all federal, state and local taxes for payments made under this contract. The Albuquerque Area Division of Finance will notify the IRS for all payments made under this contract and will send the contractor Form 1999 MISC- Miscellaneous Income Form for the year in which services were provided. For information regarding the issuance of Form 1099 MISC, contact telephone is 505-256-6800.

The contractor shall provide services during the operational hours of business and clinical hours of the ACL IHC, which are from 8:00 am to 4:30 pm, Monday through Friday, except all federal Government observed holidays; New Year's Day, Dr. Martin Luther King's Day, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day, and Christmas Day. A thirty (30) minute non-paid lunch break is permitted under the contract as well as a 15-minute break in the morning and afternoon. If the contractor opts not to take their lunch and rest breaks during the 8-hour clinic day, it cannot be invoiced as hours worked.

Schedule to be determined by ACL Indian Health Center, Office of Administration or the Contracting Officer Representative (COR).

Contractor’s travel to and from the facility/office site are not included in the 8-hour clinic service day and cannot be invoiced as part of the clinic service day.

SCOPE OF WORK

1.Patient care to be carried out in a responsible, respectful and caring manner.
a.Diagnosis of visual and ocular problems through external and internal physical evaluation of the eye and ocular adnexa.
b.Ocular pathology, diagnosis and management comprise 75% of the patient caseload, including heavy emphasis on low tension and primary open angle glaucoma.
c.Detects neuromuscular impairment or anomalies of binocular function.
d.Treats visual disorders through the prescription of corrective lenses and vision training and pharmacological means.
e.Uses all forms of topical ophthalmic therapeutic medicines as well as oral therapeutic medicines to manage pathology and trauma.
f.Provides emergency eye care services including diagnosis and treatment of ophthalmic trauma and pathology consistent with hospital clinical privileges.
g.Utilizes laboratory and radiology services to evaluate ophthalmic conditions.
h.Coordinates medical eye care with other physicians within the ACL IHC outpatient and urgent care department, when eye disease is concurrent with systemic disease.
i.Treats unusual visual disorders through the application of advanced optometric
techniques.
j.Consults with Area Chief Medical Officer and/or private ophthalmologic consultants and medical practitioners as needed for complex cases.
2.Refer and coordinate PRC (Purchase Referred Care) patients requiring medical, surgical and/or diagnostic services outside of Health Care Facility; coordinate patient transport for urgent/emergent ocular conditions.
3.Procedures to include:
a.Comprehensive medical eye examination, diagnosis, and treatment in an
out-patient clinical setting.
b.Ordering appropriate laboratory/diagnostic tests to con1irm or rule out associated or causative systemic diseases.
c.Ordering x-rays
d.General contact lens service, prescribe visual aids as necessary
e.Use of instruments and pharmaceuticals agents to treat the eye, ocular adnexa and
related structures
f.Tonometry
g.Gonioscopy
h.Foreign body removal (cornea, lid, conjunctiva) Dilation and irrigation of lacrimal
system
i.Direct and indirect ophthalmoscopy Bio microscopy
j.Retinoscopy
k.Visual fields
l.Refraction error evaluation Eyelash epilation
m.Incision and drainage of hordeolum/chalazion
4.Maintains health records in accordance with ACL Medical Staff bylaws and established policies and prepares reports in compliance with the Privacy Act and the ACL Indian Health Center policies and procedures.
5.Administrative Duties
a.Familiarizes self with the cultural, social, political, geographic, demographic, economic, and epidemiological characteristics of the assigned communities. Available to orient staff, tribal members, health board and tribal leaders on relevant health care issues· based on training obtained during onboarding.
b.Participates in Quality Assurance/Risk Management activities of the clinic.
6.Some of the patients receiving health care under this contract may only speak a Native American Language, and the contractor should be able to show sensitivity to cross-cultural and languages differences, and have the ability to work through interpreters as necessary for non-English speaking patients. Consideration should be given to potentially limited transportation and home environment facilities for some patients.

CONDITIONS FOR REMOVAL/REPLACEMENT OF CONTRACTOR PERSONNEL

As mutually agreed upon between the Contracting Officer and the Contractor, there may be grounds for removal and/or replacement of contractor personnel.
Contractor staff will be removed from a facility if services are not performed in accordance with this Task Order and/or the terms and conditions of the Contractor’s GSA/FSS/VA contract.

CONTRACTOR MINIMUM REQUIREMENTS/QUALIFICATIONS

A.The Contractor may be an individual, group or organization in which any individual providing the services meets the stated qualification requirements. The Contractor shall ensure a qualified provider will be in attendance as scheduled.
B.Certification forms and required documents must be completed in their entirety and returned demonstrating the minimum qualifications have been met, as follows:
i.Medical Liability Insurance: Provide proof of current medical liability insurance carried in the minimum amount of One (1) million dollars per occurrence and Three (3) million dollars’ aggregate.
ii.Education: Graduation from an accredited Medical School of Optometry, Possess a Medical Degree as a Doctor of Optometry (DO).
iii.License: All providers shall possess a current, valid, unrestricted license to practice as an Optometrist; in a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the US during the term of this order.
iv.BLS/ACLS Certification: Current Basic Cardiac Life Support (BLS) Certification or equivalent.

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