FINAL.Dental_Off-Center_PWS_COMBINED 1 .docx

Schedule of Services:

19.

ITEM NO.

20.

SCHEDULE OF SERVICES

21.

EST.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

TOTAL AMT

BASE PERIOD SERVICES – October 1, 2014 through September 30, 2015.

Up to 9 hours per week x 48 weeks per year

Up to 9 hours per week x 48 weeks per year

Up to 12 hours per week x 48 weeks per year

By phone, on-Center or off-Center

BASE PERIOD TOTAL:

The price proposed for Emergency Services should be the price that will be charged for each Emergency.

19.

ITEM NO.

20.

SCHEDULE OF SERVICES

21.

EST.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR ONE SERVICES – October 1, 2015 through September 30, 2016.

Up to 9 hours per week x 48 weeks per year

Up to 9 hours per week x 48 weeks per year

Up to 12 hours per week x 48 weeks per year

By phone, on-Center or off-Center

BASE PERIOD TOTAL:

The price proposed for Emergency Services should be the price that will be charged for each Emergency.

19.

20.

SCHEDULE OF SERVICES

21.

EST.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR TWO SERVICES – October 1, 2016 through September 30, 2017.

Up to 9 hours per week x 48 weeks per year

Up to 9 hours per week x 48 weeks per year

Up to 12 hours per week x 48 weeks per year

By phone, on-Center or off-Center

BASE PERIOD TOTAL:

The price proposed for Emergency Services should be the price that will be charged for each Emergency.

19.

20.

SCHEDULE OF SERVICES

21.

EST.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR THREE SERVICES – October 1, 2017 through September 30, 2018.

Up to 9 hours per week x 48 weeks per year

Up to 9 hours per week x 48 weeks per year

Up to 12 hours per week x 48 weeks per year

By phone, on-Center or off-Center

BASE PERIOD TOTAL:

The price proposed for Emergency Services should be the price that will be charged for each Emergency.

19.

20.

SCHEDULE OF SERVICES

21.

EST.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

OPTION YEAR 4 SERVICES – October 1, 2018 through September 30, 2019.

Up to 9 hours per week x 48 weeks per year

Up to 9 hours per week x 48 weeks per year

Up to 12 hours per week x 48 weeks per year

By phone, on-Center or off-Center

BASE PERIOD TOTAL:

The price proposed for Emergency Services should be the price that will be charged for each Emergency.

PERFORMANCE WORK STATEMENT

1. INTRODUCTION: The USDA Forest Service Job Corps Civilian Conservation Centers (JCCCC) provide academic, vocational, and life-learning skills to at risk youth and young adults at 28 Job Corps Centers across the United States (U.S.). As part of this program, youth and young adults at the Centers are provided healthcare services as follows: medical, dental, mental health, and drug & alcohol intervention. Each Forest Service JCCCC has a need for Dental Care Services provided by a licensed Dentist and Dental Hygienist that includes oral health care education, assessment, prevention, intervention, treatment, monitoring of oral health conditions, and follow-up care.

2. BACKGROUND: Job Corps is a U.S. Department of Labor (DOL), Employment and Training Administration (ETA) program. Job Corps is designed to assist young people who need and can benefit from the wide-range of services provided at a Job Corps Center. Services include the following: basic education, High School Diploma (HSD) program; General Educational Development (GED); vocational skills training; residential living program; healthcare; and related support services. The comprehensive combination of training and support services is designed to help each student become a responsible and productive citizen. Student populations range from 100 to over 300 enrollments depending on the Center’s On Board Strength (OBS). Job Corps is a self-paced program: therefore, a student’s length of enrollment varies. Students may remain in the program for up to two years, but the average length of enrollment is approximately eight months.

3. PERFORMANCE REQUIRED:

a. Position: The Contractor Dentist and Dental Hygienist shall provide oral health care services for all students off-Center at their place of practice in a nearby dental facility in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, State and local laws, and guidelines of the American Dental Association. Dental services are required on a weekly basis to assist students in attaining and maintaining optimal oral health. The oral health care services must comply with Job Corps policies, requirements, and guidelines and must also include analysis and use of the most efficient and cost-effective of contemporary, evidence-based health care possible given available time, resources, and personnel. These services will involve coordinating and integrating the Dental Health Care services program with other H&W components/activities that occur on-Center or off-Center, including:

· the ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, ranging from 16 to 24 years in age;

· provision of all procedures authorized by the State Board of Dentistry, with a general emphasis on early detection, diagnosis of oral health problems, basic oral health care, dental hygiene, and prevention/education (e.g. oral hygiene instructions, risk assessments, relationship with employability, oral health and wellness);

· an elective oral examination, including bitewing x-rays, priority classification, and treatment plan, shall be completed and recorded on the Job Corps approved oral examination form, upon student request, as a follow up to the dental readiness inspection;

· dental procedures to treat oral disease and correct oral health conditions that may represent employability barriers, to include: restorations, extraction of pathological teeth, root canal therapy on anterior/other strategic teeth, replacement of missing upper anterior teeth with a removable prosthesis, and dental hygiene treatment for periodontal disease;

· complying with Job Corps infection control policies and procedures;

· ensuring patient privacy for all assessments, exams, and procedures, as mandated by HIPPA;

· providing written diagnosis and treatment plan for each student with 2 weeks after completion of the dental readiness inspection, and obtaining agreement for voluntary care before proceeding with such treatment;

· establishing an appropriate referral system to ensure the receipt of specialty care by students, as defined in the PRH and within budget constraints;

· availability for 24-hour emergency care either by phone consultation or direct patient care;

· providing student services in such a manner to obtain positive student satisfaction survey results as determined by Job Corps;

· furnish the services of one or more dental hygienists to assist in the conduct of dental services; these individuals will be directly supervised by the Contractor Dentist and will be:

· available to assist the Dentist;

· responsible for conducting the initial x-rays on students prior to being seen by the dentist;

· furnish staff to provide the following services:

· make appointments for students to be seen;

Additional services required in support of the Job Corps Center’s Health and Wellness Program:

· maintaining, safeguarding, and ensuring the confidentiality of all required student health records according to the Health Insurance Portability and Accountability Act (HIPAA);

· not engaging in any research projects and/or publications relating to Job Corps health activities without prior written approval from the Job Corps National Office in Golden, CO;

· advising and assisting the health education instructor in the development and implementation of the Dental Health Education Program;

· ensuring dental equipment is properly cleaned and schedule for maintenance;

· report adverse student behavior incidents to the HSM or COR; and

· understanding that dental services shall be subject to monitoring and review by Job Corps assessment teams and that cooperation with such teams is required.

b. Schedule and Availability: Dental services are required on a weekly basis, during days of the week and hours of the day established in coordination with Center personnel. Based on the Center’s current OBS, the Contractor must provide at least the Minimum Staffing Requirements specified in the Program Requirements Handbook (PRH) for services provided by a dentist, dental assistant, and dental hygienist. Center OBS and the PRH may change at any time; consequently, the quantity of required dental services hours may vary, depending on the needs of the student population. Hours in addition to the PRH minimum requirement may be needed on an occasional basis, and will be requested in writing by the Contracting Officer (CO) in advance.

The Contractor is required to provide 24 hours advanced notice to cancel scheduled services. When Key Personnel are unavailable, the Contractor will provide an acceptable substitute to provide services. Substitute personnel must be approved in advance by the CO.

Off-Center office visits for after-hours care and consultation relating to emergency or urgent student needs shall be provided when required. Key Personnel must be available by telephone 24 hours per day, 7 days per week to provide emergency services. Key Personnel must provide a current emergency contact number to the Center HSM. When Key Personnel is/are unavailable, the Contractor will provide to the Center HSM a current emergency contact number of an acceptable substitute to provide emergency services.

Dental services will not be scheduled on federal Government holidays and are not required during the period of Center-wide student leave (approximately two weeks, twice yearly. In addition, dental services may be limited during the one to two weeks immediately preceding and following each of these breaks.

4. QUALIFICATIONS OF CONTRACT PERSONNEL:

Contractor personnel:

· must be registered/licensed with the State in which the dental/oral health care services will be provided; all licensing requirements/certification/accreditation of Contractor personnel must be maintained during the entire performance period, with proof being submitted at the request of the Government;

· are responsible for maintaining their own professional liability/malpractice and general liability insurance;

· may be subject to a criminal background check and drug testing as prerequisites for contract performance.

5. MATERIALS, EQUIPMENT, TRAINING, AND UTILITIES:

A. The Government Shall Furnish: No materials, equipment, training or utilities.

B. The Contractor Shall Furnish: All materials, equipment, training, utilities, labor, services, permits, licenses, and incidentals needed to fulfill the work requirements herein, for the hours required based on the Center OBS. In addition, the Contractor shall insure that Dentists are covered by professional liability (malpractice) insurance during their performance under this contract, and agrees to indemnify and hold harmless the Job Corps Center from any actions taken by, for, or against the Contractor or their agents that could result in additional expenses, fees, or lawsuits.

6. RECORDS, REPORTS, AND REQUIRED SUBMITTALS:

The following submittals are required during the period of performance of this contract:

· Documentation of all assessments, examinations, procedures, x-rays, etc. on approved Job Corps Health forms to be maintained in students’ health records (SHR); and

· Reports to the Center Director (CD) and Health Services Manager (HSM) on all health related matters including student medical separations, justifications for and costs of special services, Health and Non-Health Care Guidelines, and other areas deemed appropriate.

The federal Government reserves the right to have the Job Corps Regional Health Coordinator and other authorized/qualified personnel conduct audits of Contractor services and student medical records to verify that quality services are being performed. A copy of any audit report shall be provided to the Contractor and Contracting Officer (CO) within two weeks of the audit. Within two weeks after receipt of the audit report, the Contractor shall submit a performance plan for improving services to the Contracting Officer (CO) for approval. The Contractor shall implement the approved performance plan immediately.

7. THE ROLE OF GOVERNMENT PERSONNEL AND RESPONSIBILITY FOR CONTRACT ADMINISTRATION:

A. Contracting Officer: The Contracting Officer (CO) has the overall responsibility for the administration of this contract. The CO alone, without delegation, is authorized to:

· Amend, modify, or deviate from the contract;

· Request removal of unsuitable Contractor personnel;

· Order re-performance of unacceptable work or performance by other means.

Other responsibilities may be delegated to authorized representatives.

B. Contracting Officer's Representative (COR): The COR will be designated in writing at the time of award to assist the CO in the day-to-day on-site administration of the contract requirements. The responsibilities of the COR include, but are not limited to the following:

· Determining the compliance and adequacy of performance by the Contractor;

· Ensuring adequacy of schedule and Quality Assurance Plan (QAP), as well as coordination of changes to the schedule and QAP if necessary.

8. GOVERNING REGULATIONS, HANDBOOKS, AND REFERENCES:

The Contractor shall provide Health and Wellness (H&W) services as specified in the following documents:

· Job Corps Federal Regulations (Title 20 Code of Federal Regulations, Part 638.510) Part 684 as amended, Job Corps Program under Title TV-B of the Job Training Partnership Act.

· Job Corps Policy and Requirements Handbook (PRH) Chapter 6 (Section 6.10, 6.11 and 6.12) http://fsweb.jc.wo.fs.fed.us/program-mgr/PRH.pdf

· Applicable Technical Assistance Guides (TAG s). - Job Corps Policy and Requirement Handbook (PRH), Physician’s Desk Reference

· Job Corps Physician Desk Reference, ET Handbook 330, Website for the Job Corps Health & Wellness information and Department of Labor Policy and Requirements Handbook (PRH): www.jobcorpshealth.com/directives/in01-22a.pdf

9. QUALITY ASSURANCE SURVEILLANCE MATRIX:

In accordance with FAR 37.401, the Government will evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g. professional judgments, diagnosis for specific medical treatment, etc.)

The Contractor will receive performance evaluations in accordance with the Quality Assurance Surveillance Plan for this requirement, which shall be provided to the Contractor by the CO or the COR.

Performance evaluations will include assessment of the following:

This requirement is being procured as a Performance-Based Service Acquisition. Accordingly, the Contractor will receive performance evaluations at least annually. Performance evaluations will address, but are not limited to, analysis of the Quality/Performance Standards identified above.

Failure to perform to the standards identified in the Quality Assurance Surveillance Matrix will result in a negative impact to the Contractor’s performance evaluations. In addition, the use of the Quality Assurance Surveillance Matrix to evaluate Contractor performance in no way limits the Government’s rights and remedies established under contract regarding the Contracting Officer’s discretion to pursue termination by convenience or default, to exercise (or not) contract options, to accept or reject services provided, etc.