Atch D - PWS - MRI and Rad Tech - RFP-23-PHX-33.pdf

Performance Work Statement:

The intent of this contract is to provide non-personal professional Magnetic Resonance Imaging

(MRI) and Digital Radiography Services at the Phoenix Indian Medical Center (PIMC). These services are needed to be performed by qualified and available contractor as needed for staffing assignments for the duration of the contract term. The Contractor shall ensure that the staff meets the qualification requirements set forth in the contract as detailed below. The contractors staffing will have the ability, education, training, licensing, certification, registration, and previous work experience to perform the work according to the requirements and conditions contained in this

Performance Work Statement.

Responses to this solicitation shall contain a complete profile and current work history of the candidate(s) presented, including certifications and training.

1. PERFORMANCE/LOCATION/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

PERIOD OF PERFORMANCE:

The Contractor is requested to provide Magnetic Resonance Imaging (MRI) Technologist at

PIMC for weekday MRI services (fixed coverage) and Digital Radiography Services for a base year and four (4) one (1) year option periods.

LOCATION: All services shall be performed at the following location:

Phoenix Indian Medical Center

Medical Imaging Department

4212 N Sixteenth Street

Phoenix, AZ 85016

FACILITIES AND PATIENT WORKLOAD:

PIMC operating hours are 365 days a year, 7 days a week and 24 hours a day.

PIMC is located in Phoenix, Arizona and serves multiple Native American communities.

Supervision: The contractor is subject to supervision by the Supervisory Diagnostic Radiologic

Technologist, Radiologist or Radiology Practice Manger.

Diagnostic Radiologist Technologist (MRI Services):

Weekday MRI Services (fixed coverage):

Monday – Friday: 7:30 am – 4:00 pm

Weekend MRI Services (as needed coverage):

Saturday: 7:30 am – 4:00 pm

Friday: 4:00 pm – Midnight

Sunday: 7:30 am – 4:00 pm

Friday: 4:00 pm – Midnight

Federal Holidays: 7:30 am – 4:00 pm

Friday: 4:00 pm – Midnight

The Contractor is required to provide 100% MRI Services as noted on fixed coverage

Other Diagnostic Radiologist Technologist (MRI Services) (as needed coverage):

Sunday and Saturday - 1st Shift: 7:30 am to 4:00 pm

Sunday and Saturday - 2nd: Shift: 3:30 pm to 12:00 am

Sunday through Saturday - 3rd: Shift: 11:00 pm to 7:30 am

Monday through Friday – 2nd Shift: 4:00 pm – Midnight

Other MRI service shift times and schedules are to be provided on an as needed basis and are subject to change based on the medical needs of the patient population and hospital/clinic operations. The Government will schedule two (2) to four (4) weeks in advance under this contract. By mutual agreement the contractor and COR will schedule MRI Services on weekdays, weekends and nights on an as-needed basis.

The government reserves the right to schedule or reschedule the duty hours during the course of the agreement to meet staffing and patient care needs. The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. The government shall provide a 24 hour notice of any schedule changes. Contractors who accept long full-time assignments (1 continuous week or more) shall attend assigned meetings and participate fully as staff members. Contractors will be expected to abide by the facility’s Uniform Code and shift hours assigned, modalities of charting and care delivery and other rules and regulations of the facility.

The Contractor may provide Other Diagnostic Radiologist Technologist (MRI Services) as on-site or on-call services.

Diagnostic Radiologist Technologist (Digital Radiology) (as needed coverage):

Sunday through Saturday - 1st Shift: 7:30 am to 4:00 pm

Sunday through Saturday - 2nd: Shift: 3:30 pm to 12:00 am

Sunday through Saturday - 3rd: Shift: 11:00 pm to 7:30 am

Diagnostic Radiologist Technologist (Digital Radiology) service shift times and schedules are to be provided on an as needed basis and are subject to change based on the medical needs of the patient population and hospital/clinic operations. The Government will schedule two (2) to four

(4) weeks in advance under this contract. By mutual agreement the contractor and COR will schedule Diagnostic Radiologist Technologist (Digital Radiology) Services on weekdays, weekends and nights on an as-needed basis.

The government reserves the right to schedule or reschedule the duty hours during the course of the agreement to meet staffing and patient care needs. The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. The government shall provide a 24 hour notice of any schedule changes. Contractors who accept long full-time assignments (1 continuous week or more) shall attend assigned meetings and participate fully as staff members. Contractors will be expected to abide by the facility’s Uniform Code and shift hours assigned, modalities of charting and care delivery and other rules and regulations of the facility.

Diagnostic Radiologist Technologist (Digital Radiology) Services are on-site services.

On-Call/Call-Back:

On-Call/Call-Back shifts are assigned for MRI services only for Other Diagnostic

Radiologist Technologist (MRI Services) SHIFTS and are scheduled in advance. By mutual agreement with the contractor the 2nd shift for MRI services Monday through Friday 4:00 pm to Midnight may be on-site services.

When Contractor’s employee is “Called Back” while ‘On Call’ to the facility, the Government, PIMC will be billed at the Call-Back negotiated rate. “Call Backs” are a minimum of two (2) hours regardless of the time the Contracted employee is on premises (Contractor must check in on site to receive Call-Back status). The standard hourly rate will apply if the contractor exceeds two (2) hours. Overtime rates will apply if the contractor’s employee works beyond forty (40) hours per work week. The definition of a work week is Sunday (12:00 am) through Saturday

(11:59 pm).

The contractor shall perform diagnostic MRI examinations as deemed necessary to obtain all possible information related to each requested examination. This is inclusive of all clerical duties involved. (RPMS, EHR and PACS systems) All quality control of patient demographics and imagery performed is the responsibility of the technologist.

When Contractor’s employee is On-Call the contractor’s employee must carry a working cell phone and be available to answer calls and return calls promptly. The placement must remain within a 45 minute radius of the facility or an approved radius from the task ordering facility.

(Contractor is responsible for their employee’s cell phone.)

The government reserves the right to schedule or reschedule the duty hours during the course of the agreement to meet staffing and patient care needs. The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. The government shall provide a 24 hour notice of any schedule changes. Contractor will be responsible for the overall provision of coverage within the timeframes annotated above without exception.

Quality Assurance:

The MRI Technologist(s) shall be evaluated monthly by the Contractor’s Master MRI

Technologist to ensure that the MRI Technologist(s) are imaging correctly, including following all established protocols for scanning. In addition, the contractor will submit a yearly

Competencies Assessment for each of the Contractor’s Technologists providing service to PIMC.

Contractor is required to submit one Competency Assessment for each Technologist prior to onboarding. Should the contractor technologist fail to meet image quality standards, then the contractor shall provide that MRI technologist with training at the contractor’s expense, or replace the MRI technologist. Training will need to be completed within one month and meet the image quality standards.

Overtime:

Overtime rates will apply if the contractor’s employee works beyond forty (40) hours per work week. The definition of a work week is Sunday (12:00 am) through Saturday (11:59 pm).

Other:

This is inclusive of all clerical duties involved, (RPMS, EHR, training and PACS systems). All quality control of patient demographics and imagery performed is the responsibility of the technologist.

The government reserves the right to schedule or reschedule the duty hours during the course of the agreement to meet staffing and patient care needs. The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. The government shall provide a 24 hour notice of any schedule changes. Contractor will be responsible for the overall provision of coverage within the timeframes annotated above without exception.

QUALIFICATIONS/CERTIFICATIONS FOR MRI TECHNOLOGIST:

Education: Academic degree from an accredited Radiology Educational Program (Radiology).

Experience: Minimum one (1) year experience in Magnetic Resonance Imaging (MRI)

Certification: Current ARRT (The American Registry of Radiologic Technologist) certification in Magnetic Resonance Imaging (MRI)

Current BLS (Basic Life Support).

QUALIFICATIONS/CERTIFICATIONS FOR DIGITAL RADIOLOGY:

Education: Academic degree from an accredited Radiology Educational Program (Radiology).

Experience: Minimum one (1) year experience in Diagnostic Radiologist Technologist (Digital

Radiology) Licensure

Certification: Current ARRT (The American Registry of Radiologic Technologist) certification in Radiology

Current BLS (Basic Life Support).

Image Gently and Image Wisely certification/training.

PERIOD OF PERFORMANCE:

Contract performance shall be for a base year and four (4) one (1) year options for renewal commencing from date of the award of the contract. Option year renewals shall be by a written amendment to the contract and approved by the Contracting Officer.

Option renewals will be on the basis of the existing requirement of the Government, performance of satisfactory service provided during the base year, and contingent upon availability of funds for the appropriate fiscal year.

RATE SCHEDULE:

The unit price paid to the Contractor shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any IHS patient, or from any alternate resource for which the patient may be eligible, any monies for services provided under this award.

Technologist hourly rate shall include the following: holiday; day and night shifts, weekends, call-back, all city, state, federal and local taxes and all miscellaneous costs associated with the provision of services. The Government will pay Firm Fixed Unit (hourly). Pricing reflects all fees associated with this contract (i.e., airfare, lodging, airfare, car rental, malpractice/liability insurance and miscellaneous expenses).

The quantities are estimated hours and estimated totals will not be exceeded.

Overtime rates will apply if the contractor’s employee works beyond forty (40) hours per work week as defined. The definition of a work week is Sunday (12:00 am) through Saturday (11:59 pm).

* See Attachment A, Rate Schedule for inputting rates.

SCOPE OF WORK:

The overall scope of this contract is to acquire a qualified Contractor under a Government service contract. The contractor shall provide the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. Work performance shall be performed according to the requirements and conditions contained in this Statement of Work.

The contract resulting from this solicitation includes:

The contractor shall be expected to assist and provide services and duties as may be requested for the normal operational requirements for the department and personnel.

The contractor shall provide work that is consistent with the guidelines and procedures of the

IHS. Failure of the contractor to meet these standards can result in cancellation of this contract.

The contractor’s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work.

The contractor shall prepare and complete in a timely fashion, medical and other required records for all parties he/she admits or in any way provides care for the hospital or health care facility (Service Unit Medical By-Laws). Documentation in the patient’s health record are to be completed on the day services are rendered. During the performance of their duties, the contractor shall provide for the consistent performance of patient care processes according to the standards for JC Accreditation program within IHS. These standards include: The

Comprehensive Accreditation Manuals for Critical Access Hospitals, as they represent the scope of services of this contract.

The contractor shall possess a professional medical education from a post-secondary academic institution and be licensed in a field of medical study.

The contractor should be proficient in writing, key-boarding and have a basic working knowledge and understanding of computer hardware and software applications.

The contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the Phoenix Indian Medical Center.

The contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services.

The contractor shall be required to utilize the electronic health record for chart documentation, after receiving training at Government expense.

The Contractor’s employee(s) shall be sensitive to the unique culture factors of the people they treat, which may include use of an interpreter as necessary in communication of services being rendered. Unique cultural factors that may contribute to the patient’s treatment include: use of their language communications; village and tribal customs; use of traditional healers; isolation;

housing conditions and lack of resources.

CONDITIONS FOR REMOVAL/REPLACEMENT OF MEDICAL

PERSONNEL:

As mutually agreed between the Contracting Officer and the Contractor there may be grounds for removal and/or replacement of a Contractor employee. The Contractor’s employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this contract.

The Contractor shall request government pre-approval to substitute or replace any of the

Contractor’s employees of which it has provided qualifications and resumes under this contract.

All Contractor-requested substitutes or replacements’ qualifications, experience and professional

Certifications must be at least equal to or greater than the original Contractor’s employee provided by the Contractor under this contract.

CONTRACTOR REQUIREMENTS:

For Medical & Professional Contractors, the contractor shall comply with all IHS facility infection control and safety procedures, and standards. During the performance of this contract, the Contractor shall provide for the consistent performance of patient care process according to the standards of the Joint Commission (JC) and/or Centers for Medicare Services (CMS) who supplies accreditation to the Phoenix Area Indian Health Service hospitals and health centers.

These standards shall include: The Comprehensive Accreditation Manual for Critical Access

Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

For Medical& Professional Contractors, the contractor shall complete in a timely fashion, the medical and other required records for patients he/she admits or in any way provides treatment.

Chart notes are to be completed on the day services are rendered.

The contractor shall abide by the Service Unit Medical By-laws and rules and regulations and meet all credentialing requirements in accordance with the Service Unit Medical Staff By-laws.

Upon award, the selected medical professional(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the Phoenix Indian Medical Center.

The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/. Documented evidence of the clearances shall be provided to the

Human Resources Personnel Security Officer at the Phoenix Area

Indian Health Service, 40 North Central Avenue, Phoenix, AZ 85004.

MAJOR DUTIES REQUIRED:

Magnetic Resonance Imaging (MRI) Technologist(s):

The contractor shall be experienced in the use of the following equipment:

Unit has not been identified and will be under a mobile MRI lease pending solicitation.

The MRI Technologist will perform a range of Magnetic Resonance Imaging (MRI) examinations per request of the Medical Staff for use in clinical diagnosis, including patient screening and monitoring, patient therapy and status.

The Technologist shall be sensitive to Cultural aspects of Native American Indians in providing health care as patients.

Services by the Technologist shall include the following:

1) Technologist shall independently perform MRI examinations.

2) MRI Technologist may be required to work beyond the scheduled cover hours due to emergency cases.

3) Contractor will be required to complete PIMC mandatory training monthly or as needed.

4) Perform other assignments as determined by the Radiology Department Supervisor or COR.

6) The contractor(s) shall attend a PIMC orientation and all contractors are required to provide immunization records as proof of immunity or disease prior to the performance of work.

(Reference Indian Health Service Circular 95-9A). Tuberculosis: Annual PPD or Chest X-ray, if there is a history of positive skin test. (b) Documentation of two (2) MMR (Measles, Mumps &

Rubella) vaccinations or proof of immunity. Employees born before 1957 do not need MMR or proof of immunity. (c) Documentation of two (2) varicella (chicken pox) vaccinations or proof of immunity or history of having disease. (d) Documentation of Hepatitis B series vaccination. (e)

Documentation of influenza vaccination during flu season.

7) Personal Hygiene - Technologists shall be clean and neat in appearance and comply with the

Service Unit dress code for professional Radiologic Technologists and present themselves in a professional manner commensurate with the nature of the profession and line of work.

8) Be physically able to perform all duties required by the contract including working outside in the temperature extremes of summer or winter.

Diagnostic Radiologist Technologist (Digital Radiology):

The contractor shall be experienced in the use of the following equipment:

PIMC utilizes Shimadzu digital radiology and fluoroscopy units for its table exams and portable exams. A Canon DR plate system is used for both table and portable image capture.

The Diagnostic Radiologist Technologist (DRT) will perform a range of digital radiology examinations per request of the Medical Staff for use in clinical diagnosis, including patient screening and monitoring, patient therapy and status.

The Technologist shall be sensitive to Cultural aspects of Native American Indians in providing health care as patients.

Services by the Technologist shall include the following:

1) Technologist shall independently perform digital radiology, C-ARM and Fluoroscopy services examinations.

2) Technologist may be required to work beyond the scheduled cover hours due to emergency cases.

3) Contractor will be required to complete PIMC mandatory training monthly or as needed.

4) Perform other assignments as determined by the Radiology Department Supervisor or COR.

5) Services are for on-site coverage only.

6) The contractor(s) shall attend a PIMC orientation and all contractors are required to provide immunization records as proof of immunity or disease prior to the performance of work.

(Reference Indian Health Service Circular 95-9A). Tuberculosis: Annual PPD or Chest X-ray, if there is a history of positive skin test. (b) Documentation of two (2) MMR (Measles, Mumps &

Rubella) vaccinations or proof of immunity. Employees born before 1957 do not need MMR or proof of immunity. (c) Documentation of two (2) varicella (chicken pox) vaccinations or proof of immunity or history of having disease. (d) Documentation of Hepatitis B series vaccination. (e)

Documentation of influenza vaccination during flu season. (f) Documentation of Covid-19 vaccination.

7) Personal Hygiene - Technologists shall be clean and neat in appearance and comply with the

Service Unit dress code for professional Radiologic Technologists and present themselves in a professional manner commensurate with the nature of the profession and line of work.

8) Be physically able to perform all duties required by the contract including working outside in the temperature extremes of summer or winter.

CONTRACTOR CREDENTIALS:

The contractor shall provide a potential qualified candidates and the following documents per candidate as applicable during Solicitation:

1. Current Resume.

2. Ensure resume/CV has a point of contact telephone number and email address to verify previous or current employers.

4. One (1) year of experience.

5. Verification of Employment (VOE) required from a current or previous employer within the last three (3) years (conducted/validated by Contractor employing candidate).

6. Copy of valid ARRT (The American Registry of Radiologic Technologist) with certifications for Radiology or Magnetic Resonance Imaging, as noted per coverage required.

7. Copy of valid BLS (Basic Life Support). Contractor may be required to participate in

Resuscitation Quality Initiative (RQI), by the American Heart Association and Laerdal Program.

8. Copy of a valid, unrestricted License to practice from any of the 50 states of the United States of America. Each licensed specialist shall present an original current license when reporting to the PIMC Radiology Department for duty or for orientation whichever comes first. A copy is required for the contract file. No reimbursement will be made for the specialist who reports to work with an expired license or a license that is not in good standing. The Contractor shall validate individual license and assure each license is in good standing.

9. College Transcripts (conferred degree and certified training in the field).

8. SECURITY CLEARANCES:

All contractor employees who require access to the IHS IT and RPMS systems shall be the subject of a background investigation and must receive a favorable adjudication from the IHS prior to performance. The contractor will be responsible for the actions of those individuals they provide to perform work for the IHS; must pass background checks, fingerprinting, and badging.

The contractor's credentials/ qualifications are subject to review by the Government.

These qualifications at a minimum will be based on the Joint Commission for Critical Access

Hospitals (JC).

The Contractor shall abide by the following Security Standards that are required for the position:

Federal Security Identification Badge Request: It is the responsibility for the department to provide the necessary clearances to the IHS computer system as well as other security requirements needed for the Contractor to perform their duties.

Background investigation: The level of background investigation commensurate with the required level of access is required and complied with upon contract award.

Contractor shall assure that upon selection acceptance of qualified candidate, fingerprints will be secured and submitted to the Government within 72 hours from notification of a selected qualified candidate.

Must be authorized to work in the United States.

The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract.

Failure to comply with the contractor personnel security requirements may result in corrective actions to protect the Government's interests.

Background Check:

Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum fingerprints are required and upon clearance at this stage a Contractor’s may work a scheduled shift. However, Contractors are required to complete the detail background application and application is to be completed within 30 days once the Contractor’s employee has been given access.

All Contractor employees are subject to criminal background check prior to performing services in accordance with the contract terms and conditions. The Contractor shall ensure that each of their provider(s) complete the, Certification of Criminal History and Background Check Packet.

The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. Contractors (and their employees) requiring routine, long-term access (i.e., greater than 120 days) to IHS facilities and/or systems; or providing services to children under 18 year of age are subject to criminal background checks prior to performing services. The Contractor shall ensure that each employee(s) complete the Certification of

Criminal History and Background Check Packets to initiate the Child & Youth Services National

Agency Check with Inquiries (CNACI). The COR is responsible for providing the Contractor with all necessary background check forms.

The COR is also responsible for ensuring all background check forms are fully completed and processed prior to commencement of service. The Contractor shall return all completed forms to the Human Resource Office located at Phoenix Area Indian Health Service, 40 North Central

Avenue #510, Phoenix, AZ 85004.

Contractors may be directed to the e-QIP website to complete the necessary background investigation forms online (inquire with the Service Unit should you wish to complete forms electronically). All Contractors (or their employees) must appear in person to IHS (or an IHS facility) with two acceptable forms of identity; fingerprints will be taken electronically, or on paper, at this time. This must occur prior to the first date of service (realistically allow a 14-30 day processing time before the actual start date). At a minimum, if results are not received within

5 days, the identity credentials can be issued based on a favorable FBI National Criminal History

Check (fingerprint check). Note: These timeframes are based on complete and acceptable package, including legible fingerprints.

FOR MORE INFORMATION ON SECURITY REQUIREMENTS PLEASE REFER TO DHHS

SITE:

http://intranet.hhs.gov/pivcard/brochure.html

Child Care National Agency Check & Investigation (CNACI)

In accordance with the Child Care National Agency Check and Investigation (CNACI) directive, implemented by the IHS, the following documents will be required from the Contractor and all employees they utilize under this awarded contract:

1. DHHS Application Background Survey.

2. DHHS/IHS Required Application Questionnaire for Child Care Positions.

3. IHS – Release of Personal Information.

4. SF-85 Questionnaire for Non-Sensitive Positions.

5. GSA Form 176 – Statement of Personal History.

6. FD-258 Federal Bureau of Investigation Fingerprint Analysis Chart

A Contractor whose duties and responsibilities involve regular contract or control over children is subject to a character investigation as required by Public Law 101- 630, the Indian Child

Protection and Family Violence Prevention Act. The Phoenix Area IHS Office of Human

Resources or the IHS Service Unit conducts these investigations following contract award. The

Character investigation may be waived if, in the judgment of the Contracting Officer, in consultation with the Human Resource Officer, an investigation has already been conducted and is on file. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor must not have unsupervised contact with the Indian

Children.

CREDENTIALING AND PRIVILEGING:

The contractor will participate in the credentialing and privileging process in accordance with existing procedure. Contractor shall provide no services prior to obtaining approval by the

Government Medical Executive and Governing Board. The Contractor will be provided copies of current requirements and updates as they are published. Privileges will require renewal at least every one - two years in accordance with Government credentialing privileging policy and

JCAHO requirements.

SUPERVISORY CONTROLS:

The Supervisory Department Officer, or designee, provides primarily administrative supervision.

The supervising designee sets overall health care objectives and specifies resources available.

The supervising designee provides for clinical supervision on a 24-hour, media and tour of duty coverage. The supervising designee reviews work performance on a periodic basis in order to evaluate proficiency in providing health care, discuss deficiencies and problems encountered, outline and/or approve new or changed practices to be employed, and provides consultation on specific cases and related problems. Work which involves out-of-the-ordinary diagnostic decisions or treatment is discussed with supervisory department officer or designee who keeps aware of the condition of such patients and all aspects of treatment regimen. Work performance is reviewed for conformance to IHS policy, procedures and accepted professional practices; and the Quality Assurance improvement Program of the Medical staff of the Service Unit.

PIMC Medical professional(s) will provide guidance and instruction to the contractor’s staff providing services during each shift worked. Within established guidelines, contractor(s) exercise latitude in planning and carrying out health care assignments and in undertaking new procedures, practices and approaches to extend both services provided and increase individual proficiency. Overall work performance is reviewed jointly by the clinical director/supervising physician for effectiveness in meeting requirements for healthcare services.

DELIVERABLES:

The Contractor is required to provide a copy of each Contractor’s employee profile to the

Contracting Officer Representative prior to providing services at the Phoenix Indian Medical

Center.

Timesheets shall be submitted to the Supervisor or designee of the department at PIMC; the timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment, then forwarded to the receiving official for further processing of receipt of services through UFMS/PRISM.

Contractor shall provide to the Supervisory Diagnostic Radiologic Technologist or COR competencies for each technologist prior to the start date of each candidate. Contractor shall update every 12 months and resubmit to the Supervisory Diagnostic Radiologic Technologist or

COR.

Contractor shall provide to the Supervisory Diagnostic Radiologic Technologist or COR BLS updates as needed and shall not let the Technologist lapse in certification. Failure of lapse BLS will disqualify Technologist from reporting for services.

CONTRACTING OFFICER REPRESENTATIVE (COR) RESPONSIBILITIES:

The Contracting Officer will designate in writing a COR who shall be responsible for:

i. Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and recommending to the Contracting Officer, changes in requirements;

ii. Interpreting scope of work;

iii. Performing technical evaluations required;

iv. Performing technical inspections and acceptances required by this contract;

v. Monitoring funds available for obligation under this contract;

vi. Government shall be responsible for compliance with all relevant safety and health laws and regulations during the period of a Technologist assignment under Government supervision, including but not limited to The Joint Commission regulations (or equivalent) relating to orientation and evaluation and HIPAA regulations. The Government will provide each

Technologist with all necessary site specific training, orientation, equipment and evaluation required by federal, state or local occupational safety laws or rules, including The Joint

Commission and HIPAA for member of the Government's workforce. The. Government will only utilize Technologists for the need requested and will only assign Technologists to work in the clinical specialty areas in which they are professionally qualified and oriented to work.

Orientation/assessment time will be billable to Government as the regular hourly bill rate as set forth in the contract price schedule.

vii. IHS Support Personnel, Services or Equipment: The IHS will provide all medical supplies and equipment to provide these services except for uniforms and any other personal related items.

vii. The resolution of technical problems encountered during performance of this contract;

In no event is the COR empowered to change any of the terms and conditions of the contract.

Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the Contracting Officer by a properly exercised modification. The designation of a

COR does not authorize or provide a legal right to change any kind of contractual terms regardless of the Contractor’s apparent difficulties in fulfilling contract requirements.

CONTRACTING OFFICER (CO) RESPONSIBILITIES:

The Contracting Officer is the only person delegated the authority to negotiate changes in terms, conditions, or amounts cited in this contract.

PERFORMANCE CONDITIONS:

A. The contract states required coverage for Weekday MRI services. The COR will submit schedules of Other MRI Services and digital radiology services as required coverage a minimum of 15 calendar days prior to the first day of coverage requested.

B. In the event the Contractor’s employee is unable to render service on a previously agreed schedule, the Contractor shall provide a minimum seventy-two (72) hour notification to the

COR. The Contractor shall then make a full, good-faith effort to provide coverage with a replacement. (Only applies to Other MRI Services and digital radiology services)

C. Both parties recognize that on occasion there shall be a need to fill coverage requests with less than a 15-day notice. In such an emergency scheduling situation, the Contractor shall make a full, good-faith effort to accommodate the emergency request.

If the Contractor is unable to meet the emergency scheduling request, they shall immediately notify the COR and those involved in scheduling.

D. The contractor may not substitute or replace any of the Technologist of which it has not provided qualifications, resumes, background check clearances, employee health clearances or

New Employee Orientation clearances under this contract. All contractor-requested substitutes or replacements’ shall abide and be preapproved through the credentialing process prior to their start date.

E. The Government reserves the right to accept or not accept the contractor provided technologists. In the event that any contracted personnel are determined unacceptable by the

Government point of contact, at any time during the performance period, the Contracting Officer

(CO), via the COR, will request a replacement and will notify the contractor's point of contact that the unacceptable individual shall not be resubmitted to provide service under this contract.

F. Non-acceptance of a contracted technologist does not relieve the contractor from fulfilling the terms and conditions of this contract. In the event of a dispute between the designated contacts, the CO's decision is final.

G. The Contractor shall provide both the COR and CO copies of its certificates of insurance and its subcontractors’ certificates of insurance prior to performing services under this contract. All contractor and subcontractor certificates of insurance shall name the Phoenix Indian Medical

Center as an additional insured.

CONTRACTOR RESPONSIBILITIES:

The contractor shall provide all necessary contracted technologists upon request of the IHS for those services as stated:

1. Find sources for requested contract-staff positions and shifts.

2. Provide contract-staff selection choices to Government

3. On-board the selected contract-staff

4. Maintain required documents

5. Off-board contract-staff when no longer needed

6. Contractor shall be responsible for meeting or exceeding the Indian Health Service or the

Accreditation Standards of The Joint Commission for Critical Access Hospitals.

7. Contractors are responsible for maintaining the integrity of this contract in relationships with subcontractors and professional liability insurance.

Subcontracting, corporate partnering and/or teaming arrangements are permitted under this contract. Any subcontractor providers utilized during this contract shall maintain the qualifications as required by the prime contractor.

8. Performance Standards: The Quality Assurance Surveillance Plan (QASP) outlines required standards and will be a part of the resultant contract.

Measures Performance

Requirement

Standards Acceptable

Quality

Level

Negative

Incentive

Positive

Incentive

1. Coverage of key mandatory services. (MRI

Services)

Contractor shall provide 100% services coverage for

Weekday MRI

Services.

Qualified personnel are available and sufficient staffing available to cover

Weekday MRI

Services.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

Quality

Level)

Government will exercise the next option year if the contactor performs satisfactorily.

2. On-Call /

Call Back response time – at PIMC within

45 minutes.

Contractor shall provide 100 % response time of 45 minutes to be onsite at

PIMC.

Zero breaches of performance requirement standards.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

Quality

Level)

Government will exercise the next option year if the contactor performs satisfactorily.

3. Patient

Safety (MRI

Services)

Practice MRI patient safety procedures per the PIMC

Policy.

Zero breaches of performance requirement standards.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

Quality

Level)

Government will exercise the next option year if the contactor performs satisfactorily.

4. Patient

Safety (Digital

Radiology)

Practice low dose imaging.

Zero breaches of performance requirement standards.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting

Government will exercise the next option year if the contactor performs satisfactorily.

C

9. The contractor shall prescreen all personnel requiring access to the computer system to ensure they are eligible for employment, and are able to read, write, speak, and understand the English language.

10. All patient safety incidences shall be reported immediately to the Department Manager in accordance with the Service Unit policy. The COR, the contractor's supervisor, and the

Contracting Officer shall be notified if the contracted Technologist is to be investigated for negligence.

CONDITIONS FOR PAYMENT

1. Contractor's employee must be present at the facility and must be actually performing the required services to receive payment for services. Contractor shall only receive payment for the actual number of hours worked on-site at the specified facility.

2. Contractor will be required to invoice monthly in and invoices submitted must conform to the contract invoicing requirements.

3. Contractor shall submit signed invoices to the Radiology Secretary’s office. Invoice shall include the following information: Contract number, invoice number, date of service, type of service, time and hours of service, dollar amount and brief description of services performed and name.

the

Acceptable

Quality

Level)

6. Privacy, Confidentiality and HIPPA

(MRI Services and digital radiology)

Contractor is aware of all laws, regulations, policies, and procedures relating to

Privacy

Confidentiality and HIPPA and

Complies with all standards

Zero breaches of privacy or confidentiality

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

Quality

Level)

Government will exercise the next option year if the contactor performs satisfactorily.

PATIENT CULTURAL BACKGROUND:

Some of the IHS patients receiving services under this contract may only speak a native language or Spanish or may have limited comprehension of the English language, and/or may reside on a

Native American Indian Reservation. The Contractor is expected to demonstrate sensitivity to cross-cultural and language difference and have the ability to work through government provided interpreters as necessary. Consideration must be given to potentially limited transportation and/or home environment facilities.

INFORMATION TECHNOLOGY SECURITY:

The Indian Health Service (IHS) is responsible for maintaining an information security program that provides protection for information collected or maintained by or on behalf of the Agency;

and information systems used or operated by the Agency or by a Contractor of the Agency or other organization on behalf of the Agency.

IT SECURITY – INFORMATION SYSTEMS SECURITY AWARENESS (ISSA) TRAINING:

Information Systems Security Awareness (ISSA) is mandatory annual security awareness training for all IHS system users and fulfills Federal mandates and regulations. IHS develops the modules in line with National Institute of Standards and Technology (NIST) guidelines on information security awareness and information security trainings.

The ISSA modules fulfill an IHS user's annual requirements for the following:

1. Acknowledgement and acceptance of the IHS Rules of Behavior

2. Privacy training

3. Protecting sensitive information and the Health Insurance Portability and Accountability Act

(HIPAA) & the Health Information Technology for Economic and Clinical Health Act

(HITECH)

4. Physical and information security

5. Appropriate email use

6. Protecting mobile devices and portable media

7. Social engineering awareness

8. Incident response and learning from past incidents

You can take the training or learn more at the ISSA website.

All IHS information system users must take annual security and privacy training in order to fulfill federal mandates and regulations. In addition, all new users must successfully complete this course within 24 hours of receiving access unless the user has read the IHS Quick Guide to

Information Security, in which case they will have 30 days to complete the training. Failure to complete training requirements will result in the loss of information systems access.

END OF Performance Work Statement