Atch D - Statement of Work CRSU Hospitalist REV.pdf

Hospitalist Services

Colorado River Service Unit

Arizona

It is the intent of the Phoenix Area Indian Health Service to acquire non-personal Hospitalist services as described herein for the Colorado River Service Unit (CRSU) Inpatient Department for the Parker

Indian Medical Hospital.

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

Selected candidate shall undergo the Indian Health Service mandated security clearance requirement prior to commencement of services at the Colorado River Service Unit. The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check of the physician through the office of the inspector general's exclusion list at http://exclusions.oig.hhs.gov/.

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

The Contractor is requested to provide HOSPITALIST SERVICES on an on needed basis. Shift times and schedules are subject to change based on the medical needs of the patient populace and hospital/clinic operations.

A) Inpatient/Hospitalist Physician (Parker only)

Shifts are routine Mon-Sun 7 days/week and hours worked will vary due to the number of admissions and this position will work in the outpatient when not working in the inpatient department. After hour (after 5:00 pm-08:00 am) calls and admissions will also be required when covering inpatient.

QUALIFICATION/CERTIFICATION – INTERNAL MEDICINE OR FAMILY

MEDICINE PHYSICIAN

Contractor shall provide staff Physician with experience in these areas. Physicians shall possess either board certification in Family Medicine or Internal Medicine shall possess a certification in

Family Practice or Adult Gerontology. Current certification is required in BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support).

2. PRICING 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.

Hourly fixed rate shall be inclusive of all other fees (holiday, overtime, nights, weekend or call services, etc.), including travel expenses, per diem, lodging, all city, state, federal and local taxes, and all miscellaneous costs associated with the provision of services. The government will pay one flat rate.

Contractor shall be paid only for actual time services are performed under the terms of the contract at the hourly fixed rate (one flat rate). There is no provision for holiday, overtime, nights, weekend or call services etc. *The government does not pay time taken for lunch.

3. STATEMENT OF WORK:

The overall scope of this contract is recruit and hire a qualified contractor under a Government service contract. The contractor will be expected to have 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, the 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). Chart notes 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 TJC accreditation program within IHS. These standards include: The Comprehensive Accreditation Manuals for Critical Access

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

The contractor shall possess a professional medical education from a post-secondary academic institution or be licensed in a field of medical study. The contractor should be proficient in writing, typing 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 Colorado River Service Unit. The contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the contractor can relate constructively to IHS employees, contractors, vendors and individuals from the Native American community. Due to some limited driving requirements, the contractor should have a current, valid state driver’s license from any of the 50

United States or the Commonwealth of Puerto Rico.

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 maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal contract employee is compatible with the expectations of the IHS staff.

The contractor shall be required to utilize the electronic health record for chart documentation, after receiving training to enter all lab, x-ray and medication requests.

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.

Contractor may be required to work beyond normal duty hours, on weekends, holidays and after regularly scheduled duty hours on an as needed basis for emergencies or if assigned to inpatient.

Accommodations/Lodging – For all locations the Contractor shall provide accommodations or housing allowance for the selected physicians for the duration of the period of performance.

4. CONDITIONS FOR REMOVAL/REPLACEMENT OF PHYSICIAN(S):

As mutually agreed between the Contracting Officer and the Contractor there may be grounds for removal and/or replacement of a Hospitalist.

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.

5. 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 (TJC) 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 physician(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the Colorado River Service Unit. 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/.

6. MAJOR DUTIES REQUIRED BY THE POSITIONS:

Skill and knowledge of established concepts, principles and practices related to health care assignments and additional training or experience in assessing the conditions of patients, in providing medical care and in advising on health care needs, all with full consideration of mental, emotional and physical factors.

Knowledge of the diagnostic, preventive and therapeutic position related to a variety of medical health care fields to include primary care, OB/GYN, ENT, Pediatric, orthopedics, internal medicine, mental health, dental, emergencies, medicine, minor surgery, nutrition, and hospital medicine.

Assumes responsibility for the diagnosis, care and treatment of inpatient and ambulatory care cases.

Admits and manages patients to the inpatient department of the Parker Indian Health Center and ability to provide emergency treatment.

Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case.

Makes preliminary diagnosis, directs, prescribes and/or provides treatment, or arranges for specialized care or patient referral as required. Provides definitive management in all medical categories for cases that do not require referral.

Ability to collect, organize, record and communicate, in a meaningful way, data relevant to primary health assessments including the detailed family and medical history, a physical examination and selective laboratory tests.

Ability to perform special screening and developmental tests and assess routine and specialized laboratory and radiological services.

Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care.

Provides other physicians, hospitals and other individuals’ clinical records as required for patient care or reimbursement.

Ability to assess the physical-psychosocial health status of patients and family based upon the knowledge of growth and development patterns and health condition is that require medical management.

Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in carrying out patient care.

Works closely with Allied Health Professionals (i.e. Social Worker, Public Health Nurse, Health

Educator, Discharge Utilization Reviewer, Case Management, ect.) in the provision of broad health program services.

Knowledge of pharmaceuticals in order to recognize their desired effects, side effects and complications of their use.

Knowledge of the availability and use of resources designated as primary care and referral services.

Ability to provide individual and family counseling, guidance and health instruction to help patients to understand how to prevent disease and maintain good physical and mental health.

Knowledge of quality assurance and evaluation process to improve care and facilitate monitoring and program planning.

Ability to provide guidance and leadership to other healthcare providers.

Holds an unrestricted license to practice in the United States is required. Compliance with Indian

Health Service – Service Unit Medical Staff/Governing Body By-laws, Rules and Regulations and compliance with requirements for credentialing/privileging as an active member of the medical staff.

Each contract Physician submitted in the proposal providing coverage shall be board certified by the

American Board of Family Medicine or American Board of Internal Medicine or hold a certification in

Family Practice or Adult Gerontology. Physician applicants require at least three (3) years of current experience.

Skill in diplomacy and tact while working in stressful situations.

Skill in working with people from a wide variety of backgrounds and different cultures.

Current certification is required as noted below (current within one year of initial Contractor’s initial start date):

[X] BLS (Basic Life Support)

[X] ACLS (Advanced Cardiac Life Support

SUPERVISORY CONTROLS

The CRSU Deputy Clinical Director or Chief Medical Officer, or designee, provides primarily administrative supervision. The supervising physician sets overall health care objectives and specifies resources available. The supervising physician provides for clinical supervision on a 24-hour, media and tour of duty coverage. The supervising physician 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 supervisor or supervising emergency department physician 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.

Physicians will provide guidance and instruction to the inpatient and outpatient nursing 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.

7. DELIVERABLES:

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

Officer prior to providing services at the Colorado River Service Unit.

B. Timesheet shall be submitted to the Deputy Clinical Director, Clinical Director, or designee of the

Colorado River Service Unit; 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 the US Treasury in IPP.

8. PROJECT OFFICER:

A. The designated Project Officer shall be the Clinical Director of the Colorado River Service Unit.

B. The Project Officer’s responsibilities shall be to coordinate with the provider the technical aspects of this service and the review of performance hereunder. The Project Officer does not have the authority to change or alter the contract amount, terms or conditions.

C. The Project Officer shall review whether services were received as ordered.

D. Upon certification of timesheets, the Project Officer, or designated alternate, will forward the signed timesheets to the receiving official of the Colorado River Service Unit for further processing.

9. Performance Conditions:

A. The Project Officer will submit schedules of 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 Project Officer.

The Contractor shall then make a full, good-faith effort to provide coverage with a replacement.

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 Project Officer and those involved in scheduling.

10. Timesheets:

Timesheet shall be submitted to the Deputy Clinical Director or Clinical Director or designee of the

Colorado River Service Unit; the timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment. Then Invoicing to be submitted through the US

Treasury in IPP.

11. ADDENDUM:

A. Pro-Children Act of 1994

The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-

Children Act of 1994 which imposes restrictions on smoking where federally funded children’s services are provided. The Act requires that smoking should be prohibited in any indoor facility of portion of a facility owned, leased, or contracted for a used for the routine or regular provision of health care, day care, or early childhood development (Head Start) services to children under the age of 18. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 per violation and/or the imposition of an administrative compliance order on the responsible entity. By submitting an offer and entering into a contractual agreement with the Government, Contractors certify that they will comply with the requirements of the Act. Contractors must obtain the same certification from subcontractors.

B. P.L. 101-630, The Indian Child Protection and Family Violence Prevention Act

Contractors whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child

Protection and Family Violence Act. IHS will conduct these investigations following award of a contract. The character investigation may be waived if, in judgment of the Contracting Officer, in consultation with the Personnel 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 Indian children.

C. Department of Health and Human Services Tobacco Policy

The Contractor’s employee shall comply with the Department of Health & Human Services

Tobacco-Free Policy (copy available upon request). Contractor’s employee shall not use tobacco products of any kind (e.g., cigarettes, cigars, pipes, and smokeless tobacco) while on any HHS

Property- owned or controlled.

D. Indian Child Protection and Family Violence Prevention Act

No performance under this contract will be allowed without full compliance with the Indian child protection and family violence prevention act, Public Law 101-630 and the Indian Health

Service memo dated February 3, 1997, investigations on child care workers. Contractor shall ensure that proposed providers cooperate with and assist the government in the conduction of any necessary background checks.

E. Crime Control Act of 1990

No performance under this contract will be allowed without full compliance with the crime control act of 1990, Public Law 101-647 and the Indian Health Service memo dated February 3, 1997, investigations on child care workers. Contractor shall ensure that proposed providers cooperate with and assist the government in the conduction of any necessary background checks.

CONTRACT ADMINISTRATION DATA –

Payment and Invoicing Instructions: Timesheets shall be submitted to the Deputy Clinical Director or the

Medical Director of the CRSU (or designate); 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. The Contractor shall submit bi-weekly invoice(s) through the Project

Officer (PO). Invoices shall be prepared with the following information CLEARLY identified on the invoice:

1. Invoice Date and Number

2. Contract Number

3. Charges for service or products identified BY LINE ITEM Number

4. Brief description of products or services rendered

5. Charges should follow Line Item structure on contract to include Quantity, Unit of Issue, Unit Price, and Total Amount as applicable

6. Dates of Service or Shipment

Invoices shall be prepared and submitted electronically and in accordance with rates and terms as stated in the contract.

Electronic Invoicing: The Phoenix Area Indian Health Service has initiated an important change in the accounts payable process that is mandatory and will ensure Contractors are paid promptly. All invoices are to be submitted through the US Treasury via IPP.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov

ELECTRONIC FUNDS TRANSFER - The Debt Collection Act of 1996 requires that Federal non-tax payments made after January 1, 1996 be made by Electronic Funds Transfer (EFT).

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

PROJECT OFFICER (PO) - The Contracting Officer will designate in writing a PO 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. The resolution of technical problems encountered during performance of this contract;

In no event is the PO 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 PO 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.

END OF STATEMENT OF WORK