Atch D- Statement of Work ED.OP WRSU 22 May 2025.pdf

ED & Outpatient Physician Services

Statement of Work

Whiteriver Service Unit

22May 2025

INTRODUCTION:

It is the intent of the Whiteriver Service Unit (WRSU) to acquire non-personal professional medical services as described herein for the Whiteriver Indian Hospital located in Whiteriver, Arizona.

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 WRSU. 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/. Documented evidence of the clearances shall be provided to the Director, Human Resources, Whiteriver Indian Hospital, 200 W. Hospital Drive, Whiteriver, AZ 85941.

Please note: The contractor shall provide and identify at least (3) weeks in advance of the scheduled performance date the candidate for the scheduled shift(s). This is due to the

Government’s security clearance and credentialing/ and or privileging requirement. To ensure that the candidate is cleared for commencement of services.

PRIMARY CARE

SCHEDULES/LOCATION/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

Schedule: Shift times and schedules are subject to change based on the medical needs of the patient populace and hospital/clinic operations.

All services shall be performed at the Whiteriver Indian Hospital located in Whiteriver, Arizona and/or Cibecue Health

Center located 50 miles west of Whiteriver.

WRSU Outpatient Clinics and the Cibecue Health Center are routinely staffed 08:00-17:00 five days a week by physicians and mid-level providers who provider routine outpatient medical care for adults and children AND

WRSU Outpatient Clinics are routinely staffed 17:00-20:00 four days a week (M-Th) by physicians and mid-level providers who provide routine outpatient medical care for adults and children.

Outpatient Physician (Primary Care Provider):

SHIFT:

08:00 - 17:00 (M-F)

08:00 - 20:00 (M-Th)

LOCATION: Whiteriver Indian Hospital Outpatient Department

SHIFT:

08:00 – 17:00 pm (M-F)

LOCATION: Cibecue Health Center, Cibecue Arizona

QUALIFICATIONS: PRIMARY CARE PHYSICIAN:

1) Physicians must have completed a Family Medicine residency, an Internal Medicine Residency, a Pediatric

Residency or a Combined Internal Medicine/Pediatrics Residency.

2) Physicians must be board certified or board eligible.

3) Physicians must have an active and unrestricted license to practice medicine in the state of Arizona or one of the other 49 states in the USA, or the District of Columbia, or the Commonwealth of Puerto Rico.

4) Current certification is required in BLS (Basic Life Support).

STATEMENT OF WORK:

Outpatient Physician (Primary Care): The Contractor shall provide Outpatient Primary Care Services for the Whiteriver Indian Hospital Outpatient Department:

The Contractor shall provide physicians that have completed a residency in Family Medicine or Internal

Medicine, Pediatrics, or Combined Internal Medicine/Pediatrics. Outpatient Medicine (Primary Care) physicians shall perform the following:

a. The Contractor shall provide onsite daytime coverage up to 125 days per annum.

b. Contractor(s) serve as a Medical Officer (Family Practice/Internal Medicine/Pediatrics /Med-Peds)) which involves performance of Outpatient Medical Treatment for surgical and medical care services, at Whiteriver Indian Hospital, Whiteriver, Arizona or at Cibecue Health Center, Whiteriver, Arizona.

c. The contract physician(s) of this position are designated as staff Medical Officer (Family Practice/Internal Medicine/ Med-Peds) who provides direct care and services in the area of

Outpatient Primary Care Medicine.

d. Assignments include providing comprehensive and continuing health and medical care services for adult and pediatric patients. Although not all candidates need to be skilled in the care of pregnant and post-partum women, preference will be given to those with these skills. The incumbent is expected to handle the full range of cases and problems in primary care, including the very difficult and complex. Participates in teaching activities as needed.

e. Provides outpatient care as required, by interviewing (if possible) and examining any and all patients presenting to the outpatient clinic. Contract physician(s) review past medical history, and immediately requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case.

f. Contract physician(s) make diagnosis, directs, prescribes or provides treatment, or arranges for specialized care or patient transfer as required. Physician(s) base medical decisions upon information obtained and professional medical knowledge and skills. Contract physician(s) makes notes of observations and incorporates these into clinical records. The provider gives total patient care including prevention, developing patient care plans, health maintenance, early diagnosis, providing instruction/counsel, treatment, and follow-up services to patients under his/her care.

g. Outpatient Contract physician(s) shall respond to all ‘Code Blue” pages within the Outpatient

Department.

h. The contractor physician(s) shall comply with all WRSU policies and procedures. The physician(s) 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). During the performance of their duties, the contractor(s) shall provide for the consistent performance of patient care processes in accordance with the CMS Conditions of

Participation and EMTALA, and the Joint Commission. The physician(s) shall also adhere to the

Comprehensive Accreditation Manuals for Hospitals, The Laboratory Standards and Ambulatory Care Standards as they represent the scope of services of this contract. The Whiteriver Service Unit utilizes an electronic health record (EHR) and the contractor physician(s) shall use the system for documentation. WRSU will provide training to all contract providers on the use of the EHR.

i. Physician(s) review the patient’s medications, diet therapy course, and management plan. The provider modifies regimen as indicated. Physician instructs and counsels patients and family members as required.

j. Contract physician(s) coordinates and integrates information obtained into the ongoing Health Care Program at the Service Unit and assures timely follow-up care as required. Contract physician(s) also complete all necessary paperwork for Contract Health Services for all patients referred.

k. Contract Physician(s) work closely with allied health professionals (i.e., nursing, Community Health

Nurse, Social Workers, Health Educator, etc.) to utilize and coordinate the services of Health Care Professionals in the management of the patient’s medical, psychological and social problems.

l. All contract physician(s) shall be formally granted clinical privileges in Family Medicine, Internal

Medicine, and/or Pediatric Medicine as training and experience allow by the WRSU Medical Executive Committee and the Governing Body prior to assuming clinical responsibilities.

m. Performance and Deliverables: Period of performance will be determined upon successful awarding of the contract.

n. Supervision: The contract physician shall perform his/her professional work independent of

Government supervision. However, matters of an administrative and non-technical nature will be referred to the Outpatient Department Director and his/her designee.

o. Schedule: The contractor shall record time and attendance which shall be verified by the supervisor and/or his/her designee.

p. Contractor shall ensure that proposed providers cooperate with and assist the Government in conduction of any necessary background checks.

EMERGENCY MEDICINE

SCHEDULES/LOCATION/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

Schedule: Shift times and schedules are subject to change based on the medical needs of the patient populace and hospital/clinic operations.

All services shall be performed at the Whiteriver Indian Hospital located in Whiteriver, Arizona.

WRSU ED provides care for approximately 40,000 patient visits per year and is staffed with (1) physician from 07:00 to

19:00; (1) physician from 09:00 to 21:00; (1) physician from 15:00 to 03:00 and (1) physician from 20:00 to 08:00 due to the volume and complexity of patients. Covered shifts may include daytime, evening and nighttime shifts, including weekends and holidays. The Contractor shall coordinate scheduling with the WRSU ED Director.

SHIFTS:

07:00 – 19:00

09:00 – 21:00

10:00 – 22:00

15:00 – 03:00

20:00 – 08:00

LOCATION: Emergency Department at WRSU

QUALIFICATIONS:

1) Physicians must have completed an Emergency Medicine residency and be board certified or board eligible in Emergency Medicine, or completed a Family Medicine or Internal Medicine or other residency with 1.5 years of Emergency Medicine experience.

2) Physicians must have an active and unrestricted license to practice medicine in the state of Arizona or one of the other 49 states in the USA, or the District of Columbia, or the Commonwealth of Puerto Rico.

3) Current certification is required in BLS (Basic Life Support)

4) ACLS (Advanced Cardiac Life Support)

5) PALS (Pediatric Advanced Life Support)

6) ATLS (Advanced Trauma Life Support)

a. Current certification by the American Board of Emergency Medicine (ABEM), or American

Osteopathic Board of Emergency Medicine (AOBEM); ABEM- or AOBEM eligibility may be considered for recent (< 3 years) graduates of an ACGME- or an AOA-accredited post-graduate training program in Emergency Medicine.

OR

b. Current certification by the American Board of Family Medicine (ABFM), or American Osteopathic

Board of Family Physicians (AOBFP); ABFM- or AOBFP-eligibility may be considered for recent (< 3 years) graduates of an ACGME- or an AOA-accredited post-graduate training program in Family

Medicine.

OR

c. Current certification by the American Board of Internal Medicine (ABIM) and the American Board of Pediatrics (ABP); ABIM- and/or ABP-eligibility may be considered for recent (< 3 years) graduates of an ACGME- or an AOA-accredited post-graduate combined training program in Internal

Medicine and Pediatrics.

OR

d. Current certification by the American Osteopathic Board of Internal Medicine (AOBIM) and the

American Osteopathic Board of Pediatrics (AOBP); AOBIM- and/or AOBP-eligibility may be considered for recent (< 3 years) graduates of an ACGME- or an AOA-accredited post-graduate combined training program in Internal Medicine and Pediatrics.

OR

e. Current certification by the National Board of Physicians and Surgeons.

Experienced ABEM or AOBEM certified physicians are preferred due to the facility’s limited in-house clinical support.

STATEMENT OF WORK:

The Contractor shall perform the following:

a. The Contractor shall provide onsite nighttime and evening coverage 365 nights per annum. The

Contractor shall be responsible for internally coordinating all shifts amongst its credentialed emergency physicians, and for making sure that onsite service is provided by its contractors 365 nights of the year.

b. Contractor(s) serve as a Medical Officer (Emergency Medicine) which involves performance of

Ambulatory Medical Treatment for emergency, surgical and medical care services, at Whiteriver

Indian Hospital, Whiteriver, Arizona.

c. The contract physician(s) of this position are designated as staff Medical Officer (Emergency

Medicine) who provides direct care and services in the specialty are of Emergency Medicine.

d. Assignments include providing comprehensive and continuing health and medical care services for adult and pediatric patients. The incumbent is expected to handle the full range of cases and problems in specialty, including the very difficult and complex. Cases are sometimes critical and require immediate decisions. Participates in teaching activities as needed.

e. Provides emergency care as required, by interviewing (if possible) and examining any and all patients seeking emergency care. Contract physician(s) review past medical history, and immediately requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case.

f. Contract physician(s) make preliminary diagnosis, directs, prescribes or provides treatment, or arranges for specialized care or patient referral as required. Physician(s) base medical decisions upon information obtained and professional medical knowledge and skills. Contract physician(s) makes notes of observations and incorporates these into clinical records. Contract physician(s) provide definitive management, in all medical categories, for cases that do not require a referral. The provider gives total patient care including prevention, developing patient care plans, health maintenance, early diagnosis, providing instruction/counsel, treatment, and follow-up services to patients under his/her care.

g. Emergency Department physicians manage patients on the inpatient hospital ward overnight, from the hours of 1700-0700. Contractor physician(s) will receive admitting privileges, will admit appropriate patients to the inpatient ward overnight, and manage all patients on the hospital ward, as needed.

h. Emergency Department Contract physician(s) shall respond to all ‘Code Blue” pages throughout the

WRSU campus.

i. The contractor physician(s) shall comply with all WRSU policies and procedures. The physician(s) 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). During the performance of their duties, the contractor(s) shall provide for the consistent performance of patient care processes in accordance with the CMS Conditions of Participation and EMTALA, and the Joint Commission. The physician(s) shall also adhere to the

Comprehensive Accreditation Manuals for Hospitals, The Laboratory Standards and Ambulatory

Care Standards as they represent the scope of services of this contract. The Whiteriver Service Unit utilizes an electronic health record (EHR) and the contractor physician(s) shall use the system for documentation. WRSU will provide training to all E.D. providers on the use of the EHR.

j. Provider(s) conducts urgent/emergent services, making observations appropriate to the patient’s underlying disease and treatment plan. Physician(s) review the patient’s medications, diet therapy course, and management plan. The provider modifies regimen as indicated. Physician instructs and counsels patients and family members as required.

k. Contract physician(s) refer patients to appropriate medical facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at WRSU.

Coordinates and integrates information obtained into the ongoing Health Care Program at the Service

Unit and assures timely follow-up care as required. Contract physician(s) also complete all necessary paperwork for Contract Health Services for all patients referred.

l. Contract Physician(s) work closely with allied health professionals (i.e., nursing, Community Health

Nurse, Social Workers, Health Educator, etc.) to utilize and coordinate the services of Health Care Professionals in the management of the patient’s medical, psychological and social problems.

m. All contract physician(s) shall be formally granted clinical privileges in Emergency Medicine by the

WRSU Medical Executive Committee and the Governing Body prior to assuming clinical responsibilities.

n. Performance and Deliverables: Period of performance will be determined upon successful awarding of the contract.

o. Supervision: The contract physician(s) shall provide guidance and instruction to all midlevel providers that work in the emergency department during each shift worked. The contract physician shall perform his/her professional work independent of Government supervision. However, matters of an administrative and non-technical nature will be referred to the Chief of Emergency Department

Services and his/her designee. For the purposes of this order, the Chief of Emergency Department

Services is designated as the “Supervisor”.

p. Schedule: The contractor shall record time and attendance which shall be verified by the supervisor and/or his/her designee.

q. Contractor shall ensure that proposed providers cooperate with and assist the Government in conduction of any necessary background checks.

A. PRICE SCHEDULE: See Attachment A- Rate Schedule

Hourly fixed rate shall be inclusive of all other fees (holiday, nights, and weekend) including travel expenses, per diem, lodging, local, city, state, federal taxes, and all miscellaneous costs associated with the provision of services. The government will pay one flat rate. Physicians 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 nights, weekends, holidays, overtime or on-call. *Thirty (30) minutes lunch breaks are included in the shift hours and will not be paid by the Government.

B. PERIOD OF PERFORMANCE:

The period of performance shall be for a base plus four (4) one-year option years commencing from the date of award.

C. CONDITIONS FOR REMOVAL/REPLACEMENT OF PHYSICIAN(S)

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

The Contractor’s employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this award, and/or the Contractor’s VA/FSS contract.

The Contractor shall relieve contracted staff within 24 hours of notice and, if a replacement is needed, the replacement should be available within one week of the removal.

D. CONTRACTOR REQUIREMENTS

For Medical & Professional Contractors, the Physicians shall comply with IHS facility infection control; safety policy and procedures; and standards. During the performance of this contract, the Contractor shall provide consistent performance of patient care processes according to TJC and/or Centers for Medicare Services (CMS) who issues 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 Physicians 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 providers 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. Each Contractor physician must be eligible for billing to the Centers for Medicare & Medicaid

Services(CMS).

The Contractor’s employee must complete CMS-8551 and CMS-855R Medicare and Medicaid Enrollment

Applications and any other insurance paperwork. Copies and/or access to patient medical records shall be provided to the business office personnel for the purpose of financial matters regarding billing and insurance collections. WRSU will process all eligible third party claims for reimbursement for services provided by the

Contractor(s). Medicare and Medicaid: Enrollment Initial Application: If physician is approved for credentialing and privileging, WRSU will send CMS forms to the contractor for the physician to complete/sign and return to

WRSU Business Office. Contractor shall not allow physician to interpret studies for WRSU until CMS forms are returned and approved by the WRSU Business Office within 21 business days. Confirmation can be obtained by contacting the WRSU Business Office. Revalidation Application: Contractor shall be notified 6 months prior to revalidation of CMS Applications. WRSU will send CMS forms to the contractor for the physician to complete/sign and return to WRSU Business Office. Contractor shall not allow physician to interpret studies for

WRSU until CMS forms are returned and approved by the WRSU Business Office within 21 business days.

Confirmation can be obtained by contacting the WRSU Business Office

E. CONTRACTOR CREDENTIALS:

mailto:CheryleLynn.King@ihs.gov

The Contractor shall provide a list of qualified physicians and the following documents for each provider:

1. Current Resume or C.V

2. Credentialing documents and degree conferred

3. Conferred degrees and certified training in the field

4. Copy of active unrestricted License to Practice Medicine and Board Certifications

5. License Certification Statement

6. Two (2) letters of references from current or previous employers

7. Past Work Performance Statement, applicants must describe their present and previous experiences in this field

8. OMB NO 0917-0028, Addendum to Declaration of Federal Employment (OF-306)

9. Child Care Form, Addendum OMB Approved Form-2012

10. Current Health Status Report

11. Certificate of Immunizations

J. SUPERVISORY CONTROLS

The Chief or Supervisor of the Department, or designee, provides administrative supervision and conducts the following:

1. Sets overall health care objectives and specifies available resources

2. Provides clinical supervision during tour of duty during clinic operating hours

3. 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

4. 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

5. Work performance is reviewed for conformance to IHS policy, procedures and accepted professional practices

6. Assures participation in Quality Assurance and Performance Improvement activities. In accordance with hospital policy, each contractor is subject to a prescribed focused peer review at the initiation of practice at

WRSU. After that has been completed, if the contractor’s level of practice is deemed satisfactory, the contractor will be a part of the conventional peer review in which all radiologists participate. This includes radiology/pathology correlation, structured review of randomized interpreted cases, review of all breast biopsies, and morbidity and mortality review.

7. Within established guidelines, Physicians 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 performance reviews will be conducted jointly by the clinical director/supervising physician for effectiveness in meeting requirements for healthcare services.

K. SECURITY CLEARANCES

The Contractor shall ensure their physicians complete the following security clearance activities prior to reporting to work:

1. Obtain Fingerprint cards or

2. Process their fingerprints electronically, in person, at the WRSU Human Resources Department

3. Complete the appropriate background investigation form which will be submitted for processing to the

Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/

No performance under this contract shall be allowed until security clearances have been received by the WRSU

Human Resources Department and a WRSU employee badge has been issued.

L. CREDENTIALING AND PRIVILEGING

The physicians will participate in the credentialing and privileging process in accordance with existing procedures. Physicians shall provide no services prior to obtaining approval by the Government Medical Executive and Governing Body. The physicians 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 the Joint Commission requirements.

M. DELIVERABLES

The Contractor is required to provide a copy of each Contractor’s employee profile to the COR prior to providing services at the WRSU. Timesheets shall be submitted to the Chief or Supervisor of the Department, or designee.

The timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment by the department supervisor; or his/her designee; and forwarded to the receiving official for further processing of receipt of services

N. PERFORMANCE CONDITIONS

The COR will submit schedules of required coverage a minimum of 15 calendar days prior to the first day of coverage requested.

http://exclusions.oig.hhs.gov/

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.

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.

O. PERFORMANCE STANDARDS

(a) Introduction – Performance Requirements:

(1) A Quality Assurance Surveillance Plan (QASP) has been developed for in-house operations or to implement a service contract. It is designed to aid the PO in providing effective and systematic surveillance of all aspects of professional services. This plan provides for monitoring the contract requirements.

Outcome Required Services

Documentation Meets satisfactory criteria

Normal Method of

Surveillance

Incentives and Deduction from Contract

Granted clinical privileges in

Family

Medicine, Internal

Medicine, and/or

Pediatric

Medicine

Apply for and be granted clinical privileges for the

Outpatient Department prior to assuming clinical responsibilities

Present a complete credentialing and privileging application and be granted clinical privileges by WRSU

Governing Body

100%

Compliant

WRSU Medical

Executive

Committee review and recommendation to Governing

Body

Incentive: Government approves documentation

De-incentive: Government reject documentation and remove physician.

Provides direct patient care services and completes documentation

Major Duties –Timely documentation of all visits within EHR according to all WRSU policies and procedures

Completes patient encounter notes based on policies and procedures of hospital or health care facility

100%

Compliant

Government review of

Contractors notes.

Incentive: Government approves documentation

De-incentive: 2 incidents (per month) may result in removal of physician.

Participates in and meets conventional standards of peer review

Peer Review Participate in peer review process and maintain satisfactory rating. This includes structured review of randomized cases, and morbidity and mortality review.

100%

Compliant

Supervisory/Peer surveillance with

WRSU Medical

Executive

Committee

Review

Incentive: Government approves documentation

De-incentive: Government reject documentation and remove physician.

Respond to all

‘Code Blue” pages within the

Outpatient

Department

“Code Blue” Response Respond to and participate in “Code

Blue” responses and debriefs

100%

Compliant

Supervisory/Peer surveillance

Incentive: Government approves documentation

De-incentive: Government reject documentation and remove physician.

(b) The objective of this surveillance plan is to evaluate how the Contractor is performing in key areas. The government is primarily interested in the final service being provided and not in the details of accomplishment.

(c) The principal method of surveillance will be daily in some cases or by use or periodic inspections.

Appropriate indicators are provided for recording observations in this type of surveillance.

(d) How to Use the Performance Based Matrix

(i) Each defect observed will be recorded on the tally report. These documents will then become a formal record for later reference. The tally of defects at the end of each clinic or year (dependent on criteria) will be compared to the acceptable number of defects appearing in the surveillance plan. Errors detected by the PO in the course of surveillance will be transmitted to the Contractor or in-house personnel for correction. Notification of errors will take place within five (5) working days. Specifics concerning any errors should be recorded on the tally checklist. The Contractor or in-house personnel, as applicable, should be asked to initial this record.

(ii) Project Officer shall forward a copy of Contractor’s compliance with performance and non-performance compliance reports.

(e) Quality Assurance Surveillance Plan (QASP):

(i) The Government shall monitor the Contractors’ performance through a Quality Assurance

Surveillance Plan (QASP). The QASP is for informational purposes only and not considered part of the contract.

(ii) Surveillance systems will include periodic inspection and acceptance of all deliverables as cited in the contract.

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

ADDENDUM

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA): The Contractor shall adhere to the Provisions of Public Law 104-191, HIPAA of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). Medical records of IHS patients are Federal records and are subject to some or all of the following laws: the Privacy Act. 5 U.S.C. 552a; the Freedom of Information

Act. 5 U.S.C. 552; the Drug Abuse Prevention. Treatment. and Rehabilitation Act. 21 U.S.C. 1101. the Comprehensive Alcohol Abuse and Alcoholism Prevention. Treatment and Rehabilitation Act. 42

U.S.C. 4541. the Health Insurance Portability and Accountability Act of 1996.42 U.S.C. 1301. WRSU’s

Confidentiality of Certain Medical Records. 38 U.S.C. 7332; Confidential Nature of Claims. 38 U.S.C. 5701;

Medical Quality Assurance Records Confidentiality. 38 U.S.C. 5705. and Federal regulations promulgated to implement those acts. 38 U.S.C. 5705 (Confidentiality of Healthcare Quality Assurance Review Records), 38

U.S.C. 7332 (Confidentiality of certain medical records), as well as 45 C.F.R. Parts 160,162 and 164 (Health

Insurance Portability and Accountability Act) should be followed.

MEDICAL RECORDS:

Patient medical records are confidential and are protected by the Privacy Act of 1974, 5

U.S.C. 552a. Any breach of confidentiality and/or unauthorized release of information is subject to monetary penalty. Any individual making unauthorized disclosures may be criminally liable for violations of the Act.

End of Statement of Work