Atch D- Statement of Work ED PHY 4 Sep 2025.pdf

Statement of Work

Emergency Department Physician Services

4 September 2025

Phoenix Area Indian Health Service (PAIHS) has a requirement for non-personal professional

Emergency Department (ED) Physician Services to be provided at Colorado River Service Unit (CRSU) for the Parker IHS Indian Hospital, Hopi Health Care Center (HHCC) and the Whiteriver Service Unit

(WRSU). They will be referred to collectively as the “PAIHS ED” throughout this document.

Colorado River Service Unit/Parker Indian Health Center

12033 Agency Road

Parker, AZ 85344

Hopi Health Care Center

Highway 264 Mile, Post 388

Polacca, AZ 86042

Whiteriver Service Unit/Whiteriver Indian Hospital

200 W Hospital Drive

Whiteriver, AZ 85941

Specifically, the purpose of this contract is to have qualified ED physicians available in the event neither permanent staff nor current contract vendors can meet the need to maintain 24/7 operational status. This contingency planning will only be used to the extent necessary to avoid closure of PAIHS

ED services, to avoid risk to patient lives, and to mitigate loss of facility accreditation.

All candidate submissions shall contain a complete profile, current work history, and necessary documentation of relevant education, licensure, and certifications.

Selected candidate shall undergo the IHS-mandated security clearance requirement prior to commencement of services at the PAIHS ED. The full security pre-clearance requirements must be adhered to, include a fingerprint check and a check of the physician through the Office of Inspector

General’s exclusion list at http://exclusions.oig.hhs.gov/.

Please note: The contractor shall provide and identify at least eight (8) 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 privileging requirements and thereby to ensure that the candidate is cleared for commencement of services prior to them reporting for duty.

BACKGROUND:

Parker Indian Health Center (PIHC) is a Joint Commission-accredited Critical Access Hospital (TJC

CAH), located in Parker, Arizona. The city of Parker, AZ has two Emergency Departments: PIHC and

La Paz Regional Hospital. Ample lodging, food, and shopping options are available locally in Parker or http://exclusions.oig.hhs.gov/ in nearby Lake Havasu City, which is approximately 39 miles north of PIHC. This 17-bed CAH serves more than 8,000 patients, and includes outpatient Patient-Centered Medical Home (PCMH), dental, optometry, podiatry, and Public Health Nursing (PHN) services. Onsite pharmacy, laboratory, and radiology departments have limited services available 24/7. Behavioral Health services are provided by the Tribe. In FY24 (October 2023 – September 2024), there were 46,079 ambulatory care visits (74% of which were for primary care services), more than 6,500 Emergency Department (ED) visits, and 54 admissions.

Hopi Health Care Center (HHCC) is a TJC CAH, located in Polacca, Arizona. This rural healthcare facility is approximately 70 miles from the nearest mid-size town of Winslow, AZ where lodging, food, and other amenities can be found. The HHCC does have lodging quarters close to the facility that may be available for contractor use and for a fee commensurate with the duration of stay. This is the only healthcare facility on the Hopi

Reservation (catchment population is approximately 18,000). HHCC currently provides the following services: ED (24/7); four-bed, short-stay inpatient unit for adult admissions;

PCMH outpatient department, dental, physical therapy, and PHN services that are operational on weekdays/business days; onsite pharmacy, laboratory, and radiology services have limited services available 24/7. Additionally, Hopi Tribal Behavioral

Health Services are co-located at HHCC. In CY23, there were more than 93,000 patient visits, including nearly 9,500 Emergency Department visits and more than 150 admissions.

The Whiteriver Indian Hospital is a TJC-certified hospital located in Whiteriver, AZ, serving the White

Mountain Apache Tribe. The hospital is 30 miles from a nearby mid-sized town, Show Low, AZ where a community hospital and lodging, food and other amenities are found. There exists onsite housing near the hospital that is often available for contractor use and at a fee commensurate with the duration of stay. Hospital services include a 14-bed emergency department (40,000 annual visits), 20-bed medical/surgical inpatient unit, dental services, limited operating room availability, mental health crisis response team, non-surgical obstetrics, podiatry, orthopedics, pediatrics and outpatient services. Pharmacy is available 24/7, radiology services include 24/7 CT and X-ray availability;

ultrasound and MRI services are available on business days.

This contract will be issued for a one (1) year period of performance with four (4) one-year option periods to ensure continuous services for patient care are able to be provided without interruption.

WORK SCHEDULE FOR PHYSICIAN SERVICES: Shift times and schedules are subject to change based on the medical needs of the patient populace and hospital operations.

A. Emergency Department (ED) Physicians. The PAIHS ED is operational 24/7.

1. Typical day shifts: Up to thirteen (13)-hour shifts from 7:00am – 8:00pm seven (7) days per week, inclusive of weekends and federal holidays and a 30-60-minute rest break when feasible.

The schedules may be altered by up to 60 minutes on either end, suiting the individual PAIHS

ED needs.

2. Typical night shifts: Up to thirteen (13)-hour shifts from 7:00pm – 8:00am seven (7) days per week, inclusive of weekends and federal holidays and a 30-60-minute rest break when feasible.

The schedules may be altered by up to 60 minutes on either end, suiting the individual PAIHS

ED needs.

3. The on-duty ED physician may cover inpatient needs when the inpatient department/unit (IPD) provider is off site. When the IPD provider is not physically on site, the on-duty ED physician writes transition/holding orders for patients admitted to the IPD and cross-covers the IPD. All routine care related to the IPD (transitions/holdings/admissions, routine cross-coverage, etc.)

requires in-person or telephonic consultation with the IPD provider. Emergent/urgent medical care should not be withheld in order to consult with the IPD provider; an update may be provided once it is clinically safe to do so. The admission history and physical is the responsibility of the

IPD provider.

4. Typically, shifts are concurrent five (5) to seven (7) day or night stretches. The possibility to work fewer or more concurrent shifts in accordance with the contract physician’s availability and the PAIHS ED’s agreement. All attempts will be made to limit shift duration to thirteen (13) hours and in the event of extenuating circumstances, a contract physician shall not work more than sixteen (16) consecutive hours.

Services shall be periodically assessed and evaluated to ensure medical and health services programs are consistent with current standards of practice.

The contract physician shall consistently ensure confidentiality of all patient medical records.

Information contained in these records may not be disclosed to any person or agency, except in accordance with established standards, policies, and procedures. This obligation shall not prevent the disclosure of patient medical records to officials and employees of departments and agencies of the

United States (US) Government acting in performance of official duties pursuant to laws and regulations governing local control of communicable diseases, preventive medicine, and safety programs; to official representative authorized surveying bodies during the conduct of certification and accreditation reviews, or to third party payers to whom the patient has authorized release of information.

Complete administrative control of patient data remains with the US Government. All records produced in the performance of the contract and all evaluations of patients are the property of, and subject to the exclusive control of, the US Government. All records shall be maintained in accordance with medical treatment facility guidelines and standards.

DUTIES AND RESPONSIBILITIES:

The contract physician shall provide work that is consistent with the guidelines, policies, and procedures of the IHS. The contract physician’s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work.

The contract physician shall consistently abide by IHS and the PAIHS ED medical staff bylaws, rules and regulations, including all licensing, certifications, and credentialing requirements.

The contract physician shall be punctual for each shift and ensure appropriate hand-off occurs with incoming physician(s) at the end of each shift. In the event the contractor must alter a scheduled shift date or time, prompt communication and verification that the communication was received and acknowledged by key and relevant PAIHS ED personnel is required. In the event the Contractor’s employee is unable to render service on a previously agreed schedule, the Contractor shall provide immediate notification to the Contracting Officer’s Representative (COR),or designee, and the appropriate Clinical Director/Chief Medical Officer (or designee) and ED leadership (or designee). The

Contractor shall then make a full, good faith effort to provide coverage with a replacement in a timely fashion.

The contract physician shall prepare and complete in a timely fashion the medical and other required records for all parties they admit, or in any way provides care for, in the health care facility. All

Electronic Health Records (EHR) documentation should be completed by the end of each shift and definitely within 24 calendar hours of clinical encounter. All EHR notifications shall be addressed as soon as the physician is notified of the required action. Every contract physician should confirm the absence of EHR deficiencies with respective PAIHS ED Health Information Management (HIM) department prior to the conclusion of each set of scheduled shifts. During the performance of their duties, the contract physician shall maintain consistent performance of patient care processes according to the standards of applicable hospital and IHS accreditation programs These standards include, but are not limited to: The Joint Commission, The Comprehensive Accreditation Manuals for the Hospitals, The

Laboratory Standards and Ambulatory Care Standards as they represent the scope of services of this contract.

The contract physician should be proficient in speaking and writing English, typing, and have a functional knowledge of and comfort with computer hardware and software applications. The contract physician shall be required to utilize the EHR for chart documentation, after receiving training to enter orders. The contract physician shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the PAIHS ED. The contract physician 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 American Indian community. Due to the anticipated driving requirements, the contractor physician should have a current, valid state driver’s license from any of the 50 United States or the

Commonwealth of Puerto Rico.

The contract physician shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing the required services. Job duties may include lifting, moving of clinical furniture, and possibly moving boxes of office supplies and equipment. The contractor physician shall maintain acceptable standards of personal hygiene and grooming such that their image as a federal contract employee is compatible with the expectations of the IHS staff.

Patients receiving services under this contract may only speak a native language and/or reside on a

Native American Indian reservation. The Contractor’s provider(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 native language; village and tribal customs; use of traditional healers; isolation; housing conditions; lack of transportation and other resources.

Accommodations/Lodging: The contractor is responsible to cover the cost of any lodging for the candidate(s). At times, IHS transient housing may be available at a daily fee rate. If IHS transient housing is not available, there may be availability at a local hotel or in a nearby area.

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.

Contractor shall provide an hourly fixed rate. Hourly fixed rate shall be inclusive of all the following rates: holiday, week nights, weekends, call back, all city, state, federal and local taxes and all associated rates with the provision of services and overtime must be priced out separately. The Government will pay one hourly flat fixed rate. The Contractor shall be paid only for actual time services are performed under the terms of the contract at the hourly fixed rate.

See Attachment A- Rate Schedule for inputting completion of maximum and minimum hourly rates.

Contract Requirements

CONTRACT PHYSICIAN EXPERIENCE/QUALIFICATIONS:

Although not required, it is preferred that contract physicians are experienced with delivering clinical services performed in a rural setting. It is essential that contract physicians must be willing to accept a position in a rural setting. The contractor shall provide the US Government with the qualifications of physicians presented as candidates for assignments, including resume (detail experience in months and years) and references.

A. QUALIFICATION/CERTIFICATION – EMERGENCY DEPARTMENT PHYSICIAN:

1. It is the policy of the Indian Health Service (IHS) that all Licensed Practitioners who provide patient care shall be credentialed and privileged through the Medical Staff before providing patient care.

2. Contract ED physicians shall provide documentation of recent and relevant ED experience within the past five (5) years.

3. Contract ED physicians shall have successfully completed an Accreditation Council for Graduate

Medical Education (ACGME)- or an American Osteopathic Association (AOA)- accredited post-graduate training program in Emergency Medicine, Family Medicine, and/or combined Internal

Medicine/ Pediatrics.

4. Contract ED physicians shall possess ABMS, AOA, or NBPAS-board certification in Emergency

Medicine, Family Medicine, and/or combined Internal Medicine/Pediatrics in accordance with their post-graduate medical training; all board certification(s) must be in a clinically active status.

[NB: Standalone Internal Medicine board certification is not permitted.] Relevant ABMS- or

AOA Board- eligibility may be considered for recent (< 3 years) graduates of a relevant

ACGME- or an AOA-accredited post-graduate training program in one of the aforementioned required medical specialties be requested to provide documentation of the number and types of relevant cases during the past 24 months. Contractors have the burden of producing information deemed adequate by the Hospital for a proper evaluation of current competence and other qualifications and for resolving any doubts.

5. Contract ED physicians trained in Family Medicine or combined Internal Medicine/Pediatrics should have at least two recent years of consistent ED experience post residency.

6. Current BLS, PALS, ACLS, and ATLS certification is required.

7. NRP certification is highly recommended but not required.

ORIENTATION:

Contract physicians shall participate in facility- and department-specific orientation prior to commencing clinical duties. Orientation is usually accomplished within (2) days. The contract physician is required to have received the necessary background security clearance and have an appointment (through the credentialing and privileging process) prior to commencing orientation.

Each contract physician must complete orientation and required trainings prior to commencing any clinical duties. Documentation verifying the content of the orientation and a list of the Contractor’s personnel who attended shall be maintained by the Contractor and a copy provided to the COR. The contract physician should also maintain documentation of having completed orientation.

Contract physicians shall complete IHS Computer Security Awareness Training (ISSA) as part of the credentialing and privileging process. However, if the contract physician has a current certificate of completion (within the current Fiscal Year of October 1 through September 30), the certificate should be shared with PAIHS ED leadership. Maintenance of IHS Computer Security Awareness Training certification is required.

The contractor is responsible for ensuring that the contract physician has completed all necessary steps for PIV enrollment and issuance prior to orientation.

CREDENTIALING AND PRIVILEGING:

It is the policy of the Indian Health Service (IHS) that all Licensed Practitioners who provide patient care shall be credentialed and privileged through the Medical Staff before providing care. The

Contractor and contract physician shall participate in the Credentialing and Privileging process in accordance with the facility’s procedures. The Contractor is expected to submit all requested materials within four (4) business days of receiving the initial request. The Contractor will be provided copies of current requirements as applicable and updates as they are published. During the credentialing process, the PAIHS ED will request for additional documentation as needed. If the PAIHS ED is unable to credential and/aor privilege a contract physician, the Contractor shall work to find a suitable replacement candidate to cover any shifts initially scheduled for the original contract physician who was not credentialed and/or privileged.

CONTRACT PHYSICIAN CREDENTIALS

The Contractor/contract physician shall be prepared to provide the following documents for each physician for credentialing and privileging purposes:

1. Current resume;

2. Medical school and residency diplomas;

3. Current board certification;

4. Procedure log corresponding to requested procedure privileges;

5. Two forms of unexpired identification with matching full names (e.g., driver’s license and social security card);

6. OF-306 – Declaration for Federal Employment (all questions must be answered and signature with date in 17a is required);

7. OF-306 Addendum – Addendum to the OF-306 (Declaration for Federal Employment);

8. IHS Provisional Access Memo;

9. OFI-86C form with two fingerprint cards and applicable state forms;

10. HHS-745, Section A; and,

11. Certificates of completion for mandatory trainings, to include:

a. Protecting Children from Sexual Abuse in Health Care Settings,

b. No FEAR Act Training,

c. Other trainings as required by PAIHS ED

NOTE: Original forms should be scanned and submitted via password-protected PDFs. Photos of forms are not permitted. Wet signature and date are highly recommended. PDF or electronic signatures are not anticipated to be accepted and may result in a delay of administrative processing.

Additional mandatory trainings may be required, which will be provided during orientation.

The credentialing and privileging application must be completed by the Contract Physician within five

(5) business days of receipt. Any ad hoc credentialing and privileging-related requests should be responded to by the Contract Physician within three (3) business days.

OTHER CONTRACTOR RESPONSIBILITIES

All financial, statistical, personnel, and technical data which is furnished produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. Such data or information shall not be released nor legal rights claimed by the Contractor without prior written consent of the Contracting Officer. Any presentation of any statistical or analytical materials, or any reports based on information obtained from performance by this contract will be subject to review and approval of the Contracting Officer.

Contractor shall ensure full coverage for any vacant shifts that the PAIHS ED shares with the Contractor within five (5) business days of receiving the notification of need. Coverage must be re-confirmed at least twenty-eight (28) days in advance of scheduled coverage, whenever possible, including notice of cancellations.

Any schedule changes must be communicated at least twenty-eight (28) calendar days in advance;

extenuating and unforeseen circumstances (e.g., illness or family emergency) must be communicated in a timely manner, with confirmation that the proper PAIHS ED representative and the contract COR have received the communication. If the Contractor cancels previously confirmed shifts, the Contractor is responsible for providing a suitable replacement.

All communication must be inclusive of the appropriate PAO Acquisitions and PAIHS ED personnel and all email communication must include the contract number in the subject line.

OCCUPATIONAL HEALTH REQUIREMENTS

The Contractor agrees to furnish the following documentation of health records prior to the performance of work. (Reference IHS Circular 95-9A). All IHS PAIHS ED Immunization Requirements for direct care providers must be met, unless an exemption is granted for medical or religious reasons. The

PAIHS ED Employee Health Coordinator will provide the most current information on requirements at the time of contractor onboarding, which likely will include:

1. Medical Evaluation. The Contractor shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

2. Immunization/Screenings. The Contractor shall also provide the following documentation:

• Proof of Immunity to/full vaccine series for Mumps, Measles, Mumps, and Rubella.

• Proof of Immunity to/full vaccine series for Hepatitis B (or declination signed).

• Documented history of chicken pox (Varicella) disease, positive titer, or completion of Varicella vaccine series.

• Tdap within the last 10 years.

• TB screening: at least one negative skin (e.g., PPD) within the last year or blood (e.g., IGRA) result prior to onboarding.

• Annual seasonal (usually Oct 1 through March 31) influenza vaccination is required.

• Annual COVID-19 vaccination is recommended.

Contractor’s personnel must consistently abide by IHS and PAIHS ED policies regarding infection prevention and control and employee health.

Contractor’s personnel shall not use commercial tobacco, alcohol, or any illegal substance while on IHS grounds.

The Contractor is responsible for compliance with all appropriate TJC, IHS, PAIHS ED policies and procedures, and other regulatory agency record keeping requirements.

CONTRACTOR QUALITY CONTROL PROGRAM:

The Contractor shall have a Quality Control program to assure compliance with contract. Quality

Control program shall minimally have the following elements:

A method for identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

A file of all quality control inspections, inspection results, and any corrective action required shall be maintained by the Contractor throughout the duration of this contract. This file shall be the property of the US Government and shall be available to the COR during normal working hours. The file shall be turned over to the US Government within fourteen (14) days of completion or termination of the contract.

PERIODIC PERFORMANCE EVALUATION MEETINGS:

The Contractor shall meet, via in-person or teleconference meeting, with the COR a minimum of once a month according to availability.

The issuance of a Contract Discrepancy Report (CDR) may be cause for the scheduling of additional meeting(s) between the Contractor and COR. A mutual effort will be made to resolve all problems identified. The COR will prepare written minutes of these meetings. Should the Contractor not concur with the minutes, a written statement will be presented to the Contracting Officer (CO), and the

Contractor will be notified of the decision in writing by the CO.

US GOVERNMENT- FURNISHED PROPERTY AND SERVICES:

1. All tasks accomplished by Contractor’s personnel shall be performed to preclude damage or disfigurement of US Government-owned furnishings, fixtures, equipment, and architectural or building structures. The Contractor shall verbally report immediately to the COR, any damage or disfigurement to these items when caused by Contractor’s personnel. A follow-up written report will be given to the COR and a copy forwarded to CO.

2. When the Contractor has caused damage or loss of US Government property, or performance is determined to be unsatisfactory; the COR will issue a Contract Discrepancy Report or equal documentation. The Contractor will reply in writing, to the Program Office within ten (10) working days, stating the reason for the unsatisfactory condition, the corrective measures which have been taken, and preventive procedures initiated.

CONTRACT ADMINISTRATION DATA:

1. Receiving and Acceptance, Invoicing and Payments

Payments for services provided shall be made upon completion of services as specified in the scope of work. The Contractor shall submit an invoice through the US Treasury in IPP.

Reference contract clause HHSAR 352.232-71 Electronic Submission of Invoice Payment

Requests (Feb 2022).

CONTRACTING OFFICER’S (COR) REPRESENTATIVE

1. The COR is responsible for providing technical assistance to the Contracting Officer in administration of the contract. This responsibility involves quality assurance inspection surveillance reporting and quarterly certification of the Contractor’s performance by the COR.

The Contracting Officer will furnish the name of the COR prior to the start date of the contract.

The COR shall inspect during and after tasks are completed.

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

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

b. Interpreting scope of work;

c. Performing technical evaluations required;

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

e. Monitoring funds available for obligation under this contract; and,

f. Assisting the Contractor in the resolution of technical problems encountered during performance of this contract;

3. 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 properly executed modification to the contract.

4. 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.

ACCOUNTABILITY

Time and attendance logs or sign-in/sign-out sheets shall be kept on file and verified by the PAIHS ED

Director or Chief Medical Officer (or designee) to ensure that services called for under the contract have been rendered.

PERFORMANCE BASED ASSESSMENT:

Introduction – Performance Requirements:

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 COR in providing effective and systematic surveillance of all aspects of professional services. This plan provides for monitoring the contract requirements.

The objective of this surveillance plan is to evaluate how the Contractor’s performance in key areas. The

US Government is primarily interested in the final service being provided and not in the details of accomplishment.

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.

Quality Assurance Surveillance Plan (QASP):

1. The US Government shall monitor the Contractors’ performance through a Quality Assurance

Surveillance Plan (QASP). The QASP is for informational purposes only and considered an evaluation part of the contract.

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

Measure

Performance

Requirement

Standard

Acceptable

Quality

Level

Routine Method of Monitoring

Incentives and Disincentives

1. Key

Personnel

Provide required care service as specified in the requirements.

Qualified personnel are available and in location as needed to properly perform tasks as specified.

100%

USG review of documentation for compliance

Evaluation documenting performance in the national IHS database.

Incentive: USG approves documentation

Disincentive: If USG rejects documentation, possible termination of contract.

1A. Ensuring adequate coverage

Filled provider schedule vacancies at PAIHS ED

Contractor shall ensure full coverage for any vacant shifts that

PAIHS ED shares with the Contractor within 5 business days of receiving the notification.

Coverage must be re-confirmed at least 28 days in advance, whenever possible, including notice of cancellations.

95% compliance

Disincentive: After two (2) occurrences of which the Contractor is unable fill the requested vacant shifts, a cure notice may be issued and possible termination of contract.

Evaluation documenting inadequate performance in CPARS.

1B.

Mitigating the negative impact of

Contractor schedule changes

Established risk mitigation for if/when Contractor provider availability changes

Contractor shall ensure appropriate

Contractor coverage for any

Contractor shifts cancelled after the shifts have been confirmed with

PAIHS ED.

99% compliance occurrences of which the Contractor does not fulfill the initial staffing commitment, a cure notice may be issued and possible termination of contract. Evaluation documenting i n a d e q u a t e performance in

CPARS.

2. Maintains security clearance, licensing, certification, credentialing and privileges

All necessary documents submitted in a timely manner to foster swift

(re)appointments.

Security clearance, licensure, certification, credentialing, and/or privileges established and maintained.

Contract

Provider records will be kept 100% up-to-date with 0 lapses in security clearances, licensure, certification, credentialing, and/or privileges.

USG review of documentation for compliance of contract.

3. Privacy, Confidentiali ty and

HIPPA

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 compliance of contract.

4. Qualified to work under Public

Law

Background

Investigation in compliance with

Indian Child

Complete and acceptable documentation of

Background compliance

Protection and

Family Violence

Prevention Act, Public Law 101-630 investigation including legible fingerprints of contract.

5. Patient

Safety

Timely reporting of any potential or actual patient risk management incidents to the supervisor immediately.

To be aligned with

PAIHS ED policies and procedures.

For incidents where a policy/procedure may not exist, incidents must be reported within 24 calendar hours.

Contractor’s documentation and

PAIHS ED

reporting platform for compliance occurrences of which an individual

Contractor has a lapse in patient safety reporting requirements, the IHS has the right to not use that contract provider in the future, . T h e v e n d o r m a y r e c e i v e a n evaluation documenting i n a d e q u a t e performance in

CPARS.

6. EHR

Documentati on

Timely completion of charting and swift resolution of any

EHR

notifications/deficie ncies

Charting to be completed within

24 hours of clinical encounter.

EHR

notifications/defici encies to be addressed prior to last scheduled shift.

100% for charting.

97% for EHR notifications/ deficiencies.

compliance occurrences of which an individual

Contractor has a lapse in EHR documentation requirements, the IHS has the right to not use that contract provider in the future.. T h e v e n d o r m a y r e c e i v e a n e valuation documenting i n a d e q u a t e performance in

CPARS.

7. Lapses in professionali sm and/or remaining aligned with standards of care/treatme nt

In the event of unacceptable performance, lack of professionalism, unacceptable conduct, or concerns regarding medical practice, the

Contractor shall replace personnel

Consistent compliance with

HHS/IHS Code of

Conduct and

IHS/PAIHS ED

policies, procedures, rules, and regulations.

If < 30 days of confirmed scheduled shift:

Contractor shall replace personnel within 3 calendar days upon receipt of written notification.

If ≥30 days of confirmed scheduled shift:

Contractor shall replace personnel within 7 calendar days upon receipt of written notification.

95% compliant compliance occurrences of which the Contractor has a lapse in professionalism or adhering to standards of care/treatment, the IHS has the right to not use that contract provider in the future. Evaluation documenting i n a d e q u a t e performance in

CPARS.

END OF STATEMENT OF WORK