Attachment 1 - Performance Work Statement PWS.pdf

SOW – Nursing Support Services (RN & PHN) – YIHC 10/7/2025

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STATEMENT OF WORK

NURSING SUPPORT SERVICES

PORTLAND AREA INDIAN HEALTH SERVICE – YAKAMA SERVICE UNIT

I. Contract Title Registered Nursing Support Services (RN & PHN) – Yakama Indian Health Center (YIHC)

II. Background The Portland Area Indian Health Service (PAIHS), Yakama Indian Health Center (YIHC), located in Toppenish, Washington, is the principal federal health care provider and health advocate for American Indian and Alaska Native patients within its service area. YIHC provides primary care and urgent care services Monday through Friday, 8:00 a.m. to 5:00 p.m. To meet operational needs and ensure continuity of patient care, YIHC requires contractor-provided nursing services performed by licensed registered nurses (RNs). These services support the delivery of safe, culturally competent, and comprehensive healthcare to eligible patients. This will be Firm-Fixed Price (FFP) purchase order. This contract provides for up to 1 Registered Nurse and 1 Public Health Nurse each year, not to exceed 7,680 total labor hours annually. Orders may be issued for any combination of positions up to the maximum contract ceiling.

III. Period Of Performance and Location:

a. Services shall be performed (1) on-site at the Yakama Indian Health Center

(YIHC), 401 Buster Road, Toppenish, WA 98948 and (2) at community outreach events within Yakama Nation Reservation, WA.

b. The contract shall include a five (5)-year ordering period. Purchase orders may be issued as needed during this period to meet Yakama Indian Health Center (YIHC) staffing requirements. The purchase order will define the specific period of performance, number of staff, and labor hours required.

IV. Statement Of Work:

1. The Contractor shall provide qualified Registered Nurses (RNs) to perform non-personal nursing support services at the Yakama Indian Health Center. The RNs shall assist Government medical staff in providing direct patient care, care coordination, and clinical support activities in accordance with professional nursing standards and YIHC policies.

All services shall be performed under the general direction of the Contracting Officer’s Representative (COR), consistent with a non-personal services contract.

2. The services will be provided during clinic operating hours as scheduled not to exceed 40 hours per week. Regular hours of clinic are from 8:00 a.m. to 5 p.m. Monday through Friday. The clinic is not open on federally recognized holidays or certain day(s) of closure pursuant to an Executive Order by the President of the United States. Inclement weather conditions or facility issues (electrical, water, etc.) may also hinder the normal

SOW Page 2 of 9 operating hours and notice of closure will be provided as soon as is practicable by each of the Service Unit administrative staff.

3. This Statement of Work (SOW) applies to two distinct Contract Line Item Numbers

(CLINs) under the Yakama Indian Health Center (YIHC) Nursing Support Services contract. Each CLIN supports a separate department and funding source (CAN), but both share the overall purpose of providing culturally competent, high-quality nursing care to the YIHC patient population. Funding will be obligated at the purchase order level. The Government guarantees a minimum order of 200 labor hours per CLIN over the life of the contract

4. Contractor must present qualified key personnel with 2 weeks of award and 2 weeks in advance of any proposed replacement during the period of performance. The COR shall approve of any changes to key personnel.

Specific Tasks:

CLIN Labor Category Estimated Hours (per year) 0001 Registered Nurses Min 200 / Max 1,920 0002 Public Health Nurse Min 200 / Max 1,920

CLIN 0001 – REGISTERED NURSE (RN), NURSING DEPARTMENT

The Contractor shall provide Registered Nurse (RN) services in the YIHC Nursing Department to support primary care and urgent care delivery. The RN shall perform duties within the scope of professional nursing practice and under the general technical direction of the COR.

Primary Duties include:

1. Provide direct patient care, assessment, triage, and documentation in the Electronic Health Record (EHR) for adult and pediatric patients in walk-in and scheduled appointments.

2. Administer medications (e.g., oral and parental), immunizations, and wound care as ordered by licensed providers.

3. Assist with procedures, point-of-care testing, and patient education. Document all activities per YIHC policy.

4. Participate in multidisciplinary team meetings and contribute to quality improvement initiatives.

5. Ensure compliance with HIPAA, infection control, and IHS standards of care.

6. Address patient concerns over the phone; review clinic schedule and make appointments

Qualifications of Key Personnel (RN):

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• Degree: Must have a degree or diploma from a professional nursing program approved by the legally designated State accreditation agency at the time the program was completed by the RN.

• License: Current, unrestricted Registered Nurse license in a U.S. jurisdiction.

• BLS: Current Basic Life Support (BLS) certification.

• Experience: At least two (2) years of recent clinical experience in direct patient care within a healthcare (e.g., hospital) or ambulatory setting.

• Proficiency in English, both written and spoken.

• Eligibility to participate in Medicare and Medicaid programs.

CLIN 0002 – PUBLIC HEALTH NURSE (PHN), PUBLIC HEALTH NURSING

DEPARTMENT

The Contractor shall provide Public Health Nurse (PHN) services in the YIHC Public Health Nursing Department. The PHN focuses on communicable disease surveillance, case management, and outreach community-based health promotion activities.

Primary Duties include:

1. Conduct case management, outreach, and contact tracing for communicable diseases (e.g., tuberculosis, STIs, measles).

2. Perform directly observed therapy (DOT) for tuberculosis and other conditions as required.

3. Coordinate with local, state, and federal public health departments to ensure continuity of care and data reporting compliance.

4. Order, review, and act upon laboratory results; notify patients of findings and provide counseling or education. Perform point-of-care testing per YIHC policy.

5. Administer oral and parenteral medications, immunizations, and perform field visits for community health follow-up.

6. Develop and deliver public health education sessions for individuals, families, and community groups.

7. Document all activities accurately in the EHR or approved public health information systems.

8. Drive to outreach or community activities using contractor provided vehicle or personal vehicle.

Qualifications of Key Personnel (PHN):

• Degree: Must have a bachelor's degree in Nursing from a professional nursing program approved by the legally designated State accreditation agency at the time the program was completed by the RN.

• License: Current, unrestricted Registered Nurse license in a U.S. jurisdiction.

• BLS: Current Basic Life Support (BLS) certification.

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• Experience: At least one (1) year of experience in public health nursing, or community outreach.

• CV/Resume must demonstrate knowledge of communicable disease control and contact tracing protocols. Additionally, CV/Resume must demonstrate ability to coordinate effectively with public health entities and interdisciplinary teams.

V. Performance Monitoring and Standards

1. The Government will monitor contractor performance through the Contracting Officer’s

Representative using the Performance Requirements Summary (PRS) below.

Performance will be evaluated based on quality, timeliness, and compliance with established YIHC policies and contract terms. See table on next page:

Table 1 – Performance Requirements Summary

CLIN Task/Deliverable Performance

Standard Acceptable Quality Level

(AQL)

Surveillance Method

0001 Clinical Documentation

Complete within 48 hours of service

100% COR review, EHR audit

0001 Patient Education Documented for all applicable visits (e.g., immunization clinic, nursing clinic visits, home visits)

95% EHR sampling

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0002 Case Management Follow-Up

Contact (or documented attempt) within 48 hours of lab result

95% COR audit, record review

0002 Directly Observed Therapy (DOT)

Document completion daily (on clinic days of operation)

100% Review of logs, chart audit

VI. Security Requirements

1. Contractor personnel shall comply with all Indian Health Service security requirements for facility and information system access. A favorable background investigation and fingerprinting are required prior to performance. Personnel requiring routine access to federally controlled facilities or systems shall meet Homeland Security Presidential Directive-12 (HSPD-12) requirements.

VII. Government-Furnished Equipment/Information

1. YIHC will provide access to Government-furnished facilities, office space, medical equipment, supplies, and the EHR system necessary for performance. All property shall remain under Government ownership, and contractor personnel shall use it solely for contract-related purposes. Key personnel may not use GSA Fleet Vehicles.

2. YIHC will provide orientation to each RN/PHN key personnel of the contractor.

3. The Service Unit will be responsible for informing the Contractor of any facility closure due to conditions specified in this statement of work (IV.2).

VIII. Risk Control

1. The Contractor shall ensure adherence to all YIHC infection control, patient safety, and risk management policies. All clinical procedures must follow established IHS standards, OSHA requirements, and CDC guidelines for healthcare environments.

IX. Invoice and Payment

A. INVOICING

1. Invoices shall be submitted per purchase order, reflecting actual hours worked. The purchase order will identify the authorized labor categories, rates, and maximum hours.

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2. Each CLIN will be tracked and specified within the invoice. Invoices must identify hours worked and services rendered by CLIN as follows:

a. CLIN 0001 – Registered Nurse (RN), Nursing Department

b. CLIN 0002 – Public Health Nurse (PHN), Public Health Nursing Department

3. The Contractor shall ensure that timekeeping, and reporting are properly segregated by CLIN. All performance oversight, quality assurance, and COR reviews shall likewise be documented by CLIN.

4. The Contractor shall submit invoices monthly via the Department of Treasury Invoice Processing Platform (IPP). Each invoice shall include the provider’s name, dates of service, and hours worked. Each invoice must match the purchase order in description.

Improper invoices will be rejected. Payments will be made in accordance with the Prompt Payment Act following Government acceptance of services. Timesheets must be verified by YIHC staff prior to submission.

5. For payment status, please email: POR_AODFMPAYABLES@IHS.GOV

6. As part of the invoice, the Contractor shall submit the weekly timesheet(s) documenting the days and hours worked by the contracted provider(s) that are signed by the contracted provider(s) and a staff member at the YIHC.

7. Upon receipt, the COR shall review the invoice(s) for accuracy. Payment will be made after submission of a proper invoice and after the Government accepts the services.

Payment shall be made only for services actually completed at time of invoice submission.

8. Electronic Submission of Payment Requests (February, 2022) (a) Definitions. As used in this clause--- (1) "Payment request" means a bill, voucher, invoice, or request for contract financing payment with associated supporting documentation. The payment request must comply with the requirements identified in FAR 32.905(b), "Content of Invoices" and the applicable Payment clause included in this contract. (b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests electronically using the Department of Treasury Invoice Processing Platform (IPP) or successor system. Information regarding IPP, including IPP Customer Support contact information, is available at www.ipp.gov or any successor site. (c) The Contractor may submit payment requests using other than IPP only when the Contracting Officer authorizes alternate procedures in writing in accordance with HHS procedures. (d) If alternate payment procedures are authorized, the Contractor shall include a copy of the Contracting Officer's written authorization with each payment request. End of clause.

B. PAYMENT

1. The hourly rate awarded is the Contractor’s contract price for services that covers all related costs to provide services on-site. See attached Schedule of Items.

2. Payment shall be made in accordance with the hourly rate of the Awarded Contractor’s list for the services provided at the clinic site.

3. Payment shall be made in accordance with the Prompt Payment Final Rule (5 CFR 1315, September 29, 1999), which states that disbursement will be made within 15 days of an mailto:POR_AODFMPAYABLES@IHS.GOV

SOW Page 7 of 9 accepted and Approved Invoice by a Contracting Officer when presented to the Finance Office.

4. Vendor shall maintain an “Active” status with the System Award Management (SAM) as prescribed by the Electronic Funds Transfer (EFT) procedures.

5. The Government is obligated only to the extent of authorized purchases actually made and received under this purchase order.

C. ADMINISTRATION

1. The Contract Officer’s Representative (COR) and site contact under this contract shall be provided up award of the purchase order. The COR’s responsibilities will be to coordinate with the provider the technical aspects of this service and review of performance hereunder. The Contract Officer’s Representative does not have the authority to change or alter the order amount, terms or conditions of this purchase order.

X. Liability and Insurance

A. MALPRACTICE COVERAGE

1. The Contractor shall provide professional liability (malpractice) coverage, in amounts that are reasonable and customary in the community for the appropriate specialty (not less than $1,000,000 per occurrence), covering liability for personal injury or property damage, including legal representation and expense of defense of any such liability claims, actions or litigation, resulting from participation by the Contractors employees under this requirement. This coverage may come from any source, but shall clearly cover the Contractors employees while participating under this agreement. The Contractors employees must provide documentary proof of the insurance coverage and such proof will be attached to this agreement. The Contractors employees further agree not to seek indemnification from either the United States or the Indian Health Service for any settlement, verdict or judgment resulting from any claim or lawsuit arising out of the negligent acts or omissions of its employees while working at this site.

2. Under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2401(b), 2671-80, the Federal government is liable for property damage, personal injury, or death caused by the negligence of any Federal government employee acting within the scope of her/his employment, and Training Site’s obligations under this agreement, including supervision of students. All claims alleging medical malpractice and other negligence by HIS physicians, dentists, nurses, and other health professionals are processed under this Act.

The law provides that medical malpractice claims must be filed against the United States, not the individual health professional.

XI. Non-Personal Services Clause

1. This is a non-personal services contract. Contractor employees shall not be supervised by Government personnel, nor shall they represent themselves as Government employees. The Government’s oversight is limited to ensuring compliance with contract terms, performance standards, and deliverables.

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XII. Confidentiality and Privacy

1. All contractor personnel shall comply with the Health Insurance Portability and

Accountability Act (HIPAA), the Privacy Act of 1974, and IHS confidentiality policies.

Unauthorized disclosure of patient information is strictly prohibited. Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and its implementing regulation, the Standards of Privacy of individual Identifiable Health Information at 45 C.F.R. Part 160 and 164, Subpart A and E ("Privacy Rule"), the Indian Health Service is required to enter into an agreement with the Business Associate , pursuant to which the Business Associate shall comply with and appropriately safeguard Protected Health Information ("PHI") that it will use and disclose when performing functions , activities or services ("Services") for the Indian Health Service. The Business Associate, by signing the contract, shall comply with the following terms in addition to other applicable contract terms and conditions relating to the safekeeping, use and discloser of PHI.

2. Services under this contract are to be performed in accordance with the requirements and provision of P.L. 93-579, December 31, 1974 (5 USC 522a) and applicable agency regulations. Copies of these items are available upon request of the Contracting Officer.

Federal Acquisition Regulation (FAR) (48 CFR Chapter 1) Clauses

No. Clause No. Title and Date

1. 52.224-1 Privacy Act Notification (APR 1984)

2. 52.224-2 Privacy Act (APR 1984)

3. 52.239-1 Privacy or Security Safeguards (Aug 1996)

APPLICABLE PROVISIONS AND CLAUSES

The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2026-01 dated March 13, 2026.

52.212-1 Instructions to Offerors—Commercial applies to this acquisition.

52.212-2 Evaluation—Commercial Items applies to this acquisition.

52.212-4 Contract Terms and Conditions—Commercial Items applies.

CLAUSES INCORPORATED BY REFERENCE FAR 52.252-2

Full text available at http://www.acquisition.gov

52.202-1 Definitions (Jun 2020) 52.204-7 System for Award Management (Oct 2018) 52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011) 52.212-4 Contract Terms and Conditions – Commercial Items (May 2026) http://www.acquisition.gov/

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52.222-3 Convict Labor (Jun 2003) 52.222-26 Equal Opportunity (Sep 2016) 52.222-35 Equal Opportunity for Veterans (Jun 2020) 52.222-36 Equal Opportunity for Workers with Disabilities (Jun 2020) 52.222-90 Addressing DEI Discrimination by Federal Contractors (Apr 2026) 52.223-6 Drug-Free Workplace (May 2001) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.229-3 Federal, State, and Local Taxes (Feb 2013) 52.229-4 Federal, State, and Local Taxes (State and Local Adjustments) (Feb 2013) 52.232-1 Payments (Apr 1984) 52.232-8 Discounts for Prompt Payment (Feb 2002) 52.232-17 Interest (May 2014) 52.232-33 Payment by Electronic Funds Transfer—System for Award Management (Oct 2018) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-1 Disputes (May 2014) 52.233-3 Protest After Award (Aug 1996) 52.237-3 Continuity of Services (Jan 1991) 52.237-7 Indemnification and Medical Liability Insurance. $1,000,000.00 per occurrence.

52.204-9 Personal Identity Verification of Contractor Personnel (Jan 2011) 52.217-9 Option to Extend the Term of the Contract (MAR 2000), FAR 52.217-8 Option to Extend Services (NOV 1999)

HHSAR Clauses Incorporated by Reference

No. Clause No. Title and Date

1. 532.224-70 Confidentiality of Information (APR 1984)

2. 352.224.71 Confidential Information (Dec 2015)

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