Attachment 1- PWS Cardiology COE 9Nov2020.pdf

Attachment 1 9Nov2020

PERFORMANCE WORK STATEMENT

CARDIOVASCULAR CENTER STAFFING

Non-Personal Services

1. DESCRIPTION OF SERVICES AND GENERAL INFORMATION. The Contractor shall provide three Full Time Equivalent (FTE) Technicians - Cardiac Catheterization Laboratory, two Registered Nurses (RN) - Cardiology Clinic/Cardiac Catheterization Laboratory, one Nurse Practitioner (NP) - Cardiology Services, one RN - Cardiology Clinic/Utilization Management/Team Lead, one Medical Coder - Cardiovascular, and one Picture Archiving and Communications System (PACS) Administrator - Cardiovascular to support in providing health care services for Government beneficiaries at Keesler Medical Center (KMC), 81st Medical Group (81 MDG), Keesler Air Force Base (KAFB), Mississippi (MS), also referred to as the “medical treatment facility” (MTF) herein. The Contractor shall provide services on a non-personal service basis. Performance shall be in accordance with (IAW) the requirements contained in this Performance Work Statement (PWS) and the professional standards of the Joint Commission (JC).

1.1. CONTRACTOR MANAGEMENT STAFF RESPONSIBILITIES.

1.1.1. Verification and Validation of Candidate Qualifications. The Contractor shall verify and validate candidate qualifications against Government minimum requirements prior to submission of qualifying documents.

1.1.2. Placement of Contractor Personnel. The Contractor shall recruit and place contractor personnel in a timely manner:

1.1.2.1. Non-credentialed Contractor Personnel. The non-credentialed contractor personnel shall physically start work no later than 30 calendar days from the initial date on the period of performance (POP).

1.1.2.2. Credentialed Contractor Personnel. The credentialed contractor personnel shall physically start work no later than 60 calendar days from the initial date on the (POP). The contractor shall submit complete and accurate credentialing packages no later than 30 calendar days from the initial date on the POP.

1.1.3. Replacement of Contractor Personnel. The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 30 consecutive calendar days for non-credentialed positions. When replacing a contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment. For non-credentialed positions, the replacement contractor personnel must begin work within 30 consecutive calendar days after the previous non-credentialed contractor personnel departed the position.

The Contractor shall replace permanent contractor personnel such that vacancies will not exceed 60 calendar days for credentialed positions. When replacing a contractor personnel, the consecutive calendar days begin when the contractor personnel terminates employment. For credentialed positions, the replacement contractor personnel must begin work within 60 consecutive calendar days after the previous credentialed contractor personnel departed the position; however, the contractor shall submit complete and accurate credentials packages on all credentialed contractor personnel no later than 30 calendar days after the previous contractor personnel departed.

1.1.4. Substitute or Temporary Coverage. The Contractor shall substitute permanent contractor personnel whenever a temporary absence is expected to exceed 30 consecutive calendar days. The Contractor shall promptly notify the Contracting Officer Representative (COR) and Functional Requirements Evaluation Designee (FRED) of any projected absences exceeding 30 consecutive calendar days and ensure no temporary absence exceeds 30 consecutive calendar days through the use of a qualified substitute.

1.1.5. Resolve Performance Issues. The Contractor shall adequately resolve MTF and patient complaints regarding contractor personnel which satisfy Government concerns.

1.2. SPECIFIC PROCEDURES FOR WHICH THE CONTRACTOR SHALL BE

RESPONSIBLE. The contractor shall provide all labor, management, supervision, consultations, and reports necessary to ensure all tasks meet the requirements in this PWS and Services Summary (section 2). Specific duties are outlined below and shall be performed with minimal direct oversight.

1.2.1. Technicians-Cardiac Catheterization Laboratory

1.2.1.1. Accurately documents procedure results within the appropriate electronic medical record used in the facility Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), Health Artifact and Image Solution (HAIMS), CliniComp, etc.), or stored in a cardiology PACS server.

1.2.1.2. First assistant to the physician as a cardiovascular technician or monitor/circulating technician during any cardiac procedures such as left and right heart catheterizations, pacemaker implants, percutaneous vascular procedures, intra-aortic balloon insertions, transvenous pacemaker insertions, pericardiocentesis, loop recorder implant/explants, electrophysiology (EP) procedures, percutaneous interventions, and any other procedures performed within the cardiac catheterization laboratory (cath lab).

1.2.1.3. Participates in patient assessment, procedure set-up, teardown, and clean-up while incorporating safety, quality, and values aligned with trusted care and patient centered principles.

1.2.1.4. Ensures instruments and equipment are operational before, during, and after a scheduled procedure. Ensures equipment is maintained IAW the Medical Group Infection Control (MDG IC) Guidelines and the manufacturer’s specifications.

1.2.1.5. Performs operational checks, inspections, calibrations, preventative maintenance, and quality control levels according to the manufacturer’s specifications. Assists with quality assurance controls, improvement efforts, staffing requirements, as well as data collection and analysis. Documents any quality control levels and follows Medical Equipment Repair Center (MERC) and manufacturer’s inspection requirements.

1.2.1.6. Complies with the MDG IC Guidelines, Medical Group’s Instructions (policies and procedures), Department’s Operating Instructions (OI), and supports staff development training.

1.2.1.7. Participates in administrative/support functions as well as continuing education programs to maintain skill and/or knowledge in order to meet the medical center’s vision of train, teach, and treat while delivering Trusted Care Principles.

1.2.1.8. Uses the PACS for identifying, archiving, reviewing, and retrieving current and past examinations.

1.2.1.9. Complete daily duties as well as other related administrative duties under the oversight of the Cardiology department government representative, Non-Commissioned Officer in Charge (NCOIC) or Flight Commander.

1.2.1.10. Complies with MTF and Air Force safety guidelines.

1.2.1.11. Maintains professional manner, displays a positive/cooperative attitude, ensures a safe work environment, and employs safe work habits.

1.2.1.12. Contractor personnel shall be in the work area and available for work at the appointed times.

1.2.1.13. Contractor personnel shall complete all job specific data training as required by the

MTF.

1.2.1.14. Contractor personnel shall complete all in-process and out-processing within MTF requirements (e.g., badges, e-mail accounts, Privacy Act, etc.).

1.2.1.15. Assists in the ordering and tracking of supplies within the cardiac cath lab.

1.2.1.16. Coordinates in-services, training, and maintenance or repair requests with device/equipment representatives.

1.2.2. Registered Nurses-Cardiology Clinic/Cardiac Catheterization Laboratory

1.2.2.1. Assesses patients' conditions for potential or life-threatening crises. Distinguishes between normal and abnormal physical findings (from physical assessment and vital signs assessment). Plans appropriate nursing care. Notifies physician if needed and carries out appropriate interventions as ordered.

1.2.2.2. Reacts with alertness and skill in any emergency situation including but not limited to, cardiac or respiratory arrest, hemorrhage, and shock.

1.2.2.3. Provides professional nursing care to patients undergoing procedures within the cardiac cath lab and other diagnostic cardiac testing procedures to include, but not limited to, left and right heart catheterizations, pacemaker implants, percutaneous vascular procedures, intra-aortic balloon insertions, transvenous pacemaker insertions, pericardiocentesis, loop recorder implant/explants, EP procedures, percutaneous interventions, and any other procedures performed within the cath lab.

1.2.2.4. Prepares and maintains cardiac cath lab for all procedures.

1.2.2.5. Establishes and utilizes a checklist to monitor the physical plan of the cardiac cath lab and equipment for conformity to all national standards for ensuring safety for the patient and all personnel.

1.2.2.6. Assembles the type and quantity of material and special equipment needed for daily procedures and possible emergencies.

1.2.2.7. Circulates for cardiac cath lab procedures.

1.2.2.8. Obtains patient history, pertinent family history, and documents in patient’s medical record.

1.2.2.9. Utilizes appropriate nursing personnel to assist in delivery of care when indicated (e.g., paraprofessionals).

1.2.2.10. Transcribes or verifies transcription of physician orders.

1.2.2.11. Carries out prescribed physician orders and documents in patient’s medical record.

1.2.2.12. Communicates pertinent patient data to physician as appropriate.

1.2.2.13. Assesses patients using the nursing process as a basis for professional practice.

1.2.2.14. Demonstrates proper preparation of patients for treatments and procedures, to include interventions.

1.2.2.15. Provides proper care and evaluation of post procedural patients.

1.2.2.16. Administers prescribed medications to include multiple medication drips and intravenous push drugs (e.g., sedatives, narcotics, vasoactive medications, neuromuscular blockades, antidysrythmics, antihypertensives, thrombolytics, and emergency drugs).

Administration consideration based on protocols, policy, and recommendations by medical references.

1.2.2.17. Assesses and documents patient response to medications administered and intervenes if desired response is not achieved.

1.2.2.18. Instructs patient/family regarding prescribed medications/therapies and invasive/diagnostic procedures that must be accomplished.

1.2.2.19. Conducts preoperative and postoperative visits. Discusses cardiac procedures and diagnostic cardiac testing procedures with patients and informs them of what to expect during procedures. Consults with the physician performing the procedure and establishes priorities of care for each patient. Coordinates with other hospital units, which include recovery room, intensive care, and nursing units on patients’ progress and any special equipment or supplies that will be needed for the patient post procedure.

1.2.2.20. Properly applies cardiac monitor leads and 12 lead EKG machine, analyzes rhythm strips and notifies physician of any abnormal results (e.g., dysrhythmias for patient situation).

1.2.2.21. Sets up, operates, and monitors specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, ventilators, pacemakers, intra-aortic balloon pumps, and other unit specific equipment.

1.2.2.22. Cares for patients with a variety of hemodynamic monitors to include pressure lines/transducers, Swan Ganz catheters, central venous lines/sheaths, and arterial lines. Obtains hemodynamic parameters and interprets results. Notifies physician of any parameters outside of expected results.

1.2.2.23. Participates in Discharge Planning as appropriate.

1.2.2.24. Performs accurate documentation, both written and electronic, of all activity IAW requirements. Prepares all documentation to meet or exceed established standards of the MTF, to include, but not limited to, timeliness, accuracy, content and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient health record.

1.2.2.25. Performs the procedure recovery and discharge within established criteria.

1.2.2.26. Participates and complies with quality and process improvement activities and events, including, but not limited to, post procedure follow ups, morbidity and mortality studies, and research studies to ensure compliance with national standards and guidelines.

1.2.2.27. Serves and participates in committees, functions, and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service.

1.2.2.28. Completes orientation and competency verification programs IAW unit guidelines.

1.2.2.29. Ensures a safe work environment, employee safe work habits, and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.

1.2.2.30. Maintains national registries, to include the ability to interpret, analyze, edit, and input data into said registries.

1.2.2.31. Coordinates cardiac referral process between Veterans Affairs (VA), Department of Defense (DoD), and outside facilities for care.

1.2.2.32. Performs EKGs and assists echo tech with bubble studies and contrast echoes as needed.

1.2.2.33. Assists cardiologist with dobutamine stress tests or other procedures within the clinic.

1.2.3. Nurse Practitioner-Cardiology

1.2.3.1. Collaborates with the physician in the health care of patients with acute and/or chronic illnesses.

1.2.3.2. Requests consultation or referral with appropriate physicians, clinics, or other health resources as indicated.

1.2.3.3. Orders diagnostic tests and follows up with results of testing as applicable.

1.2.3.4. Prescribes and dispenses medications as delineated by the Pharmacy and Therapeutics Committee.

1.2.3.5. Performs accurate documentation, both written and electronic, of all activity IAW requirements.

1.2.3.6. Completes orientation and competency verification programs IAW unit guidelines.

1.2.3.7. Participates in the orientation of newly assigned personnel, as appropriate.

1.2.3.8. Serves and participates in committees, functions, and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement.

1.2.3.9. Participates in customer service initiatives and medical readiness activities designed to enhance health services.

1.2.3.10. Ensures a safe work environment, employee safe work habits, and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.

1.2.3.11. Diagnoses and treats patients with common acute conditions or chronic illnesses within acceptable protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.

1.2.3.12. Attends staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety.

1.2.3.13. Performs exercise stress tests within the cardiology lab.

1.2.3.14. Produce a monthly average of patient visits and Relevant Value Units (RVUs) consistent with department norms and equal to or greater than peers in the Cardiology Department.

1.2.3.15. Participates in peer reviews.

1.2.4. Registered Nurse-Cardiology Clinic/Utilization Management/Team Lead

1.2.4.1. Receives and makes patient telephone calls and computer/written correspondence regarding specialty clinic appointments and referrals. Routinely monitors referral management CHCS queue to ensure patients are being called that do not utilize the Referral Management Center walk-in service.

1.2.4.2. Obtains pertinent information from patients and enters data in CHCS, AHLTA, Military Health System (MHS) Genesis, CliniComp (Essentris), referral database, and other office automation software programs as appropriate.

1.2.4.3. Develops and implements a comprehensive Utilization Management plan/program for beneficiaries within the MTF’s goals and objectives.

1.2.4.4. Reviews previous and present medical care practices as needed for patterns, trends, or incidents of under or over utilization of hospital resources incidental to medical care provided to beneficiaries.

1.2.4.5. Plans and performs reviews IAW established indicators and guidelines to provide quality cost-effective care. Ensures identified patient needs are addressed promptly with appropriate decisions. Provides timely, descriptive feedback regarding utilization review issues.

1.2.4.6. Performs data/metric collection. Analyzes data and prepares reports to describe resource utilization patterns. Briefs applicable data/slides to provider staff, executive staff, newcomers, as appropriate. Identifies areas requiring intensive management or areas for improvement.

1.2.4.7. Collaborates with Referral Management Center to identify all open referrals and ensures resubmission. Ensures all referrals are reviewed and dispositioned in the appropriate manner (whether electronically or manually).

1.2.4.8. Establishes and maintains good interpersonal relationships with co-workers, families, peers, and other health team members. Submits all concerns through NCOIC or Flight Commander.

1.2.4.9. Performs with minimal supervisory direction.

1.2.4.10. As Team Lead, acts as the liaison between other Contractor personnel, flight leadership, and employer.

1.2.4.11. Assesses patients' conditions for potential or life-threatening crises. Distinguishes between normal and abnormal physical findings (from physical assessment and vital signs assessment). Plans appropriate nursing care. Notifies physician if needed and carries out appropriate interventions as ordered.

1.2.4.12. Obtains patient history, pertinent family history, and documents in patient’s medical record.

1.2.4.13. Utilizes appropriate nursing personnel to assist in delivery of care when indicated (e.g., paraprofessionals).

1.2.4.14. Transcribes or verifies transcription of physician orders.

1.2.4.15. Carries out prescribed physician orders and documents in patient medical records.

1.2.4.16. Communicates pertinent patient data to physician as appropriate.

1.2.4.17. Demonstrates proper preparation of patients for treatments and procedures.

1.2.4.18. Assesses and documents patient response to medications administered and intervenes if desired response is not achieved.

1.2.4.19. Instructs patient/family regarding prescribed medications/therapies and invasive/diagnostic procedures that must be accomplished.

1.2.4.20. Conducts preoperative and postoperative visits. Discusses cardiac catheterization and diagnostic cardiac testing procedures with patients and informs them of what to expect during procedures. Consults with the physician performing the procedure and establishes priorities of care for each patient. Coordinates with other hospital units, which include recovery room, intensive care, and nursing units, on patients’ progress and any special equipment or supplies that will be needed for the patient post procedure.

1.2.4.21. Properly applies cardiac monitor leads and 12 lead EKG machine, analyzes rhythm strips and notifies physician of any abnormal results (e.g., dysrhythmias for patient situation).

1.2.4.22. Participates in Discharge Planning as appropriate.

1.2.4.23. Performs accurate documentation, both written and electronic, of all activity IAW requirements. Prepares all documentation to meet or exceed established standards of the MTF, to include, but not limited to, timeliness, accuracy, content and signature. Only MTF and AF approved abbreviations shall be used for documentation of the patient health record.

1.2.4.24. Performs the procedure recovery and discharge within established criteria.

1.2.4.25. Participates and complies with quality and process improvement activities and events, including, but not limited to, post procedure follow ups, morbidity and mortality studies, and research studies to ensure compliance with national standards and guidelines.

1.2.4.26. Serves and participates in committees, functions, and other meetings as directed.

Provides relevant and timely information to these groups, and assists with decision-making and process improvement. Participates in customer service.

1.2.4.27. Completes orientation and competency verification programs IAW unit guidelines.

1.2.4.28. Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, and process improvement initiatives.

1.2.4.29. Maintains national registries, to include the ability to interpret, analyze, edit, and input data into said registries.

1.2.4.30. Coordinates cardiac referral process between VA, DoD, and outside facilities for care.

1.2.4.31. Attends meetings at either KMC or at the Biloxi VA to discuss VA sharing agreement, cardiology referrals, transfer process, coordination of patient care, etc.

1.2.4.32. Performs EKGs and assists echo tech with bubble studies and contrast echoes as needed.

1.2.4.33. Assists cardiologist with dobutamine or exercise stress tests within the cardiology laboratory.

1.2.5. Medical Coder-Cardiovascular

1.2.5.1. Responsible for assignment of accurate Evaluation and Management (E&M), International Classification of Disease (ICD), Current Procedural Terminology (CPT) and Healthcare Common procedure Coding System (HCPCS) codes and modifiers from medical record documentation.

1.2.5.2. Identifies and abstracts information from medical records (paper and electronic) for special studies and audits, both internal and external.

1.2.5.3. Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions.

1.2.5.4. Maintains a delinquency report of missing records in order to facilitate completion of work within the required thresholds.

1.2.5.5. Works directly with the cardiology department staff, to include administration, providers, nurses, technicians, and all other staff.

1.2.5.6. Responsible for the coding of all appointments, procedures, and studies that take place within the cardiology department.

1.2.5.7. Depending on cardiology workload, contractor may be asked to assist the hospital’s coding department.

1.2.6. PACS Administrator-Cardiovascular

1.2.6.1. Ensures equipment and network are operational before, during, and after a scheduled procedure. Maintains equipment maintenance according to MDG IC Guidelines, manufacturer specifications on quality assurance/controls.

1.2.6.2. Performs operational check or inspections, calibration, and quality control levels according to the manufacturer specifications. Assists with quality assurance/controls and improvement efforts, staffing requirements, and data (collection, analysis, and biometrics).

Document any quality control levels and follow MERC and manufacturers inspection requirements.

1.2.6.3. Complies with MDG IC guidelines and Department OIs, performs daily operational administrative duties, and supports staff development training.

1.2.6.4. Participates in administrative/support functions as well as continuing education programs to maintain skill and/or knowledge in order to meet the medical center's vision of train, teach and treat, and delivering Trusted Care Principles.

1.2.6.5. Adds/Changes/Deletes users on PACS, ScImage, and related systems, including adding new users, putting new users into appropriate user groups, granting appropriate privileges, changing user profiles, deleting/inactivating users, and maintaining all other PACS, ScImage, and Voice Dictation System user management functions.

1.2.6.6. Provides User Training, including planning and coordinating training (personnel, site, equipment, materials) with equipment manufacture personnel, upon system purchase and during software upgrades devices (purchased workstations, servers, archives, etc. supplied by product manufacturer), moves or removes manufacturer supplied hardware, adds workstation licenses, database license, Digital Imaging and Communication Medicine (DICOM) licenses, Radiology Information System (RIS) interface licenses, etc.

1.2.6.7. Trains additional users and provides refresher training for all users as needed.

1.2.6.8. Installs and sets up workstation hardware supplied by the organization, including physicians' computers to be able to use PACS viewing software Diagnostic/Review Desktop workstation license.

1.2.6.9. Notifies, plans, and coordinates installation with product manufacture personnel to add modality connections, including interfaces to new modalities when directed by MERC.

1.2.6.10. Notifies and coordinates with product manufacture personnel when moves/changes to modalities' DICOM storage locations are required.

1.2.6.11. Plans and coordinates software upgrades with product manufacture personnel.

1.2.6.12. Coordinates the installation and maintenance of other software programs (e.g., Microsoft office, e-mail, etc.) to workstations.

1.2.6.13. Monitors studies, transfers external patient exams to PACS, and corrects studies when images are in the wrong study, when study is in the wrong patient folder or when patient merge, study re-allocation, or image re-allocation is required.

1.2.6.14. Corrects information using Database Management Tool, when patient information is wrong; and for creating new patients, changing patient information.

1.2.6.15. Notifies product manufacturer when problems associated with product manufacturer supplied hardware requires involvement of product manufacturer personnel for resolution.

1.2.6.16. Analyzes and solves problems related to hardware and software supplied. Works with manufacturer and Information Services personnel to resolve problems, e.g., images cannot be sent or viewed, backup or storage management does not work correctly, reports do not go into the correct folders, and any other technical issues as they arise.

1.2.6.17. Tracks and notifies product manufacturer personnel when modality software upgrades, RIS/Hospital Information System (HIS) system software upgrades, or other related information system upgrades are required as directed by MERC.

1.2.6.18. Collaborates with and assists the Department of Radiology with PACS network usage issues as necessary to support the Cardiology department.

1.3. CONTRACTOR PERSONNEL QUALIFICATIONS

1.3.1. Technician-Cardiac Catheterization Laboratory

1.3.1.1. Required Skills and Ability

1.3.1.1.1. Knowledge and experience in computer operations and proficiency in the use of basic word processing, data entry, and automated medical records.

1.3.1.1.2. Must be able to stand while wearing up to 25 pounds of Personal Protective Equipment (PPE) for up to 4 hours.

1.3.1.2. Education and Certification

1.3.1.2.1. Contactor must possess a high school diploma and be certified, or become certified within 12 months, as a Cardiovascular Invasive Specialist (RCIS) as determined by the Cardiovascular Credentialing International (CCI). Contractor personnel shall possess, provide proof of, and maintain certification in Basic Life Support (BLS) and Advanced Cardiac Life Support/Advanced Life Support (ACLS/ALS).

1.3.1.3. Licensure

1.3.1.3.1. N/A

1.3.1.4. Experience

1.3.1.4.1. Minimum of two years of experience as a cath lab technician within the last four years.

1.3.1.4.2. Must be fully trained and have the technical capability to operate and maintain highly sophisticated cath lab instruments and equipment during specialized cardiac procedures.

1.3.2. Registered Nurses-Cardiology Clinic/Cardiac Catheterization Laboratory

1.3.2.1. Required Skills and Abilities

1.3.2.1.1. Possess excellent oral and written communication skills, interpersonal skills, and have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows.

1.3.2.1.2. Possess knowledge of a variety of pharmacological agents used in treatment of patients, the desired effects, side effects, complications and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.

1.3.2.1.3. Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.

1.3.2.1.4. Must be knowledgeable of laboratory test values.

1.3.2.1.5. Be able to initiate life saving measures in the absence of a physician.

1.3.2.1.6. Demonstrates competence in the administration of blood products IAW MTF guidelines.

1.3.2.1.7. Must be able to stand while wearing up to 25 pounds of PPE for up to at least 4 hours.

1.3.2.2. Education and Certification

1.3.2.2.1. Contractor must possess an Associate’s Degree in Nursing from a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC), or The Commission of Collegiate Nursing Education (CCNE). Contractor personnel shall possess, provide proof of, and maintain certification in BLS and ACLS/ALS. No specific national certifications are required.

1.3.2.3. Licensure

1.3.2.3.1. Registered Nurse-Cardiology Clinic/Catheterization Laboratory will require an active, full, and unrestricted nursing license within the jurisdiction in which the MTF is located.

Assignment to a position not involving direct patient care within or outside an MTF does not eliminate the requirement for license or authorizing document.

1.3.2.4. Experience

1.3.2.4.1. Minimum of two years of experience in a Cardiac Cath Lab, Critical Care Unit, Emergency Department, or a combination of these units within the last 36 months.

1.3.2.4.2. Must have experience using pharmacological agents in patient treatment and Cardiology testing, the desired effects, and complications of their use as well as the accurate administration of the pharmacological agent, including dosage calculations.

1.3.2.4.3. Must have experience with the basic requirements for proper documentation of patient care including medications given, nursing procedures, acknowledgement of teaching, and follow up care.

1.3.2.4.4. Experience with a wide range of cardiac and vascular disorders and conditions as appropriate and seen in potentially critically ill patients (e.g., Acute Myocardial events, chest pain, decrease in circulation to various areas of the body, and respiratory distress due to poor perfusion).

1.3.2.4.5. Experience with professional care theories, principles, practices, and procedures to perform nursing assignments of critically ill patients. Demonstrates knowledge specific to the Cardiology Clinic/Cath Lab population to include all ages from young adult to geriatrics.

1.3.3. Nurse Practitioner-Cardiology

1.3.3.1. Required Skills and Abilities

1.3.3.1.1. Possess excellent oral and written communication skills, interpersonal skills, and have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows.

1.3.3.2. Education and Certification

1.3.3.2.1. Contractor must possess a Master’s Degree of Nursing and have graduated from an academic program, within the nursing field of study that is accredited by a regional or national nursing accrediting agency recognized by the Accreditation Commission for Education in Nursing (ACEN) or the CCNE. Contractor personnel shall possess, provide proof of, and maintain certification in BLS and ACLS/ALS.

1.3.3.3. Licensure

1.3.3.3.1. Nurse Practitioner Cardiology Services shall require an active, full, and unrestricted nursing license within the jurisdiction in which the MTF is located. Assignment to a position not involving direct patient care within or outside an MTF does not eliminate the requirement for license or authorizing document.

1.3.3.4. Experience

1.3.3.4.1. Minimum of three years of experience as Family Care Practitioner, Acute Care Nurse Practitioner or Emergency Care Nurse Practitioner with experience in specialty clinics such as Cardiology, Neurology, Internal Medicine within the last 48 months.

1.3.4. Registered Nurse-Cardiology Clinic/Utilization Management/Team Lead

1.3.4.1. Required skills and Abilities

1.3.4.1.1. Knowledge, skills, and computer literacy to interpret and apply medical care criteria.

1.3.4.1.2. Possess excellent oral and written communication skills, interpersonal skills, and have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows.

1.3.4.1.3. The contractor must have a working knowledge of Ambulatory Procedure Grouping (APGs), Diagnostic Related Grouping (DRGs), and ICD.

1.3.4.1.4. Possesses the ability to identify, analyze, and make recommendations to resolve problems and situations regarding referrals.

1.3.4.1.5. Be able to independently identify, plan, and carry out projects with consideration for the goals and objectives of the cardiopulmonary flight.

1.3.4.1.6. Possesses knowledge of a variety of pharmacological agents used in treatment of patients, the desired effects, side effects, complications, and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.

1.3.4.1.7. Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.

1.3.4.2. Education and Certification

1.3.4.2.1. Contractor must possess an Associate’s Degree in Nursing from a college or university accredited by the NLNAC, or The CCNE. Contractor personnel shall possess, provide proof of, and maintain certification in BLS and ACLS/ALS. No specific certifications are required.

1.3.4.3. Licensure

1.3.4.3.1. Registered Nurse Cardiology Clinic/Utilization Management/Team Lead shall require an active, full, and unrestricted nursing license within the jurisdiction in which the MTF is located. Assignment to a position not involving direct patient care within or outside an MTF does not eliminate the requirement for license or authorizing document.

1.3.4.4. Experience

1.3.4.4.1. Must have a minimum of four years of clinical nursing experience and two years of full time employment in a nursing field within the last 36 months. Must have one year of previous utilization management experience within their nursing career.

1.3.5. Medical Coder-Cardiovascular

1.3.5.1. Required Skills and Abilities

1.3.5.1.1. Possess excellent oral and written communication skills, interpersonal skills, and have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows.

1.3.5.1.2. Position requires excellent computer/communication skills for provider and staff interactions.

1.3.5.1.3. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines, and coder experience.

1.3.5.1.4. Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.

1.3.5.1.5. Work is primarily sedentary. Requirements may include prolonged walking, standing, sitting or bending. Carrying or lifting of medical records may be required daily. Use of one or more computer programs and monitors may be required daily.

1.3.5.1.6. Shall be required to learn unique military health care systems and procedures, including but not limited to: AHLTA, CHCS, Defense Enrollment Eligibility Reporting System (DEERS), Military Filing System, CliniComp (Essentris), Coding Compliance Editor (CCE) System, Biometric Data Quality Assurance Services (BDQAS), MHS Coding Guidelines, etc.

1.3.5.2. Education and Certification

1.3.5.2.1. Must possess a minimum of a high school diploma. The following are recognized certifications and the contractor must possess one: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Coder Specialist-Physician (CSS-P) with the appropriate level of experience.

An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education.

1.3.5.3. Licensure

1.3.5.3.1. N/A

1.3.5.4. Experience

1.3.5.4.1. Minimum of two years coding experience with one of those years being cardiovascular coding experience (physician’s office or ambulatory surgery centers) within the last 4 years, including assignment of E&M, CPT, and HCPCS codes. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.)

that utilize ICD, E&M, CPT and HCPCS codes. Ancillary specialties (Physical Therapy/ Occupational Therapy (PT/OT), Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor.

1.3.6. PACS Administrator Cardiovascular

1.3.6.1. Required Skills and Abilities

1.3.6.1.1. Possess excellent oral and written communication skills, interpersonal skills, and have working knowledge of computers, specifically the Internet, Microsoft Word, Microsoft Access, Microsoft Excel, and Windows.

1.3.6.1.2. Must be able to stand while wearing up to 25 pounds of PPE for up to 2 hours.

1.3.6.2. Education and Certification

1.3.6.2.1. Contractor must possess a Bachelor’s degree in related healthcare field or information systems. Equivalent experience considered in lieu of education, or; directly related work experience may substitute education on a year-for-year basis. Contractor personnel shall possess, provide proof of, and maintain certification in BLS and Security Plus (Comp TIA).

1.3.6.3. Licensure

1.3.6.3.1. N/A

1.3.6.4. Experience

1.3.6.4.1. Minimum of two years of experience as a PACS technician/administrator within the last four years to include experience in basic troubleshooting on medical equipment, communicating and working with biomedical equipment technicians as well as equipment manufacturing companies to assist in diagnosing and resolving of issues with equipment.

1.4. PATIENT SENSIVIVITY. Contractor personnel shall provide patients with utmost care and attention. All patients shall be assured of their privacy and personal dignity.

1.5. COMMUNICATION. Contractor personnel shall maintain open and professional communication with members of the MTF staff. Complaints validated by the Flight Commander/Medical Director shall be reported in writing to the Contract Administrator (CA) and the Contractor for action. Failure of the Contractor to correct validated complaints raised by the MTF staff and the Contracting Officer (CO) will be considered failure to perform.

1.6. DOCUMENTATION. Contractor personnel shall prepare all documentation (to include patient records) to meet or exceed established standards of the MTF, to include but not limited to, timeliness, accuracy, content, and signature. Only MTF and AF approved abbreviations shall be used for documentation of the patient/donor health records.

1.7. CONTINUING HEALTH EDUCATION (CHE)/CERTIFIED EDUCATION UNITS

(CEU) REQUIREMENTS. Contractor personnel registered or certified by national/medical associations shall continue to meet the minimum standards for CHE to remain current as prescribed in Chapter 5, Air Force Instruction (AFI) 41-117, Medical Service Officer Education, 25 March 2015. CHE hours will be reported to the Medical Director, annually on the first normal duty day in January for the previous calendar year. Periodic CHE may be conducted at the MTF and will be available, at no cost, should the Contractor personnel desire to attend. Attendance will be at the discretion of the Flight Commander/Medical Director and will not be billable.

1.8. TRAVEL REQUIREMENTS.

1.8.1. Registered Nurse-Cardiology Clinic/Utilization Management/Team Lead will be required to travel to the Biloxi VA, approximately 10 miles round trip, for meetings or to help coordinate care for VA patients coming to KMC for care. Frequency of travel should not exceed three times per month.

1.9. PERSONNEL.

1.9.1. Point of Contact (POC). The Contractor shall provide a POC who shall be responsible for the performance of the work. The POC shall have full authority to act for the Contractor on all matters relating to the daily operations of this contract. The POC may be Contractor personnel providing care IAW this PWS. The Contractor shall designate this individual in writing, to the Contracting Office before the contract start date. An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary POC.

1.9.2. Availability. The Contractor’s designated project manager shall notify the FRED, as early as possible of programmed absences of the Contractor personnel to allow for planning of service coverage and workload distribution.

1.9.3. Hours of Operation. KAFB and the MTF operates on a 24/7 basis. Regular duty hours will not exceed 80 hours in two weeks. Contractor staff will provide after-hours availability for KMC Emergency Department and the wards. The contractor shall work Monday through Friday as specified below.

1.9.3.1. Technicians-Cardiac Catheterization Laboratory and Registered Nurses- Cardiology Clinic/Cardiac Catheterization Laboratory normal duty hours will be 0700-1530, Monday through Friday, with an allotted 30 minutes unpaid lunch break. Personnel must be in the work area and available for work at the appointed times. Work hours may be modified by the Cardiopulmonary Flight Commander to correspond with the needs of the department, not to exceed 8 hours per day or 40 hours per week. Work hours could range from 0600-1800, coordinated with the Health Care Worker (HCW) 2 weeks in advance, to accommodate special patient care needs or in the circumstance different shifts need to be created. Hours of duty shall not include travel to and from duty place of performance.

1.9.3.2. Nurse Practitioner-Cardiology, Registered Nurse-Cardiology Clinic/Utilization Management/Team Lead, PACS Server Administrator, and Cardiovascular Coder normal duty hours will be 0700-1600, Monday through Friday, with an allotted 60 minute unpaid lunch break. Personnel must be in the work area and available for work at the appointed times.

1.9.3.3. Contractor staff shall record hours worked in both the Defense Medical Human Resource System- Internet (DMHRSi), as well as any locally established duty tracking system as established by the duty section.

1.9.4. Holidays. The Contractor personnel shall be required to provide services on the following Federal Holidays (or the actual day set aside for observation) New Year’s Day, Martin Luther King Jr. Day, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans’ Day, Thanksgiving Day, and/or Christmas Day only if on-call and are called in for an emergent patient need. If on-call during any holiday contractor must remain within the 30 minute response window.

1.9.5. Vacation/absences. Contractor personnel are authorized excused absences for vacation, sick leave, continuing medical education (CME), and miscellaneous reasons. Absences are to be coordinated at a minimum two weeks in advance with, and at the discretion of the FRED. For extended absences, a minimum of four weeks’ notice is requested to accommodate for patient scheduling.

1.9.6. On- Call.

Technicians-Catheterization Laboratory will be required to take call every 3-4 weeks and must be able to report to the cath lab within 30 minutes of activation.

Registered Nurse-Cardiology Clinic/Catheterization Laboratory will take call an average of every 4 weeks and must be able to report to the cath lab within 30 minutes of being activated.

Nurse Practitioner Cardiology Services, Registered Nurse Cardiology Clinic/Utilization Management/ Team Lead, Medical Coder Cardiovascular, and PACs Administrator Cardiovascular will not be required to take call.

1.9.7. Overage. As part of the call team, the on-call cath lab technicians and cath lab nurse will stay to finish out any procedures that are still to be completed after the duty day has ended. If the contract does not include overage hours, the Government Supervisor shall adjust the Contractor personnel’s work schedule for the additional hours such that the number of duty hours on the contract is not exceeded. See section 1.9.9. for other info related to overage hours.

1.9.8. Unplanned Closures. In the event of an unplanned closure of the facility due to natural disaster, military emergency, or severe weather, Contractor personnel shall be allowed to account for those hours as billable to the Government.

1.9.9. Emergency Situations. In the event the Government Supervisor directs the contractor personnel to remain on duty in excess of the scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the contractor personnel shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift) which are to be completed as part of the shift. If the contract includes overage hours, the Government Supervisor may use those overage hours. If the contract does not include overage hours, the Government Supervisor will adjust the contractor personnel’s work schedule for the additional hours such that the number of duty hours on the contract is not exceeded.

1.10. PERSONNEL REQUIREMENTS.

1.10.1. English Language Requirement. Contractor personnel shall be proficient in all forms of the English language, to include both written and verbal communications skills.

1.10.2. Appearance and Conduct. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in appropriate attire befitting a health care setting and having complied with socially acceptable standards of personal hygiene expected of health care workers. The Contractor personnel shall maintain a professional manner and display a positive, cooperative attitude while in the workplace.

1.10.2.1. While on duty the Contractor personnel shall be neat and clean, free from visible dirt and stains, well groomed, and appropriately dressed. The Contractor personnel’s clothing shall fit correctly to provide a professional, modest appearance, in keeping with normally accepted community standards of dress for the work being performed.

1.10.2.2. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, look unkempt, or be unclean. Facial hair shall not interfere with the face seal if a tight-fitting respirator (e.g. N95 particulate respirator duckbill mask fitting) is required to be worn for normal duties.

1.10.2.3. The Contractor personnel shall display legible MTF provided identification media on his/her outer clothing.

1.10.2.4. Protective clothing. When required, and supplied by the Government, Contractor personnel shall wear special protective clothing and shoe covers. When duties will be performed in specific areas, a disposable protective suit with other appropriate PPE (for example, gloves, boots, etc.) shall be worn to ensure universal precautions are observed. The Government will provide ALL PPE. These items shall remain the property of the Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

1.11. GUIDANCE. Contractor personnel shall perform procedures compatible with the MTF’s operating capacity and equipment. New medical procedures/services shall not be introduced without prior recommendation to, and approval of, the MTF Commander or authorized representative or without proper training.

1.12. CRIMINAL HISTORY BACKGROUND CHECKS. Contractors shall perform criminal history background checks on all employees to ensure they can pass the Government required background checks for issuing Common Access Card (CAC). For Contract employees involved on a frequent and regular basis in the provision of care and services to children under the age of 18. Contractors shall perform criminal history background checks IAW Department of Defense Instruction (DoDI) 1402.5, (background checks on individuals in DOD Child Care Services Programs), 11 Sep 2015. The background checks are required by Criminal Control Act, P.L. 101-647, Section 231 (CC Act 1990, 42 U.S.C. Section 13041). The Contractor shall assemble all necessary documentation required by DoDI 1402.5 for the background checks and submit with qualifying documents.

1.12.1. Background checks will be based on fingerprints of individuals obtained by a Government law enforcement officer and inquiries conducted through the Federal Bureau of Investigations (FBI) and state criminal history repositories.

1.12.2. With the consent of the CO, the contractor personnel may provide contract services prior to completion of background checks. However, at all times while children are in the care of that individual, the Contractor personnel shall be within sight and continuous supervision of a staff person whose background check has been completed.

1.12.3. Individuals shall have the right to obtain a copy of any background check pertaining to themselves and to challenge the accuracy and completeness of the information contained in the report.

1.12.4. Individuals who have previously received a background check shall provide proof of the check to the Security Manager or obtain a new one.

1.13. CONFLICT OF INTEREST. The Contractor shall not employ any person who is an employee of the United States Government, if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval IAW DoD Directive (DoDD) 5500.7,…