ATTACHMENT 1 - STATEMENT OF WORK.docx

STATEMENT OF WORK (SOW) - Locum Contract Services

I. PURPOSE OF CONTRACT:

This is a NON-Personal Service Contract purchase order to provide qualified Clinical Laboratory Technician (CLT) or a Clinical Laboratory Scientist (CLS) to perform specimen collection, processing, and testing for the locations provided in Section III. The recurring needs of the service unit are for full-time MT/MLS/CLS on an “as needed” basis for the duration of the contract.

Shift times and schedules are subject to change based on the medical needs of the patient population and clinic operations.

II. OBJECTIVE:

The Contractor CLT/CLS shall provide routine general medical services for eligible patients (children, adults and elderly) at the Service Unit. The purpose of the work is to improve the overall health care status of the Native American population served. The COR, along with laboratory supervisor and other departmental staff will monitor activities. Services may include but are not limited to the following:

· Shall be knowledgeable and perform services using infection control practices in accordance with accreditation standards, IHS policy and procedures, and other regulating agencies and laws.

· Provides services in a professional and respectful manner when dealing with patients and colleagues.

· Is familiar with and follows all procedures and policies including laboratory technical procedures, laboratory safety, and laboratory blood-borne pathogen policy.

· Shall use personal protective equipment to protect patient and personnel from exposure to infectious disease as appropriate.

· Ability to identify, categorize, and perform laboratory services to address each patient’s age-specific needs (pediatric, adolescent, adult, and geriatric).

· Provide laboratory specimen collection, processing, testing and reporting services for eligible patients (pediatrics, adults, and elderly)

· Performs/monitors routine and specialized laboratory tests in microbiology, hematology, chemistry, urinalysis and serology.

· Performs preventative maintenance for all instruments. Troubleshoots malfunctions and makes simple repairs or identifies need for external service.

· Knowledge of quality control, proficiency testing, and quality assurance to assure the reliability of the data reported.

· Conducts quality control procedures on equipment, reagents and products. Troubleshoots quality control issues when applicable.

· Participates in laboratory proficiency testing.

· Participates in laboratory quality assurance program and the clinic’s continuous quality improvement program as necessary.

· Skill in calibrating and operating analytical instruments sufficient to independently perform recurring tests and analysis.

· Skill in interpreting and evaluating the results of test/examinations in process and upon completion in order to recognize anticipated reactions and departures from the norm. Repeats tests/examinations if results provide improper or imprecise outcomes and reports recurring abnormalities and deviations to the supervisor.

· Completes and files laboratory reports.

· Orders and maintains supplies as needed.

· Assists in keeping laboratory area neat and orderly.

· Technical Proficiency: Contractor’s CLT/CLS shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read, and write English fluently. Contractor shall provide documents upon request to the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor’s MT/MLS/CLS.

Ill. PERIOD OF PERFORMA NCE AND LOCATION:

A. Services under this contract will be performed at the following location:

Warm Springs Service Unit Warm Springs Health & Wellness Center 1270 Kot-Num Road Warm Springs, Oregon 97761

Colville Service Unit – Nespelem Clinic 19 Lakes Street Nespelem, WA 99155

Wellpinit Service Unit 6203 Agency Loop Road Wellpinit, WA 99040

B. Period of Performance: 240 Days, Estimated Start Date is 05/15/2024.

IV. STATEMENT OF WORK:

Services shall be performed during regular operational hours (8) hours per day, as requested by the lab supervisor. Overtime is not authorized under this contract. Clinic Operation hours are Monday thru Friday from 8am to 5pm, and closed on all Federal Holidays. The Service Unit is not open on Federal 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 operating hours and notice of closure will be provided as soon as practicable by the Contracting Officer’s Representative (COR) of the Service Unit administrative component. Transportation and housing expenses shall be covered by the Contractor or their employee(s). Time and attendance logs shall be utilized, kept on file, and verified by the COR prior to payment approval.

The contractor shall use the existing Government property and supplies located at the Warm Springs Service Unit.

The contractor should be able to provide services in clinical laboratory setting performing diagnostic testing in chemistry, hematology, urinalysis, serology and microbiology as well as assisting in phlebotomy. The contractor shall ensure that the contract MT/MLS/CLS is proficient in the operation of different laboratory equipment /analyzers, running quality controls, calibration of laboratory equipment and capable of applying professional judgement in resulting out challenging diagnostic laboratory results.

The contractor will ensure that the employee meets the conditions of Section 408 of the Miscellaneous Indian Legislation, Public Law 101-630, which contains a related requirement for positions in the Department of Health & Human Services that involve regular contact with or control over Indian children. The agency must ensure that persons hired for these positions have not been found guilty or pleaded no contest or guilty to certain crimes.

V. INDIAN HEALTH SERVICE RESPONSIBILITIES:

A. The Service Unit shall provide a patient examination area and all medical and non-medical equipment and supplies used in the Indian Health Service facility for the care of patients. Any specialized equipment needed will have to be reviewed and approved by the Clinical Directors.

B. In partnership with the Contractor, the Service Unit will monitor and evaluate the quality and appropriateness of patient care, and identify and correct deficiencies in the quality of care.

C. The Service Unit will not provide an Assistant, unless necessary for patient- management.

D. The contract CLT/CLS shall be provided with an orientation to the Indian Health Service and the Indian Community being served. This orientation will include, but is not limited to, introduction to the Electronic Health Record (EHR), Resource Patient Management System (RPMS), and other programs and packages necessary to fulfill provider obligations under this contract. The initial orientation and continuing orientation shall be provided by the Service Unit’s personnel.

E. The Service Unit reserves the right to cancel a clinic due to illness, vacation, or emergency of the Contractor or to natural or unforeseen circumstances at the Service Unit, without compensation for that action. Such cancellation notice shall be made as soon as is practicable as described in IV. A.

VI. QUALIFICATIONS:

A. The contractor shall maintain as a minimum :

· CLT/CLS shall have proper Qualifications.

· Must be valid ASCP certification, or equivalent.

· Shall have state licensure, if required.

· Hold and maintain Basic Life Support (BLS) certification

B. The contractor shall have, at a minimum, the following experience:

· Experience working in a primary care outpatient clinic setting.

· Experience providing care to patients within a rural area.

· Experience or familiarity working with an Electronic Health Record System.

C. The contractor shall provide and attach the following forms:

· Certification Of Immunization

· Declaration of Employment

· Certification of Education, Licensure and Insurance

· HIPAA Agreement

D. The Contractor must meet the Service Unit’s requirements for Credentialing and Privileging as stated in the Medical Staff By-Laws.

VII. DELIVERABLE & REPORTING REQUIREMENTS:

A. TAXES

The Contractor will be responsible for all applicable Federal, State, and local taxes and duties. Internal Revenue Service Forms 941 & 941-V are the recommended forms. Contractor shall contact local IRS for assistance. The quarter end dates are as follows:

· 1st Quarter- April 15th

· 2"d Quarter - June 15th

· 3rd Quarter- September 15th

· 4th Quarter - January 15th

VIII. ON-SITE CONTA CT/SUPERVISION:

The following individual(s) or t heir designee shall serve as the Technical Point of Contact representative under this contract:

To be provided after award

The Supervisor’s responsibilities will be to coordinate with the provider the technical aspects of this service and the review of performance hereunder.

The following individual or their designee shall serve as the Government Contracting Officer’s Representative:

To be provided after award.

IX. PAY MENT SCHEDULE :

A. Payment shall be made in accordance with the hourly rate of the contract for services provided at the clinic site, see pricing schedule.

B. 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 thirty (30) days of an accepted and approved invoice by a Contracting Officer when presented to the Finance Office.

C. The Contractor shall maintain an "Active" status with the System for Award Management (SAM) as prescribed by the Electronic Funds Transfer (EFT) procedures. ·

X. INVOICING:

INVOICING:

IPP invoicing is exercised with Invoices submitted monthly: on the last day of each month.

For Invoice status please contact, POR_AODFMPAYABLES@IHS.GOV and provide the invoice, amount, and contract number.

Note: Invoice must match purchase order in description and period of performance. Defective/deficient invoices will be returned.

Upon receipt, the COR shall examine the invoice(s) for accuracy.

Payments 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. Payment will be made by Electronic Funds Transfer.

XI. ADDITIONAL TERMS & CONDITIONS:

A. SUBSTITUTE PROVIDERS

The Contractor may request the right to provide a substitute Practitioner to cover a scheduled clinic when it is impossible for the Contractor to be in attendance due to illness or vacation. The proposed substitute must meet the qualification, credentialing and privileging requirements of the Service Unit and must be approved by the Contracting Officer and the Project Officer.

The proposed substitute must possess the same qualifications as specified in this contract prior to a scheduled clinic. Failure to possess or maintain such qualifications shall deem the offer or ineligible for award and cause the contract to become null and void at no cost to the Government.

C. MALPRACTICE COVERAGE

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 agreement. 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.

D. CREDENTIALING I CLINICAL PRIVILEGES I TERMINATION

If the contractor fails to meet or maintain the contract required qualifications, licensure, credentialing requirements or clinical privileges of the specific Indian Health Center the contract may be terminated without cost to the Government, and the contractor determined ineligible to contract and thus, the contract shall be void. This contract is valid only so long as the budgets within the Service Unit’s accounts can maintain said service. Clinics can be cancelled and the contract vacated at the sole discretion of the Service Unit, without notice or compensation for any remaining clinics left in the contract.

E. CONTRACTOR GOVERNMENT FURNISHED EQUIPMENT AND FACILITIES

The Service Units do not anticipate a need for Contractor furnished equipment.

F. HIPAA REQUIREMENT

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.