ATTACHMENT 2 - PERFORMANCE WORK STATEMENT.docx

WOSU Behavioral Health Nonpersonal Services 75H71325Q00011 Page 1 of 12

PERFORMANCE WORK STATEMENT (PWS)

Behavioral Health Nonpersonal Services Western Oregon Service Unit

1.0 General Contract Information: This is a firm-fixed price nonpersonal health care service contract to provide behavioral health services at the Western Oregon Service Unit (WOSU) of the Indian Health Service (IHS) located in Salem, Oregon.

1.1 Background: Western Oregon Service Unit (WOSU) also known as Chemawa Indian Health Center, is an Indian Health Service (IHS) outpatient health center, accredited by the Accreditation Association for Ambulatory Health Care (AAAHC), that provides healthcare to more than 5,000 active American Indian and Alaska Native patients. WOSU is also the sole healthcare provider for students attending Chemawa Indian School on the same campus. Chemawa Indian School is a boarding school that serves high school-aged students from more than 100 tribes nationwide.

Indigenous populations in the United States are affected by disparities in both access to healthcare and healthcare outcomes. Indigenous populations experience a higher rate of suicide than all other recognized racial and ethnic populations in the United States. WOSU currently lacks adequate behavioral health services.

1.2 Objectives: This contract is sought to support patients by providing behavioral health services that directly support the health goals and objectives of individual patients, advancing the IHS’s mission to improve the physical, mental, social, and spiritual health of American Indians and Alaska Natives. Patients will be provided services geared towards assessment, plan development, individual and group therapy and counseling, case management, evaluation and support, utilizing evidence-based practices and an innovative and collaborative model.

1.3 Scope: The Contractor shall provide behavioral health nonpersonal services in accordance with Section 5, Performance-Based Requirements. The policies and procedures for nonpersonal health care service contracts are prescribed in Federal Acquisition Regulation (FAR) Subpart 37.4. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment).

1.3.1 The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance.

1.3.2 The contractor is required to maintain medical liability insurance, in a coverage amount acceptable to the contracting officer, which is not less than the amount normally prevailing for behavioral health providers within the local area.

1.3.3 The contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at FAR 52.237-7, including the maintenance of medical liability insurance

1.3.4 As an independent contractor; payment of federal, state and other local city/county taxes is the burden of the Contractor.

1.3.5 The Contractor's price/cost for services under this contract should include all applicable taxes for Internal Revenue Service (IRS), State of Oregon Department of Revenue and/or other revenue agencies. The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.

1.4 Period of Performance: The period of performance shall be for one (1) Base Year of 12 months and four (4) 12-month Option Years. The Period of Performance reads as follows:

1.4.2 Tour of Duty: The Contractor is responsible for performance, forty (40) hours per week, between the hours of 7:30am and 5:00pm, Monday through Friday, excluding lunch breaks, Federal holidays, administrative facility closures, approved absences, and verifiable emergencies. Scheduling will be coordinated with and acceptance of the Tour of Duty will be made by the Contracting Officer’s Representative (COR). The estimated hours reflect a schedule of eight (8) hours per day and forty (40) hours per week, minus eleven (11) Federal Holidays and approximately twenty (20) days of approved absences.

1.4.2.1 Work Absence: The Contractor shall, with exception for illness and verifiable emergencies, obtain the approval of the CO or COR in advance of absence from work. If the length of the absence exceeds one work day, the Contractor shall request approval at least thirty (30) days in advance of the requested absence.

1.4.2.2 Illness: The Contractor shall inform the COR or designee as soon as practicable of any absence due to illness. In the event of an extended absence due to illness of more than three (3) days, the contractor shall provide documentation from a qualified healthcare provider to support the need for and duration of the extended absence.

1.4.2.3 Verifiable Emergencies: In the event of an emergency resulting in an unexpected, unplanned absence, the Contractor shall provide the COR or designee with documentation to support the necessity of the absence as soon as practicable.

1.5 Place of Performance: The work under this contract is performed at the Indian Health Service’s Western Oregon Service Unit (WOSU), also known as Chemawa Indian Health Center, located at the following address:

Western Oregon Service Unit

1.6 Security Requirements: Personnel providing services at WOSU are subject to background investigation and must be able to obtain and maintain Child Care National Agency Check and Inquiries (CNACI) clearance. Investigations will be initiated by the IHS.

1.7 Behavioral Health Provider Qualifications and Suitability: The contractor shall be responsible for managing its workforce to ensure that sufficient contract employees who meet all employment suitability requirements are available to perform the duties required under the contract.

Behavioral Health Providers under this contract will be qualified either as Clinical Psychologists or Licensed Clinical Social Workers.

1.7.1 Clinical Psychologist Qualifications: A clinical psychologist under this contract will have a masters, doctoral, or equivalent degree from a psychology program accredited by the APA (American Psychological Association), and possess a current, unrestricted, license as a Licensed Professional Counselor (LPC), Licensed Clinical Psychologist, Licensed Marriage and Family Therapist (LMFT), or equivalent to practice in the United States, the District of Columbia, Puerto Rico, or a territory of the United States. The psychologist shall remain in good standing with the licensing board throughout the contract term.

1.7.2 Licensed Clinical Social Worker Qualifications: A social worker under this contract will have a Master of Social Work (MSW) or equivalent degree from a social work program accredited by the CSWE (Council on Social Work Education), and possess a current, unrestricted license a Licensed Clinical Social Worker (LCSW) or equivalent to practice in the United States, the District of Columbia, Puerto Rico, or a territory of the United States. The social worker shall remain in good standing with the licensing board throughout the contract term.

1.7.3 U.S. Citizenship: Contractor personnel who occupy positions required under this contract are required to be United States citizens.

1.7.4 If the Government receives a negative report on any contractor employee, the Contracting Officer’s Representative (COR) or Contracting Officer (CO) may request the contractor to immediately remove any employees from the contract should it be determined that the individual being assigned to duty has been found unsuitable or has been found to be unfit for satisfactory performance.

1.8 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.10 Contracting Officer Representative (COR): The COR monitors all technical aspects of the contract and assists in contract administration. The (COR) will be identified by separate letter. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR is authorized to perform the following functions:

1.10.1 Assure that the Contractor performs the technical requirements of the contract.

1.10.2 Perform inspections and surveillance necessary in connection with contract performance.

1.10.3 Maintain written and oral communications with the Contractor concerning technical aspects of the contract.

1.10.4 Issue written interpretations of technical requirements.

1.10.5 Monitor the Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies.

1.10.6 Coordinate availability of government furnished property, and provide site entry of Contractor personnel.

1.11 Business Associate Agreement: The Contractor, its employees, and any subcontractors are subject to requirements of the Business Associate Agreement included in the solicitation or contract, and are therefore subject to the Health Insurance Portability and Accountability Act (HIPAA) as business associates of the IHS.

1.12 Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to including health information or medical records, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.12.1 The Contractor not permitted to make use of any data derived from these services for any purpose not directly related to and/or authorized by the IHS. All patient data/information are subject to the Privacy Act and the Confidentiality of Information Clause (FAR 52.239-1, FAR 52.224-1, FAR 52.224-2, HHSAR 352.224-70, HHSAR 324.105(a)).

1.12.2 Upon completion/termination of the contract, all information, statistical or analytical material or reports and other data generated by the Contractor shall become the property of the Government.

1.12.3 The Contractor is prohibited from gathering data, statistics, or use of material for publication and/or research for its own benefits. The Contractor must obtain prior approval from the Contracting Officer prior to the release or dissemination of information related to this contract.

1.13 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.14 Payment Schedule: The unit price awarded is the contract price for behavioral health services and covers all related costs to provide required services.

1.14.1 Hourly Rates: Payment for services received and approved shall be paid at an hourly rate calculated using the actual number of hours of behavioral health services that are accepted by the Government (rounded to the nearest ¼ hour).

1.14.2 Schedule of Items: Payment for services received and accepted by the Government shall be paid at the applicable Schedule of Items rate (rounded to the nearest ¼ hour).

1.14.3 Payment shall be made only for the actual duration of authorized services performed. Any lunch, travel, training, or administrative time shall not be paid by the Government.

2.0 Definitions:

2.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of the contract.

2.2 Accreditation Association for Ambulatory Health Care (AAAHC): An organization authorized by CMS to grant accreditation to ambulatory health centers.

2.3 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.4 Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

2.5 Centers for Medicare and Medicaid Services (CMS): A federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

2.6 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.7 Contractor: The individual awarded a legal binding contract to provide supplies and services.

2.8 Contracting Officer’s Representative (COR): A federal employee who assists the contracting officer in the administration of the contract. The COR monitors all technical aspects of the contract and assists in contract administration.

2.9 Cooperative Attitude: Behavior that is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

2.10 Cultural Awareness: Realization and respect for American Indian and Alaska Native practices.

2.11 Customer: Patients, staff and visitors of an IHS service unit and health center.

2.12 Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractor’s performance. This is one of the criteria used to evaluate the Contractor’s performance.

2.13 Dependability: Qualities of being trusted and being able to repeat the same task to yield the same result.

2.14 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

2.15 Health Center: A facility, separate from a hospital, with a full range of ambulatory services including at least primary care providers, nursing, and laboratory which is available at least 40 hours a week for outpatient care.

2.16 Nonpersonal Services: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.

2.17 Orientation: An activity designed to provide basic familiarization of the facility and transition the Behavioral Health Provider into the IHS Service Unit or Health Center where behavioral health services will be provided.

2.18 Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance to specifications and to standards of good workmanship; the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business-like concern for the interest of the customer.

2.19 Patient Outcome: Provide accurate and reliable results for direct patient care as a behavioral health provider.

2.20 Performance-Based Matrix: Lists the services to be monitored and the standards to be applied.

2.21 Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.22 Quality Assurance Surveillance Plan (QASP): The document government personnel use to assess contractor performance. The QASP identifies what is going to be inspected, the inspection process, and who will do the inspecting.

2.23 Service Unit: The local administrative unit of IHS. In this document, service unit refers to the Western Oregon Service Unit of the Indian Health Service.

2.24 Tour of Duty: The scheduled time during which the Contractor shall provide Behavioral Health services.

2.25 Validated Customer Complaint: A justified made by a patient and supported by investigation.

2.26 Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

3.0 Government Furnished Information, Property, & Services:

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, will be made available to the Contractor. The Contracting Officer or designee will be the point of contact for identification of any required information to be supplied by the Government.

3.2 Work Space: Except for where otherwise excluded, the Government will provide, for onsite use by a behavioral health provider under this contract, all necessary office supplies and clinic space, including a desk, chair, and wired telephone.

3.3 Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in paragraph 4 of the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

3.4.1 Personal Identity Verification (PIV) Badge: The Government will provide identification badges for each behavioral health provider. A minimum fee, as per Homeland Security Presidential Directive 12, will be charged for lost or destroyed badges.

3.5 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures. Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of behavioral health services or includes mandates made by the IHS Service Units/Health Centers while the Behavioral Health Provider is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

3.6 Contracting Office Representative (COR): The Contracting Officer will appoint a Contracting Officer’s Representative to serve at the contractor’s primary point of contact for day to day operations and responsible for the surveillance and assessment of performance under this contract.

4.0 Contractor Furnished Equipment:

4.1 Except for the property specified in Section 3 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

4.1.1 Dress: Behavioral Health Provider dress shall conform to the requirements of the service unit dress code.

4.1.2 Other Personal Medical Instruments: “Other personal medical instruments” are defined as Contractor owned items may include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

5.0 Performance Based Requirements:

5.1 Behavioral Health Provider Duties: The Contractor shall provide behavioral health services in delivery of patient care to the Indian Health Service. Specific Tasks include the following:

5.1.1 Provide intensive therapeutic services, consultation, and support to the student patients from Chemawa Indian School. Primary focus will be in the area of substance abuse, addictions, and cooccurring disorders (prevention, treatment, and aftercare).

5.1.2 Serve as one of the coordinators for all substance abuse activities within the Chemawa Student Behavioral Health Center (CBHC) within Western Oregon Service Unit.

5.1.3 Work closely with Chemawa Indian School, Western Oregon Service Unit staff, and fellow Chemawa Student Behavioral Health Center staff in coordinating services to meet patient needs.

5.1.4 Provide case and program consultation for the development of comprehensive student behavioral health services.

5.1.5 Participate regularly in Chemawa Student Behavioral Health Center, Western Oregon Service Unit, Area Behavioral Health Program, and Chemawa Indian School program staff meetings, conferences, and special education programs as appropriate.

5.1.6 Provide case, program and clinical consultation to staff at Chemawa Student Behavioral Health Center and other providers in order to ensure quality of services in accordance with AAAHC Behavioral Health Standards of Care, Quality of Care Standards, Quality Management and Improvement standards, and other applicable IHS and state Standards.

5.1.7 Assist in developing and gathering behavioral health data, including medical records, and prepare factual information and reports to assist in developing or evaluating new or existing programs in the area of substance abuse.

5.1.8 Collaborate with and provide consultation to Chemawa Indian School, home tribal health and social services, Bureau of Indian Affairs, community services, law enforcement, the judiciary, etc. in promoting behavioral health and addiction prevention, treatment, and aftercare program activities through individual and group meetings.

5.1.9 Act as a member of multidisciplinary team for planning, implementing, and directing therapeutic services and activities for youth, which stress development of coping and decision-making skills.

5.1.10 Participates in best-practices training at Chemawa Student Behavioral Health Center, Western Oregon Service Unit, and Chemawa Indian School

5.1.11 Participates in local training programs for service unit, students and staff at Chemawa Indian School and Western Oregon Service Unit. Training covers addiction, prevention, treatment, and recovery process. methods of prevention and treatment, youth and family issues, orientation to crisis intervention techniques, principles of patient confidentiality and other issues pertinent to substance abuse and chemical dependence within the Indian Community.

5.1.12 Functions independently with general supervision from the Chemawa Student Behavioral Health Center Program Director, at Western Oregon Service Unit who sets the overall objectives and resources involved. Exercises professional expertise in handling and resolving complex problems posed by assignments. Completed work is reviewed in terms of effectiveness in meeting expected results.

5.1.13 Work effectively and harmoniously with care teams, colleagues and coworkers, and with AI/AN patients and their families. Demonstrate cultural competency, awareness of and sensitivity to the cultures and traditions of American Indians and Alaskan Natives.

5.1.14 Coordinate with patients’ care teams. Offer guidance and support to team members. Promote a collaborative and whole health approach to care through effective communication with primary care providers and other service unit staff.

5.1.15 Participate in continuous quality and performance improvement processes, including both the development and implementation of quality and performance improvements.

5.1.16 Participate in accreditation and licensing processes.

5.1.17 Work with interpreters as necessary to provide services to customers.

5.1.18 Complete facility and department orientations.

5.1.19 Complete all training required by IHS and service unit policy.

5.1.20 Participate in clinical rounds, care conferences, and meetings.

5.1.21 Comply with Indian Health Service immunization requirements.

5.1.22 Respond to notifications requesting the completion of visit records within 72 hours.

5.1.23 Provide program evaluation data monthly, to include number of patients served, frequency, topics, methodology, impact, and other metrics as needed.

5.2 Identification Badge: Following issuance, behavioral health providers under this contract must wear a government issued Personal Identity Verification badge while on site at the service unit.

5.3 IHS Information Technology Systems: In performance of this contract, a behavioral health provider will be required to utilize IHS provided information technology resources including computers, peripherals, and software including but not limited to any electronic health record software designated for use by service unit policy, which the IHS has deemed necessary for acceptable performance. The IT policies and procedures are available to the behavioral health provider at the Service Unit, and the behavioral health provider will adhere to the IHS information technology system security policies and procedures, including completing any training required to access and utilize IHS information technology resources.

5.4 The contractor shall conform with the policies, procedures, and standards set by the service unit, the IHS, and any applicable licensing or accreditation body (e.g. AAAHC).

6.0 Attachment/Technical Exhibit List:

6.1 Attachment 1/Technical Exhibit 1 – Performance Requirements Summary

6.2 Attachment 2/Technical Exhibit 2 – Deliverables Schedule

TECHNICAL EXHIBIT 1

Performance-Based Matrix The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

Method of Surveillance

Objective # 1.

The contractor shall provide behavioral health services at WOSU.

Objective # 2.

The contractor shall conform with the policies, procedures, and standards set by the service unit, the IHS, and any applicable licensing or accreditation body (e.g. AAAHC).

Objective # 3.

The contractor shall provide high quality service with professionalism.

No more than two validated customer complaints per contract period.

Customer Surveys, Validated Customer Complaints

Objective # 4.

The contractor shall provide documentation to support all behavioral health services provided under this contract.

Objective # 5.

The contractor shall provide qualified behavioral health providers.

TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

1 submitted electronically via IPP.gov and 1 via secure email to COR