Attachment 4 - Critical Care Response Team General Requirements (Non-Personal Services).pdf

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Attachment 4: Critical Care Response Team General Requirements Non-Personal Services

4/15/2020 (DRAFT DOCUMENT SUBJECT TO CHANGE)

1. General

1.1 Each Critical Care Team member shall adhere to the Safety management reporting requirements in accordance with each hospital’s Safety Measure Policy.

1.2 Each Critical Care Team member shall be responsible for all applicable Federal, State and Local Taxes, Meals, Travel/Transportation. If government lodging is available, expenses must be paid for by the contractor or contract agency. Government quarters are available at prevailing rental rates plus utilities, as applicable, if government quarters are utilized. The contractor shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters.

1.3 The Contractor and/or Critical Care Response team member(s) shall immediately report to the IHS and/or tribal hospital clinical leadership, any information or circumstances that may violate any statute, policy, or procedure.

1.4 Any Contractor employee demonstrating impaired judgment shall not be allowed to continue working on the contract. The Government reserves the right to remove the individual from the facility, in the event a licensed independent practitioner judgment determined the individual is impaired.

2. Work Flexibility. As directed by the designated hospital or IHS clinical leadership, the Contractor may be required to rotate Critical Care Team members into other Departments, as needed to support patient care.

3. Health Requirements/Conditions of Employment:

3.1 Medical Evaluation. Each Critical Care Team member shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

3.2 Immunization. Each Critical Care Team member shall provide documentation as evidence of immunization as required by each hospital’s immunization policy. For example, Navajo Area IHS requires the following:

• Hepatitis A - Two dose series at zero and six months.

• Hepatitis B - Three dose series at zero, one, and six months or documented immunity.

A signed declination of Hepatitis B vaccination series will be accepted.

• Measles, Mumps, Rubella (MMR) - Two doses or titer documentation.

• Varicella (chickenpox) – Two doses, titer documentation or history of varicella/shingles.

• Tetanus, diphtheria, pertussis (Tdap/Td) - one dose of Tdap, then tetanus (Td) booster every 10 years thereafter.

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• Meningococcal - Two vaccines (MenACWY and MenB) recommended for microbiologists routinely exposed to N. meningitidis.

• Documentation of annual TB test- may include Mantoux TB skin test (PPD). All new employees will require the two step TST.

• Acceptable lab testing: Quantiferon Gold or T-Spot test.

• For positive TB test results, please submit a copy of recent chest x-ray results.

• Influenza – Mandatory annual vaccination.

4. Language Requirements and Cultural Awareness. The Contractor shall ensure that each Critical Care Team member read, understand, speak, and write English to effectively communicate with patients and other health care workers, and shall be respectful of the local, American Indian and Alaska Native cultures.

5. Orientation. All Critical Care Team members providing service under this contract shall attend mandatory orientations and training specified by the government.

6. Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA and Privacy Act standards, as well as hospital-specific policies and protocols.

7. Medical Records and Other Required Documentation: One hundred percent (100%) of all medical records (EHR) and other required documentation meets established IHS medical facility, Joint Commission (when applicable), DNV GL (when applicable), and CMS standards to include, at a minimum, but are not limited to: timeliness, legibility, accuracy, content, date, time, signature and designated profession.

8. Information Technology Skills. The Contractor shall ensure that each Critical Care Team member possess basic knowledge, skills, and abilities to use a computer.

9. IHS Information Technology Systems:

In performance of this contract, the contractor shall ensure that each Critical Care Team member shall adapt to and successfully utilize IHS information technology systems that are deemed by the Supervisor as necessary for acceptable contractor performance.

The Contractor shall ensure that each Critical Care Team member adheres to IHS information technology system security policies and procedures are adhered to. The IT policies and procedures will be made available to the Contractor at each location.

The contractor shall ensure that each Critical Care Team member follow all appropriate federal and locally required Information Technology security requirements and will be operating under HIPAA and Privacy Act regulations.

10. Background Checks: All Contractors must meet mandatory federal security clearance requirements. The Contractor shall ensure that each Critical Care Team member provide all requested information necessary for IHS to perform background checks. Each Critical Care Team member shall comply with the requirement to obtain background investigations. Each Critical Care Team member shall work with the IHS to ensure that the pre-employment

3/3 screening process includes the appropriate investigation questionnaires and forms to be completed. All completed forms will be reviewed by the each Critical Care Team member. The Critical Care Team member will be immediately removed from the contract if at any time the investigation receives unfavorable determination or other derogatory information becomes known, that would affect the investigation.

11. Conduct: Each Critical Care Team member shall meet standards as listed in the Federal Code of Conduct. Each Critical Care Team member shall be subject to character investigation as required by Public Law 101- 360, the Indian Health Child Protection and Family Violence Prevention Act prior to providing care in a patient care environment.