Attachment A - PWS - Pharmacist.pdf

PERFORMACE-BASED STATEMENT OF WORK

(PBSOW) FOR PHARMACISTS

TABLE OF CONTENTS

Page

1.0 General I

1.1 Background 1

1.2 Scope 1

1.3 Applicable Documents l

2.0 Definitions 3

3.0 Government Furnished Information, Property, and Services 5

3.1 Information 5

3.2 Joint Use Prope11y by the Government and the Contractor 5

3.4 Contractor Exclusive Use Property 5

3.5 Training 5

4.0 Contractor Furnished Property 6

5.0 Performance-Based Requirements 6

6.0 Qualification Requirements 7

6.1 Experience 7

6.2 License/Registration 7

6.3 Certifications 7

6.4 Health Requirements/Conditions of Employment 8

6.5 Language Requirement and Cultural Awareness 8

6.6 Information Technology (IT) Skills 8

6.7 Orientation 8

6.8 Background Checks 8

7.0 Termination 8

8.0 Non-Personal Health Care Service 8

9.0 Challenges to Direction Conflicts 8

10.0 Performance-Based Matrix 9

PERFORMANCE-BASED STATEMENT OF WORK

(PBSOW) FOR PHARMACIST

1.0 General: This performance work statement describes the requirements for Pharmacy service to support the mission of the Indian Health Service (IHS).

1.1 Background: The Mashpee Wampanoag Health Service Unit would like to contract a pharmacist to provide timely, accurate, and complete pharmaceutical care which includes a future plan for a small onsite pharmacy. The Contractor shall be able to review and dispense medication orders within the Mashpee Pharmacy and contractor will be a lead in its establishment-currently Mashpee does not dispense medications. While pharmacy plans are under development- contractor will maintain a medication profile for all patients and assist providers with prescription renewals and medication management therapy (MTM).

The Contractor will be available for patient education and able to review and management pharmacy contracts that are currently in place. Maintain and update the medication profile and DME list. Must have a good working relationship with prescribers, customers and staff.

Provide pertinent drug information and education to providers, customers, and staff of Mashpee Service Unit. Demonstrate competency in patient care for patient population served.

In the outpatient setting, services provided include unit dose, pharmacokinetic consultation, drug information and patient medication counseling.

The unique cultural experience of working with various Indian tribes as an integral part of the health care team provides a challenging experience that is unique to the Indian Health Service.

Currently, there is a nationwide shortage of pharmacists, which is amplified by the remote and rural nature of the areas served by the Indian Health Service. The national IHS Pharmacy vacancy rate is l0%. Contracts and Contractors are currently needed to fill mission critical vacancies.

1.2.1 Scope: This Contract encompasses Pharmacist services for the Mashpee

Wampanoag Health Service Unit, located in South Mashpee, MA. The Contractor shall provide leadership in standard pharmacy practices; promote medication safety and collaboration within Mashpee Service Unit in regards to pharmacy services.

The Contractor requires knowledge of current state requirements, and other Federal or State regulatory agency requirements specific to medication order processing.

1.2.1 Duties and Responsibilities: The duties and responsibilities will include pharmacist services at the Mashpee Service Unit- 483 B Great Neck Rd South, Mashpee, MA 02649 in a manner consistent with the guidelines, documents, and regulations in the applicable documents 1.3.12 and 1.3.17.

The pharmacist shall provide timely, accurate, and complete pharmaceutical care which includes a future plan for a small onsite pharmacy. The Contractor shall be able to review and dispense medication orders within the Mashpee Pharmacy and contractor will be a lead in it's establishment-currently Mashpee does not dispense medications. While pharmacy plans are under development- contractor will maintain a medication profile for all patients and assist providers with prescription renewals and medication management therapy (MTM).

The Contractor will be available for patient education and able to review and management pharmacy contracts that are currently in place. Maintain and update the medication profile and DME list. Must have a good working relationship with prescribers, customers and staff. Provide pertinent drug information and education to providers, customers, and staff of Mashpee Service Unit. Demonstrate competency in patient care for patient population served.

1.2.2 Workload: The Contactor shall work between the hours of 8:00am to 4:30pm

Monday through Friday, at the Mashpee Service Unit. The Contractor will not work during federal holidays, or unscheduled clinic closures.

1.3 Applicable Documents: Please see the web link listed unless a document is listed as attached.

1.3.1 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

http://ccan.ouhsc.edu/REPORTfNG%20CHILD%20ABUSE%20IN%20INDIAN% 20COUNTR Y.pdf Joint Commission on Accreditation of Healthcare Organizations. (JCAHO) http://www.jcaho.org

1.3.2 Centers for Medicare and Medicaid Services (CMS) Standards. https://www.cms.gov

1.3.3 Accreditation Association for Ambulatory Health Care (AAAHC). https://www.aaahc.org

1.3.4 Health Insurance Po11ability and Accountability Act (HIPAA) of 1996.

http://www.ihs.gov/AdminMngrResources/HIPAA/index .cfm?module=elec_reading_roo111

1.3.5 Privacy Act of 1974.

http://www.ihs.gov/AdminMngrResources/HlPAA/index.cfm?module=elec_reading_roo m

1.3.6 Computer Security Act of 1980. http://www.ihs.gov/misc/links gateway/download.cfm?

1.3.7 Public Law 107-347, The E-Government Act of 2002. Title Ill-Information Security cited as the Federal Information Security Management Act of 2002 (Fl MA), December 17, 2002.

http://ccan.ouhsc.edu/REPORTfNG%20CHILD%20ABUSE%20IN%20INDIAN%25 http://www.jcaho.org/ https://www.cms.gov/ https://www.aaahc.org/ http://www.ihs.gov/AdminMngrResources/HIPAA/index http://www.ihs.gov/AdminMngrResources/HlPAA/index.cfm?module=elec_reading_roo http://www.ihs.gov/misc/links%20gateway/download.cfm?

1.3.8 IHS Computer Security Directives. http://www.ihs.gov/cio/securityawareness/index.cfm

1.3.9 American Pharmaceutical Association Code of Ethics.

http://www.aphanet.org/AM/Template.cfm?Section=Search&template=/CM/HTMLDispl ay.cfm&Contentl0=2655

1.3.10 American Society of Health-System Pharmacist statements on Pharmaceutical care, and the Role of Pharmacists in Primary Care http://www.ashp.org/bestpractices/statements.cfm?cfid=20512236&CFToken=94 I77362

1.3.11 IHS Pharmacy Practice Standards: https://vvww.ihs.gov/ihm/pc/part-3/p3c7

1.3.12 IHS Pharmacy Directives.

1.3.13 Pharmacy Law Act for the Contractor's licensing state.

1.3.14 NAIHS Service Unit and Health Center Policies, Procedures and Protocol

1.3.15 Customer Survey Form (attached).

1.3.16 Government Performance and Results Act (GPRA).http://www.ihs.gov/misc/links gateway/download.cfm?doc id=309&app dir id=4&doc file=gplaw2m.html

1.3.17 IHS Director’s initiatives. http://www.ihs.gov IHS General Directives. (as notified by supervisor)

1.3.18 Federal Code of Conduct. http://www.cpms.osd.mil/vip/per_data/12.htm

1.3.19 GSA Motor Vehicle Management Handbook

http://www.knownet.hhs.gov/log/fleetDR/Documents/GSAInternalHandbook.doc

1.3.20 Drug Enforcement Agency Manual:

http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/2pharm manual.pd[

2.0 Definitions

2.1 Approval: Acknowledgment by the designated Government employee that submittals, deliverables, or administrative documents conform to the contractual requirements.

Government Approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.2 Area: A defined geographical region for Indian Health Service administrative purposes. Area Offices may administer several Service Units.

2.3 Code of Ethics: The American Pharmaceutical Association Code of Ethics.

2.4 Communal use: Ability to be utilized by any person in the performance of their duties.

2.5 Competency: Demonstration of the prerequisite competency trainings, knowledge, http://www.ihs.gov/cio/securityawareness/index.cfm http://www.aphanet.org/AM/Template.cfm?Section=Search&template=/CM/HTMLDispl%20ay.cfm&Contentl0=2655 http://www.aphanet.org/AM/Template.cfm?Section=Search&template=/CM/HTMLDispl%20ay.cfm&Contentl0=2655 http://www.ashp.org/bestpractices/statements.cfm?cfid=20512236&CFToken=94 http://www.ihs.gov/misc/links http://www.ihs.gov/ http://www.cpms.osd.mil/vip/per_data/12.htm http://www.knownet.hhs.gov/log/fleetDR/Documents/GSAInternalHandbook.doc http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/2pharmmanual.pd http://www.deadiversion.usdoj.gov/pubs/manuals/pharm2/2pharmmanual.pd accuracy and precision in the performance of assigned tasks within the NAIHS service unit defined standard of practice, in a timely manner.

2.6 Contracting Officer (CO): A Government employee authorized and wa1Tanted to issue contracts, and to make subsequent modifications. The CO has full authority to make determinations on all changes and disputes regarding the contract.

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

2.8 Contracting Officer's Representative (COR): A Government employee who assists the issuing activity's contracting officer in the administration of task orders issued under the contract. The COR is primarily responsible for the day-to-day program management and the ordering of the activity s task orders. The ordering activity may have different designators for this category e.g. COTR - Contracting Officer's Representative, or PO - Project Officer.

2.9 Cooperative Attitude: Positive behavior that displays a willingness to perform the assigned patient care tasks in a team atmosphere.

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

2.11 Customer: Patients, staff, and visitors of The Mashpee Wampanoag Health Service Unit.

2.12 Customer's Evaluation: Written comments made to the CO regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor's performance.

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

2.14 Federal Acquisition Regulations (FAR): The primary set of regulations used by all Federal

Executive agencies for the acquisition of supplies and services with Federally appropriated funds.

2.15 Government Performance and Results Act (GPRA): A Federal law requiring Federal agencies to improve work performance though a system of outcomes measurement and reporting.

2.16 Government Vehicle: A AIHS owned motor vehicle or a vehicle leased by NAIHS through agreements with the General Services Administration (GSA) or through commercial rental agreements. GSA strictly controls the use of GSA vehicles. Rule and regulations may be found in the GSA Motor Vehicle Management Handbook.

2.17 Health Center: An outpatient facility physically separated from a hospital with a full range of ambulatory services, including primary care providers, nursing, laboratory, pharmacy, and x-ray, which are available 40 or more hours a week.

2.18 Ordering Activity: An authorized procurement agent of Al IS.

2.19 Ordering Activity Contracting Officer: A Government employee of AII-IS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contract. The Ordering Activity CO has the authority to make initial determination on all matters of dispute regarding task orders.

2.20 Orientation: An activity designed to provide basic familiarization of the facility and transition the pharmacist into the AIHS Service Unit and/or Health Center as ,,veil as the pharmacy where the services will be rendered.

2.21 Past Performance Information: Relevant information regarding a contractors 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 administration aspects of performance; the contractor's history for reasonable and cooperative behavior and commitment to customer satisfaction· and generally the contractors business-like concern for the interest of the customer.

2.22 Patient Outcome: The end result of pharmaceutical care.

2.23 Performance based Matrix: A table that lists the services to be monitored and the standards to be applied.

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

2.25 Pharmaceutical Care: The responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life.

2.26 Standard operating procedures: Those written policies procedure protocols and methods that are commonly used in the completion of assigned duties.

2.27 IHS Pharmacy Standards of Practice: Authoritative statements by which the IHS

Pharmacy Branch describes the responsibilities for which its pharmacists are accountable.

2.28 Supervisor: Government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception.

2.29 Valid Patient Complaint: Justifiable accusation made by a patient supported by investigation.

2.30 Verifiable Emergency: An unexpected and/or unplanned absence by the contractor requiring valid documentation to confirm the occurrence

3.0 Government Furnished Information, Property and Services

3.1 Information: The Contracting Officer s Representative will be the point of contact for identification of any required information to be supplied for the performance of this contract.

3.2 Joint Use by the Government and the Contractor: Except for the property and service listed in 3.3 and 4.0, the Government may provide for communal use by the Government and the Contractor, all necessary equipment supplies, and clinic space to perform the services under this contract.

3.3 GSA Vehicle: Vehicle authorization shall be made in accordance with GSA Motor

Vehicle Management Handbook and The Mashpee Wampanoag Health Service Unit's Unit policies by the area senior contracting officer, as needed for completion of duties.

3.4 Contractor Exclusive Use:

3.4.1 Personal Protective Equipment (PPE): The Government will furnish the

Contractor with appropriate PPE other than specified in paragraph 4 of this PBSOW. The Government will be responsible for any repair cleaning, and inventory required for the PPE.

3.4.2 The Government will provide facility specific contractor identification badges for each contractor. A $20.00 fee will be charged for lost or destroyed badges.

3.4.3 Training: Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of Pharmacy services, or is mandated by a regulatory agency,. IHS is not obligated to provide training for the purpose of continuing education, career, or individual development.

4.0 Contractor Furnished Property

4.1 The Contractor shall provide all uniforms and other personal medical instruments.

4.1.l Uniforms and Lab Coats: Clothing and lab coats must conform to the local requirements of the Pharmacy as directed by the Supervisor.

4.1.2 Other Personal Medical Instruments: Include items furnished by the Contractor, which the Contractor elects to use to provide patient care. These may include but are not limited to a stethoscope, touch filament, or other items 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 and approval by the Supervisor prior to use by the Contractor.

5.0 Performance-Based Requirements: The Contractor shall provide pharmacy services in the delivery of patient care to the Mashpee Wampanoag Health Service Unit. The Contractor's performance will be evaluated in accordance with the standards set forth in the Performance-based Matrix of paragraph I 0.0. specific tasks include the following.

5.1 Patient Care: The Contractor shall perform patient care activities in an efficient, effective and safe manner. Conforming to established I.H.S., Mashpee Wampanoag Health Service Unit, and Pharmacy standard operating procedures. These activities include the review of prescription appropriateness of therapy.

5.1.1 The Contractor shall provide the patient care activities within Activities should reflect applicable documents

5.2 The Contractor shall provide pharmacy duties during the specific tour of duty as well as rotation into other duty assignments as needed to support patient care, assigned by the Supervisor.

5.2.1 The contractor shall be expected to work I 00% of contracted hours.

5.2.1.1 The Contractor shall obtain approval of the department Supervisor or designee prior to any absence from work. If the length of the absence exceeds eight (8) work hours the Contractor shall request approval at least fifteen (15) days, in advance of the desired absence, except in verifiable emergencies.

5.2.1.2 Approval of leave is contingent upon availability of a qualified replacement.

5.2.1.3 The Contractor shall advise the Supervisor about absences due to illness or incapacitation no later than 2 hours prior to the beginning of the tour of duty. Absences of three (3) or more consecutive days, due to illness, require written documentation from a qualified health care provider stating the cause of the current illness or incapacitation AND whether the contractor is contagious or non-contagious and a statement regarding the Contractor s fitness for duty.

5.2.2 Contractor may be sent home if the patient load does not require their services.

Ensure original timesheet is accurately filled out by the contractor. Clearly state the performance period worked for example, 10/07/2018 to 10/20/2018. Hour are clearly stated for each day worked including unpaid lunch. If lunch is not taken, justification must be stated by the supervisor on the timesheet. Total hours are clearly written in hours and/or quarter hours in accordance to the contract. Make sure that the date matches the day of the week. Obtain al I required signatures from the contractor and department supervisor. The contractor is responsible for completing their timesheet delivering the timesheet to the Department Chief (or designee) who will review the hours worked and sign the timesheet to verify accuracy of hours worked at the end of each pay period. Timesheets will not be signed until all shift present on the timesheet have been completed. The contractor is responsible for delivering the signed timesheet to the contract companies. The department timekeeper will make a copy to give to the contractor and the original timesheet will be delivered to the appropriate personnel.

Timesheets will be honored for payment only when a verification signature of the supervisor or designee is on the timesheet. Any timesheet without a verification signature will not be paid. Each contract company is responsible for maintaining a file with the verified timesheets. Contractors are not to fax their unverified timesheets or this practice will delay the payment to the contract company. The contract company in return will not accept unverified timesheets from the contractor. ONLY THE ORIGINAL TIMESHEET WITH THE ORIGINAL SIGATURES ARE TO BE ACCEPTED. Copied, faxed, emailed or scanned timesheets will not be accepted.

5.2.2.1 Contractor services will not be interrupted during periods of lapse in Government funding

5.3 Work Schedule:

5.3.1 The Supervisor at each IHS facility shall determine specific tour of duty.

The contractor shall work 100% of the contracted hours.

5.3.2 Work Flexibility. As directed by the Supervisor, the Contractor shall rotate into other duty sections as needed to support patient care.

Work Schedule: Monday through Friday 8:00 a.m. to 1630 p.m, 9:30 a.m.- 1800 p.m., or 1 l 30am to 2000 occasionally earlier or later depending on needs.

Holidays:

• Holiday shift would begin 8:30 a.m. to 17:00 p.m or 11 :30 a.m. to 1800 p.m

If scheduled to work weekend

• Saturday/Sunday shift would begin 8:30 a.m. to 17:00 p.m or 11:30 a.m. to 1800 p.m.

Contractor would have variable work assignments for a total of 40 to 50 hours per week.

5.4 The Government reserves the right to examine and or re-examine any Contractor by

IHS medical staff, at the Government's expense.

5.5 The Contractor shall perform all duties under the guidance and direction of the ASHP

(American Society of Health Systems Pharmacy) statements in the applicable document 1.3.12, to include displaying a positive, a cooperative attitude and a neat appearance in the performance of these duties.

5.6 The Contractor shall be in 100% compliance with established applicable documents as they relate to the performance of duties in this contract.

5.7 The Contractor shall immediately report to the Contracting Officer or COR any info1mation or circumstances that may violate any law, statute, regulation, policy or procedure.

5.8 IHS Information Technology (IT) Systems: In performance of this Contract, the

Contractor shall within four (4) hours, after a one (1) hour orientation adapt to and successfully utilize IHS information systems that are deemed by the Supervisor as necessary for acceptable contractor performance.

5.9 Periodic performance reviews will be conducted and communicated to the contracting firm.

5.10 Official access to the facility, equipment and personnel shall be limited to the period of performance. Access ceases upon termination of the contract.

6.0 Qualification Requirements: The Contactor shall me t and maintain a current active status for each of the following throughout the term of the contract.

6.1 Experience: The Contractor shall have a minimum of twelve (12) months relevant experience within the last thirty-six (36) months unless otherwise approved by the Contracting Officer.

6.2 License/Registration: The Contractor shall possess a current valid, unrestricted pharmacy license in a state, the District of Columbia the Commonwealth of Puerto Rico or a Territory of the United States.

6.2.1 Motor Vehicle Operator' License: The Contractor shall possess a valid state driver's license.

6.3 Certifications: Current Basic Life Support (BLS) is mandatory. Advanced Cardiac Life Support (ACLS) and/or Pediatric Advanced Life Support (PALS), is preferred.

6.4 Health Requirements and Conditions of Employment: The Contractor 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 prior to the start of work by the subcontractor.

6.4.1 The Contractor shall provide documentation of immunity to Rubella Mumps.

Measles· Immunity to Hepatitis A and B or a signed waiver; History of chicken pox disease or positive titer- Tetanus Diphtheria (Td) within the last 5 years;

Documentation of receiving a TB Mantoux skin test (PPD) within the past 12 months with documentation of follow-up for a positive test; Flu vaccination is REQUIRED; Vaccination against SAR-COV-2, the virus that causes COVID 19.

6.5 Language Requirements and Cultural Awareness: The Contractor shall 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 culture. The contractor shall be able to communicate through an interpreter to provide services to non-English speaking customers.

6.6 Information Technology (IT) Skills: The Contractor shall possess basic knowledge, skills, and abilities to successfully use a computer.

6.7 Orientation: The contractor shall attend mandatory orientations and trainings.

6.8 Background Checks: The Contractor shall provide all requested information necessary to perform Level I as well as Level II background checks. The Contractor shall comply with the requirement to obtain security investigations. The Contractor shall work with the AIHS to ensure completion of the pre-employment screening process including appropriate investigation questionnaires, and forms. All completed forms will be reviewed by the Contractor and forwarded to the Supervisor. The Contractor and or subcontractor will be immediately removed from the position if at any time the investigation receives unfavorable adjudication or if other unfavorable information that would affect the investigation becomes known. Inaccurate and incomplete information will be grounds for immediate termination of this contract. An Agreement to a Temporary Waiver of Character investigation form shall be signed by the Contractor and be in use, pending background investigation completion.

7.0 Termination: The Government may terminate this contract at any time upon 15 days' notice by the Contracting Officer to the Contractor. The Contractor, with the written consent of the Contracting Officer, may terminate this contract upon 15 days' written notice to the Contracting Officer.

7.1 Any Contractor demonstrating impaired judgment shall not be permitted to work at The

Mashpee Wampanoag Health Service Unit. The Government reserves the right to remove from the facility any Contractor who in the judgment of a licensed physician is impaired by drugs or alcohol, or in the judgment of the supervisor is a danger to staff, visitors or patients.

8.0 Non-Personal Health Care Service: The contract shall be a non-personal health care services contract where the Contractor is an independent contractor and shall allow the Government to evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of the services rendered, (e.g., professional judgments, diagnosis for specific medical treatment). The Contractor shall indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier, in the coverage amount acceptable to the Contracting Officer which is not less than the amount normally prevailing within the local community for the pharmacist per occurrence.

9.0 Challenges to Direction Conflicts: For any inconsistencies or conflicts between the Supervisor's directions, this statement of Work, and any supporting attachments the following order of precedence will apply:

1) Supervisor's directions

2) Performance Based Matrix (Attachment 10.0)

10.0 Performance Based Matrix

Performance-based Task

Indicator Standard Quality Assurance Incentives

End results required.

The feature(s) of end result that will be surveilled.

Performance level that, when met, means the task has been performed satisfactorily.

This Standard describes "What Success Looks Like."

Method used to check performance

Positive and Negative Incentives. Method of linking payment to quality of service.

Contractor shall provide Pharmacy services in the delivery of patient care to the Mashpee Indian Health Service.

Competency

Compliance

Perfom1 100% required tasks at 100% of the required competencies

100% compliance with Mashpee Service Units and/or Health Centers published Policies; Procedures; Standards or Care; IHS Pharmacy Practice Standards; hospital and Pharmacy Protocols.

Surveillance systems will include periodic inspection of work by direct observation of performance of duties, and the presence or absence of customer complaints.

Positive Incentive:

Payment of contract price for satisfactory service.

Negative Incentive: No or partial payment for incomplete work.

Patient Outcomes

Professionalism

100% compliance with Mashpee Service Units and/or Health Center's published Policies and Procedures, Standards of Practice, and pharmacy Protocols.

No reports of breached patient safety, infection control, and other procedures that might adversely affect patient outcome. Performance characterized by continual cultural awareness and focus on customer service. I 00 percent adherence to the Pharmacy Practice Standards, Federal Code of Conduct, A Ph A Pharmacist Code of Conduct.

Accreditation standards, GPRA, I HS Directors Initiatives, and all Federal and pe11inent state laws governing pharmacy.

Note: Contractor performance for all Matrix sections will be evaluated and repo11ed using the National Institutes of Health (NIH) Contractor Performance Report and will be used in future contract selections.

Payment Link to Quality: Deductions to contract price may be made to reflect reduced value if standards are not met.

Performance-based Task State the end results or outputs that you, the customer will

Indicator

For the requirement, state the feature(s) of end result that will be surveilled.

Standard

For each "indicator," state a performance level that, when met, means the task has been performed satisfactorily.

Quality Assurance

For each "Standard", state the method used to check performance (i.e.

random sampling, Incentives

List Positive and Negative Incentives.

Address method of linking payment to formally accept or _;.;.· . This Standard describes "What Success Looks Like." 100% inspection, quality of service.

reject. . •. , .. periodic inspection, Credentialing l1, Uninterrupted qualifications as defined in 6.0 and subsequent subsections for period of contract.

customer input).

As noted above.

Documentation I 00% percent of all documentation meets established IHS

Facility, JCAHO, AAAHC, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

Service Quality Satisfaction with quality of service is evidenced by lack of valid customer complaints.