Attachment B SOW.docx

INDIAN HEALTH SERVICE

PHOENIX INDIAN MEDICAL CENTER

Statement of Work

Background Phoenix Indian Medical Center (PIMC) provides medically necessary contact lenses, in which are a medical prosthetic device for Native American/Alaskan Native patients throughout the Phoenix Service Unit, Phoenix, AZ. The contact lens fitting and purchasing is only available for those that need medically necessary contact lenses. These patients included those with keratoconus, corneal transplants, corneal ectasia, anisometropia, and those with predefined extreme refractive error. Many IHS eye clinics in the Phoenix area refer patients for these complex contact lens fittings that are medically necessary. There is an upwards trend in the pricing and this trend is likely to continue based on changes in the RGP contact lens market.

Objective The objective of this contract is to ensure the ready availability of supplies for an adequate number of medically necessary contact lenses considered to be medical prosthetic devices to serve or patient population. My assessment of this situation is that the medically necessary contact lens problem is a vital service that has been relied on by a small group of PIMC patients.

System Requirements It is imperative that these medically necessary contact lenses considered to be medical prosthetic devices remain fully stocked for patients to include those with:

· Short term use bandage contact lenses- (use in corneal abrasions, ect)

· Degenerative corneal disease – (ie. Keratoconus, ect)

· Post- surgical complications- (ie. PK, RK, intacs, ect)

· Irregular astigmatism – from corneal scarring or corneal warpage

· Severe corneal disease secondary to dry eye – when all other methods have been exhausted

· Aphakia

· Anisometropia- greater than 3 diopters

· Hyperopia over 8.00 D

· Astigmatism over 6.00 D

· Myopia over 12.00 D Contractor Responsibilities & Tasks The Contractor will provide upon purchase medically necessary contact lenses considered to be medical prosthetic devices. PIMC will purchase these supplies on an “As Needed Basis” to fulfill the basic level of care for PIMC Patients. Duplicate orders will be returned to the Contractor at no cost to the Government.

Support Services Contractor representative will be available to PIMC for ordering assistance during the hours of 8:00 AM to 4:00 PM. Contractor will provide product consultation services either in person or over the phone to PIMC for supply orders ‘as needed basis’. Notification to PIMC is mandatory if normal representative is not available and another contact will be provided.

Web Requirements The Contractor shall provide PIMC a web-based ordering system that provides reports for inventory management and capability to order par level medically necessary contact lenses considered to be medical prosthetic device. If a web-based ordering system is not available the Contractor shall provide the best means to provide inventory management and ordering processes.

Period of Performance (POP) POP: Base year and four one year options.

Minimum Qualifications Contractor shall have a minimum of 10 years of experience in manufacturing and distributing medically necessary contact lenses considered to be medical prosthetic devices.

Delivery Each Point of Contact or Ordering Official will contact the contractor to verify availability of items, contract pricing , delivery schedule, etc. only on items needed and listed on the Price Schedule. The POC or Ordering Official will submit an order request with items needed to the assigned vendor. The assigned POC or Ordering Official will submit to the vendor, either by electronic mail (email) or facsimile (fax) or web-site. Each POC or Ordering Official information and “deliver to” destination will be noted on each form.

The vendor can then, proceed with the order.

Delivery of all items is required within 7 days after receipt of order or sooner.

Rev 4/2019

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