Attachment No. 2 - Statement of Work.docx

STATEMENT OF WORK

I. PURPOSE OF CONTRACT

This is a non-personal service contract purchase order, to provide One (1) each Medical Laboratory Technician Services by performing laboratory and phlebotomy testing on patients, as needed, for the Yakama Service Unit (YSU). The individual shall be fully qualified to perform Moderate to High Complexity testing as defined by CUA "88" as needed.

II. OBJECTIVE:

To provide locum tenens services, up to five (5) days per week. The purpose of the work is to improve the overall health care status of the Native American population served. Most contacts are with patients receiving care and other health care providers at the facility level. The primary purpose of contacts is to provide direct patient care.

Ill. PERIOD OF PERFORMANCE AND LOCATION:

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

B. Period of Performance: To Be Determined at Award Estimated Hours: 960HRS/ 24WKS

I. STATEMENT OF WORK:

Services shall be provided Monday through Friday, 8:00 a.m. to 5:00 p.m., for a total of no more than 40 hours per week during regular operational hours at Yakama Service Unit (YSU), or as requested by the lab supervisor. Clinic Operation hours are Monday thru Friday from 8 am to 5:00 pm, and are closed on federally recognized holidays and specific days of closure pursuant to an Executive Order issued 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 YSU administrative component.

The contractor shall use the existing Government property and supplies located at the Yakama Service Unit (YSU) 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 Medical Technologist/Technician/CLS is proficient in the operation of different laboratory equipment/analyzers, running quality controls, calibration of laboratory equipment, and capable of applying professional judgment 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 Medical Laboratory Technician 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:

· A current and valid Medical Laboratory Technician/Technologist/CLS certification from a nationally recognized credentialing agency or State licensing body.

· A current CPR 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 the local IRS for assistance. The quarter End dates are as follows:

· 1st Quarter - April 15th

· 2nd Quarter - June15th

· 3rd Quarter - September 15th

· 4th Quarter - January 15th

VIII. ON-SITE CONTACT REPRESENTATIVE

The following individual(s) or their designee shall serve as the on-site government contact under this contract: To be provided after award

The on-site contact responsibilities will be to coordinate with the provider the technical aspects of this service and the review the performance hereunder.

The Contracting Officer’s Representative will be delegated after award.

IX. PAYMENT SCHEDULE:

A. The hourly rate awarded is the accepted quoted price for services that cover all related costs to provide services on site.

B. Payment shall be made in accordance with the hourly rate of the contract for services provided at the clinic site.

C. 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.

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

F. The Government is obligated only to the extent of authorized purchases actually made and received under this contract.

X. INVOICING:

A. Invoices shall be submitted to in accordance with clause 52.232-71 Electronic submission of payment request.

Invoices are to be submitted monthly. Payment shall be made only for clinics actually completed at the 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 tile qualification, credentialing, and privileging requirements of the Service Unit and must be approved by the Contracting Officer and the COR.

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 an award and cause the contract to become null and void at no cost to the Government.

A. 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 Contractor's 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.

Under the Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 1346(b), 2401(b), 2671-80, the Federal government is liable for property damage, personal injury, or death caused by the negligence of any Federal government employee acting within the scope of her/his employment, and Training Site's obligations under this agreement, including supervision of students. All claims alleging medical malpractice and other negligence by IHS physicians, dentists, nurses, and other health professionals are processed under this Act. The law provides that medical malpractice claims must be filed against the United States, not the individual health professional.

D. CREDENTIALING/CLINICAL PRIVILEGES /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 canceled 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.