Attachment -Statement of Work Hematology Oncology Services.pdf

Hematology/Oncology Services and Consulting Service, PIMC

INTRODUCTION

It is the intent of the Phoenix Area Indian Health Service to acquire non-personal professional medical services as described herein for the Phoenix Indian Medical Center (PIMC) located in Phoenix, Arizona.

All responses to this solicitation shall contain a complete profile and current work history of the candidate(s) presented, including licensure and certifications.

Selected candidate shall undergo the Indian Health Service mandated security clearance requirement prior to commencement of services at the PIMC. The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check of the provider through the Office of the Inspector General’s Exclusion List at https://exclusions.oig.hhs.gov/.

SCHEDULES/LOCATION/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

Schedule: The Contractor is requested to provide Hematology/Oncology Services for a base period and four (4)-one (1) year options. Shift times and schedules are subject to change based on the medical needs of the patient populace and hospital/clinic operations.

LOCATION: All services shall be performed at the following location:

Centers of Excellence (COE) Department Phoenix Indian Medical Center 4212 N. 16th Street Phoenix, AZ 85016

A. HEMATOLOGY/ONCOLOGY SERVICES:

SHIFT: This service is required by clinic once a week with an estimated fifty-two (52) clinics per contract year. A “Clinic” is defined as one (1) day for eight (8) hours. Estimated (416) hours per year; estimated 15 patients per Clinic. The Clinic will be within the PIMC hours of operations 5 days a week between 8:00 am - 5:00 pm (0800 - 1700). Additional Clinics may be added by mutual agreement of both parties with prior agreement and coordination with the Government. Any period of absence or changes in the schedule will be communicated with the Chief of the COE or his/her designee 14 days prior, except for emergency situations.

NOTE: The duration of each work “Clinic” shift may vary due to patient load, clinical complexity, weather and other circumstances.

Clinic Hours (Monday through Friday): 8 hours: 8:00 am - 5:00 pm (0800 - 1700) Contractor shall schedule for lunch no longer than 30 minutes. The Service Unit shall make every effort to submit a schedule two (2) weeks in advance. Clinics may be cancelled or shortened without time restriction or monetary penalty before the contractor’s employee arrives for duty.

B. HEMATOLOGY/ONCOLOGY CONSULTATION SERVICE:

SHIFT: On Call Telephonic Consultation Services, the contactor shall provide on-call telephone consultations from PIMC staff on location at PIMC. Emergent inpatient consultation services are to be provided 24 hours a day, 7 days a week and 365 days a year at the contractor’s location. Availability is required for acceptance of or transfer to a facility providing a higher level of care, if appropriate. Consultation services are estimated at 40 hours per calendar year and shall be charged in accordance with the attach Rate Schedule. The call must be thoroughly documented and the documentation time cannot be included in the actual talk or keyboarding time.

Contractor shall schedule for lunch no longer than 30 minutes.

QUALIFICATION/CERTIFICATION

Experience: Hematology/Oncology with two (2) years or more experience in hospital medicine are preferred.

New residency graduates with significant hematology/Oncology experience will be considered on a case by case basis.

Training: Successful completion of an Accreditation Council for Graduate Medical Education (ACGME) or American Osteopathic Association (AOA) - accredited residency in internal medicine, followed by successful completion of an accredited fellowship in oncology and/or hematology.

Certification: 1 ) Fully credentialed/privileged after award of the contract and be “Board Certified” or “Board Eligible” in hematology and/or oncology. 2) Current certification is required in BLS (Basic Life Support).

Licensure: Applicants must have active, current unrestricted medical license in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States. Contractor shall assure each license is in good standing.

STATEMENT OF WORK (SOW):

Hematology/Oncology Services: The overall scope of this contract is to acquire a qualified Contractor under a Government service contract. The contractor shall provide the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department. Work performance shall be performed according to the requirements and conditions contained in this statement of work.

The Vendor shall provide Contractors with the competency and experience to perform the following:

a. The Contractor shall provide onsite hematology/oncology service and consultation service, per shift.

b. Contractors will be expected to abide by the facility’s Uniform Code and shift hour assigned, modalities of charting and care delivery and other rules and regulations of the facility.

c. Work within a designated schedule prepared by the COE Department or his/her designee.

d. The Contractor shall be expected to assist and provide services and duties as may be requested for the normal operational requirements for the department and personnel.

e. The Contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure of the Contractor to meet these standards can result in termination of this contract.

f. The Contractor’s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work

g. During the performance of their duties, the Contractor shall provide for the consistent performance of patient care processes according to the standards for TJC accreditation program within IHS. These standards include: The Comprehensive Accreditation Manuals for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

h. The Contractor should be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software applications.

i. The Contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the Service Unit.

j. The Contractor shall possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that the Contractor can relate constructively to IHS employees, Contractors, vendors and individuals from the Native American community.

k. Driving maybe required, the Contractor should have a current, valid state driver’s license from any of the 50 United States or the Commonwealth of Puerto Rico.

l. The Contractor shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services.

m. The Contractor shall maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal contract employee is compatible with the expectations of the IHS staff.

n. The Contractor must utilize the electronic health record for chart documentation.

o. The Contractor’s employee(s) shall be sensitive to the unique culture factors of the people they treat, which may include use of an interpreter as necessary in communication of services being rendered. Unique cultural factors that may contribute to the patient’s treatment include: use of their language communications; village and tribal customs; use of traditional healers; isolation; housing conditions and lack of resources.

p. Prepare and complete, in a timely fashion, the medical and other required records for all patients.

q. Adhere to the guidelines for his/her behavior and action as outlined in the Service Excellence Guidelines to enhance relations between employees, departments, patients, patient’s families and visitors.

r. Subject his/her performance to the hospital’s Quality Improvement Program, as the same may from time to time be in effect in accordance with the requirements of TJC and external regulatory agencies

s. Abide by the lawful ethical principles of his/her profession.

t. Abide by the bylaws, rules and regulations, general conduct of care, and Policy and Procedures set forth at PIMC.

u. Documentation in the patient’s health record are to be completed at the time services are rendered.

During the performance of their duties, the contractor shall provide for the consistent performance of patient care processes according to the standards for TJC accreditation program within IHS. These standards include: The Comprehensive Accreditation Manuals for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

v. Schedule: The contractor shall record time and attendance that shall be verified by the supervisor and/or his/her designee.

w. Contractor shall ensure that proposed providers cooperate with and assist the Government in conduction of any necessary background checks.

CONDITIONS FOR REMOVAL/REPLACEMENT OF CONTRACTOR(S):

As mutually agreed between the Contracting Officer and the Contractor there may be grounds for removal and/or replacement of a Contractor.

The Vendor’s employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this award, and/or the Vendor’s VA/FSS contract.

PRICING SCHEDULE:

The unit price paid to the Vendor shall be considered as payment in full for services provided under this award.

In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any IHS patient, or from any alternate resource for which the patient may be eligible, any monies for services provided under this award.

Fixed rate shall be inclusive of all other fees (holiday, nights, weekend and overtime), including travel expenses, per diem, lodging, all city, state, federal and local taxes, and all miscellaneous costs associated with the provision of services. The government will pay one flat rate.

Vendor shall be paid only for actual time services are performed under the terms of the contract at the fixed rate (one flat rate). *30-minute lunch breaks are included in the shift hours and will not be paid by the Government.

VENDOR REQUIREMENTS:

For Medical & Professional Contractors, the Contractor shall comply with all IHS facility infection control and safety procedures, and standards. During the performance of this contract, the Contractor shall provide for the consistent performance of patient care process according to the standards of The Joint Commission (TJC) and/or Centers for Medicare Services (CMS) who supplies accreditation to the Phoenix Area Indian Health Service hospitals and health centers. These standards shall include: The Comprehensive Accreditation Manual for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

For Medical & Professional Contractors, the Contractor shall complete in a timely fashion, the medical and other required records for patients for which he/she provides treatment in any way. Chart notes are to be completed on the day services are rendered. The contractor shall abide by the Service Unit Medical By-laws, rules, and regulations and meet all credentialing requirements in accordance with the Service Unit Medical Staff By-laws.

Upon award, the selected Provider(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the PIMC. The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at https://exclusions.oig.hhs.gov/.

MAJOR DUTIES REQUIRED BY THE POSITION:

Skill and knowledge of established concepts, principles and practices related to health care assignments and additional training or experience in assessing the conditions of patients, in providing medical care and in advising on health care needs, all with full consideration of mental, emotional and physical factors.

Knowledge of the diagnostic, preventive and therapeutic position related to ER Nurse Practitioner/Physician Assistant, emergencies, medicine, minor/major surgery and nutrition.

Ability to collect, organize, record and communicate, in a meaningful way, data relevant to primary health assessments including the detailed family and medical history, a physical examination and selective laboratory tests.

Ability to perform special screening and developmental tests and assess routine and specialized laboratory and radiological services.

Skill in making diagnosis and in choosing, initiating and modifying selected therapies and ability to provide emergency treatment.

Ability to assess the physical-psychosocial health status of patients and family based upon the knowledge of growth and development patterns and health condition is that require medical management.

Knowledge of pharmaceuticals in order to recognize their desired effects, side effects and complications of their use.

Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in carrying out patient care.

Knowledge of the availability and use of resources designated as primary care and referral services.

Ability to provide individual and family counseling, guidance and health instruction to help patients to understand how to prevent disease and maintain good physical and mental health.

Knowledge of quality assurance and evaluation process to improve care and facilitate monitoring and program planning.

Knowledge of health record aspects of patient care and ability to accurately and completely document related clinical data.

Ability to provide guidance and leadership to other healthcare providers.

A license to practice in the United States is required. Compliance with Indian Health Service – Service Unit Medical Staff/Governing Body By-laws, Rules and Regulations and compliance with requirements for credentialing/privileging as an active member of the medical staff.

Skill in diplomacy and tact while working in stressful situations.

Skill in working with people from a wide variety of backgrounds and different cultures.

CONTRACTOR CREDENTIALS:

The contractor shall provide a list of qualified candidates and the following documents per candidate:

a) Current Resume or C.V

b) Copy of College Transcripts; conferred degrees and certified training in the field.

c) Credentialing documents and degree conferred.

d) Copy of a valid, unrestricted medical license.

e) Two (2) letter of reference from current or pervious employers.

f) OMB NO 0917-0028, Addendum to Declaration of Federal Employment (OF-306)

g) License Certification Statement

h) Current Health Status Report.

i) Certificate of Immunization.

j) Child Care Form, Addendum OMB Approved Form-2012 Verification of Employment (VOE) required from a current or previous employer within the last three (3) years.

SUPERVISORY CONTROLS:

The Chief or Supervisor of the Department, or designee, provides primarily administrative supervision. The supervising physician sets overall health care objectives and specifies resources available. The supervising physician provides for clinical supervision on a 24-hour, media and tour of duty coverage. The supervising physician reviews work performance on a periodic basis in order to evaluate proficiency in providing health care, discuss deficiencies and problems encountered, outline and/or approve new or changed practices to be employed, and provides consultation on specific cases and related problems. Work which involves out-of-the-ordinary diagnostic decisions or treatment is discussed with supervisor or supervising emergency department physician who keeps aware of the condition of such patients and all aspects of treatment regimen. Work performance is reviewed for conformance to IHS policy, procedures and accepted professional practices; and the Quality Assurance Improvement Program of the Medical staff of the Service Unit.

Within established guidelines, contractor(s) exercise latitude in planning and carrying out health care assignments and in undertaking new procedures, practices and approaches to extend both services provided and increase individual proficiency. Overall work performance is reviewed jointly by the clinical director/supervising physician for effectiveness in meeting requirements for healthcare services.

SECURITY CLEARANCES:

The contractor shall ensure their employees have been properly screened prior to presenting to PIMC for employment under this contract. The contractor shall inform their employees to obtain Fingerprint cards or electronically submit their fingerprints through the PIMC Human Resources Department and complete the appropriate background investigation form which will be submitted for processing. No performance under this contract shall be allowed until the contractor’s employee is cleared through the PIMC Human Resources Department and issued a badge.

CREDENTIALING AND PRIVILEGING:

The contractor will participate in the credentialing and privileging process in accordance with existing procedure. Contractor shall provide no services prior to obtaining approval by the Government Medical Executive and Governing Board. The Contractor will be provided copies of current requirements and updates as they are published. Privileges will require renewal at least every one - two years in accordance with Government credentialing privileging policy and JCAHO requirements.

DELIVERABLES:

A. The Contractor is required to provide a copy of each Contractor’s employee profile to the COR prior to providing services at the PIMC.

B. Timesheet shall be submitted to the Chief or Supervisor of the Department, or designee. The timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment, then forwarded to the receiving official for further processing of receipt of services through PRISM.

CONTRACTOR OFFICER REPRESENTATIVE (COR):

The Contracting Officer will designate in writing a COR who shall be responsible for:

1. Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and recommending to the Contracting Officer, changes in requirements;

2. Interpreting scope of work;

3. Performing technical evaluations required;

4. Performing technical inspections and acceptances required by this contract;

5. Monitoring funds available for obligation under this contract;

6. The resolution of technical problems encountered during performance of this contract;

In no event is the COR empowered to change any of the terms and conditions of the contract. Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the Contracting Officer by a properly exercised modification.

The designation of a COR does not authorize or provide a legal right to change any kind of contractual terms regardless of the Contractor’s apparent difficulties in fulfilling contract requirements.

CONTRACTING OFFICER (CO) RESPONSIBILITIES:

The Contracting Officer is the only person delegated the authority to negotiate changes in terms, conditions, or amounts cited in this contract.

PERFORMANCE CONDITIONS:

A. The COR will submit schedules of required coverage a minimum of 15 calendar days prior to the first day of coverage requested.

B. In the event the Contractor’s employee is unable to render service on a previously agreed schedule, the

Contractor shall provide a minimum seventy-two (72) hour notification to the COR. The Contractor shall then make a full, good-faith effort to provide coverage with a replacement.

C. Both parties recognize that on occasion there shall be a need to fill coverage requests with less than a 15-day notice. In such an emergency scheduling situation, the Contractor shall make a full, good-faith effort to accommodate the emergency request. If the Contractor is unable to meet the emergency scheduling request, they shall immediately notify the COR and those involved in scheduling.

ADDENDUM:

a. Pro-Children Act of 1994 The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994 which imposes restrictions on smoking where federally funded children’s services are provided. The Act requires that smoking should be prohibited in any indoor facility owned, leased, or contracted for or used for the routine or regular provision of health care, day care, or early childhood development (Head Start) services to children under the age of 18. Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 per violation and/or the imposition of an administrative compliance order on the responsible entity. By submitting an offer and entering into a contractual agreement with the Government, Contractors certify that they will comply with the requirements of the Act. Contractors must obtain the same certification from subcontractors.

b. P.L. 101-630, The Indian Child Protection and Family Violence Prevention Act Contractors whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act.

IHS will conduct these investigations following award of a contract. The character investigation may be waived if, in the judgment of the Contracting Officer, in consultation with the Personnel Officer, an investigation has already been conducted and is on file. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor must not have unsupervised contact with Indian children.

c. Department of Health and Human Services Tobacco Policy The Contractor’s employee shall comply with the Department of Health & Human Services Tobacco-Free Policy (copy available upon request). Contractor’s employee shall not use tobacco products of any kind (e.g., cigarettes, cigars, pipes, and smokeless tobacco) while on any HHS Property- owned or controlled.

d. Indian Child Protection and Family Violence Prevention Act No performance under this contract will be allowed without full compliance with the Indian child protection and family violence prevention act, Public Law 101-630 and the Indian Health Service memo dated February 3, 1997, investigations on child care workers. Contractor shall ensure that proposed providers cooperate with and assist the government in the conduction of any necessary background checks.

e. Crime Control Act of 1990 No performance under this contract will be allowed without full compliance with the crime control act of 1990, Public Law 101-647 and the Indian Health Service memo dated February 3, 1997, investigations on child care workers. Contractor shall ensure that proposed providers cooperate with and assist the government in the conduction of any necessary background checks.

END OF STATEMENT OF WORK