Award 75H70622P00164 - Radiology.pdf

IHSGREATPLAINS AREA

ABERDEEN SD 57401-4301

115 4TH AVENUE SE

Great Plains Area IHS

IHSGREATPLAINS AREA

159348

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building Aberdeen Area Indian Health Servic

IHSPINERIDGE CODE 16. ADMINISTERED BYCODE

X

561320

SIZE STANDARD:

% FOR:SET ASIDE:UNRESTRICTED OR159

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

605-226-7724WENDA WRIGHT

75H70622P00164

(No collect calls)

INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBER a. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION 5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 8 See ScheduleOFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

GILBERT AZ 85297

3451 SOUTH MERCY ROAD

AB STAFFING SOLUTIONS, LLC

AB STAFFING SOLUTIONS, LLC 159348

17a. CONTRACTOR/

PINE RIDGE SD 57770

E. Hwy 18 607 Indian Health Road

PINE RIDGE

15. DELIVER TO

Aberdeen SD 57401 115 Fourth Ave, SE Federal Building

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$30.00

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

HHS NET 30P THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Aberdeen Area Indian Health Servic

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

Firm Fixed-Price, Non-Personal Healthcare Service, Commercial Item, Purchase Order to provide Radiology (CT, X-Ray, and Ultrasound) Services for the Pine Ridge IHS Hospital, Pine Ridge, South Dakota. Period of Performance:

December 08, 2021 through March 07, 2022.

Delivery: 03/07/2022 Period of Performance: 12/08/2021 to 03/07/2022

Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

$420,160.00

HEREIN, IS ACCEPTED AS TO ITEMS:

DATED

CRAIG J. WELLS 12/08/2021

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

See schedule

29. AWARD OF CONTRACT:

REF.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

1 CAT SCAN Technologist Services - 4 FTE 214,240.00

2080 Hours X $103.00/Hour, totaling $214,240.00

Requisition No: IHS1439077

Delivery Location Code: IHSPINERIDGE

PINE RIDGE

607 Indian Health Road

E. Hwy 18

PINE RIDGE SD 57770 US

Amount: $214,240.00

Accounting Info:

2022.J451150.25637 Appr. Yr.: 2022 CAN: J451150

Object Class: 25637

Funded: $214,240.00

2 Diagnostic Radiology Technician Services - 2 FTE 88,400.00

1040 Hours X $85.00/Hour, totaling $88,400.00

Requisition No: IHS1439077

Delivery Location Code: IHSPINERIDGE

PINE RIDGE

607 Indian Health Road

E. Hwy 18

PINE RIDGE SD 57770 US

Amount: $88,400.00

Accounting Info:

2022.J451150.25637 Appr. Yr.: 2022 CAN: J451150

Continued ...

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

8 2 of

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

3 8

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

AB STAFFING SOLUTIONS, LLC 159348

(A) (B) (C) (D) (E) (F)

75H70622P00164

Object Class: 25637

Funded: $88,400.00

3 Ultrasound Technologist Services - 2 FTE 117,520.00

1040 Hours X $113.00/Hour, totaling $117,520.00

Requisition No: IHS1439077, IHS1442813

Delivery Location Code: IHSPINERIDGE

PINE RIDGE

607 Indian Health Road

E. Hwy 18

PINE RIDGE SD 57770 US

Amount: $98,800.00

Accounting Info:

2022.J451150.25637 Appr. Yr.: 2022 CAN: J451150

Object Class: 25637

Funded: $98,800.00

Delivery Location Code: IHSPINERIDGE

IHSPINERIDGE

607 Indian Health Road

E. Hwy 18

PINE RIDGE SD 57770 US

Amount: $18,720.00

Accounting Info:

2022.J45PC50.25637 Appr. Yr.: 2022 CAN: J45PC50

Object Class: 25637

Funded: $18,720.00

The "Unit Price" is an all inclusive cost. All

"inclusive cost" is defined to include travel, lodging, per diem, fringe benefits, i.e., life insurance, social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this contract.

Attachments:

- Quote

- Performance Work Statement

- Clauses Incorporated by Reference and in

Full-Text

- Business Associate Agreement

- HHS Residual Standards of Conduct

- Courtesy and Respect in the Workplace

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

AB STAFFING SOLUTIONS, LLC 159348

(A) (B) (C) (D) (E) (F)

75H70622P00164

- Violence in the Workplace

- Mandatory Seasonal Influenza Immunizations

- Standards of Ethical Conduct

- Wage Determination No.: 2015-5377

Revision No.: 17

Date of Last Revision: 10/20/2021

SECURITY CLEARANCE

A security pre-clearance must be performed for any employees referred to IHS through this contract.

Fingerprints must be completed and adjudicated prior to services being performed under this contract.

No contract award shall be made to any vendor or provider listed on the OIG Exclusion List http://exclusions.oig.hhs.gov throughout the duration of the contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Performance of this contract will require routine access by employees of the Contractor or its subcontractors to facilities or systems controlled by the Indian Health Service (I.H.S.).

Before starting work requiring routine access to

I.H.S. facilities or systems each person must complete a FBI National Criminal History Check

(Fingerprint Check) adjudicated by an I.H.S.

employee using the Office of Personnel Management

Personnel Investigations Processing System.

Contractors shall allow five business days for

I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of

I.H.S. sites with electronic fingerprint capability is available from the Contracting

Officer.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

AB STAFFING SOLUTIONS, LLC 159348

(A) (B) (C) (D) (E) (F)

75H70622P00164 this contract if listed on the HHS Office of

Inspector General List of Excluded

Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance, the Contractor shall provide the

Contracting Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a

Time and Materials, Labor-Hour or Cost

Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed

Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractors suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with

IPA's or MOA's to tribal organizations please, click here IHS Sexual Abuse Prevention website.

When the contractors have completed and passed

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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CONTINUATION SHEET

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AB STAFFING SOLUTIONS, LLC 159348

(A) (B) (C) (D) (E) (F)

75H70622P00164 the training, please have them send a copy of the last page of the training with Name, Date, and

Time to their Supervisor, COR, and Kimmen LeBeau, e-mail: Kimmen.LeBeau@ihs.gov

INVOICE SUBMISSION AND PAYMENT:

The contractor shall submit a signed and approved invoice to request payment on at least a monthly basis.

A. The contractor shall submit an original invoice to:

The Great Plains Area Indian Health Service

Attn: Accounts Payable

115 4th Avenue SE, Room 309

Federal Building

Aberdeen, South Dakota 57401

The contractor shall submit a copy of the invoice to:

Pine Ridge IHS Hospital

Attn: Janelle Byrne, COR II

607 Indian Health Rd

Pine Ridge, South Dakota 57770

Phone: 605-455-8223

Janelle.byrne@ihs.gov

B. The contractor shall include the following information on each invoice in accordance with the prompt payment act (5 CFR Part 1315.9(b)):

1. Contractor's name

2. Invoice number and date

3. Entire award number or other authorization number for delivery of goods or services

4. Description (including dates of service), price and quantity of goods and services rendered

5. Shipping and payment terms

6. Duns number and taxpayer identifying number

(TIN)

7. Contact name (where practicable), title and telephone number

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

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CONTINUATION SHEET

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75H70622P00164

Payment shall be made by the Great Plains Area

Financial Management Branch, 115 4th Avenue SE, Room 309, Federal Building, Aberdeen, South

Dakota 57401.

The Government reserves the right to accept or reject services, if the level of performance is unacceptable.

"Radiology Technologist(s) will arrive on a

Business Day ONLY to complete all Orientation and

Background procedures. The Clinical Director or

Designee will ensure all Orientation and

Background procedures have been completed and an email will be sent to the Contracting department to state as such. The Radiology Technologist(s) will NOT see patients until

Background/Fingerprints have been cleared."

"The standards of medical practice and duties of the Contractor through its Radiology

Technologist(s) shall be determined pursuant to the bylaws of the Service Unit. The regulations of the hospital, applicable provisions of law, other rules and regulations of any and all governmental authorities relating to licensure and regulation of physicians and hospitals must be followed. Also the standards and recommendations of Centers for Medicare and

Medicaid Services (CMS) or the Accreditation

Organization must be adhered to. The Contract

General Radiology Technologist(s) shall be required to participate in a quality improvement program, which is consistent with current requirements for ongoing monitoring and evaluation of the quality and appropriateness of care."

A CONTINUING RESOLUTION, also known as a "CR" is legislation enacted by congress that continues funding for specific ongoing activities if the fiscal year appropriation has not been enacted by the beginning of the fiscal year.

"Due to the Continuing Resolution, funds are presently available through February 18, 2022

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(A) (B) (C) (D) (E) (F)

75H70622P00164

(P.L. 117-70). The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds. No legal liability on the part of the

Government for any payment may arise for performance under this contract beyond February

18, 2022. If funds are made available to the

Contracting Officer for performance beyond the above cited date, the Contractor will receive notification in writing by the Contracting

Officer."

The total amount of award: $420,160.00. The obligation for this award is shown in box 26.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

PRICE SCHEDULE

PINE RIDGE IHS HOSPITAL

Radiology (CT, X-Ray, and Ultrasound) Technologist(s) Services

BASE YEAR:

ITEM # DESCRIPTION ESTIMATED

QUANTITY

UNIT OF

ISSUE

UNIT COST TOTAL COST

1. CAT SCAN

Technologist

4 FTE Required 2080 Hours

2. Diagnostic Radiology Technician

2 FTE Required 1040 Hours

3. Ultrasound Technologist

2 FTE Required 1040 Hours

GRAND TOTAL FOR 90 Days: $ ___________

Total - 90 Days: $ _______________________ josh Typewritten text 103.00 josh Typewritten text 85.00 josh Typewritten text 113.00 josh Typewritten text 214,240.00 josh Typewritten text 88,400.00 josh Typewritten text 117,520.00 josh Typewritten text 420,160.00 josh Typewritten text 420,160.00 josh Typewritten text

NON-PERSONAL SERVICE CONTRACT

RADIOLOGY DEPARTMENT

ULTRASOUND/ CT/ X-RAY TECHNOLOGIST(S)

THESE POSTIONS ARE LOCATED AT THE PUBLIC HEALTH SERVICE-INDIAN HEALTH

SERVICE, PHS INDIAN HOSPITAL, PINE RIDGE, S.D. 57770

PERFORMANCE WORK STATEMENT:

These positions serves as staffing for the radiology department with needs for (4) CAT Scan Technologist (CT), (2) General Diagnostic Radiology Technician (X-ray) and (2) Ultrasound Technologist and are responsible for performing complex radiologic examinations. Performs examinations and procedures, which are used in Medical diagnosis utilizing both stationary and mobile equipment. Operates the equipment in the radiology department and at patient’s bedsides. When there are no radiology exams to perform, the technicians will keep busy performing other departmental duties as assigned by the Radiology Supervisor.

NOTE***Vendor must provide radiation monitoring DOSIMETRY equipment to any candidates assigned to this contract.

MAJOR DUTIES AND RESPONSIBILITIES:

CAT SCAN TECHNOLOGIST – 4 FTE REQUIRED

Performs a variety of computerized tomography examinations according to physician instructions.

Receives and reviews requests from physicians and other health care providers for examinations of patients. Schedules patients for examinations. Determines the condition(s) at issue and the procedures and equipment necessary to best meet the needs of the individual case. Evaluates the nature of critical and emergency procedures and rearranges patient priorities to accommodate them. Confers with radiologists and/or higher graded tech. to establish requirements of nonstandard examinations or for cases outside of incumbent’s expertise, and determines technical factors, positioning, number and thickness of scans, etc., to satisfy requirements. Assists the radiologist in the performance of needle localizations and biopsies.

Receives and positions patient for examination. Explains procedures and actions to allay fears and secure maximum cooperation. Makes scans necessary for the requested examination. Advises radiologist or referring physician of results of examination and provides them with a preliminary diagnostic evaluation.

Notifies them of significant cases requiring their immediate attention and visualization while patient is undergoing examination. If unanticipated conditions or anomalies are discovered, extends and modifies procedure to insure full and accurate information as to findings and patient condition. If necessary, renders emergency aid and summons assistance.

Selects, sets up, adjusts, and operates equipment, including laser imager. Conducts examination, adjusting technique and equipment to best present the medically significant aspects found. Performs operator level maintenance and care of equipment. Identifies need for and initiates action to obtain higher-level support.

Makes minor adjustments to equipment. Performs preventative maintenance as required.

Establishes and maintains a variety of files and records relating to activities and functions. Prepares reports on examinations, equipment status and utilization, workload, supply status and consumption, and related matters.

Responsible for obtaining pertinent diagnostic examinations for the referring clinician and radiologist, requiring adequate and optimal positioning and recording of information on file.

Determines the number of scans necessary to obtain the information desired and adjusts the equipment parameters in such a way that a sufficient amount of information is obtained for each exam.

Recognizes the significance of all structures visualized on the screen at all times.

DIAGNOSTIC X-RAY TECHNICIAN: 2 FTE REQUIRED

Provide examination for all patients presenting to the Radiology Department after being examined by a Health Care Provider and exams ordered.

Independently operates a fixed and or portable radiology machine and equipment to meet the needs of the department.

Receives patients, explains methods of procedures, positions and sets technical factors to attain a high quality radiograph.

Performs a variety of routine to complex examinations to meet the needs of the Medical Staff, as well as, the needs of the specialty clinic physicians.

Performs DR (Konica- Minolta) duties to include creating image, performing QC on images on the screen to verify films, uses the digital processor and prepare the images for transmittal to PACS (SMAART) or Tele-radiology locations for Radiologist Interpretation and Final Report.

Prepares x-ray images for download to CD or electronic transmission for patient referral.

ULTRASOUND TECHNOLOGIST: 2 FTE REQUIRED

The Ultrasound technologist performs a variety of specialized technical procedures requiring independent judgements and initiative in the application of non-ionizing high frequency ultrasonic waves for disease diagnosis and obstetrical problems.

Performs all requested ultrasound studies dictated by the equipment available. Studies include, but are not limited to abdominal, pelvic and small parts.

Responsible for obtaining pertinent diagnostic examinations for the referring clinician and radiologist, requiring adequate and optimal positioning and recording of information on file.

Determines the number of scans necessary to obtain the information desired and adjusts the equipment parameters in such a way that a sufficient amount of information is obtained for each exam.

Recognizes the significance of all structures visualized on the screen at all times.

Capable of recognizing a diagnostic examination and interpreting it but not giving an official reading.

Receives patients, explains methods of procedures, positions and sets technical factors to attain a high quality sonography exams.

RESPONSIBLE DUTIES FOR ALL PERSONNEL IN THE RADIOLOGY

DEPARTMENT REGARDLESS OF SPECIALTY

Performs a variety of routine to complex examinations to meet the needs of the medical staff.

Independently operates a fixed and portable radiology equipment to meet the needs of the department.

Maintains accurate records of patient workload on a daily basis.

Keep accurate records of every sonography and radiology (CT or x-ray) exam, which has to be repeated.

Must be able to assist in a cardiac arrest situation and CPR along with the rest of the medical staff.

Must have their own personal dosimeter to read radiation doses as they are part of the radiology team and may have exposure due to departmental duties. The Pine Ridge Service Unit does not furnish dosimeter or Radiation safety badge to contractor staff.

WORK SCHEDULE:

Tour of duty will be rotating shifts Monday through Sunday days, evening and nights to include Holidays. The schedule will be arranged to benefit the IHS Pine Ridge Service Unit needs.

Occasionally the contractor may need to stay after shift to finish an exam or to do an emergency exam. Overtime pay will be approved at the regular hourly rate. The department will be covered on all 3 shifts as assigned and as determined by the Radiology Supervisor to meet patient workload. Shifts may be a variety of either 8 hour, 10 hour, 12 hour or 13.5 hours. The Radiology Supervisor or designee will communicate shift start times.

QUALIFICATIONS:

Individual must be :

Advanced-level certification by ARRT or NMTCB in CT or have one of the following qualifications :

• State Licensure that permits them to perform diagnostic CT and documented training in the provision of diagnostic CT or

• Registration and certification in Radiography by ARRT and documented training in the provision of diagnostic CT or

• Certification in Nuclear Medicine technology by ARRT or NMTCB And documented training in the provision of diagnostic CT

Must meet the continuing education requirement set by the ARRT for their specialty area.

1. CAT SCAN Tech must have at least six months of experience in performing CT examinations.

2. DIAGNOSTIC RADIOLOGY TECH must have 6 months experience in General Radiology and have current certification by ARRT or be registry eligible and documented proof of completion of an accredit radiology internship.

3. ULTRASOUND Tech must be ARDMS eligible and be experienced to perform a wide range of ultrasound. Must have at least one year of experience in performing ultrasound examinations.

Pine Ridge Indian Health Service hospital policy requires all staff with direct patient contact, be able to provide proof of PPD and Tdap (Tetanus, Diphtheria, acellular Pertussis). Influenza and COVID vaccination is a requirement as per Executive Order 14042. This includes all permanent employees, volunteers, and contractors (for all contractors in this category, acceptable proof can be in the form of an immunization record or written documentation from a physician).

Contractor personnel currently serving in a contract position can receive these immunizations from the facility.

KNOWLEDGE REQUIRED BY THE POSITION FOR CAT SCAN TECH:

Knowledge of physiology and cross sectional anatomy such as location, appearance and function of the various major and minor systems susceptible to radiological exposure and the physical abnormalities associated with most diseases or lesions to conduct computerized scanning examinations. In addition, knowledge of anatomy and physiology including location, appearance, and functioning of the major and minor systems susceptible to radiological illumination, and knowledge of changes to systems and organs caused by common medical and surgical diseases.

Ability to optimize scans for clarity for diagnostic use and to recognize when additional scans or different positioning is needed to fully illustrate exam area. Knowledge of complex radiographic exposure techniques such as determination of technical factors and machine geometry of linear tomographic X ray machines or equipment of similar complexity. Ability to perform calculations of critical technical factors needed to show the difference between organs, glands, etc. of similar density when contrast material cannot be used such as adapting for age, structure and patient size when performing mammographies, or use of contrast materials in invasive examinations. Knowledge of radiographic positioning required in complex procedures such as lumbar myelography including sequences of positioning, alignment of X ray beams and localizing of contrast medium. Skill to apply such knowledge to perform complex radiographic procedures such as bronchography, lymphangiography, or xerographic mammography. Ability to visualize the position and functioning of three-dimensional forms within the body from a two dimensional presentation (sonogram or cathode ray screen).

Skill in setting up, adjusting, operating, and maintaining diagnostic, tomography and ancillary equipment. In addition to the knowledge described above, a practical knowledge of instruments used in the specialization to make adaptations and adjustments and interpret test results based on previous experience and observation. This level requires a practical knowledge of intricate examination or treatment procedures. A basic knowledge of anatomy and physiology including location and function of the major body organs and structures as they relate to the specialization.

Knowledge of the common diseases and their effects associated with the specialization. Skill to apply knowledge in adapting instruments to perform a full range of specialized tests or nonroutine diagnostic or treatment procedures requiring many steps, and various approaches and procedures based on findings from the early steps. Knowledge of pharmacology and chemistry to understand drug action, effects, and method of administration. Ability to work as a member of a team when performing procedures that require making rapid and accurate observations or adjustments to established practices. Skill to prepare summary of test results, workload reports, and related documents.

1. Complete knowledge of complex instrumentation utilized to extract finest quality performance from the equipment.

2. Ability to deviate from normal techniques when necessary and to develop new and better techniques to keep diagnostic capability up to date.

3. Knowledge of radiation protection standards, devices, and techniques.

4. Knowledge of anatomy and physiology.

5. Knowledge of methods, techniques and quality control for digital imaging.

KNOWLEDGE REQUIRED BY THE POSITION FOR ULTRASOUND:

1. Knowledge and skill to operate complex ultrasound equipment to provide basis for a wide variety of specialized medical diagnosis. The knowledge and skill will have been obtained through formal classroom instruction of not less than 1 year.

2. Knowledge of physical diagnosis and clinical courses of disease.

3. Must be capable of recognizing a diagnostic scan and consulting with the radiologist to determine proper diagnosis.

4. Knowledge of physical principles of sound generation and transmission characteristics of the ultrasound equipment. Must be completely familiar with the following methods of signal processing: a. real-time scanning b. m-mode c. transducers

5. Complete knowledge of complex instrumentation utilized to extract finest quality performance from the equipment.

6. Ability to deviate from normal techniques when necessary and to develop new and better techniques to keep diagnostic capability up to date.

7. Knowledge of radiation protection standards, devices, and techniques.

8. Knowledge of anatomy and physiology.

9. Knowledge of methods, techniques and quality control for digital imaging.

SUPERVISION AND GUIDANCE RECEIVED:

Works under the supervision of the Chief Radiologic Technologist who advises on matters such as general operation of the Radiology section and patient relationships and occasionally spot checks sonographs and/or radiographs for diagnostic quality. When working on Ultrasound procedures, the Radiologist will indicate which actions should be performed. The technologist is responsible for the technical procedures to accomplish these directions. When working on CT or X-Ray procedures, the Radiologist will indicate which actions should be performed. The technologist is responsible for the technical procedures to accomplish these directions.

Radiologists provide guidelines initially, but textbooks, technical manuals, and current articles are available for additional guidelines in adapting the general requirements of the procedure to the specific condition of the patient.

Standard operating procedures cover the number, type and sequence of exposures for each kind of examination. Technique charts are available for typical settings of kilovoltage, milliamperage, distance and time for techniques. Textbooks and technical manuals on radiography are available for additional guidance in adapting the general requirements of the procedure to the specific condition of the patient. The technologist must use judgment to deviate from standard procedures and tables to compensate for patient’s injuries, illness, or physical disabilities in accordance with established precedent and methods of calculations. The technologist maintains up-to-date knowledge of new developments in the field and exercises judgment to evaluate their usefulness.

TECHNICAL EVALUATION FACTOR SELECTION WILL BE USED TO AWARD

SERVICE CONTRACT TO POTENTIAL VENDORS.

The summary is below and documentation forms for Contract Officer Representative monitoring processes will be attached to RFQ as well as the Technical Evaluation Tool for submission of proposal.

PROPOSAL EVALUATION SUMMARY:

CRITERIA

ADJECTIVAL RATING

ASSIGNED BY

REVIEWER

1. Submission of detailed work plan to meet the requirements in the statement of work

2. Past Performance and Experience

3. Key personnel are able to complete and be awarded background clearance status, comply with medical record documentation content and submission deadlines as outlined in Pine Ridge Service Unit By-laws, conforms with Center for Medicare Service accreditation regulations or Joint Commission regulations, and participate in quality of care project management. (Quality Assurance Surveillance Plan)

FINAL RATING

QUALITY ASSURANCE PLAN SURVEILLANCE

QUALITY OF CARE

The Contractor shall comply with the following quality of care protocol:

1. It shall be understood that eligible patients under treatment will be rendered services that provide the best medical care within the Contractor's professional training and experience. All services rendered shall be in accordance with current standard medical practices to assure quality of care. A 30-day Work Schedule will be provided to the contractor by the Radiology supervisor prior to the dates needed.

2. The Contractor shall be familiar and adhere to the policy and procedures of Radiology

Department at the Pine Ridge Service Unit in South Dakota. The education and training (i.e the credentials) of the Contractor shall comply with the Medical Staff By-laws of the service unit for all services provided in Public Health Service clinics and the Statement of work requirements for this position. The Contractor shall agree to abide by the HIPAA and CMS standards.

3. The quality of work performed by the Contractor will be subject to review by chart audits, review by the Radiology Supervisor, Radiologist, and site visits by the Contract Officer Technical Representative, Vendor Project Officer or designee as needed. The Radiology Supervisor and/or Radiologist will conduct quality Review audits.

The Contractor shall comply with the following quality of care protocol:

1. Deliverable 1: The Vendor will provide Curriculum Vitale and education documentation for candidates presented to fulfill the requirements of this contract. The PRSU will review the Vendor for all background clearance actions for compliance. (See attachment 2a)

2. Deliverable 2: The Vendor for the Ultrasound/Sonographer/CAT SCAN/ X-Ray Radiology Technician contract will provide documentation of current education and training, and will also support and participate in the ongoing Continuous Quality/ Performance Improvement at the Pine Ridge Service Unit. Quality Assurance: The Program will consist of reporting the. (Quality Activity 2e)

3. Deliverable 2: The Vendor will ensure timely completion of documentation of RPMS/ PACS (electronic health record and digital radiologic program). Radiology Supervisor will accuracy prior to signing timecards at the end of each week. If malicious discrepancies are identified, vendor will ensure timely correction of documentation and or replacement of candidate. Vendor will work with Radiology Supervisor to ensure quality care is provided. (See attachment 2b)

4. Deliverable 3 conducted by the Government: Compliance with CMS and/or JC accreditation surveys. PRSU will be conducting Environment of Care rounds, Internal Audits, Tracer activities, etc. Any deficiencies cited that involve contractor staff, will be addressed for correction with the Department Supervisor and Vendor as necessary. (See attachment 2c)

PERSONAL CONTACTS AND PURPOSE OF CONTACTS:

Personal contacts are with patients, with doctors, and with fellow employees in a hospital setting.

These contacts are for the purpose of making radiology (CT or X-ray) and Sonography studies.

Contacts with doctors are to resolve problems concerning scheduling of patients and requested procedures. Those with fellow workers are to establish a working relationship to accomplish the job. Contacts with patients are to explain the procedure to be performed, often to patients who are unfamiliar with radiology examinations and to direct patients how to move to achieve correct positioning. Some patients are ill, injured or nervous which requires the technologist to provide reassurance and comfort.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

The work requires long periods of standing and walking. There is some bending and carrying of moderately heavy DR panels and other supplies as needed. It is often necessary to physically lift patient(s) from gurneys to x-ray table with assistance from others. The work area is well lighted and temperature controlled. Special safety precautions are used to reduce exposure to radiation.

These include using minimum exposure settings for the x-ray machine and never operating the machine except from behind a protective screen or when wearing protective clothing such as a lead apron.

NOTE***The contract vendor will provide the radiation dosimeter badge for their employee

QUALITY ASSURANCE:

In working with the Chief Technologist who is functioning in assuring work is satisfactory, work will be thoroughly monitored and approved. After approval, payment shall be invoiced to Great Plains Area Office – Pine Ridge Service Unit for payment. Along with this invoice, shall be a record of time worked, signed by departmental supervisor or designee.

CLAUSES INCORPORATED BY REFERENCE

(Firm Fixed-Price, Non-Personal Healthcare Service, Commercial)

FAR CITATION: 52.252-2: Clauses Incorporated by Reference. (FEB 1998) I. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date ____

1. 52.202-1 Definitions November 2013

2. 52.203-3 Gratuities April 1984

3. 52.203-12 Limitation on Payments to Influence Certain June 2020 Federal Transactions

4. 52.203-17 Contractor Employee Whistleblower Rights June 2020 And Requirement to Inform Employees of Whistleblower Rights

5. 52.204-4 Printed or Copied Double-Sided on May 2011 Postconsumer Fiber Content Paper

6. 52.204-9 Personal Identity Verification of Contractor January 2011 Personnel

7. 52.204-13 System for Award Management Maintenance October 2016

8. 52.204-18 Commercial and Government Entity Code August 2020 Maintenance

9. 52.204-19 Incorporation by Reference of December 2014 Representations and Certifications

10. 52.212-4 Contract Terms and Conditions October 2018

- Commercial Items

11. 52.224-1 Privacy Act Notification April 1984

12. 52.224-2 Privacy Act April 1984

13. 52.232-39 Unenforceability of Unauthorized Obligations June 2013

14. 52.232-40 Providing Accelerated Payments to Small December 2013 Business Subcontractors

15. 52.237-2 Protection of Government Buildings April 1984 Equipment, and Vegetation

16. 52.237-7 Indemnification and Medical Liability Insurance January 1997

17. 52.242-13 Bankruptcy July 1995

18. 52.242-15 Stop-Work Order August 1989

19. 52.253-1 Computer Generated Forms January 1991

CLAUSES INCORPORATED IN FULL TEXT

II. Federal Acquisition Regulations (FAR) (48 CFR Chapter 1) Clauses

No. FAR Citation Clause Title Clause Date ____

1. 52.212-5 Contract Terms and Conditions Required To September 2021 Implement Statues or Executive Orders – Commercial Items (See attached)

2. 52.217-8 Option to Extend the Services November 1999

3. 52.223-99 Ensuring Adequate COVID-19 Safety Protocols October 2021 for Federal Contractors

4. 52.232-18 Availability of Funds April 1984

5. 52.232-19 Availability of Funds for the Next Fiscal Year April 1984

6. 52.252-2 Clauses Incorporated by Reference February 1998

52.217-8 Option to Extend Services.

As prescribed in 17.208(f), insert a clause substantially the same as the following:

OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of clause)

52.223-99 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors.

ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL CONTRACTORS (OCT 2021) (DEVIATION)

(a) Definition. As used in this clause - United States or its outlying areas means—

(1) The fifty States;

(2) The District of Columbia;

(3) The commonwealths of Puerto Rico and the Northern Mariana Islands;

https://www.acquisition.gov/sites/default/files/current/far/html/Subpart%2017_2.html#wp1078175

(4) The territories of American Samoa, Guam, and the United States Virgin Islands; and

(5) The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa Island, Palmyra Atoll, and Wake Atoll.

(b) Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

(c) Compliance. The Contractor shall comply with all guidance, including guidance conveyed through Frequently Asked Questions, as amended during the performance of this contract, for contractor or subcontractor workplace locations published by the Safer Federal Workforce Task Force (Task Force Guidance) at https:/www.saferfederalworkforce.gov/contractors/.

(d) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts at any tier that exceed the simplified acquisition threshold, as defined in Federal Acquisition Regulation 2.101 on the date of subcontract award, and are for services, including construction, performed in whole or in part within the United States or its outlying areas.

(End of clause)]

52.232-18 Availability of Funds.

As prescribed in 32.706-1(a), insert the following clause:

AVAILABILITY OF FUNDS (APR 1984)

Funds are not presently available for this contract. The Government’s obligation under this contract is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise until funds are made available to the Contracting Officer for this contract and until the Contractor receives notice of such availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

52.232-19 Availability of Funds for the Next Fiscal Year.

As prescribed in 32.706-1(b), insert the following clause:

Availability of Funds for the Next Fiscal Year (Apr 1984)

Funds are not presently available for performance under this contract beyond. The Government’s obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of clause)

52.252-2 Clauses Incorporated by Reference.

https://www.acquisition.gov/far/part-32#FAR_32_706_1 https://www.acquisition.gov/content/32706-1-clauses-contracting-advance-funds#i1081697

As prescribed in 52.107(b), insert the following clause:

CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://www.acquisition.gov

III. Department of Health and Human Services Acquisition Regulations (HHSAR) (49 Chapter 3) Clauses

No. HHSAR Citation Clause Title Clause Date_ ____

1. HHSAR 352.224-70 Privacy Act December 2015

2. HHSAR 352.224-71 Confidential Information December 2015

3. HHSAR 352.226-1 Indian Preference December 2015

4. HHSAR 352.226-2 Indian Preference Program December 2015

5. HHSAR 352.237-70 Pro-Children Act December 2015

6. HHSAR 352.237-71 Crime Control Act-Reporting of December 2015 Child Abuse

7. HHSAR 352.237-72 Crime Control Act-Requirement December 2015 For Background Checks

8. HHSAR 352.237-73 Indian Child Protection and Family Violence December 2015 Act

9. HHSAR 352.237-74 Non-Discrimination in Service Delivery December 2015

352.224-70 Privacy Act

As prescribed in HHSAR 324.105(a), the Contracting Officer shall insert the following clause:

Privacy Act (December 18, 2015)

This contract requires the Contractor to perform one or more of the following: (a) design; (b) develop; or (c) operate a Federal agency system of records to accomplish an agency function in accordance with the Privacy Act of 1974 (Act) (5 U.S.C. 552a(m)(1)) and applicable agency regulations.

The term system of records means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual. Violations of the Act by the Contractor and/or its employees may result in the imposition of criminal penalties (5 U.S.C. 552a(i)).

https://www.acquisition.gov/sites/default/files/current/far/html/52_000_107.html#wp1114174 http://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-324-protection-privacy-and-freedom-information/index.html#324.105

The Contractor shall ensure that each of its employees knows the prescribed rules of conduct in 45 CFR part 5b and that each employee is aware that he/she is subject to criminal penalties for violation of the Act to the same extent as Department of Health and Human Services employees. These provisions also apply to all subcontracts the Contractor awards under this contract which require the design, development or operation of the designated system(s) of records (5 U.S.C. 552a(m)(1)). The contract work statement:

(a) Identifies the system(s) of records and the design, development, or operation work the Contractor is to perform; and

(b) Specifies the disposition to be made of such records upon completion of contract performance.

(End of clause)

352.224-71 Confidential Information.

As prescribed in HHSAR 324.105(b), insert the following clause:

Confidential Information (December 18, 2015)

(a) Confidential Information, as used in this clause, means information or data of a personal nature about an individual, or proprietary information or data submitted by or pertaining to an institution or organization.

(b) Specific information or categories of information that the Government will furnish to the Contractor, or that the Contractor is expected to generate, which are confidential may be identified elsewhere in this contract. The Contracting Officer may modify this contract to identify Confidential Information from time to time during performance.

(c) Confidential Information or records shall not be disclosed by the Contractor until:

(1) Written advance notice of at least 45 days shall be provided to the Contracting Officer of the Contractor's intent to release findings of studies or research, to which an agency response may be appropriate to protect the public interest or that of the agency.

(2) For information provided by or on behalf of the government,

(i) The publication or dissemination of the following types of information are restricted under this contract:

[INSERT RESTRICTED TYPES OF INFORMATION. If none, so state.]

(ii) The reason(s) for restricting the types of information identified in subparagraph (i) is/are: [STATE WHY THE PUBLIC OR GOVERNMENT INTEREST REQUIRES THE RESTRICTION OF EACH TYPE OF INFORMATION. ANY BASIS FOR NONDISCLOSURE WHICH WOULD BE VALID UNDER THE FREEDOM OF INFORMATION ACT IS SUFFICIENT

UNDER THIS CLAUSE.]

(iii) Written advance notice of at least 45 days shall be provided to the Contracting Officer of the Contractor's intent to disseminate or publish information identified in subparagraph (2)(i). The contractor shall not disseminate or publish such information without the written consent of the Contracting Officer.

(d) Whenever the Contractor is uncertain with regard to the confidentiality of or a property interest in information under this contract, the Contractor should consult with the Contracting Officer prior to any release, disclosure, dissemination, or publication.

352.226-1 Indian Preference.

As prescribed in HHSAR 326.505(a), the Contracting Officer shall insert the following clause:

Indian Preference (December 18, 2015) http://www.hhs.gov/grants/contracts/contract-policies-regulations/hhsar/part-324-protection-privacy-and-freedom-information/index.html#324.105 http://farsite.hill.af.mil/reghtml/regs/other/hhsar/326.htm#P23_4614

(a) The Contractor agrees to give preference in employment opportunities under this contract to Indians who can perform required work, regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. To the extent feasible and consistent with the efficient performance of this contract, the Contractor further agrees to give preference in employment and training opportunities under this contract to Indians who are not fully qualified to perform regardless of age (subject to existing laws and regulations), sex, religion, or tribal affiliation. The Contractor also agrees to give preference to Indian organizations and Indian-owned economic enterprises in the awarding of any subcontracts to the extent feasible and consistent with the efficient performance of this contract. The Contractor shall maintain the necessary statistical records to demonstrate compliance with this paragraph.

(b) In connection with the Indian employment preference requirements of this clause, the Contractor shall provide reasonable opportunities for training, incident to such employment. Such training shall include on-the—job, classroom, or apprenticeship training designed to increase the vocational effectiveness of an Indian employee.

(c) If the Contractor is unable to fill its employment and training opportunities after giving full consideration to Indians as required by this clause, the Contractor may satisfy those needs by selecting non-Indian persons in accordance with the clause of this contract entitled "Equal Opportunity."

(d) If no Indian organizations or Indian-owned economic enterprises are available under reasonable terms and conditions, including price, for awarding of subcontracts in connection with the work performed under this contract, the Contractor agrees to comply with the provisions of this contract involving utilization of small businesses; HUBZone small businesses; service-disabled, veteran-owned small businesses; 8(a) small businesses; veteran-owned small businesses; women-owned small businesses; or small disadvantaged businesses.

(e) As used in this clause,

(1) Indian means a person who is a member of an Indian tribe. If the Contractor has reason to doubt that a person seeking employment preference is an Indian, the Contractor shall grant the preference but shall require the individual provide evidence within 30 days from the tribe concerned that the person is a member of the tribe.

(2) Indian tribe means an Indian tribe, pueblo, band, nation, or other organized group or community, including Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688; 43 U.S.C. 1601) which the United States recognizes as eligible for the special programs and services provided to Indians because of its status as Indians.

(3) Indian organization means the governing body of any Indian Tribe…