RFP: 75H70627R00002

Combined Synopsis | Page 1

COMBINED SYNOPSIS/SOLICITATION

Solicitation No. 75H70627R00002

Emergency Department Nursing Services Standing Rock Service Unit - Fort Yates Hospital

A. GENERAL INFORMATION

This is a combined synopsis/solicitation for commercial products and commercial services prepared in accordance with FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the solicitation. Offers are being requested, and a separate written solicitation will not be issued.

The Great Plains Area Indian Health Service (IHS) intends to award a Firm-Fixed-Price (FFP), non-personal healthcare services contract for Emergency Department Registered Nursing Services at the Standing Rock Service Unit, Fort Yates Hospital, Fort Yates, North Dakota.

The solicitation document and incorporated provisions and clauses are those in effect through the Federal Acquisition Circular identified in the solicitation clause attachment.

B. SET-ASIDE AND NAICS

This acquisition is set aside 100 percent for Indian Small Business Economic Enterprises (ISBEEs) in accordance with applicable Department of Health and Human Services Acquisition Regulation (HHSAR) Buy Indian Act requirements.

NAICS Code: 561320 - Temporary Help Services

Small Business Size Standard: The size standard applicable to NAICS 561320 in effect on the date of solicitation issuance applies.

Only eligible ISBEE concerns meeting the applicable solicitation requirements will be considered for award. Offerors shall submit all representations, certifications, and documentation required by the applicable Buy Indian Act provisions included in this solicitation.

C. DESCRIPTION OF REQUIREMENT

The Contractor shall provide up to eight (8) qualified Registered Nurse (RN) positions to perform Emergency Department nursing services at the Standing Rock Service Unit, Fort Yates Hospital.

The services are non-personal healthcare services. The Contractor shall maintain responsibility for the recruitment, management, supervision, scheduling, assignment, and control of Contractor personnel. The Government will communicate required operational coverage and facility requirements; the Contractor shall determine the appropriate staffing and management approach necessary to satisfy the Performance Work Statement (PWS).

The Contractor shall provide all management, supervision, labor, personnel, credentialing, scheduling, administrative support, and other resources necessary to perform the PWS, except those specifically identified as Government-furnished information, property, or services. All Contractor nursing personnel shall satisfy the licensing, experience, certification, credentialing, background investigation, health, orientation, and other qualification requirements established in the PWS before performing independent patient-care services.

D. PLACE OF PERFORMANCE

Standing Rock Service Unit Fort Yates Hospital

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10 Standing Rock Avenue Fort Yates, North Dakota 58538

The Contractor may be required to provide incidental support within other designated patient-care areas of Fort Yates Hospital when necessary to support continuity of patient care, provided such duties are within the individual's qualifications and scope of practice and do not reduce required Emergency Department coverage.

E. PERIOD OF PERFORMANCE

The anticipated period of performance consists of one four (4)-month Base Period and fourteen (14) four-month Option Periods, for a total potential period of performance of sixty (60) months (five years), as follows:

Period Performance Dates Duration Base Period February 1, 2027 - May 31, 2027 4 months Option Period One June 1, 2027 - September 30, 2027 4 months Option Period Two October 1, 2027 - January 31, 2028 4 months Option Period Three February 1, 2028 - May 31, 2028 4 months Option Period Four June 1, 2028 - September 30, 2028 4 months Option Period Five October 1, 2028 - January 31, 2029 4 months Option Period Six February 1, 2029 - May 31, 2029 4 months Option Period Seven June 1, 2029 - September 30, 2029 4 months Option Period Eight October 1, 2029 - January 31, 2030 4 months Option Period Nine February 1, 2030 - May 31, 2030 4 months Option Period Ten June 1, 2030 - September 30, 2030 4 months Option Period Eleven October 1, 2030 - January 31, 2031 4 months Option Period Twelve February 1, 2031 - May 31, 2031 4 months Option Period Thirteen June 1, 2031 - September 30, 2031 4 months Option Period Fourteen October 1, 2031 - January 31, 2032 4 months

The Base Period provides for up to eight (8) RN position CLINs. The actual number of Base Period RN position CLINs awarded or funded will be identified in the resulting contract. During each Option Period, the Government may independently exercise from one (1) up to eight (8) RN position CLINs based on Government requirements and availability of funds. The Government is not obligated to award, fund, or exercise all eight RN position CLINs, any particular RN position CLIN, or any Option Period. Evaluation of option prices does not obligate the Government to exercise any option.

F. TRANSITION PERIOD

The Transition Period is intended to permit the Contractor to complete activities necessary to begin full clinical performance on February 1, 2027. During the Transition Period, the Contractor shall, at a minimum:

1. Participate in the contract kickoff meeting;

2. Identify the Contractor's primary and alternate points of contact;

3. Submit the required Staffing Management Plan;

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4. Recruit and identify proposed nursing personnel;

5. Submit required credentialing and privileging documentation;

6. Coordinate required background investigations and security requirements;

7. Coordinate facility orientation and required training;

8. Complete or coordinate required Electronic Health Record access;

9. Establish staffing schedules and contingency staffing procedures; and

10. Complete other transition activities required by the PWS to ensure readiness for full clinical performance.

Contractor personnel shall not perform independent patient-care services until all applicable licensing, credentialing, privileging, background investigation, orientation, training, and facility-access requirements have been satisfied.

G. PRICING

Offerors shall complete and submit the Price Schedule/Bid Sheet provided with this solicitation. All unit and extended prices shall be fully burdened and all-inclusive and shall include all costs necessary to perform the contract, including labor, management and supervision, recruitment, credentialing and privileging, replacement personnel, administrative support, fringe benefits, overhead, general and administrative expenses, profit, travel, transportation, lodging, per diem, applicable taxes, and all other costs necessary to satisfy the contract requirements. Pricing shall reflect the Government's potential requirement for up to eight (8) RN positions, as identified in the Price Schedule/Bid Sheet.

No separate reimbursement will be provided for costs included within the Firm-Fixed-Price CLINs unless expressly authorized elsewhere in the resulting contract. The offeror shall provide its most competitive and reasonable pricing.

Total Evaluated Price

For evaluation purposes, the Total Evaluated Price (TEP) will be calculated by adding the extended prices for all eight (8) RN position CLINs for the Base Period and all eight (8) RN position CLINs for each Option Period identified in the Price Schedule/Bid Sheet.

Total Evaluated Price: $________________________

For evaluation purposes, all eight (8) RN position CLINs for the Base Period and each Option Period will be included in the TEP regardless of whether the Government ultimately exercises fewer than eight (8) RN position CLINs during an Option Period. Evaluation of options does not obligate the Government to exercise any option or any particular RN position CLIN.

H. SUBMISSION INSTRUCTIONS

Offerors shall submit an offer on company letterhead, signed and dated by an individual authorized to bind the offeror. The offer shall include, at a minimum:

1. Solicitation Number 75H70627R00002;

2. Offeror legal business name;

3. Physical and mailing address;

4. Unique Entity Identifier (UEI);

5. Point of contact name, telephone number, and email address;

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6. Completed Price Schedule/Bid Sheet;

7. Technical Approach;

8. Management Approach;

9. Required representations and certifications;

10. Required Buy Indian Act/ISBEE representations and documentation;

11. Acknowledgment of all solicitation amendments, if applicable;

12. Terms of any express warranty, if applicable;

13. Payment/remit-to information, if different from the offeror business address; and

14. A statement identifying any exception to the terms, conditions, provisions, PWS, or other requirements of the solicitation.

Offerors shall submit sufficient information for the Government to determine compliance with all solicitation requirements. The Government intends to make award without discussions. Therefore, each offeror's initial offer should contain its best terms from both a price and technical standpoint.

The Government reserves the right to conduct discussions if determined necessary by the Contracting Officer.

I. TECHNICAL PROPOSAL REQUIREMENTS

Factor 1 - Past Performance

Offerors are not required to submit separate past-performance references unless specifically requested by the Contracting Officer. The Government will evaluate available recent and relevant past-performance information from official Government sources, including CPARS, and may consider other reasonably available past-performance information.

Recency: Past performance generally will be considered recent when the applicable performance occurred or was completed within the twenty-four (24) months preceding the solicitation closing date.

Relevance: The Government will consider the degree to which prior performance is similar to the present requirement in areas such as healthcare staffing, nursing or clinical services, staffing volume, complexity, scope, and performance environment.

An offeror without a record of relevant past performance, or for whom sufficiently relevant past-performance information is unavailable, will not be evaluated favorably or unfavorably solely on that basis and will receive a neutral/unknown past-performance assessment.

Factor 2 - Technical Approach

The offeror shall provide a technical approach demonstrating its ability to successfully perform the PWS. At a minimum, the approach shall address:

1. Providing and maintaining required Emergency Department RN coverage;

2. Recruiting and providing qualified, licensed, certified, credentialed, and privileged RNs;

3. Maintaining continuity of services;

4. Providing qualified replacement personnel;

5. Meeting patient-care and clinical-documentation requirements;

6. Meeting credentialing, licensing, certification, background investigation, and orientation requirements; and

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7. Successfully completing transition/start-up requirements.

A statement merely promising to comply with the PWS, without explaining the offeror's approach, will not be sufficient.

Factor 3 - Management Approach

The offeror shall provide a management approach demonstrating its ability to manage the contract successfully. At a minimum, the approach shall address:

1. Contract management and oversight;

2. Recruitment and retention;

3. Staffing and scheduling;

4. Supervision and management of Contractor personnel;

5. Contingency staffing and continuity of operations;

6. Replacement of unavailable personnel;

7. Coordination with Government personnel while maintaining the non-personal nature of the services; and

8. Management of credentialing and other personnel qualification requirements.

A statement merely promising to comply with the PWS, without explaining the offeror's management approach, will not be sufficient.

Factor 4 - Price

The offeror shall submit a completed Price Schedule/Bid Sheet. The Government will evaluate the Total Evaluated Price as described in Section G. The Government may use one or more price-analysis techniques to determine whether the offered price is fair and reasonable, including comparison of proposed prices received, comparison with the Independent Government Estimate, comparison with historical prices for the same or similar services, and other price-analysis techniques permitted by the FAR. The Government may consider whether pricing demonstrates an adequate understanding of the requirement.

J. BASIS FOR AWARD

The Government intends to make one Firm-Fixed-Price award to the responsible, eligible ISBEE offeror whose proposal represents the Best Value to the Government using a tradeoff process. The Government will evaluate the relative merits of the non-price factors and price in accordance with the evaluation criteria stated in this solicitation.

The evaluation factors are: (1) Past Performance, (2) Technical Approach, (3) Management Approach, and (4) Price.

Past Performance, Technical Approach, and Management Approach, when combined, are more important than Price.

The Government will evaluate strengths, weaknesses, deficiencies, and performance risk associated with the non-price factors. A proposal must satisfy all material solicitation requirements to be eligible for award.

Price will be evaluated for reasonableness, completeness, and accuracy using the Total Evaluated Price described in Section G.

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The Government may select a higher-priced proposal when the evaluated benefits of the non-price factors are determined to warrant the associated price premium. Conversely, the Government may select a lower-priced proposal when the additional benefits of a higher-priced proposal do not justify the price premium.

The tradeoff decision will be based on an integrated assessment of the proposals and will document the rationale for the selection decision.

Adjectival Ratings. Technical Approach and Management Approach will be evaluated using the following adjectival rating definitions:

ADJECTIVAL

RATINGS DESCRIPTION

Outstanding Greatly exceeds all minimum requirements of the criteria; has a high probability of success; contains no weaknesses or deficiencies.

Good Exceeds all the minimum requirements of the criteria; has an above average probability of success;

contains no significant weaknesses and only minor correctable weaknesses exist.

Acceptable Meets all the minimum requirements of the criteria; has an average probability of success; and no significant weaknesses and no deficiencies.

Marginal Fails to meet one or more of the minimum requirements of the criteria; low probability of success;

major weaknesses and/or significant number of deficiencies exists.

Unacceptable Fails to meet any of the minimum requirements of the criteria; proposal needs major revisions; very low probability of success.

Factor 1 - Past Performance

The Government will evaluate available recent and relevant past-performance information to assess the Offeror's likelihood of successful performance. The evaluation may consider quality, timeliness, customer satisfaction, management effectiveness, staffing reliability, and performance on similar healthcare staffing or clinical-service requirements.

An Offeror without a record of relevant past performance, or for whom sufficiently relevant past-performance information is unavailable, will receive a neutral/unknown assessment and will not be evaluated favorably or unfavorably on that basis.

Past Performance will be assessed separately for recency, relevance, quality, and performance risk and will not receive the adjectival ratings used for Technical Approach and Management Approach.

Factor 2 - Technical Approach

The Government will evaluate the degree to which the Offeror's technical approach demonstrates a clear, feasible, and effective method for satisfying the PWS, including maintaining required Emergency Department RN coverage, recruiting and providing qualified personnel, ensuring continuity of services, providing replacement personnel, and successfully completing transition/start-up requirements.

The Government will assign an adjectival rating of Outstanding, Good, Acceptable, Marginal, or Unacceptable to the Technical Approach factor using the definitions above. The evaluation will consider the relative strengths, weaknesses, deficiencies, and performance risks associated with the proposed technical approach.

Factor 3 - Management Approach

The Government will evaluate the effectiveness of the Offeror's management approach for contract oversight, recruitment and retention, staffing and scheduling, supervision of Contractor personnel, contingency staffing, continuity of operations, replacement staffing, credentialing, and coordination with Government personnel while preserving the non-personal nature of the services.

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The Government will assign an adjectival rating of Outstanding, Good, Acceptable, Marginal, or Unacceptable to the Management Approach factor using the definitions above. The evaluation will consider the relative strengths, weaknesses, deficiencies, and performance risks associated with the proposed management approach.

Award Selection

Award will be made to the responsible, eligible ISBEE offeror whose conforming proposal represents the Best Value to the Government, price and other factors considered. The Government may award to an Offeror other than the lowest-priced Offeror when the evaluated benefits of the non-price factors justify the associated price premium. The Government intends to award without discussions and reserves the right to conduct discussions if determined necessary by the Contracting Officer.

K. PERIOD FOR ACCEPTANCE OF OFFERS

The offeror agrees to hold the prices and terms contained in its offer firm for thirty (30) calendar days from the solicitation closing date, unless a different period is expressly accepted by the Government.

L. SOLICITATION CLOSING DATE

Closing Date: November 30, 2026

Time: 12:00 p.m. Central Time

Offers shall be submitted electronically by email to:

Great Plains Area Indian Health Service Attn: David Jones, Contract Specialist 115 4th Ave. SE Aberdeen, SD 57401 Email: david.jones@ihs.gov

The offeror is responsible for ensuring that its complete submission is received by the Government by the stated closing date and time.

M. QUESTIONS

Questions concerning this solicitation shall be submitted in writing by email to the Contract Specialist.

Deadline for Questions: November 13, 2026, at 12:00 p.m. Central Time.

Responses to questions that affect solicitation requirements may be provided through an amendment or other written notice issued by the Contracting Officer.

N. SYSTEM FOR AWARD MANAGEMENT

Offerors shall comply with the System for Award Management (SAM) registration requirements contained in the applicable FAR provisions included in this solicitation. The offeror shall maintain all registrations, representations, certifications, and other information required for eligibility for award.

O. CONTRACT TERMS, CONDITIONS, PROVISIONS, AND CLAUSES

The solicitation incorporates the applicable FAR and HHSAR provisions and clauses identified in the attached solicitation clause package. The clause package shall govern in the event of any conflict with this summary.

The solicitation includes applicable provisions and clauses governing instructions to offerors, evaluation, commercial products and commercial services, contract terms and conditions, option

Combined Synopsis | Page 8 evaluation and exercise, non-personal healthcare services, indemnification and medical liability insurance, Buy Indian Act/ISBEE requirements, limitations on subcontracting as applicable, representations and certifications, information security and privacy, electronic invoicing, and other requirements applicable to this acquisition.

The Contractor shall maintain professional liability insurance in accordance with FAR 52.237-7, Indemnification and Medical Liability Insurance, and the amount specified by the Contracting Officer in the solicitation/contract clause.

P. INVOICE PROCESSING PLATFORM

The Indian Health Service utilizes the Invoice Processing Platform (IPP) for electronic submission and processing of payment requests. Invoices under any resulting award shall be submitted electronically through IPP in accordance with the applicable HHSAR clause included in the resulting contract. Contractors are encouraged to establish and maintain an active IPP account before invoicing.

If use of IPP would be unduly burdensome, the Contractor shall submit an explanation to the Contracting Officer for consideration in accordance with the applicable contract requirements.

Q. ATTACHMENTS

1. Performance Work Statement (PWS);

2. Price Schedule/Bid Sheet;

3. FAR/HHSAR Provisions and Clauses;

4. Applicable Buy Indian Act/ISBEE Representation;

5. Applicable Wage Determination, if required; and

6. Additional Credentialing/Security/IT Requirements, if applicable.

Offerors are responsible for reviewing the complete solicitation package, including all attachments and amendments, before submitting an offer.

Price Schedule/Bid Sheet | Solicitation 75H70627R00002

PRICE SCHEDULE / BID SHEET

Solicitation No. 75H70627R00002 | Emergency Department Nursing Services | Standing Rock Service Unit - Fort Yates Hospital

Offeror: __________________ UEI: ______________ POC: __________________ Email/Phone: __________________ Pricing Instructions. Propose one common Firm-Fixed-Price RN/MOS unit price for each performance period. Each RN position CLIN equals four (4) MOS, and the common unit price shall apply uniformly to all eight RN positions within that performance period. The Base Period provides for up to thirty-two (32) MOS, representing a maximum of eight RN positions for four months each; the actual number of Base Period RN position CLINs awarded or funded will be identified in the resulting contract. Each Option Period RN CLIN is separately exercisable by RN position and, if exercised, will be exercised for its full quantity of four (4) MOS. The RN/MOS unit price shall include all costs necessary to provide up to sixty (60) hours of nursing service per week for each exercised RN position when required by operational needs; no additional payment will be made solely because an exercised RN position requires up to sixty (60) hours of service in a particular week. The Total Evaluated Price (TEP) is the sum of the maximum extended prices for the Base Period and all fourteen (14) Option Periods. Evaluation of all RN position CLINs and option prices does not obligate the Government to award, fund, or exercise all RN positions or any option period.

Period RN CLINs Qty/RN

MOS

Common RN/MOS Unit Price

Extended Price per RN (4 MOS)

Maximum Period Price

(32 MOS)

Base 0001-0008 4 $____________ $____________ $____________ Option 1 0009-0016 4 $____________ $____________ $____________ Option 2 0017-0024 4 $____________ $____________ $____________ Option 3 0025-0032 4 $____________ $____________ $____________ Option 4 0033-0040 4 $____________ $____________ $____________ Option 5 0041-0048 4 $____________ $____________ $____________ Option 6 0049-0056 4 $____________ $____________ $____________ Option 7 0057-0064 4 $____________ $____________ $____________ Option 8 0065-0072 4 $____________ $____________ $____________ Option 9 0073-0080 4 $____________ $____________ $____________ Option 10 0081-0088 4 $____________ $____________ $____________ Option 11 0089-0096 4 $____________ $____________ $____________ Option 12 0097-0104 4 $____________ $____________ $____________ Option 13 0105-0112 4 $____________ $____________ $____________ Option 14 0113-0120 4 $____________ $____________ $____________

TOTAL EVALUATED PRICE (Base + Options 1-14): $______________________________ Price check: Extended Price per RN = Unit Price x 4 MOS. Maximum Period Price = Unit Price x 32 MOS (maximum evaluation quantity).

Offeror Certification. The undersigned certifies that the prices above are complete and include all costs necessary to perform the solicitation requirements, except as otherwise expressly provided by the solicitation.

Authorized Representative

________________ Title ____________ Signature/Date ________________ Proposal Valid Through (min. 30 days after closing)

INDIAN HEALTH SERVICE | GREAT PLAINS AREA 75H70627R00002

PWS 1

Emergency Department Nursing Services

Standing Rock Service Unit (SRSU)

Performance Work Statement (PWS)

Emergency Department Nursing Services

Fort Yates Hospital Standing Rock Service Unit Great Plains Area Indian Health Service

1.0 GENERAL

This Performance Work Statement (PWS) describes the requirements for non-personal healthcare services to provide Emergency Department nursing services in support of the Indian Health Service (IHS), Standing Rock Service Unit (SRSU), Fort Yates Hospital (FYH).

The Contractor shall provide all management, supervision, labor, personnel, credentialing, scheduling, administrative support, and other resources necessary to perform the requirements identified in this PWS, except for those items specifically identified as Government Furnished Information, Property, or Services.

The Contractor shall maintain responsibility for the supervision, management, scheduling, and control of Contractor personnel performing under this contract. Contractor personnel shall not be considered employees of the Federal Government and shall not be subject to Government supervision or control normally exercised over Federal employees.

The Contractor shall perform all services in accordance with applicable Federal, State, and local laws and regulations; Indian Health Service policies and procedures; healthcare accreditation standards; and the terms and conditions of the resulting contract.

The Contractor shall provide qualified Emergency Department nursing personnel necessary to ensure continuous Emergency Department operations at Fort Yates Hospital, twenty-four (24) hours per day, seven

(7) days per week, including holidays.

The Contractor shall be responsible for recruitment, credentialing, privileging, scheduling, supervision, replacement personnel, and overall management of Contractor employees necessary to fulfill the requirements of this contract.

1.1 BACKGROUND

The Indian Health Service (IHS) is an agency within the U.S. Department of Health and Human Services (HHS) responsible for providing Federal healthcare services to American Indians and Alaska Natives.

The provision of healthcare services to members of federally recognized Tribes is based upon the special government-to-government relationship between the Federal Government and Indian Tribes.

IHS is the principal Federal healthcare provider and health advocate for American Indians and Alaska Natives. The mission of IHS is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.

The Standing Rock Service Unit (SRSU), located within the Great Plains Area Indian Health Service, provides healthcare services to eligible American Indian and Alaska Native beneficiaries.

PWS 2

Emergency Department Nursing Services

The Fort Yates Hospital (FYH) is a rural critical access hospital and Level IV Trauma Center located in Fort Yates, North Dakota. The facility provides emergency medical services requiring continuous nursing support to ensure safe, effective, and timely patient care.

Due to ongoing healthcare workforce shortages and recruitment challenges, the Government requires contracted Emergency Department nursing services to maintain continuity of healthcare operations.

1.2 SCOPE

The Contractor shall provide professional Emergency Department nursing services to support the healthcare mission of the Standing Rock Service Unit.

The Contractor shall provide qualified registered nursing personnel necessary to support emergency patient care, including patient assessment, treatment support, monitoring, documentation, care coordination, and other nursing services within the scope of practice.

The Contractor shall provide sufficient qualified personnel to maintain continuous Emergency Department coverage throughout the period of performance.

The Contractor shall provide complete nursing services as described herein. The Government is purchasing the required nursing service capability and availability and is not purchasing individual labor hours.

The Contractor shall maintain responsibility for staffing, scheduling, supervision, and management of Contractor personnel while ensuring compliance with all requirements of this PWS.

1.2.1 Duties and Responsibilities

The Contractor shall provide Emergency Department nursing services in accordance with Section 5.0, Performance Requirements.

Contractor nursing personnel shall perform duties consistent with the requirements of a rural critical access hospital Emergency Department and shall support inpatient nursing services when necessary to ensure continuity of patient care.

The Contractor shall ensure all personnel performing services under this contract possess the required qualifications, licenses, certifications, experience, and credentials identified in Section 6.0.

1.2.2 Place of Performance

The primary place of performance shall be:

Standing Rock Service Unit Fort Yates Hospital 10 Standing Rock Avenue Fort Yates, ND 58538

The Contractor may be required to perform services within other designated areas of the facility when necessary to support patient care operations.

1.2.3 Period of Performance

The period of performance shall consist of a four (4)-month Base Period plus fourteen (14) four-month Option Periods, for a total potential period of sixty (60) months (five years).

• The anticipated start of performance is approximately forty-five (45) calendar days after contract award.

PWS 3

Emergency Department Nursing Services

• The actual dates for the Base Period and each Option Period will be established in the resulting contract.

• The Government reserves the right to exercise Option Period RN CLINs in accordance with the terms and conditions of the resulting contract.

1.2.4 Base Period and Option Period Structure

The requirement consists of up to eight (8) separately exercisable RN positions. Each RN position has a four-month Base Period CLIN and fourteen separately exercisable four-month Option Period CLINs. All RN position CLINs within the same performance period shall be priced using the common RN/MOS unit price established for that performance period.

The Base Period provides for up to thirty-two (32) MOS, representing a maximum of eight RN positions for four months each. The actual number of RN position CLINs awarded or funded for the Base Period will be identified in the resulting contract.

The Contractor shall complete all required credentialing, privileging, background investigations, facility orientation, Electronic Health Record (EHR) access requirements, and applicable training requirements prior to providing independent patient care services.

The Contractor shall coordinate with the Government during the approximately forty-five (45)-calendar-day mobilization period to ensure assigned personnel are qualified, credentialed, oriented, and prepared to perform services at the start of the Base Period.

Each Option Period RN CLIN, if exercised, shall be exercised for its full quantity of four (4) MOS, corresponding to one RN position for one complete four-month Option Period. Option CLINs may be exercised independently by RN position.

A Month of Service (MOS) under an individual RN CLIN represents one calendar month of Contractor-provided Emergency Department Registered Nurse services for one RN position. Each RN MOS includes the labor for that RN position and the Contractor's associated supervision, management, scheduling, credentialing, administrative support, replacement personnel, and other resources necessary to satisfy the requirements of this PWS.

The Contractor shall maintain sufficient staffing capability to meet the following potential maximum performance requirement when required by operational needs:

• Eight (8) Registered Nurses;

• Up to sixty (60) hours per nurse per week; and

• A potential aggregate of approximately 24,960 nursing hours annually when all eight RN positions are required at that level.

The staffing-hour requirements above establish required service capacity and performance expectations.

They do not change the contract unit of issue or pricing basis: the Government is purchasing RN Months of Service under the applicable CLINs and is not purchasing individual labor hours.

The Government may experience fluctuations in staffing requirements based on operational needs, patient volume, permanent staffing levels, and mission requirements. The Contractor shall maintain sufficient qualified personnel to ensure uninterrupted Emergency Department operations.

1.2.5 Contract Transition Upon Expiration or Non-Exercise of Options The Government reserves the right not to exercise any or all option periods.

If services are transitioned to another contractor or acquisition method, the Contractor shall cooperate with the Government to support an orderly transition of services.

PWS 4

Emergency Department Nursing Services

The Contractor shall continue performance through the end of the applicable contract period unless otherwise directed by the Contracting Officer.

The Contractor shall provide reasonable transition assistance necessary to support continuity of patient care.

1.3 APPLICABLE DOCUMENTS

The Contractor shall comply with applicable standards, regulations, policies, and guidance, including but not limited to:

1.3.1 The Joint Commission (TJC)

Applicable accreditation standards established by The Joint Commission.

1.3.2 Centers for Medicare and Medicaid Services (CMS)

Applicable CMS Conditions of Participation and healthcare facility requirements.

1.3.3 Indian Health Service Policies

Applicable Indian Health Service manuals, policies, procedures, healthcare standards, and facility-specific requirements.

1.3.4 Health Insurance Portability and Accountability Act (HIPAA) of 1996 Applicable HIPAA privacy and security requirements governing protected health information.

1.3.5 Privacy Act of 1974

Applicable Federal requirements governing the protection of patient information.

1.3.6 American Nurses Association Standards

Applicable American Nurses Association Code of Ethics and standards of nursing practice.

1.3.7 State Nurse Practice Act

Applicable nursing licensure requirements for the State where services are performed.

1.3.8 Standing Rock Service Unit Policies and Procedures

Applicable SRSU policies, procedures, protocols, safety requirements, infection control standards, and clinical practice guidelines.

PWS 5

Emergency Department Nursing Services

2.0 DEFINITIONS

2.1 Acceptance

Acceptance constitutes acknowledgement by the Government that the Contractor’s services conform to the applicable contract requirements.

2.2 Approval

Approval is the Government’s acknowledgement that submitted documents, deliverables, or administrative requirements comply with contractual requirements. Government approval does not relieve the Contractor of responsibility for contract compliance.

2.3 Code of Ethics

The professional ethical standards established by the American Nurses Association governing nursing practice.

2.4 Contracting Officer (CO)

A Government employee with authority to enter into, administer, modify, and terminate contracts and make related determinations and findings.

2.5 Contractor

The individual, corporation, partnership, or other legal entity awarded the contract to provide required services.

2.6 Contracting Officer’s Representative (COR)

A Government employee designated by the Contracting Officer to assist with technical monitoring, contract administration support, and performance oversight within the authority delegated by the Contracting Officer.

The COR does not have authority to change contract terms, conditions, price, scope, or schedule.

2.7 Cooperative Attitude

Professional behavior demonstrating teamwork, communication, respect, and willingness to support patient care activities.

2.8 Cultural Awareness

Recognition and respect for American Indian and Alaska Native cultures, traditions, and healthcare perspectives.

PWS 6

Emergency Department Nursing Services

2.9 Customer

Patients, visitors, healthcare personnel, and individuals receiving services or interacting with the Standing Rock Service Unit.

2.10 Customer Evaluation/Input

Documented feedback regarding Contractor performance, quality of services, professionalism, and patient care.

2.11 Federal Acquisition Regulation (FAR)

The primary regulation governing Federal acquisition activities.

2.12 Month of Service (MOS)

A Month of Service (MOS) under an individual RN CLIN represents one calendar month of Contractor-provided Emergency Department Registered Nurse services for one RN position.

Each RN MOS includes the labor for that RN position and the Contractor's associated supervision, management, scheduling, credentialing, administrative support, replacement personnel, and other resources necessary to satisfy the requirements of this PWS. The potential hourly staffing requirements in this PWS are performance-capacity requirements and do not convert the MOS unit of issue into an hourly-priced arrangement.

2.13 Non-Personal Services

Services performed by Contractor personnel where the Government does not exercise supervision or control over Contractor employees as it does over Federal employees.

The Contractor retains responsibility for management, supervision, scheduling, and control of Contractor personnel.

2.14 Orientation

Facility-specific activities designed to familiarize Contractor personnel with operational procedures, policies, systems, and requirements necessary to perform contract services.

2.15 Past Performance Information

Relevant information regarding a Contractor’s previous performance, including quality of work, compliance with requirements, timeliness, customer satisfaction, and business practices.

2.16 Patient Outcome

The result of healthcare services provided to a patient.

PWS 7

Emergency Department Nursing Services

2.17 Performance-Based Quality Assurance Surveillance Plan (QASP) A Government-developed plan identifying performance standards, surveillance methods, and evaluation criteria used to assess Contractor performance.

2.18 Personal Protective Equipment (PPE)

Equipment used to protect healthcare personnel from exposure to biological, chemical, or other hazards.

2.19 Service Unit

The local administrative healthcare delivery organization within the Indian Health Service.

2.20 Standards of Practice and Standards of Care

Professional requirements and guidelines establishing expectations for safe and effective nursing practice.

3.0 GOVERNMENT FURNISHED INFORMATION, PROPERTY, AND SERVICES

3.1 Information

Government unique information necessary for Contractor performance shall be made available to the Contractor.

The Contracting Officer or designated representative shall be the point of contact for identification and release of Government information required for contract performance.

The Contractor shall safeguard all Government information and use such information only for purposes directly related to contract performance.

3.2 Joint Use by the Government and Contractor

Except as otherwise identified in this PWS, the Government shall provide, for joint use by Government and Contractor personnel, necessary facility space, equipment, supplies, and clinical resources required for performance of the Emergency Department nursing services.

Government-furnished resources shall remain the property of the Government and shall be used only for authorized contract performance.

3.3 Contractor Access to Government Facilities

The Government shall provide reasonable access to Fort Yates Hospital facilities necessary for Contractor personnel to perform required services.

Contractor personnel shall comply with all applicable facility access requirements, security procedures, infection control requirements, safety policies, and operational procedures.

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3.4 Government Furnished Personal Protective Equipment (PPE)

The Government shall furnish appropriate personal protective equipment (PPE) required for Contractor personnel while performing healthcare services at the facility, except for items normally considered personal equipment or uniforms.

The Government shall be responsible for maintenance and inventory of Government-furnished PPE.

3.5 Government Furnished Identification Badges

The Government shall provide facility-specific identification badges for Contractor personnel performing services under this contract.

The Contractor shall ensure Contractor personnel wear Government-issued identification badges while performing duties within the facility.

A minimum fee of $100 may be assessed for lost or damaged Government-issued identification badges.

3.6 Government Furnished Training

The Government shall provide facility-specific orientation and training necessary for Contractor personnel to perform required duties, including applicable:

• Facility procedures;

• Electronic Health Record (EHR) access and requirements;

• Information technology security requirements;

• Operational procedures; and

• Mandatory facility training.

Government-provided training is limited to requirements necessary for contract performance and does not include continuing education, professional development, or individual career development.

4.0 CONTRACTOR FURNISHED PROPERTY

4.1 General

Except for property specifically identified as Government Furnished Property, the Contractor shall provide all resources necessary to perform the requirements of this contract.

The Contractor shall provide all uniforms, personal equipment, administrative resources, management support, and other items necessary for Contractor personnel to perform required services.

4.2 Uniforms and Professional Appearance

Contractor personnel shall wear appropriate professional attire consistent with healthcare industry standards and any applicable facility requirements.

The Contractor shall ensure personnel maintain a professional appearance and comply with facility identification requirements.

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4.3 Personal Medical Equipment

Contractor personnel shall provide personal medical instruments and equipment normally required for nursing practice, including but not limited to:

• Stethoscope;

• Scissors; and

• Other standard nursing equipment.

Contractor-provided equipment shall be safe, functional, and appropriate for intended use.

The Government reserves the right to prohibit the use of unsafe or inappropriate equipment.

5.0 PERFORMANCE REQUIREMENTS

The Contractor shall provide Emergency Department nursing services necessary to support the mission of the Standing Rock Service Unit and Fort Yates Hospital.

The Contractor shall provide qualified nursing personnel capable of delivering safe, effective, culturally appropriate, and professional patient care.

The Contractor shall maintain responsibility for the management, supervision, scheduling, and control of Contractor personnel.

5.1 Contract Management Requirements

5.1.1 Contractor Point of Contact

The Contractor shall provide, at contract award and throughout the contract period, a primary point of contact and alternate point of contact responsible for contract administration activities, including:

A. Coordination of credentialing and privileging requirements;

B. Coordination of staffing schedules;

C. Coordination of staffing records and timesheet verification for performance-monitoring purposes; such records do not alter the MOS-based FFP pricing arrangement.

D. Invoice review and payment-related questions;

E. Management oversight of Contractor nursing personnel;

F. Submission of staffing reports and required documentation.

5.1.2 Contract Kickoff Meeting

The Contractor shall participate in a contract kickoff meeting with the Contracting Officer, COR, and designated Government personnel within five (5) business days after contract award.

The Contractor shall identify:

• Key Contractor personnel;

• Staffing approach;

• Credentialing status;

• Implementation milestones;

• Potential performance risks; and

• Actions necessary to successfully begin contract performance.

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5.1.3 Contract Performance Meetings

The Contractor shall participate in periodic performance meetings with Government personnel as required to discuss:

• Staffing status;

• Performance issues;

• Operational concerns;

• Quality improvement opportunities; and

• Contract requirements.

The Contractor shall provide requested updates and supporting information necessary for effective contract administration.

5.1.4 Emergency Staffing Contact

The Contractor shall provide twenty-four (24) hour contact information for staffing-related emergencies, including:

• Name;

• Telephone number; and

• Email address.

5.1.5 Staffing Management Plan

The Contractor shall submit an Emergency Department Nursing Staffing Management Plan within five (5) business days after contract award.

The plan shall describe the Contractor’s approach for:

• Recruitment;

• Credentialing;

• Scheduling;

• Personnel replacement;

• Continuity of operations; and

• Maintaining required Emergency Department coverage.

5.1.6 Staffing and Recruitment

The Contractor shall maintain sufficient qualified personnel to meet contract requirements.

When additional or replacement personnel are required, the Contractor shall initiate replacement actions immediately and provide qualified replacement personnel sufficiently in advance to prevent interruption of required services.

All replacement personnel shall meet the qualification requirements identified in Section 6.0 prior to performing services.

5.2 Nursing Services Requirements

5.2.1 Emergency Department Nursing Services

The Contractor shall provide professional nursing services consistent with the operations of a rural critical access hospital Emergency Department.

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Services shall include, but are not limited to:

• Patient assessment;

• Emergency nursing care;

• Patient monitoring;

• Medication administration;

• Treatment support;

• Documentation;

• Care coordination; and

• Patient education.

5.2.2 Standards of Practice

Contractor nursing personnel shall perform services in accordance with:

• Professional nursing standards;

• Applicable Nurse Practice Act requirements;

• IHS policies;

• Facility procedures;

• Joint Commission standards;

• CMS requirements; and

• Applicable healthcare regulations.

5.2.3 Patient Care Responsibilities

The Contractor shall provide nursing services including:

A. Providing emergency nursing care to patients presenting to the Fort Yates Hospital Emergency Department.

B. Applying nursing knowledge, clinical judgment, and assessment skills to provide individualized patient care.

C. Recognizing changes in patient condition and initiating appropriate nursing interventions.

D. Administering medications and treatments consistent with physician orders, nursing standards, and facility protocols.

E. Monitoring patient response to treatments and reporting significant changes in patient condition.

F. Supporting emergency procedures, stabilization activities, and transfers as required.

G. Working collaboratively with Government healthcare providers and facility personnel.

H. Completing all required documentation in the Standing Rock Service Unit Electronic Health Record (EHR) system.

I. Complying with facility policies, procedures, safety requirements, infection control requirements, and accreditation standards.

J. Supporting quality assurance activities and maintaining required clinical documentation.

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5.3 WORK SCHEDULE AND PERFORMANCE REQUIREMENTS

5.3.1 Emergency Department Hours of Operation

The Fort Yates Hospital Emergency Department operates twenty-four (24) hours per day, seven (7) days per week, including holidays.

The Contractor shall provide sufficient qualified nursing personnel to maintain continuous Emergency Department coverage throughout the period of performance.

5.3.2 Scheduling and Staffing Requirements

The Contractor shall retain responsibility for scheduling, assigning, supervising, and managing Contractor personnel.

The Government shall communicate required operational coverage needs and facility requirements;

however, the Contractor shall determine the appropriate staffing approach necessary to satisfy the requirements of this contract.

The Contractor shall ensure assigned nursing personnel are available and qualified to perform required duties during scheduled coverage periods.

The Contractor shall maintain the capability to provide up to sixty (60) hours of nursing service per week for each exercised RN position when required by operational needs. The RN/MOS unit price shall include all costs necessary to satisfy this potential level of service. No additional payment will be made solely because an exercised RN position requires up to sixty (60) hours of service in a particular week.

5.3.3 Work Flexibility

Contractor nursing personnel may be required to support other patient care areas, including inpatient nursing services, when necessary to support continuity of patient care and when duties are within the individual’s qualifications and scope of practice.

Such support shall not relieve the Contractor of the requirement to maintain Emergency Department coverage.

5.3.4 Absence and Replacement Personnel

The Contractor shall provide replacement personnel when assigned Contractor employees are unavailable due to illness, personal leave, emergency circumstances, or other absences.

The Contractor shall ensure replacement personnel meet all qualification, credentialing, licensing, and facility access requirements before performing services.

5.3.5 Continuity of Services

Continuity of patient care is essential to Fort Yates Hospital operations.

The Contractor shall maintain a contingency plan to address unexpected staffing shortages, personnel departures, or other circumstances that may affect contract…