DRAFT PWS-Billings Area Wide Locum Medical Providers.pdf

STATEMENT OF WORK

Billings Area IHS – Area-Wide Medical Providers

PART I – GENERAL INFORMATION:

1. PURPOSE OF THE PROJECT

Indian Health Service (IHS), Billings Area Office (BAO) provides support to the Indian Health Clinics and Hospitals in Montana. The BAO ensures that all health clinics and hospitals have supplies, services, support, oversight, and other needs to provide healthcare for eligible Native American patients that are registered for services. There are various departments within each facility that have a requirement for Healthcare Providers including but not limited to: the Emergency Department, Surgery, Cardiology, Obstetrics, Physical Therapy, Orthopedics, Podiatry, Outpatient Clinics, and Pediatrics. Healthcare Providers are needed to fill the areas of needed professional services of which are necessary to provide care within the IHS healthcare system.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

2.1. The contractor shall provide non-personal healthcare provider services in support of the hospitals and clinics in the specialized fields to include, but are not limited to: Anesthesiologist, Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine Physician (ABEM Certified), Family Medicine Physician, General Surgeon, Hospitalist, Internal Medicine Physician, Mid Wife, Nurse Practitioner (APN), Obstetrician/Gynecology Physician (OB/GYN), Orthopedic Physician, Pediatrician (Pediatric Physician), Physician Assistant, Podiatrist, and Respiratory Therapist (RT). This Statement of Work establishes a baseline of requirements that the Contractor will be expected to accomplish for each labor category identified to meet the Government’s need. The Contractor must be able to provide all labor categories specified under Attachment A, Labor Category Matrix.

2.2. The types and number of the Contractor’s personnel and/or teams may vary according to the task order.

2.3. Contractor personnel should have a working knowledge of all items in their labor category to perform the services described, which are listed under Attachment A, Labor Category Matrix. Most or all of the job categories are expected to be exempt from the Service Contract Act under the learned professional or highly paid exemptions, but if they are not, required knowledge will need to include those in the job categories listed under the McNamara-O'Hara Service Contract Act. IHS standard commercial off-the-shelf software includes Microsoft Outlook, Word, Excel, PowerPoint, Edge, Acrobat Reader. Contractor should have a basic understanding of computers and the software listed. Medical staff will use IHS specific software including, but not limited to RPMS and EHR. External training will be at the contractor’s expense. IHS will only provide training at no cost to the contractor, if deemed necessary, for the Contractor’s personnel to gain proficiency in IHS unique software. Contractor shall comply with IHS’ computer guidelines and other applicable laws such as HIPAA.

2.4. The contractor personnel will interface with Government employees, other contractors, patients, and other organizations. This requires the contractor personnel to be able to be located in rural areas and have special sensitivity to rural and American Indian\Alaska Native healthcare needs.

2.5. The Contractor shall develop and maintain workflow.

2.5.1. The contractor will be required to create and maintain a process to search for doctors, hire doctors, maintain insurance, onboard, credentialing, background check, and complete other necessary elements of duties.

2.6. The Indian Health Service facilities in the Billings Area Office require compliance through The Joint

Commission (TJC) or Accreditation Association for Ambulatory Health Care (AAAHC) depending on the facility.

3. PERIOD AND PLACE OF PERFORMANCE

3.1. Period of Performance. The base year ordering Period of Performance is anticipated to be 12 months with four (4) twelve (12) month option ordering periods.

3.1.1. Base Period – June 1, 2026 – May 31, 2027

3.1.2. Option Period 1 - June 1, 2027 – April 30, 2028

3.1.3. Option Period 2 - June 1, 2028 – April 30, 2029

3.1.4. Option Period 3 - June 1, 2029 – April 30, 2030

3.1.5. Option Period 4 - June 1, 2030 – April 30, 2031

3.2. Locations:

3.2.1. Northern Cheyenne Service Unit

420 North Cheyenne Ave Lame Deer, Montana 59043

3.2.2. Blackfeet Community Hospital

Browning Montana 59417

3.2.3. Crow Hospital

Crow Agency, Montana 59022

3.2.4. Fort Belknap Hospital

669 Agency Main Street Harlem, Montana 59526

3.2.5. Eagle Child Station

Hays, Montana 59527.

3.2.6. Fort Peck Service Unit

Verne E. Gibbs Health Center 107 H. Street Poplar, Montana 59255

Chief Redstone Clinic 550 6th Avenue North Wolf Point MT 59201

3.2.7. Little Shell Service Unit

425 Smelter Ave NE Great Falls, MT 59404

3.3. Coverage will be outlined in each task order request for proposal and the contractor may be required to provide services at multiple locations for the same labor category. It is not anticipated that all locations will have task orders issued under them at the same time, it is an as needed basis for issuing the task orders.

3.4. Hours. While work hours for certain task assignments may vary depending on the requirements of the assigned work, in general, the Contractor’s staff shall provide support during IHS core work hours of 8:00AM to 3:00PM, Monday through Friday (local time) except local or national emergencies, administrative closing, and other IHS or Government directed facility closures. Time worked in excess of 80 hours in a two-week period and hours worked in excess of 12 hours per day shall be approved by the Contracting Officer’s Representative (COR) in advance with pre-written approval.

4. TELECOMMUTING

4.1. Telemedicine is not anticipated, but there is potential for a task to allow telemedicine.

4.2. Contract workers shall abide by their official company policies for telework and utilizing alternative locations to perform the work specified in the contract Performance Work Statement/Statement of Work. No adjustment shall be made in contract cost or price for authorized remote work or telecommuting of contractor employees. Any costs for travel and other direct costs for remote work and telecommuting shall be assumed by the Contractor and will not be reimbursed by the Government.

4.3. The contractor is responsible for all applicable federal, state, local taxes, or other taxes and duties imposed if telework/remote work is permitted under the contract/order. All applicable information technology and cybersecurity requirements shall be met before contractor employees can remote work or telework.

4.4. Contractor access to the IHS network from a remote location is a privilege for mutual convenience while the

Contractor performs business under the contract/order. The contractor assumes the risk of, and shall be responsible for, any loss of Government property upon its delivery to the Contractor as Government Furnished Property.

4.5. Contracting Officer authorization to remote work/telework under the contract may be rescinded by the

Government at any time if a determination is made that the work or any portion thereof must be performed at a specified place of performance, or security would be compromised.

5. CONTRACTOR PERSONNEL

5.1. The Contractor shall be responsible for selecting personnel who are well qualified through experience, certification, and, if relevant, education, to perform the requirements of this contract/order and for keeping them informed of all changes and methods of operation.

5.1.1. All candidates must be Board Certified or Board Eligible within 3 years of finishing residency (If more than 3 years from finishing residency, must provide proof of working toward certification.)

Acceptable boards will be the American Board of Medical Specialties (ABMS), National Board of Physicians and Surgeons (NBPAS), AOA, AMA, American Nurses Credentialing Center, National Commission on Certification of Physician Assistants and Board of Pharmacy Specialists (BPS).

Other boards are not acceptable unless specifically listed under the task order.

5.1.2. The contractor must review candidates for suitability before providing them to IHS.

5.2. The Indian Health Service facilities in the Billings Area Office are accredited through The Joint Commission

(TJC) or Accreditation Association for Ambulatory Health Care (AAAHC) depending on the facility.

5.2.1. The contractor personnel must be able to be credentialed and privileged in accordance with the specific facilities’ accrediting body (TJC or AAAHC) and the IHS Manual and the Medical Staff Credentialing and Privileging Standard Operating Procedural (SOP) Manual.

5.2.1.1. A complete credentialing package includes, but is not limited:

5.2.1.1.1. Proof of Identity

5.2.1.1.2. Professional Education

5.2.1.1.3. Post-Graduate Training (where applicable)

5.2.1.1.4. Professional Experience

5.2.1.1.5. Time Gaps

5.2.1.1.6. Board Certification and Professional Affiliations (where applicable)

5.2.1.1.7. Licensure

5.2.1.1.8. DEA Registration and State Controlled Dangerous Substance Certifications (where applicable)

5.2.1.1.9. Current Competency

5.2.1.1.10. Signed IHS Practitioner Acknowledgement and Release Form

5.2.1.1.11. Continuing Medical Education (CME) or Continuing Professional Education (CPE)

5.2.1.1.12. Professional Peer References

5.2.1.1.13. National Practitioner Data Bank (NPDB) Query

5.2.1.1.14. Life Support Certificates (where applicable)

5.2.1.1.15. Immunizations (where applicable and consistent with Federal law). See the SOP

Manual for the most current list of immunizations required to be received for credentialing

5.2.1.1.16. Current Liability Insurance

5.2.1.1.17. Professional Liability Claims, Suits, and/or Judgments: Disclosure of previous or pending professional liability claims, suits, and/or judgments made against the provider.

5.2.1.1.18. Sanctions Disclosure or Current Investigations: Sanctions involving the Medicare or Medicaid programs or any other Federal or state health care program as well as any HHS OIG past or current administrative, criminal, or civil investigation.

5.2.1.1.19. Denials, Restrictions, and Resignations: Regarding previous or pending medical staff applications and/or clinical privileges.

5.2.1.1.20. Reduction, Suspension, Revocation, Voluntary or Involuntary Relinquishment, or Non-renewal of Clinical Privileges: Regarding previous or pending reduction;

suspension, revocation, voluntary or involuntary relinquishment; or non-renewal of clinical privileges.

5.2.1.1.21. Current Illegal Use of Drugs: Regarding the current illegal use of legal or illegal drugs.

5.2.1.1.22. Loss, Suspension, Restriction, Denial of Professional License or Professional Society Membership: Disclosure of information on previous or pending loss, suspension, restriction, denial, or whether a voluntary or involuntary relinquishment of professional licensure or professional society membership occurred.

5.2.1.1.23. Convictions: Disclosure of information and documentation relating to convictions, with the exception of minor traffic violations, including any convictions related to DUI, failure to pay Federal or state taxes, etc.

5.2.1.2. Each Medical Executive Committee and Governing Board must independently review and asses the qualification of each application for appointment and privileging. Board Certification does not equal competency for the purposes of credentialing and privileges.

Additional information such as recent case logs may be requested at the Clinical Director or their designee’s discretion to ensure current competency. Each applicant’s competency and performance will be continuously assessed through professional practice evaluations, both focused peer professional evaluations and ongoing peer professional evaluations.

5.2.1.3. The contractor must have and maintain designated professional staff to contact for credentialing issues.

5.2.1.4. Applications shall be submitted within 30 calendar days from the date the application is sent to the applicant. Responses to any requests for application clarification or additional information after the application is submitted shall be provided within 30 calendar days by the applicant. After 30 calendar days, if responses to requests for clarification and additional information is not received from the applicant, the application will be considered incomplete and ineligible for processing. A new application will need to be started if the contractor wants to resubmit the applicant.

5.2.1.5. The credentialing process can take up to 90 days from submission of a complete package.

5.2.2. The contractor must perform quality assurance activities in cooperation with the facilities that are acceptable for TJC or AAAHC certification regarding the monitoring of healthcare provider services with direct contact with patients.

5.2.3. Contractor staff are required to complete mandatory IHS training as well as that tailored to each IHS facility.

5.3. All contractor personnel shall conduct themselves in a proper, efficient, and business-like manner and conform to all regulations which may be in effect during the contract/order period of performance.

5.4. The IHS will not exercise any supervision or control over contractor personnel performing under this contract/order. All matters pertaining to the employment, supervision, compensation, promotion, and discharge of the Contractor’s employees shall be the responsibility of the Contractor, which is in all respects the employer of such employee.

5.4.1. The contractor may provide prime locums staff or subcontractor locums staff.

5.5. The contractor must provide a project manager as a centralized point of contact to manage at the task order level on day-to-day matters.

5.5.1. Must be able to centralize on matters of hiring, complaints, credentialing, onboarding, and clearances.

5.5.2. Shall be required to visit the facilities as needed to address concerns.

5.5.3. Shall be required to meet with BAO executive leadership to report on a semi-annual basis for recommended improvements and planning.

5.6. The contractor must provide a program manager as a total program point of contract for all other contractual matters.

5.6.1. Program manager will be the contact for task order proposals.

5.6.2. Address contractual concerns

5.6.3. Serve as backup project manager

6. SPECIAL REQUIREMENTS

6.1. Clearance Requirements: In accordance with HHSAR 304.1301, (a) HHS follows National Institute of

Standards and Technology (NIST) Federal Information Processing Standards (FIPS) Publication (PUB) Number 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, and OMB implementation guidance for personal identity verification, for all affected contractor and subcontractor personnel when contract performance requires contractors to have routine physical access to a federally-controlled facility and/or routine physical and logical access to a federally-controlled information system.

6.1.1. The clearance process can take up to 45 days from submission of a complete package. This process is separate from the credentialing process.

6.2. The Indian Health Service is a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service.

6.3. Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival. The contractor shall be responsible for the security of all organizational information.

Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by IHS hospital or clinic designated official, presentation of valid identification, adherence to smoking restriction and any safety procedures.

6.4. The contractor shall not disclose or cause to disseminate any information concerning operations of any Indian

Health Service Hospital or other IHS sites. Such action(s) are in violation of the contract and will result in legal actions.

6.4.1. All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

7.1. Contractors shall work in IHS facilities and IHS will provide desks, computer, and other equipment as necessary for their work. The Government will not transfer any property, facilities, or services to the contractor unless otherwise authorized in the contract/order.

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

8.1. Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract, to include but not limited to: personnel, oversight, and management.

9. DELIVERABLES AND REPORTING REQUIREMENTS

9.1. Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of services, supplies, delivery, and/or maintenance.

The POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract. The contractor will notify the COR immediately upon change in POC designation.

9.1.1. Contractor’s Phone Numbers: The contractor shall provide a company contact prior to execution of the contract, with email and telephone number, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.

9.2. Deliverables

9.2.1. Monthly Status Report (by the 15th of each month) for the monthly period directly proceeding via email to the contracting officer’s representative. The monthly period should be for the entire month e.g. May 1st to May 31st.

9.2.1.1. The monthly status report will encompass the following elements:

9.2.1.1.1. List of all task orders

9.2.1.1.2. List of all providers under those task orders, including status on hiring/onboarding, their labor category title, and period of performance

9.2.1.1.3. List all financial status of task orders to include when a CLIN is reaching an expended status with sufficient time to add more funding.

9.2.2. Monthly invoices are to be completed in the format required by the Government in the Treasury Invoice Processing Platform (IPP).

10. PERFORMANCE MEASURES

10.1. Issued task orders will include a Performance Work Statement to establish the specific requirements of the task order.

10.2. The following table contains the quality standard the Government will use to evaluate the

Contractor’s performance along with the Acceptable Quality Level (AQL).

Performance Objective Performance Standard and Acceptance Quality Level (AQL)

Quality: Contractor assures that the customer satisfaction meets the performance requirements of the contract.

Customer Satisfaction Professionalism: No more than five (5) verified formal customer complaints or contract discrepancy reports during each twelve-month period of performance (base plus options if applicable) for the contract. The Contractor must have resolved customer complaints within ten (10) working days of receipt.

Performance Requirements: Provide responsive management of staff with timely responses to tasks and work.

Accuracy: No more than three (3) sets of corrections for any work products and all corrections must be submitted within one working day of the negotiated suspense.

Contract deliverable are completed in an accurate and timely manner.

No more than two (2) validated formal customer complaints or contract discrepancies per period of performance (base plus options if applicable) for the contract. The Contractor must have resolved customer complaints within ten (10) working days of receipt.

The Contractor shall provide responsive contract management, including timely responses, contract modification, and tasks. If complaints or discrepancies cannot be corrected within ten (10) working days, the Contractor will immediately notify the IHS COR of the delay and provide a proposed corrective action plan within five (5) working days of receipt.

Monitoring Method: CO validated customer complaint or discrepancy.

Incentive/Disincentive: Both positive and negative performance will be documented in past performance reports (CPARS) as appropriate.

10.3. A Quality Assurance Surveillance Plan (QASP) will accompany the Performance Work Statement that will also be attached to the issued task orders.

13. DEPARTMENT OF LABOR WAGE DETERMINATIONS

If the McNamara-O'Hara Service Contract Act applies, the Contractor’s performance under this contract shall comply with the requirements of the U.S. Department of Labor Wage determination and a Statement of Equivalent Rates for Federal Hires. Wage determinations will be issued with each order.

14. OVERTIME APPROVAL AND BILLING REQUIREMENTS

To ensure effective oversight and fiscal control of overtime (OT) under this contract, the following requirements shall apply:

1. Definition of Overtime:

o Scheduled Overtime: Overtime that is anticipated in advance due to known operational needs

(e.g., extended clinic hours, scheduled night/weekend shifts).

o Unscheduled Overtime: Overtime required in response to unanticipated events or emergencies

(e.g., acute patient volume, critical staff shortage).

2. Authorization Requirements:

a. Overtime shall only be authorized by individuals designated in writing by the Contracting Officer’s Representative (COR). The COR will maintain and provide an updated list of authorized Service Unit Points of Contact (POCs) for overtime approval.

b. Scheduled Overtime must be requested and approved in writing at least five (5) business days in advance, whenever feasible.

c. Unscheduled Overtime must be approved in writing no later than the next business day following the performance of the overtime, with a written justification provided.

d. No blanket or retroactive authorizations shall be accepted, except in documented emergency circumstances approved by the COR.

3. Invoice Documentation:

All invoices that include overtime hours must include the following supporting documentation:

o A written justification for each instance of overtime, identifying whether it was scheduled or unscheduled o A copy of the written approval by the designated Service Unit POC o A breakdown distinguishing regular hours from overtime hours for each provider

4. Noncompliance:

Any invoice submitted without the required overtime approval and justification documentation will be rejected or held without payment until the documentation is received and reviewed by the COR.

5. Audit and Oversight:

The Government reserves the right to audit overtime use, justification, and approval records. Repeated failure to comply with these requirements may result in issuance of a contract discrepancy report, affect CPARS evaluations, and be grounds for further administrative action.

15. ACCESS TO BUILDING

The Contractor will have access to the hospital/clinic facilities after office hours within the guidelines of Indian Health Services security plan and as permitted by the Security Officer through the coordination of the Contracting Officer Representative (COR).

16. SECURITY REQUIREMENTS / BACKGROUND CHECKS

In accordance with Homeland Security requirements all contractor employees who will perform the services shall submit to electronic fingerprints and obtain security clearance before services can be performed under this contract.

17. QUALITY CONTROL

The Contractor shall develop and maintain a quality control plan to ensure services are performed in accordance with commonly accepted commercial practices, including the development and implementation of procedures to identify, prevent, and ensure non- recurrence of defective deliverables and unacceptable services. This plan shall be submitted with the proposal and will be made a part of the contract. Changes to the Quality Control Plan may be necessary and must be reviewed and agreed to by Billings Area Office before the changes are incorporated.

The Contractor shall prepare and maintain an effective Quality Control Plan (QCP) that includes a description of the inspection system to cover the services listed in Section C 11.2 Deliverables. The Government will notify the Contractor of required modifications no later than 30 days after award. The Contractor shall make appropriate modifications and obtain final acceptance of the plan by the Government no later than 15 days after the Government identifies required modification, if any.

The QCP is a living document that can be altered at any time the Government or Contractor (with Government concurrence) deems measurement improvements can be made. At any time, the Government reserves the right to inspect any and all QC supporting documentation. The Contractor shall provide copies of all QC reports as required prior to contract expiration.

PART II – CONTRACT ADMINISTRATION:

1. INVOICING INSTRUCTIONS AND PAYMENT INFORMATION

(a) The Contractor shall submit a proper invoice for payment on a monthly basis as the work proceeds in accordance with the prices specified in Part I, Section B, Price Schedule.

(b) Payment will be made in accordance with Contract Clause FAR 52.232-25, Prompt Payment (Jan 2017).

(c) A proper invoice shall reflect the following information:

• Contractor Name, Address, Phone Number, billing contact name and e-mail address

• Invoice Date

• Unique Invoice number (Duplicate invoice numbers cannot be processed)

• Tax Identification Number (TIN)

• Contract and task order number

• Modification Number (if applicable)

• Discount Terms, if applicable

• Banking information: Bank Routing Transit Number (nine digits) and last 4 digits of bank account number (for verification)

• Specific description of Work relating to invoice, including service period dates (if applicable)

• Invoice Amount

(d) Invoice will only be accepted if received in the following manner:

Submitted electronically to: https://www.ipp.gov.

Invoice Processing Platform of the Department of the Treasury

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at

(866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov.

(e) Prompt payment clock will begin on the date finance receives a proper invoice.

(f) Authorized Training, travel, and background costs shall be billed as a separate line item and identified as to which functional area required the training or travel (Administrative and Professional). A copy of the authorized Training or Travel Request (see Section J for request forms) shall accompany the invoice.

The contractor shall invoice for reimbursement for authorized travel and training expenses no later than 30 days after occurrence. If there is a delay in invoicing for the expense(s), the Contractor shall provide the CO, in writing, details of the expenditure(s) and the reasons why a claim for reimbursement was not made no later than 30 days after occurrence.

(b) Technical direction must be within the Contract's performance work statement. The COR may not issue any technical direction which:

(1) Constitutes an assignment of additional work outside the Performance Work Statement;

(2) Constitutes a change as defined in the Contract Clause FAR 52.243-1, Changes-Fixed Price (Aug 1987) – Alternate I (Apr 1984);

(3) Causes an increase or decrease in the Contract price or the time of contract performance;

(4) Changes any of the terms, conditions, or specifications of the Contract; or

(5) Interferes with the Contractor's right to perform the terms and conditions of the Contract.

(c) All technical directions will be issued in writing by the COR.

(d) The Contractor shall proceed promptly with the performance of technical directions issued by the COR.

If, in the opinion of the Contractor, any instruction or direction by the COR falls within one of the categories defined in (b)(1) through (5) above, the Contractor shall not proceed but shall notify the Contracting Officer in writing within five (5) calendar days after receipt of any such instruction or direction.

Upon receiving the notification from the Contractor, the Contracting Officer shall:

(1) Advise the Contractor in writing within thirty (30) days after receipt of the Contractor's letter whether the technical direction is within the scope of the contract effort and whether it constitutes a change under Contract Clause, FAR 52.243-1, Changes – Fixed Price (Aug 1987) – Alternate I (Apr 1984); and

(2) Advise the Contractor within a reasonable time that the Government will issue a written change order, if applicable.

(e) A failure of the Contractor and Contracting Officer to agree whether the technical direction is within the scope of the contract, or a failure to agree upon the contract action to be taken shall be subject to Contract Clause, FAR 52.233-1, Disputes (July 2002)—Alternate I (Dec 1991) located in Section I, Contract Clauses

6. BAO IHS – MAXIMUM CONTRACT AMOUNT

The total combined value of all orders placed during the period of this contract, to include all option periods, shall not exceed (TBD at award).

7. BOA IHS – MINIMUM ORDER GUARANTEE

The Government guarantees to award task orders under this contract totaling a minimum of (TBD at award), during the term of this contract, including all option periods.

PART III – LABOR CATEGORY QUALIFICATIONS:

Billings Area-Wide Healthcare Provider Services IDIQ Attachment A: Labor Category Matrix

Labor Category Qualifications and Experience

Anesthesiologist

Minimum Qualifications Required:

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Anesthesia residency program.

Board certified in or Board eligible in Anesthesia.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS).

Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) required Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Minimum Experience Required:

Successful completion of an accredited Anesthesia residency program.

Certified Registered Nurse Anesthetist (CRNA)

Minimum Qualifications Required:

Current unrestricted license to practice as a Certified Nurse Anesthetist in the United States.

Successful completion of a program accredited by the American Association of Nurse Anesthetists (AANA).

Current DEA license and State CDS license, if required by the DEA.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS).

Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) required.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Must have 1-year experience, post training, in a clinical setting. Hours of work in critical care areas such as cardiac care units, emergency rooms, or intensive care units.

Emergency Medicine Physician (ABEM Certified)

Minimum Qualifications Required:

Permanent, current, full and unrestricted license to practice medicine in the United States, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

Physicians shall be Board Certified in or Board Eligible in emergency medicine.

Physicians shall apply and be accepted as clinic/hospital associate member.

Shall provide a copy of documentation of physician’s current Basic Life Support (BLS).

Documentation of Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS) and Pediatric Advance Life Support (PALS) certification.

Shall speak, understand, read and write English fluently and communicate with sufficient clarity to be understood by IHS personnel and patients.

Shall be a United States Citizen.

Shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively with patients of the Native American/Alaska Native communities.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Shall have a current DEA license.

Shall provide a complete IHS Medical Staff Application to include documentation of work history since graduation from professional school to present day in chronological order. Any time period of gaps greater than 30 days since graduation from professional school, shall be explained in writing along with contact information of an individual who can verify the gaps.

Shall provide a copy of documentation of current and past insurance carriers and contact information during the past 10 years.

Shall provide documentation of and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider and tail coverage.

Physicians who spend 50 percent or more of their clinical time under contract with the Federal Government, and prescribe controlled substances shall obtain IHS Opioid Prescriber Training and provide Certification within six months of appointment and every 3 years after.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Have completed at least 1 year of work experience post residency.

Family Medicine Physician

Minimum Qualifications Required:

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Family Practice residency program.

Board certified or Board eligible in Family Practice.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS).

Advanced Cardiac Life Support (ACLS) required if working in Emergency Room, ICU or as a hospitalist Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

General Surgeon

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited General Surgery residency program.

Board certified in or Board eligible in General Surgery.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS) and Advanced Cardiac Life Support (ACLS) required Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Have completed 3 years of work experience post residency.

Hospitalist

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Family Practice or Internal Medicine residency program.

Board certified in or Board eligible in Family Practice or Internal Medicine.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS) and Advanced Cardiac Life Support (ACLS) required Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Internal Medicine Physician

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Internal Medicine residency program.

Board certified or Board eligible in Internal Medicine.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS) and Advanced Cardiac Life Support (ACLS) required Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Mid-Wife

Minimum Qualification Required:

Current unrestricted license to practice as a Certified Midwife in the United States.

Successfully completed an accredited Nurse Midwifery program and obtained at least a Master’s degree (MS) Current DEA license and State CDS license, if required by the DEA.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS) Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Minimum Experience Required:

Must have completed at least 2 years of work experience post Midwifery training.

Nurse Practitioner (APN)

Current unrestricted license to practice as a Certified Nurse Practitioner.

Successfully completed an accredited Nurse Practitioner program earning at least a Master’s degree Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS) Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Minimum Experience Required:

Advanced Practice Nurse training.

Obstetrician/Gynecology Physician

Minimum Qualifications Required:

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Obstetrics and Gynecology residency program.

Board certified or Board eligible in Obstetrics and Gynecology.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS).

Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Have completed at least 2 year of work experience post residency.

Orthopedic Physician

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Orthopedics residency program.

Board certified or Board eligible in Orthopedics.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS).

Advanced Cardiac Life Support (ACLS) required if working in Emergency Room, ICU or as a hospitalist Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Have completed at least 5 years of work experience post residency.

Pediatrician (Pediatric Physician)

Current unrestricted license to practice medicine in the United States.

Successful completion of an accredited Pediatrics residency program.

Board certified or Board eligible in Pediatrics Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Documentation of Basic Cardiac Life Support (BLS).

Pediatric Acute Life Support (PALS) required if working in pediatric nursery or inpatient areas Current DEA license and State CDS license, if required by the DEA.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Completed a 3-year residency in pediatrics.

Physician Assistant

Successful completion of an accredited Physician Assistant training program.

Current unrestricted license to practice as a Physician Assistant in the United States.

Current DEA license and State CDS license, if required by the DEA.

Documentation of Basic Cardiac Life Support (BLS) Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Minimum Experience Required:

physician assistant training.

Podiatrist

Current unrestricted license to practice Podiatry in the United States.

Successful completion of an accredited Podiatric Medicine program.

Must have completed surgical fellowship if Operating Room work required.

Documentation of Basic Cardiac Life Support (BLS) Current DEA license and State CDS license, if required by the DEA.

Must be able to be credentialed and privileged at the Billings Area health care facility and become a member of the medical staff.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Minimum Experience Required:

Must complete at least 2 years of work experience post podiatry training

Respiratory Therapist

Current unrestricted license as a Certified or Registered Respiratory Therapist.

Completed and maintains current BLS. Additional life support certifications may be required depending on the service unit RT must have a minimum of an associate degree from an accredited respiratory therapy education program.

Provide documentation of past insurance carriers and contact information during the past 5 years and maintain current professional liability insurance coverage in the amount of $1 million per occurrence and $3 million aggregate per provider.

Documentation regarding rubella and measles immunity, negative tuberculosis skin tests and the CDC’s recommended vaccines for Healthcare Workers.

Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site Clinical Director.

Minimum Experience Required:

A Respiratory Therapist must have a minimum of 2 years’ experience in critical care setting. Current ACLS, BLS, PALS certifications.

PART IV – PRIVACY:

PRIVACY ACT (APR 1984)

(a) The Contractor agrees to—

(1) Comply with the Privacy Act of 1974 (the Act) and the agency rules and regulations issued under the Act in the design, development, or operation of any system of records on individuals to accomplish an agency function when the contract specifically identifies—

(i) The systems of records; and

(ii) The design, development, or operation work that the contractor is to perform;

(2) Include the Privacy Act notification contained in this contract in every solicitation and resulting subcontract and in every subcontract awarded without a solicitation, when the work statement in the proposed subcontract requires the redesign, development, or operation of a system of records on individuals that is subject to the Act; and

(3) Include this clause, including this paragraph (3), in all subcontracts awarded under this contract which requires the design, development, or operation of such a system of records.

(b) In the event of violations of the Act, a civil action may be brought against the agency involved when the violation concerns the design, development, or operation of a system of records on individuals to accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of the agency when the violation concerns the operation of a system of records on individuals to accomplish an agency function. For purposes of the Act, when the contract is for the operation of a system of records on individuals to accomplish an agency function, the Contractor is considered to be an employee of the agency.

(c)(1) “Operation of a system of records,” as used in this clause, means performance of any of the activities associated with maintaining the system of records, including the collection, use, and dissemination of records.

(2) “Record,” as used in this clause, means any item, collection, or grouping of information about an individual that is maintained by an agency, including, but not limited to, education, financial transactions, medical history, and criminal or employment history and that contains the person’s name, or the identifying number, symbol, or other identifying particular assigned to the…