DRAFT SOW Oral Surgeon Blackfeet Service Unit.pdf

Statement of Work (SOW)

Dental Oral Surgeon

1. PROJECT TITLE:

Oral Surgeon

Blackfeet Service Unit, Indian Health Service (HIS)

2. BACKGROUND/PURPOSE:

The purpose is to provide the Blackfeet Service Unit a long-term Oral Surgeon contract.

3. SCOPE:

The procurement is a nonpersonal health care service contract, as defined in FAR 37.101, under which the Contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical and professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor shall indemnify the

Government for any liability producing acts or omissions by the Contractor, its employees and agents occurring during contract performance. The Contractor shall maintain medical liability insurance, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The

Contractor is required to ensure that its subcontracts for provisions of health care services contain the requirement of the clause at 52.237-7, including the maintenance of medical liability insurance.

TARGET POPULATION: The target population for this contract is the Native American people who live on or near the Blackfeet Indian Reservation.

PROGRAM GOALS AND OBJECTIVES: The objective of the contact services is to provide oral surgical services at the Blackfeet Community Hospital, thereby reducing the number of referrals made to offsite providers.

MAJOR DUTIES: Provides oral surgical services at the Blackfeet Community Hospital

Dental Clinic including:

(1) Direct oral surgical services in the dental clinic consisting, but not limited to: tooth extractions, surgical extractions of erupted teeth, tissue and bony impactions, root recovery by surgery, oral antral fistula closure, tooth replantation, tooth transplantation, surgical exposure of unerupted teeth, biopsy of hard and soft tissue, alveoloplasty, electrosurgery, removal of mandibular and maxillary exostosis, I&D intra and extra oral abscesses, maxillary and mandibular frenulectomy, establish emergency airway, intra and extra oral tissue suturing.

(2) Provides training to professional and auxiliary staff in oral surgery specialty area.

(3) Services shall be based on Indian health Services criteria and standards.

(4) The Contractor shall also provide diagnostic and consultation services to the Dental and Medical staff of the facility.

(5) The Contractor shall prepare and complete in timely fashion the medical and other required records for all parties he/she admits or in any way provides care for at the hospital in accordance with the Blackfeet Service Unit medical by-laws.

(6) Orientation will be provided to the Contractor prior to starting work.

(7) The Contractor shall comply with all Indian Health Service facility infection control and safety procedures, practices and standards.

(8) During the performance of the contract, the contractor shall provide for the consistent performance of patient care processes according to the standards for the Centers for

Medicare and Medicaid Services (CMS) and The Joint Commission (TJC) as surveyor for

CMS who supplies accreditation to the Blackfeet Community Hospital. These standards shall include: the Comprehensive Accreditation Manual for Hospital, the Laboratory

Standards, and Ambulatory Care Standards as they represent the scope of services of this contract.

(9) Provider must obtain credentials/privileges to provide care at the Blackfeet Service

Unit.

(10) Active, unrestricted dental license in any state is required; and (11) Current Basic

Life Support (BLS) is required.

4. KNOWLEDGE AND EXPERIENCE REQUIRED:

Current, unrestricted State license, certification, or registration, as applicable, to practice independently in professional field. The Contractor must have obtained D.D.S degree from an accredited United States Dental School. The Contractor must have completed an oral surgery residency in an accredited United States Oral Surgery Program, which will ensure knowledge of the specialty of oral surgery required by the services. The

Contractor must complete site specific privileging.

5. COMPLEXITY:

Direct oral surgical services in the dental clinic consisting, but not limited to: tooth extractions, surgical extractions of erupted teeth, tissue and bony impactions, root recovery by surgery, oral antral fistula closure, tooth replantation, tooth transplantation, surgical exposure of unerupted teeth, biopsy of hard and soft tissue, alveoloplasty, electrosurgery, removal of mandibular and maxillary exostosis, I&D intra and extra oral abscesses, maxillary and mandibular frenulectomy, establish emergency airway, intra and extra oral tissue suturing. The Contractor works in clinic situation where there is contact with a number of patients varying in age.

6. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION:

The IHS shall provide all necessary equipment and supplies. Physical space where the surgeon works, heavy specialized medical equipment (e.g., autoclaves, x-ray etc.), Desks, chairs, computers, and telephones for managing patient records and communications.

Access to the hospital's electronic health record (EHR) system for patient management, charting, and billing, secure network access and communication tools necessary to do the job.

The Blackfeet Service Unit will be responsible for getting the Contractor access and clearance to all computer services necessary to carry out his/her duties.

7. PLACE OF PERFORMANCE:

The work will be performed at the Blackfeet Community Hospital Dental Department, Browning Montana.

8. WORK SCHEDULE:

The services shall be scheduled on weekdays, Monday through Friday from 8:00 am to

4:30 pm at the Blackfeet Service Unit, Browning, Montana

9. PERIOD OF PERFORMANCE:

The performance of this purchase order shall be from January 1, 2026 through

December 31, 2026, with four 12-month options.

If the Government exercises the options pursuant to Federal Acquisition Regulation FAR

52.217-9, Option to Extend the Term of the Contract (Mar 2000), the period of performance shall be extended in accordance with the following schedule:

Year Option Period

a. Base Period January 1, 2026 through December 31, 2026

b. Option Year One (1) January 1, 2027 through December 31, 2027

c. Option Year Two (2) January 1, 2028 through December 31, 2028

d. Option Year Three (3) January 1, 2029 through December 31, 2029

e. Option Year Four (4) January 1, 2030 through December 31, 2030

10. SECURITY:

The Blackfeet Community Hospital requires a background check and security clearance for personal service contracts.