Performance Work Statement: Digital Radiography Services

The intent of this contract is to provide non-personal professional Digital Radiographic

Technologist (DRT) Services (Mammography and Computed Tomography) at the Phoenix

Indian Medical Center (PIMC). These services are needed to be performed by qualified and available contractor as needed for staffing assignments for the duration of the contract term. The

Contractor shall ensure that the staff meets the qualification requirements set forth in the contract as detailed below. The contractor’s staff will have the ability, education, training, licensing, certification, registration, and previous work experience to perform the work according to the requirements and conditions contained in this Performance Work Statement.

Responses to the request for candidates shall contain a complete profile and current work history of the candidate(s) presented, including certifications and training.

This is a non-personal services contract. The Contractor shall be responsible for the management, supervision, and direction of its personnel. Contractor employees shall not be subject to supervision or control by Government personnel. The Government may provide technical direction regarding desired outcomes, schedules, and facility procedures, but shall not supervise Contractor personnel or control the manner in which work is performed.

1. PERFORMANCE/LOCATION/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

PERIOD OF PERFORMANCE:

The Contractor is requested to provide Digital Radiography Services for a base year and four (4) one (1) year option periods to cover Mammography and Computed Tomography Technologist

Services.

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

Phoenix Indian Medical Center

Medical Imaging Department

4212 N Sixteenth Street

Phoenix, AZ 85016

FACILITIES AND PATIENT WORKLOAD:

PIMC operating hours are 365 days a year, 7 days a week and 24 hours a day.

PIMC is located in Phoenix, Arizona and serves multiple Native American communities.

Diagnostic Radiologist Technologist (Mammography) (as needed coverage):

Sunday through Saturday - 1st Shift: 7:30 am to 4:00 pm

Diagnostic Radiologist Technologist (Mammography) service shift times and schedules are to be provided on an as needed basis and are subject to change based on the medical needs of the patient population and hospital/clinic operations. The Government will schedule two (2) to four

(4) weeks in advance under this contract. By mutual agreement the contractor and COR will schedule Diagnostic Radiologist Technologist (Mammography) Services on weekdays and weekends on an as-needed basis.

The Government will establish and approve all work schedules. The Contractor shall furnish personnel to meet Government-approved scheduled shifts.

The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. Contractor personnel may be required to attend orientation and training as required to perform contract services in accordance with facility requirements. Attendance at internal staff meetings shall not be required unless specifically related to performance of contracted services.

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

Diagnostic Radiologist Technologist (Mammography) Services are on-site services.

On-Call/Call-Back: No on-call or call-back services are required under this contract.

Diagnostic Radiologist Technologist (Computed Tomography) (as needed coverage):

Sunday through Saturday - 1st Shift: 7:30 am to 4:00 pm

Sunday through Saturday - 2nd: Shift: 3:30 pm to 12:00 am

Sunday through Saturday - 3rd: Shift: 11:00 pm to 7:30 am

Diagnostic Radiologist Technologist (Computed Tomography) service shift times and schedules are to be provided on an as needed basis and are subject to change based on the medical needs of the patient population and hospital/clinic operations. The Government will schedule two (2) to four (4) weeks in advance under this contract. By mutual agreement the contractor and COR will schedule Diagnostic Radiologist Technologist (Computed Tomography) Services on weekdays, weekends and nights on an as-needed basis.

The Government will establish and approve all work schedules. The Contractor shall furnish personnel to meet Government-approved scheduled shifts.

The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. The government shall provide a 24 hour notice of any schedule changes. Contractor personnel may be required to attend orientation and training necessary to perform services in accordance with facility requirements. Attendance at internal staff meetings shall not be required unless specifically related to performance of contracted services.

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

Diagnostic Radiologist Technologist (Computed Tomography) Services are on-site services.

On-Call/Call-Back: No on-call or call-back services are required under this contract.

Overtime:

Overtime rates will apply if the contractor’s employee works beyond forty (40) hours per work week. The definition of a work week is Sunday (12:00 am) through Saturday (11:59 pm).

Overtime must be authorized in advance, in writing, by the Contracting Officer Representative

(COR). Unauthorized overtime will not be reimbursed by the Government.

Other:

This is inclusive of all clerical duties involved, (RPMS, EHR, training and PACS systems). All quality control of patient demographics and imagery performed is the responsibility of the technologist.

The Government will establish and approve all work schedules. The Contractor shall furnish personnel to meet Government-approved scheduled shifts.

The government will determine the duration of services and may terminate or initiate shifts at its discretion based on level of staffing. The government shall provide a 24 hour notice of any schedule changes. The Contractor shall make a reasonable, good-faith effort to provide qualified personnel to meet Government-approved scheduled shifts.

QUALIFICATIONS/CERTIFICATIONS FOR DIAGNOSTIC RADIOLOGIST

TECHNOLOGIST (MAMMOGRAPHY):

Experience: Minimum one (1) year experience in Diagnostic Radiologist Technologist (Digital

Radiology and Mammography)

Certification: Current ARRT (The American Registry of Radiologic Technologist) certification in Radiology.

Certification: Food and Drug Administration, Mammography and Mammography Quality

Standard Act (MQSA) Certified.

Current BLS (Basic Life Support).

Image Gently and Image Wisely certification/training.

QUALIFICATIONS/CERTIFICATIONS FOR DIAGNOSTIC RADIOLOGIST

TECHNOLOGIST (COMPUTED TOMOGRAPHY):

Experience: Minimum one (1) year experience in Diagnostic Radiologist Technologist (Digital

Radiology)

Certification: Current ARRT (The American Registry of Radiologic Technologist) certification in Radiology – Computed Tomography

Current BLS (Basic Life Support).

Image Gently and Image Wisely certification/training.

PERIOD OF PERFORMANCE:

Contract performance shall be for a base year and four (4) one (1) year options for renewal commencing from date of the award of the contract. Option year renewals shall be by a written amendment to the contract and approved by the Contracting Officer.

Option renewals will be on the basis of the existing requirement of the Government, performance of satisfactory service provided during the base year, and contingent upon availability of funds for the appropriate fiscal year.

RATE SCHEDULE:

The unit price paid to the Contractor shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any IHS patient, or from any alternate resource for which the patient may be eligible, any monies for services provided under this award.

Technologist hourly rate shall include the following: holiday; day and night shifts, weekends, call-back, all city, state, federal and local taxes and all miscellaneous costs associated with the provision of services. The Government will pay Firm Fixed Unit (hourly). Pricing reflects all fees associated with this contract (i.e., airfare, lodging, airfare, car rental, malpractice/liability insurance and miscellaneous expenses).

The quantities are estimated hours and estimated totals will not be exceeded.

* See Attachment A, Rate Schedule for rates.

Performance Work Statement:

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

The contract resulting from this solicitation includes:

The contractor shall provide services and duties as may be requested for the normal operational requirements for the department and personnel.

The contractor shall provide work that is consistent with the guidelines and procedures of the

IHS. Failure of the contractor to meet these standards can result in cancellation of this contract.

The contractor’s performance and abilities shall be evaluated based upon performance standards that are contained in this Performance Work Statement.

The contractor shall prepare and complete in a timely fashion, medical and other required records for all parties he/she admits or in any way provides care for the hospital or health care facility (Service Unit Medical By-Laws). Documentation in the patient’s health record are to be completed on the day services are rendered. During the performance of their duties, the contractor shall provide for the consistent performance of patient care processes according to the standards for JC Accreditation program within IHS. These standards include: The

Comprehensive Accreditation Manuals for Critical Access Hospitals, as they represent the scope of services of this contract.

The contractor shall possess a professional medical education from a post-secondary academic institution and be licensed in a field of medical study.

The contractor should be proficient in writing, key-boarding and have a basic working knowledge and understanding of computer hardware and software applications.

The contractor shall have sufficient knowledge, competence and experience in providing these services on a regular schedule to the Phoenix Indian Medical Center.

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

The contractor shall be required to utilize the electronic health record for chart documentation, after receiving training at Government expense.

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

housing conditions and lack of resources.

CONDITIONS FOR REMOVAL/REPLACEMENT OF MEDICAL

PERSONNEL:

As mutually agreed between the Contracting Officer and the Contractor there may be grounds for removal and/or replacement of a Contractor employee. The Contractor’s employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this contract.

The Contractor shall request government pre-approval to substitute or replace any of the

Contractor’s employees of which it has provided qualifications and resumes under this contract.

All Contractor-requested substitutes or replacements’ qualifications, experience and professional

Certifications must be at least equal to or greater than the original Contractor’s employee provided by the Contractor under this contract.

CONTRACTOR REQUIREMENTS:

For Medical & Professional Contractors, the contractor shall comply with all IHS facility infection control and safety procedures, and standards. During the performance of this contract, the Contractor shall provide for the consistent performance of patient care process according to the standards of the Joint Commission (JC) and/or Centers for Medicare Services (CMS) who supplies accreditation to the Phoenix Area Indian Health Service hospitals and health centers.

These standards shall include: The Comprehensive Accreditation Manual for Critical Access

Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

For Medical& Professional Contractors, the contractor shall complete in a timely fashion, the medical and other required records for patients he/she admits or in any way provides treatment.

Chart notes are to be completed on the day services are rendered.

The contractor shall abide by the Service Unit Medical By-laws and rules and regulations and meet all credentialing requirements in accordance with the Service Unit Medical Staff By-laws.

Upon award, the selected medical professional(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the Phoenix Indian Medical Center.

The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/. Documented evidence of the clearances shall be provided to the

Human Resources Personnel Security Officer at the Phoenix Area

Indian Health Service, 40 North Central Avenue, Phoenix, AZ 85004.

MAJOR DUTIES REQUIRED:

Diagnostic Radiologist Technologist (Mammography):

The contractor shall be experienced in the use of the following equipment:

PIMC utilizes Hologic Dimensions (2D and 3D) Tomosynthesis unit for exams.

The Diagnostic Radiologist Technologist (Mammography) will perform a range of screening and diagnostic digital radiology examinations per request of the Medical Staff for use in clinical diagnosis, including patient screening and monitoring, patient therapy and status.

Contractor will preform Quality Assurance and Quality Control services as required by Food and

Drug Administration (FDA) Mammography Quality Standard Act (MQSA) Standards and

American College of Radiology (ACR).

The Technologist shall be sensitive to Cultural aspects of Native American Indians in providing health care as patients.

Services by the Technologist shall include the following:

1) Technologist shall independently perform mammography digital radiology service examinations.

2) Preform Quality Assurance and quality Control services.

3)Technologist may be required to work beyond the scheduled cover hours due to emergency cases.

4) Contractor will be required to complete PIMC mandatory training monthly or as needed.

5) Perform additional related tasks within the scope of radiologic services as requested by the

Government.

6) Services are for on-site coverage only.

7) The contractor(s) shall attend a PIMC orientation and all contractors are required to provide immunization records as proof of immunity or disease prior to the performance of work.

(Reference

Indian Health Service Circular 95-9A). Tuberculosis: Annual PPD or Chest X-ray, if there is a history of positive skin test. (b) Documentation of two (2) MMR (Measles, Mumps & Rubella) vaccinations or proof of immunity. Employees born before 1957 do not need MMR or proof of immunity. (c) Documentation of two (2) varicella (chicken pox) vaccinations or proof of immunity or history of having disease. (d) Documentation of Hepatitis B series vaccination. (e)

Documentation of influenza vaccination during flu season.

8) Personal Hygiene - Technologists shall be clean and neat in appearance and comply with the

Service http://exclusions.oig.hhs.gov/

Unit dress code for professional Radiologic Technologists and present themselves in a professional manner commensurate with the nature of the profession and line of work.

9) Be physically able to perform all duties required by the contract including working outside in the temperature extremes of summer or winter.

Diagnostic Radiologist Technologist (Computed Tomography):

The contractor shall be experienced in the use of the following equipment:

A new Canon Aquilion Prime SP2000, (with Bayer Medrad Flex Injector) 160 slice Computed

Tomography scanner.

The CT Technologist will perform a range of computed tomography examinations per request of the

Medical Staff for use in clinical diagnosis, including patient screening and monitoring, patient therapy and status.

The Technologist shall be sensitive to Cultural aspects of Native American Indians in providing health care as patients.

Services by the Technologist shall include the following:

1) Technologist shall independently perform Computed Tomography examinations.

2) CT Technologist may be required to work beyond the scheduled cover hours due to emergency cases.

3) Contractor will be required to complete PIMC mandatory training monthly or as needed.

4) Perform plain film or Digital Radiology exams (all body areas). (PIMC uses GE equipment)

5) Perform additional related tasks within the scope of radiologic services as requested by the

Government.

6) CT Services are on-site (no on-call) services.

7) The contractor(s) shall attend a PIMC orientation and all contractors are required to provide immunization records as proof of immunity or disease prior to the performance of work.

(Reference

Indian Health Service Circular 95-9A). Tuberculosis: Annual PPD or Chest X-ray, if there is a history of positive skin test. (b) Documentation of two (2) MMR (Measles, Mumps & Rubella) vaccinations or proof of immunity. Employees born before 1957 do not need MMR or proof of immunity. (c) Documentation of two (2) varicella (chicken pox) vaccinations or proof of immunity or history of having disease. (d) Documentation of Hepatitis B series vaccination. (e)

Documentation of influenza vaccination during flu season.

8) Personal Hygiene - Technologists shall be clean and neat in appearance and comply with the

Service

Unit dress code for professional Radiologic Technologists and present themselves in a professional manner commensurate with the nature of the profession and line of work.

9) Be physically able to perform all duties required by the contract including working outside in the temperature extremes of summer or winter.

CONTRACTOR CREDENTIALS:

Upon award, the selected professional(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site at PIMC. The security pre-clearance requirement must be adhered to; the process includes a fingerprint check and a screen check through the Office of the

Inspector General's exclusion list at http://exclusions.oig.hhs.gov/ and www.sam.gov (best checked through www.verifycomply.com as this checks all exclusion lists).

• Current Resume/CV

• OF-306 – Declaration for Federal Employment (all questions must answered and signature with date in 17a is required)

• OF-306 Addendum – Addendum to the OF-306 (Declaration for Federal Employment)

• IHS Provisional Access Memo

• Protecting Children from Sexual Abuse in Health Care Settings; complete the

Certificate of Completion

• No FEAR Act Training; complete the Certificate of Completion

• OFI-86C form along with two fingerprint cards and applicable state forms

• HHS-745, Section A

• Two IDs (driver’s license and social security card – names must match and be unexpired)

• Certifications ARRT

• BLS/ACLS Licenses

NOTE: No photo submission of forms, please have the forms scanned. Wet signature and date is highly recommended. No PDF signatures will be accepted.

8. SECURITY CLEARANCES:

All contractor employees who require access to the IHS IT and RPMS systems shall be the subject of a background investigation and must receive a favorable adjudication from the IHS prior to performance. The contractor will be responsible for the actions of those individuals they provide to perform work for the IHS; must pass background checks, fingerprinting, and badging.

The contractor's credentials/ qualifications are subject to review by the Government.

These qualifications at a minimum will be based on the Joint Commission for Critical Access

Hospitals (JC).

The Contractor shall abide by the following Security Standards that are required for the position:

Federal Security Identification Badge Request: It is the responsibility for the department to provide the necessary clearances to the IHS computer system as well as other security requirements needed for the Contractor to perform their duties.

Background investigation: The level of background investigation commensurate with the required level of access is required and complied with upon contract award.

Contractor shall assure that upon selection acceptance of qualified candidate, fingerprints will be secured and submitted to the Government within 72 hours from notification of a selected qualified candidate.

Must be authorized to work in the United States.

The contractor, when notified of an unfavorable determination by the Government, shall http://exclusions.oig.hhs.gov/ http://www.sam.gov/ http://www.verifycomply.com/ withdraw the employee from consideration from working under the contract.

Failure to comply with the contractor personnel security requirements may result in corrective actions to protect the Government's interests.

Background Check:

Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum fingerprints are required and upon clearance at this stage a Contractor’s may work a scheduled shift. However, Contractors are required to complete the detail background application and application is to be completed within 30 days once the Contractor’s employee has been given access.

All Contractor employees are subject to criminal background check prior to performing services in accordance with the contract terms and conditions. The Contractor shall ensure that each of their provider(s) complete the, Certification of Criminal History and Background Check Packet.

The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. Contractors (and their employees) requiring routine, long-term access (i.e., greater than 120 days) to IHS facilities and/or systems; or providing services to children under 18 year of age are subject to criminal background checks prior to performing services. The Contractor shall ensure that each employee(s) complete the Certification of

Criminal History and Background Check Packets to initiate the Child & Youth Services National

Agency Check with Inquiries (CNACI). The COR is responsible for providing the Contractor with all necessary background check forms.

The COR is also responsible for ensuring all background check forms are fully completed and processed prior to commencement of service. The Contractor shall return all completed forms to the Human Resource Office located at Phoenix Area Indian Health Service, 40 North Central

Avenue #510, Phoenix, AZ 85004.

Contractors may be directed to the e-QIP website to complete the necessary background investigation forms online (inquire with the Service Unit should you wish to complete forms electronically). All Contractors (or their employees) must appear in person to IHS (or an IHS facility) with two acceptable forms of identity; fingerprints will be taken electronically, or on paper, at this time. This must occur prior to the first date of service (realistically allow a 14-30 day processing time before the actual start date). At a minimum, if results are not received within

5 days, the identity credentials can be issued based on a favorable FBI National Criminal History

Check (fingerprint check). Note: These timeframes are based on complete and acceptable package, including legible fingerprints.

FOR MORE INFORMATION ON SECURITY REQUIREMENTS PLEASE REFER TO DHHS

SITE:

http://intranet.hhs.gov/pivcard/brochure.html

CREDENTIALING AND PRIVILEGING:

The contractor will participate in the credentialing and privileging process in accordance with existing procedure. Contractor shall provide no services prior to obtaining approval by the

Government Medical Executive and Governing Board. The Contractor will be provided copies of current requirements and updates as they are published. Privileges will require renewal at least http://intranet.hhs.gov/pivcard/brochure.html every one - two years in accordance with Government credentialing privileging policy and

JCAHO requirements.

CONTRACTOR OVERSIGHT:

This is a non-personal services contract. The Contractor shall be responsible for supervision, management, and control of its personnel. Government personnel will not supervise Contractor employees. The Government may provide technical direction and monitor performance in accordance with the Quality Assurance Surveillance Plan (QASP), but will not control the methods by which the Contractor performs the work.

DELIVERABLES:

Contractor shall provide to the Supervisory Diagnostic Radiologic Technologist or COR competencies for each technologist prior to the start date of each candidate. Contractor shall update in January of each new year and resubmit to the Supervisory Diagnostic Radiologic

Technologist or COR.

Contractor shall provide to the Supervisory Diagnostic Radiologic Technologist or COR BLS updates as needed and shall not let the Technologist lapse in certification. Failure of lapse BLS will disqualify Technologist from reporting for services.

Contractor shall provide to the Supervisory Diagnostic Radiologic Technologist or COR a copy of their ARRT Certification.

Technologist Competencies for each modality

Renew on January of each new year.

Provide to the Supervisory

Diagnostic Radiologic

Technologist or COR

Basic Life Support

Certification

Renew before expiration of current BLS Certificate

Provide to the Supervisory

Diagnostic Radiologic

Technologist or COR

ARRT Certification Renew before expiration of current ARRT Certificate

Provide to the Supervisory

Diagnostic Radiologic

Technologist or COR

CONTRACTING OFFICER REPRESENTATIVE (COR) RESPONSIBILITIES:

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

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

ii. Interpreting scope of work;

iii. Performing technical evaluations required;

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

v. Monitoring funds available for obligation under this contract;

vi. Government shall be responsible for compliance with all relevant safety and health laws and regulations during the period of a Technologist assignment under this contract, including but not limited to The Joint Commission regulations (or equivalent) relating to orientation and evaluation and HIPAA regulations. The Government will provide each Technologist with all necessary site specific training, orientation, equipment and evaluation required by federal, state or local occupational safety laws or rules, including The Joint Commission and HIPAA for member of the Government's workforce. The. Government will only utilize the Technologists for the need requested and will only assign Technologists to work in the clinical specialty areas in which they are professionally qualified and oriented to work. Orientation/assessment time will be billable to Government as the regular hourly bill rate as set forth in the contract price schedule.

vii. IHS Support Personnel, Services or Equipment: The IHS will provide all medical supplies and equipment to provide these services except for uniforms and any other personal related items.

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

In no event is the COR empowered to change any of the terms and conditions of the contract.

Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the Contracting Officer by a properly exercised modification. The designation of a

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

CONTRACTING OFFICER (CO) RESPONSIBILITIES:

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

PERFORMANCE CONDITIONS:

A. The contract states required coverage for Weekday Mammography and Computed

Tomography services. The COR will submit schedules of digital radiology services as required coverage a minimum of 15 calendar days prior to the first day of coverage requested.

B. In the event the Contractor’s employee is unable to render service on a previously agreed schedule, the Contractor shall provide a minimum seventy-two (72) hour notification to the

COR. The Contractor shall then make a full, good-faith effort to provide coverage with a replacement.

C. Both parties recognize that on occasion there shall be a need to fill coverage requests with less than a 15-day notice. In such an emergency scheduling situation, the Contractor shall make a full, good-faith effort to accommodate the emergency request.

If the Contractor is unable to meet the emergency scheduling request, they shall immediately notify the COR and those involved in scheduling.

D. The contractor may not substitute or replace any of the Technologist of which it has not provided qualifications, resumes, background check clearances, employee health clearances or

New Employee Orientation clearances under this contract. All contractor-requested substitutes or replacements’ shall abide and be preapproved through the credentialing process prior to their start date.

E. The Government reserves the right to accept or not accept the contractor provided technologists. In the event that any contracted personnel are determined unacceptable by the

Government point of contact, at any time during the performance period, the Contracting Officer

(CO), via the COR, will request a replacement and will notify the contractor's point of contact that the unacceptable individual shall not be resubmitted to provide service under this contract.

F. Non-acceptance of a contracted technologist does not relieve the contractor from fulfilling the terms and conditions of this contract. In the event of a dispute between the designated contacts, the CO's decision is final.

G. The Contractor shall provide both the COR and CO copies of its certificates of insurance and its subcontractors’ certificates of insurance prior to performing services under this contract. All contractor and subcontractor certificates of insurance shall name the Phoenix Indian Medical

Center as an additional insured.

CONTRACTOR RESPONSIBILITIES:

The contractor shall provide all necessary contracted technologists upon request of the IHS for those services as stated:

1. Find sources for requested contract-staff positions and shifts.

2. Provide contract-staff selection choices to Government

3. On-board the selected contract-staff

4. Maintain required documents

5. Off-board contract-staff when no longer needed

6. Contractor shall be responsible for meeting or exceeding the Indian Health Service or the

Accreditation Standards of The Joint Commission for Critical Access Hospitals.

7. Contractors are responsible for maintaining the integrity of this contract in relationships with subcontractors and professional liability insurance.

Subcontracting, corporate partnering and/or teaming arrangements are permitted under this contract. Any subcontractor providers utilized during this contract shall maintain the qualifications as required by the prime contractor.

PERFORMANCE STANDARDS:

(a) Introduction – Performance Requirements:

(1) A Quality Assurance Surveillance Plan (QASP) has been developed for in-house operations or to implement a service contract. It is designed to aid the COR in providing effective and systematic surveillance of all aspects of services. This plan provides for monitoring the contract requirements

(b) The objective of this surveillance plan is to evaluate how the Contractor is performing in key areas. The government is primarily interested in the final service being provided and not in the details of accomplishment.

(c) The principal method of surveillance will be daily in some cases or by use or periodic inspections. Appropriate indicators are provided for recording observations in this type of surveillance.

(d) How to Use the Performance-Based Matrix

(i) Each defect observed will be recorded on the tally report. These documents will then become a formal record for later reference. The tally of defects at the end of each clinic or year (dependent on criteria) will be compared to the acceptable number of defects appearing in the surveillance plan. Errors detected by the PO in the course of surveillance will be transmitted to the Contractor or in-house personnel for correction. Notification of errors will take place within five (5) working days. Specifics concerning any errors should be recorded on the tally checklist. The Contractor or in-house personnel, as applicable, should be asked to initial this record.

(ii) COR shall forward a copy of Contractor’s compliance with performance and non- performance compliance reports.

(e) Quality Assurance Surveillance Plan (QASP):

(i) The Government shall monitor the Contractors’ performance through a Quality Assurance Surveillance Plan (QASP).

(ii) Surveillance systems will include periodic inspection and acceptance of all deliverables as cited in the contract.

The Quality Assurance Surveillance Plan (QASP) is incorporated into and made part of this contract.

Measures Performance

Requirement

Standards Acceptable

Quality

Level

Negative

Incentive

1. Coverage of key mandatory services.

(Mammograph y Services)

Contractor shall provide 100% coverage of

Government-approved scheduled shifts

Qualified personnel are available and sufficient staffing available to cover

Mammograph y Services.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

Quality

Level)

2. Coverage of key mandatory services.

(Computed

Tomography

Services)

Contractor shall provide 100% coverage of

Government-approved scheduled shifts

Qualified personnel are available and sufficient staffing available to cover

Computed

Tomography

Services.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

3.Patient

Safety (Digital

Radiology)

Practice low dose imaging.

Zero breaches of performance requirement standards.

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting

*Complaints must be validated. Complaints are validated if found to be reasonable and true after an administrative investigation.

Performance standards are based on fulfillment of scheduled hours and compliance with contract requirements. The Government does not guarantee minimum hours, and services are provided on an as-needed basis.

8. The contractor shall prescreen all personnel requiring access to the computer system to ensure they are eligible for employment, and are able to read, write, speak, and understand the English language.

9. All patient safety incidences shall be reported immediately to the Department Manager in accordance with the Service Unit policy. The COR, the contractor's supervisor, and the

Contracting Officer shall be notified if the contracted Technologist is to be investigated for negligence.

CONDITIONS FOR PAYMENT

1. Contractor's employee must be present at the facility and must be actually performing the required services to receive payment for services. Contractor shall only receive payment for the actual number of hours worked on-site at the specified facility.

2. Contractor will be required to invoice monthly in and invoices submitted must conform to the contract invoicing requirements.

3. Contractor shall submit signed invoices to the Radiology Secretary’s office. Invoice shall include the following information: Contract number, invoice number, date of service, type of service, time and hours of service, dollar amount and brief description of services performed and name.

4. Payment will be made only for actual hours worked and approved by the Government. The

Government does not guarantee a minimum number of hours.

PATIENT CULTURAL BACKGROUND:

Some of the IHS patients receiving services under this contract may only speak a native language or Spanish or may have limited comprehension of the English language, and/or may reside on a the

Acceptable

4. Privacy, Confidentiality and HIPAA ( digital radiology)

Contractor is aware of all laws, regulations, policies, and procedures relating to

Privacy

Confidentiality and HIPAA and

Complies with all standards

Zero breaches of privacy or confidentiality

100% 5% (the maximum negative incentive combined will not exceed

10% per month for not meeting the

Acceptable

Native American Indian Reservation. The Contractor is expected to demonstrate sensitivity to cross-cultural and language difference and have the ability to work through government provided interpreters as necessary. Consideration must be given to potentially limited transportation and/or home environment facilities.

INFORMATION TECHNOLOGY SECURITY:

The Indian Health Service (IHS) is responsible for maintaining an information security program that provides protection for information collected or maintained by or on behalf of the Agency;

and information systems used or operated by the Agency or by a Contractor of the Agency or other organization on behalf of the Agency.

IT SECURITY – INFORMATION SYSTEMS SECURITY AWARENESS (ISSA) TRAINING:

Information Systems Security Awareness (ISSA) is mandatory annual security awareness training for all IHS system users and fulfills Federal mandates and regulations. IHS develops the modules in line with National Institute of Standards and Technology (NIST) guidelines on information security awareness and information security trainings.

The ISSA modules fulfill an IHS user's annual requirements for the following:

1. Acknowledgement and acceptance of the IHS Rules of Behavior

2. Privacy training

3. Protecting sensitive information and the Health Insurance Portability and Accountability Act

(HIPAA) & the Health Information Technology for Economic and Clinical Health Act

(HITECH)

4. Physical and information security

5. Appropriate email use

6. Protecting mobile devices and portable media

7. Social engineering awareness

8. Incident response and learning from past incidents

You can take the training or learn more at the ISSA website.

All IHS information system users must take annual security and privacy training in order to fulfill federal mandates and regulations. In addition, all new users must successfully complete this course within 24 hours of receiving access unless the user has read the IHS Quick Guide to

Information Security, in which case they will have 30 days to complete the training. Failure to complete training requirements will result in the loss of information systems access.

END OF Performance Work Statement