PWS Ultrasound - Radiology.pdf

NPS No. GSU-19-001 January 2019 Fiscal Year 2019

Gallup Indian Medical Center Nonpersonal Health Care Services

Diagnostic Medical Imaging Services

Ultrasound Techs

Table of Contents

Section Page

1.0 General 2-3

2.0 Government Furnished Information, Property, & Services 4

3.0 Contractor Furnished Equipment 5

4.0 Performance-Based Requirements 6-9

5.0 Contractor Qualification Requirements 9-10

6.0 Performance based Matrix 11

1.0 General: This Performance Work Statement (PWS) describes the requirements for nonpersonal health care services, Diagnostic Imaging Services, Ultrasound department to support the mission of the Gallup Indian Medical Center, a federal medical facility of the Indian Health Service (IHS).

1.1 Background: The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The provision of health services to members of federally-recognized Tribes grew out of the special government-to-government relationship between the federal government and Indian Tribes. This relationship, established in 1787, is based on Article I, Section 8 of the Constitution, and has been given form and substance by numerous treaties, laws, Supreme Court decisions, and Executive Orders. The IHS is the principal federal health care provider and health advocate for Indian people, and its goal is to raise their health status to the highest possible level. The IHS provides a comprehensive health service delivery system for American Indians and Alaska Natives

There is a nationwide shortage of medical providers in certain specialties which is amplified by the remote and rural areas served by the Indian Health Service. This performance work statement covers requirements for the Navajo Area. The position to be filled include: Radiologic Technologist for the provision of outpatient and inpatient medical services.

1.1.1 Navajo Area Indian Health Service (NAIHS) The Navajo Area Indian Health Service (NAIHS) is one of 12 regional administrative units of the Indian Health Service (IHS), in the US Department of Health and Human Services. The NAIHS delivers health services to a user population of over 244,000 American Indians in five Federal service units on and near the Navajo Nation. The Navajo Nation is one of the largest Indian reservations in the United States. The Navajo Nation consists of more than 25,000 contiguous square miles and three satellite communities, and extends into portions of the states of Arizona, New Mexico, and Utah. NAIHS primarily delivers health services to members of the Navajo Nation and the San Juan Southern Paiute Tribe, and also provides services to other Native Americans, including Zunis, Hopis, and other American Indian beneficiaries.

The five (5) Federal Service Units (SUs) include Chinle, Crownpoint, Gallup, Kayenta, and Shiprock SUs.

1.1.2 Gallup Indian Medical Center Gallup Indian Medical Center (GIMC) is a 99-bed hospital in Gallup, New Mexico, on the border of the Navajo Reservation. Clinical specialties at GIMC include Internal Medicine, Cardiology, Anesthesia, OB/GYN, General Surgery, Orthopedics, Ophthalmology, ENT, Radiology, Pathology, Pediatrics, Psychiatry, Emergency Medicine, and Urology. The workload at Gallup is one of the largest in the Indian Health Service with 250,000 outpatient encounters and 5,800 inpatient admissions annually. GIMC has the largest staff of all Navajo Area IHS facilities.

1.2 Scope: Contractor shall provide diagnostic Ultrasound services in Radiography, in a competent and professional manner assigned by the Supervisor of Medical Imaging Services. Contractor is expected to provide services at dates and times assigned by Supervisor of Diagnostic Imaging services typically Monday through Sundays and perform on-call services after hours when assigned by Supervisor of Diagnostic Imaging Services. Contractors for Radiology are expected to provide emergency coverage when short staffed as assigned by Supervisor of Diagnostic Imaging Services.

1.2.1 Duties and responsibilities may encompass outpatient, inpatient and community health imaging services to IHS patients.

1.2.2 Place of Performance: Services are to be performed at hospitals, clinics and other healthcare facilities of the Navajo Area Indian Health Service within the Gallup Indian Medical Center.

1.2.3 Period of Performance: Will be flexible to allow for short term (13 weeks), long term (1-year to 3-year) and, where feasible, include intermittent support to meet unplanned needs that develop on a frequent basis.

1.3 Applicable Documents: Please see the web link listed unless document is listed as an attachment.

1.3.1 Joint Commission on Accreditation of Healthcare Organizations (JC) http://www.JAC.org

1.3.2 Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov

1.3.3 Accreditation Association for Ambulatory Health Care (AAAHC) http://www.aaahc.org

1.3.4 Section 231 of Public Law 101-647, the Crime Control Act of 1990.

http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml

1.3.5 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

http://www.nicwa.org/policy/law/protection/index.asp

1.3.6 Health Insurance Portability and Accountability Act (HIPAA) of 1996.

http://www.cms.gov/HIPAAGenInfo/

1.3.7 Privacy Act of 1974.

http://www.justice.gov/opcl/privacyact1974.htm

1.3.8 The American Registry for Diagnostic Medical Sonography http://www.ardms.org/Pages/default.aspx

1.3.9 Indian Health Manual: Policies, Procedures and Protocols.

(See part 3; Chapter 21 Diagnostic Imaging) https://www.ihs.gov/ihm/

1.3.10 Computer Security Act of 1987

http://csrc.nist.gov/groups/SMA/ispab/documents/csa_87.txt

1.3.11 Federal Code of Conduct

http://www.ihs.gov

1.3.12 IHS General Directives

http://www.ardms.org/Pages/default.aspx https://www.ihs.gov/ihm/ http://csrc.nist.gov/groups/SMA/ispab/documents/csa_87.txt http://www.ihs.gov/ http://www.ihs.gov/index.cfm?module=AtoZ&option=index

1.3.13 IHS Computer Security Directives

http://security.ihs.gov/index.cfm

2.0 Government Furnished Information, Property and Services

2.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, will be made available to the Contractor. The Contracting Officer or designee will be the point of contact for identification of any required information to be supplied by the Government.

2.2 Joint Use by the Government and the Contractor: Except for the property and service listed in

2.3 and 3.0, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

2.2.1 Government Vehicle: If required by the position, authorization shall be in accordance with IHS Chapter 12, Section 13 Motor Vehicle Management.

2.3 Contractor Exclusive Use:

2.3.1 Personal Protective Equipment (PPE). The Government will furnish the Contractor with appropriate PPE. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

2.4 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures.

Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of imaging services or includes mandates made by the IHS Service Units/Health Centers while the radiologic technologist is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

3.0 Contractor Furnished Property

3.1 Except for the property specified in paragraph 2.0 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

3.1.1 Uniforms and Lab Coats: Uniforms and Lab Coats shall conform to the requirements of the Indian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Clinical Director at each IHS facility.

3.1.2 Other personal medical instruments: “Other personal medical instruments” are defined as Contractor owned items may include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

http://security.ihs.gov/index.cfm

4.0 Performance-Based Requirements. The Contractor shall provide Medical Imaging Services in the delivery of patient care to the Indian Health Service. Specific tasks include the following:

4.1 Provision of Care:

4.1.1 Ultrasonographers must perform diagnostic and therapeutic ultrasound procedures or examinations only as prescribed by a licensed practitioner or during appropriate educational activities. Ensuring equipment parameters for diagnostic and therapeutic exams are of optimal technical and administrative quality as requested by a licensed practitioner.

Sonographers must collaborate with a licensed practitioner in the performance of interventional procedures. They work closely with radiologists, the physicians who interpret medical images to either diagnose or rule out disease or injury. For the images to be interpreted correctly by the radiologist, the imaging examination must be performed properly by an Ultrasonographer.

4.1.2 The Contractor provides direct patient care services under the terms of this contract, delivering appropriate and timely imaging services in accordance with the Standards of Care established by recognized diagnostic imaging department and in accordance with the policies and procedures of the Service Unit’s Medical Staff Bylaws, Rules and Regulations, including attendance at department and medical staff meetings where appropriate.

4.1.3 The Contractor shall complete clinical reports and correspondence concerning patients under his/her care in a timely fashion. Clinical data reports for the records of each patient shall be maintained in compliance with the standards of Center for Medicare/Medicaid (CMS), the Joint Commission (TJC), and the Diagnostic Imaging service quality management requirements.

4.1.4 The Contractor is subject to character investigation as required by Public Law 101-630 the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract.

4.1.5 Contractor shall maintain appropriate licensure and certification through the term of their contract.

4.1.6 Contractor shall possess current registry by The American Registry for Diagnostic Medical Sonography.

4.1.8 The Contractor ensures the maintenance of reporting and record systems related to patient care and progress notes according to established Service Unit, Navajo Area Indian Health Services, and Indian Health Services policies.

4.1.9 The Contractor provides other duties as assigned that are consistent with privileges as granted by the Governing Body of the Gallup Indian Medical Center.

4.2 Work Schedule:

4.2.1 The Contractor shall be scheduled to work in various clinics of the imaging department.

There will be some variability of schedule based upon the needs of the patients and the imaging department. In general, the Contractor will work Dayshifts of 8:00 AM to 4:30 PM with 30 minute lunch break, after hour ON-Call status will take place after 4:30 pm. All shifts can vary depending assigned shifts by Supervisor of Diagnostic Imaging services typically Monday through Sundays. The contractor shall work 100% of the contracted hours.

4.2.2 Timekeeping and attendance will be monitored in compliance with the terms of the contract.

4.2.3 The Contractor shall coordinate through the Contracting Officer to obtain necessary authorizations prior to any absence from work. If the length of the absence exceeds eight (8) work hours the Contractor shall request approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.

4.2.4 Authorization of absence shall be contingent upon availability of a qualified replacement.

4.2.5 The Contractor shall provide written documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

A. The cause of the current illness or incapacitation AND B. Indicating the Contractor as contagious or non-contagious.

4.2.6 The Contractor shall not be scheduled to provide overtime hours.

4.3 Conduct: The Contractor shall comply with standards as listed in the Federal Code of Conduct.

4.4 Performance Evaluation:

4.4.1 The Contracting Officer Representative (COR) will be responsible for the monitoring the quality of care provided by the Contractor.

4.4.2 The Contractor’s performance will be evaluated in accordance with the standards set forth in the contract and Performance-based Matrix of section 6.0.

4.4.3 Substantiated reports written by any customer dealing with patient safety, infection control, inappropriate behavior or any procedures that adversely affects patient outcome constitutes a breach of contract.

4.5 Identification of Contractor:

4.5.1 The Contractor shall wear a government issued contractor identification badge during performance of duty.

4.5.2 The Government will provide facility specific contractor identification badges for each contractor. A minimum fee of $20.00 will be charged for lost or destroyed badges.

4.6 Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols.

4.6.1 Medical Records and Other Required Documentation: 100% percent of all medical records and other required documentation meets established IHS Medical Facility, JC, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession. (Note: payment will be withheld for inaccurate or incomplete medical records per paragraph 10.0 of this performance work statement

4.6.2 The Contractor shall ensure adherence to DHHS IT system security policies and procedures. The IT policies and procedures will be made available to the Contractor.

4.6.3 The Contractor shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

4.7 IHS Information Technology Systems:

4.7.1 In performance of this contract, the Contractor shall adapt to and successfully utilize IHS information technology systems that are deemed by the Supervisor as necessary for acceptable contractor performance, including use of the Electronic Health Record (EHR).

4.7.2 The Contractor shall ensure that IHS information technology system security policies and procedures are adhered to. The IT policies and procedures will be made available to the Contractor at each IHS facility.

5.0 Contractor Qualification Requirements:

5.1 Experience. The Contractor shall have a minimum of two (2) years of experience within their specialty unless otherwise approved by the Contracting Officer.

5.2 License/Registration. Contractor shall possess a valid, active, full and unrestricted license to medicine in any state within the United States, District of Columbia, or Commonwealth of Puerto Rico.

5.2.1 Registration Required. Contractor shall possess current registry by The American Registry for Diagnostic Medical Sonography.

5.2.2 Motor Vehicle Operator’s License. If required by the position, the Contractor shall possess a valid state driver’s license throughout the term of this contract.

5.3 Certifications. Current Basic Life Support (BLS) is mandatory for all specialties.

5.4 Credentialing. The Contractor shall be credentialed prior to providing any services. Clinical privileges shall be granted by the Governing Body at the service unit.

5.5 Health Requirements/Conditions of Employment:

5.5.1 Medical Evaluation. The Contractor shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

5.5.2 Immunization. The Contractor shall also provide the following documentation:

Immunity to Rubella, Mumps, Measles Immunity to Hepatitis B series History of chicken pox (varicella) disease or positive titer Tdap vaccine required Documentation of receiving a TB Mantoux skin test (PPD) within the past 12 months with documentation of follow-up for a positive test.

A signed declination of the Hepatitis B vaccination series will be accepted.

Current Influenza vaccination

5.6 Language Requirements and Cultural Awareness. The Contractor shall read, understand, speak, and write English to effectively communicate with patients and other health care workers, and shall be respectful of the local, American Indian and Alaska Native culture.

5.7 Information Technology Skills. The Contractor shall possess basic knowledge, skills, and abilities to use a computer.

5.8 Orientation. All providers providing service under this contract shall attend mandatory orientations and training specified by the government.

5.9 Background Checks: As directed by the Contracting Officer, the Contractor shall provide all requested information necessary to perform background checks. The Contractor shall comply with the requirement to obtain security investigations. The Contractor shall work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. All completed forms will be reviewed by the Contractor and forwarded to the Government Personnel. The Contractor will be immediately removed from the position if at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

6.0 Performance – based Matrix

Performance-based Task Indicator Standard Quality Assurance Incentives

State the end results or outputs that you, the customer will formally accept or reject.

For the requirement, state the feature(s) of end result that will be surveilled.

For each “indicator,” state a performance level that, when met, means the task has been performed satisfactorily.

This Standard describes “What Success Looks Like.”

For each “Standard”, state the method used to check performance (i.e. random sampling, 100% inspection, periodic inspection, customer complaints).

List Positive and Negative Incentives. Address method of linking payment to quality of service.

Contractor shall provide Imaging services in the delivery of patient care to the Navajo Area Indian Health Service, Gallup Indian Medical Center

Competency

Compliance

Patient Outcomes

Professionalism

Credentialing

Documentation

Service Quality

Perform 100% required tasks at 100% of the required competencies (refer to 4.0)

100% compliance with IHS Service Units and/or Health Centers published Policies; Procedures;

Standards of Care; and hospital protocols.

No reports of breached patient safety, infection control, and other procedures that might adversely affect patient outcome.

Performance characterized by continual cultural awareness and focus on customer service. 100 percent adherence to the Federal Code of Conduct.

Uninterrupted credentialing as defined in 5.0 to

5.8 for period of contract.

100% percent of all documentation meets established IHS Medical Facility, TJC, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

Satisfaction with quality of service is evidenced by valid customer inputs.

Surveillance systems will include periodic inspections and customer complaints.

Payment of contract price for satisfactory service.

Positive ratings on Contractor performance using the Contractor Performance Assessment Reporting System (CPARS). The evaluation will be considered when future IHS contract selections are made.