GO Medical SOW_Draft.docx

Statement of Work – Medical Services

Project Medical Services for Great Onyx Job Corps Civilian Conservation Center (JCCC) General Information

1.0 Scope of Work

1.1. The Physician and/or Nurse Practitioner/Physician Assistant shall provide ON-SITE Medical services for all students on Center, in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, state and local laws, and guidelines of the American Medical Association. The USDA Forest Service Job Corps Civilian Conservation Centers (JCCCC) provide academic, vocational, and life-learning skills to at risk youth and young adults at 24 Job Corps Centers across the United States (U.S.). As part of this program, youth and young adults at the Centers are provided healthcare services as follows: medical, dental, mental health, and drug & alcohol intervention. Each Forest Service JCCCC has a need for basic health services provided by licensed medical professionals that includes examinations and assessments, treatment, issuance of prescriptions and immunizations, monitoring health conditions, recommending hospitalization, follow-up care, and prevention planning and intervention.

1.2. Medical services must also include analysis and use of the most efficient and cost-effective practice of contemporary, evidence-based health care possible given available time, resources, and personnel. These services will involve coordinating and integrating the medical services program with other health and wellness components/activities on Center and providing medical services to enrollees and established students on Center.

1.3. The general emphasis of Medical services must be on the early identification and diagnosis of medical problems, basic health care and health promotion, prevention, and education designed to help students overcome barriers to employability as outlined in the Policy and Requirements Handbook (PRH) Chapter 2, Support Student Services, Section 2.3, R4. Health Services at the link below; continuing links to other reference materials are held within that web page.

https://prh.jobcorps.gov/Pages/Home.aspx

1.4. In addition, contracted personnel shall adhere to any such standards as may be established by the Office of the Director, Job Corps, US Department of Labor (DOL), and the Contractor. The contractor shall be responsible for the direct supervision of contractor’s personnel on the Center. Contractor’s on-Center staff shall coordinate with the Health and Wellness Director and/or Center Director on all matters of program operations and coordination with other Center activities.

2.0 Background:

Job Corps is a U.S. Department of Labor (DOL), Employment and Training Administration (ETA) program. Job Corps is designed to assist young people who need and can benefit from the wide-range of services provided at a Job Corps center. Services include the following: basic education, High School Diploma (HSD) program; General Educational Development (GED); vocational skills training; residential living program; healthcare; and related support services. The comprehensive combination of training and support services is designed to help each student become a responsible and productive citizen. Student populations range from 100 to over 300 enrollments depending on the Center’s On Board Strength (OBS). Job Corps is a self-paced program: therefore, a student’s length of enrollment varies. Students may remain in the program for up to two years, but the average length of enrollment is approximately eight to nine months.

3.0. Technical Requirements / Tasks

3.1. Task 1 – General

Provision of medical services requires, but is not limited to:

3.1.1. The Physician and/or Nurse Practitioner/Physician Assistant shall provide ON-SITE Medical services for all students on Center, in accordance with applicable Federal laws/regulations, OSHA and HIPAA requirements, state and local laws, and guidelines of the American Medical Association. The provider must possess the ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, typically ranging from 16 to 24 years in age.

3.1.2. Medical services must also include analysis and use of the most efficient and cost-effective practice of contemporary, evidence-based health care possible given available time, resources, and personnel. These services will involve coordinating and integrating the medical services program with other health and wellness components/activities on Center and providing medical services to enrollees and established students on Center.

3.1.3. The general emphasis of medical services must be on the early identification and diagnosis of medical problems, basic medical care, and medical promotion, prevention, and education as outlined in the Policy and Requirements Handbook (PRH) 2.3 Health Services and included in the required immunization, screenings, and laboratory test list in Exhibit 2-4 (Job Corp Basic Health Care Responsibilities) https://prh.jobcorps.gov/Pages/Home.aspx . Additional information regarding medical services can be located on the Job Corps Support Services website to include a Desk Reference Guide.

https://supportservices.jobcorps.gov/health/Pages/default.aspx.

3.2. Task 2 - Additional Taskings – Contractor Personnel shall:

3.2.1. Possess the ability to work both independently and as a member of a healthcare team to provide optimal services to a population of financially disadvantaged youth, ranging from 16 to 24 years in age.

3.2.2. Provide supervision to Nurse Practitioner and/or Physician Assistant, if applicable, to comply with regulations in the state where the center is located.

3.2.3. Promptly review applicant files as requested; conduct an initial physical examination (intake); and develop a medical treatment plan, as applicable.

3.2.4. Record all medical documentation, such as, diagnosis, treatment and management plans, medication, reason of denial into the program (if recommended), each student interaction and etc. on the Student Health Record (SHR) and Job Corps Health and Wellness Program forms in a timely manner.

3.2.5. During regular scheduled hours treat minor conditions (i.e. respiratory infections, cold and flu symptoms), episodic illness, provide first aid and CPR, and other care within capabilities.

3.2.6. Provide management, written diagnoses, and treatment plans as part of a chronic care management plan for students with chronic conditions/disabilities.

3.2.7. Provide treatment of acute conditions, education for health promotion and maintenance of a family planning program.

3.2.8. Provide medication prescriptions for controlled and non-controlled medications.

3.2.9. Collaborate with Substance Abuse Counselor, and Center Medical Counselor to prescribe medications and Schedule II medications and discuss long-term medication management, as needed.

3.2.10. Participate in Disability Accommodation Committee (DAC) meetings & file applicant review team meetings during regular scheduled hours, when requested.

3.2.11. Ensure medical equipment is properly cleaned and maintained.

3.2.12. On a monthly basis, report to the Center Director and HWD on all health- related matters; including student medical separations, justification and costs of needed special services, health and non-healthcare equipment repair and replacement needs, depletion of medical supplies and medications, and other areas deemed appropriate.

3.2.13. Establish an appropriate medical referral system for students who require special, or emergent, medical care.

3.2.14. Attend monthly conference calls, webinars, and DOL training, as available during regular scheduled hours of service.

3.2.15. Ensure patient privacy for all assessments, exams and procedures; maintain, safeguard, and ensure the confidentiality of all required student health records in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

3.2.16. Participate in health and wellness program continuous quality improvement activities and advise and advise and assist the health education instructor in the development and implementation of the Health Education Program during visits and encounters on topics related to health and employability and provide the center with documentation of education in the student health record.

3.2.17. Coordination with other departments/programs on center, including but not limited to residential, recreation, education, vocation, student government association, and Health Eating and Active Lifestyles (HEALSs), to develop integrated promotion and education services.

3.2.18. Provide medical services in a positive and productive manner to facilitate student willingness to pursue recommended dental treatment plans, medical treatment plans and substance abuse treatment plans; and in such a manner to obtain positive student satisfaction survey results as determined by Job Corps.

3.2.19. Not to engage in any research projects and/or publications relating to Job Corps health activities without prior written approval from the Job Corps National Office in Golden, CO.

3.2.20. Report adverse student behavior incidents to the HWD or Contracting Officer’s (CO) Representative (COR) in a timely manner.

3.2.21. Understand that health services shall be subject to monitoring and review by Job Corps assessment teams, and cooperation and compliance with such teams is required. Participate in DOL and Forest Service assessments, completing requested questionnaires, conferences, and monthly teleconferences in adherence to the PRH requirements.

3.2.22. Provide periodic education to staff as requested on topics mutually agreed upon.

3.2.23. Comply with all state, federal and Job Corps infection control policies and procedures.

3.2.24. Contractor will work with the center to develop a system to account for all time billed to the center.

4.0. Government Furnished

Adequate workspace, equipment, supplies, and materials as needed to accomplish the work requirements outlined herein, including examination rooms and furniture, assessment equipment, telephone, computer, a fax machine, office supplies, PPE, and similar items. These supplies and property shall be utilized during the performance of this contract only while providing student care.

Contractor shall report to:

Great Onyx Job Corps Center 3115 Ollie Ridge Rd.

Mammoth Cave, KY 42259

5.0. Deliverables / Schedule

5.1. Deliverables

No deliverables are required for this contract.

5.2 Schedule and Availability

5.2.1. Medical services are required on center (with rare exceptions) on a weekly basis, during days of the week and hours of the day established in coordination with Center personnel. The days and times of services shall be upon mutual agreement between the Contractor and center personnel and must be considered reasonable. A reasonable schedule would be considered providing services one (1) or two (2) days a week, M-F, 8am – 5pm.

5.2.2. Center OBS and the PRH may change at any time; consequently, the quantity of required medical services hours may vary, depending on the needs of the student population. However, any changes to the required hours will be executed via a bilateral modification to the contract.

5.2.3. Key Personnel must provide a current contact number to the Center HWD or COR. When Key Personnel are unavailable for an extended period of time, as determined by the Contracting Officer, the Contractor will provide an acceptable substitute to provide services.

5.2.4. Contractor will contact the CD or designee 24 hours in advanced for cancellation of services. For planned absences, the Contractor will coordinate with Center staff and the CO to provide an approved substitute, as well as a current emergency contact number. All substitute personnel will be approved by the national and regional offices prior to work being performed.

5.2.5. Contractor Personnel will not be scheduled to work on the following Government holidays:

· New Year’s Day – January 1

· Martin Luther King Junior’s Birthday – Third Monday in January,

· Presidents Day – third Monday in February,

· Memorial Day – Last Monday in May,

· Juneteenth Day – June 19th,

· Independence Day – July 4,

· Labor Day – First Monday in September.

· Columbus Day – Second Monday in October,

· Veteran’s Day – November 11,

· Thanksgiving Day – fourth Thursday in November

· Christmas Day – December 25

6.0. Travel

Travel is not anticipated or authorized for this statement of work.

7.0. Contractor’s Key Personnel:

7.1. Contractor personnel shall:

7.1.1. Have an active, unrestricted license to practice independently in the state where services will be provided.

7.1.2. Maintain licensing requirements/certification/accreditation and required insurance coverage during the entire performance period with proof being submitted to the CO upon request.

7.1.3. Agree to a criminal background check, and drug testing, as a prerequisite for contract performance, if determined necessary by the CO.

7.1.4. Information obtained through the background check may be used in determining contractor’s qualification for this contract. Information regarding a person’s race, national origin, color, sex, religion, disability, genetic information (including family medical history), or age will not be evaluated or have any impact on the determination of qualifications for this contract.

7.1.5. Government may terminate the contract if the background check is determined to be unacceptable or if any aspect would jeopardize the health and safety of the students. Are responsible for maintaining their own malpractice/professional liability insurance and general liability insurance for each individual and/or company, with each contractor working on students listed as a covered entity.

8.0. Security Requirements

The space, equipment, and supplies used by contractor personnel shall be secured at all times, per Center requirements. The Contractor shall review and be familiar with Center security procedures.

9.0. Data Rights

Student records and all reports generated are property of the US Government.

10.0. Governing Regulations, Handbooks, and References:

The Contractor shall provide Health and Wellness (H&W) services as specified in the following documents:

· Job Corps Federal Regulations (Title 20 Code of Federal Regulations, Part 684 as amended, Job Corps Program under Title TV-B of the Job Training Partnership Act.

· Applicable Technical Assistance Guides (TAG s)

· Job Corps CMHC Desk Reference

· Job Corps Health & Wellness information and Department of Labor PRH: https://supportservices.jobcorps.gov/health/Pages/default.aspx https://prh.jobcorps.gov/

· Job Corps Support Services: https://supportservices.jobcorps.gov/health/Pages/default.aspx

11.0. INVOICE PROCEEDURES:

· Invoices shall be submitted on a monthly basis between the first and fifteenth of the following month;

· Invoices shall include only those services rendered during the billing period;

· Invoices shall be billed at the rates, and in accordance with the Contract Line Item Numbers (CLIN), as listed in the Schedule of Items;

· Invoices shall be submitted through the INVOICING PROCESSING PLATFORM (IPP) which can be accessed at: http://www.ipp.gov/index.htm

· IPP Customer Support – 1 (866) 973 – 3131