Attachment_3h_-_Oral_Surgeon.pdf

RFP HSCG23-17-R-P1C000 ATTACHMENT 3(h) Page 1 of 2

ORAL SURGEON SERVICES

Note: The terms Contractor, Contract Provider and Oral Surgeon shall mean the provider or providers of care throughout this document.

1. Scope of Work. The Contractor shall provide an individual to provide personal dental services to all

Active Duty beneficiaries within the capabilities normally granted to a board certified Oral Surgeon.

A. The Oral Surgeon shall meet or exceed the industry standards in accordance with established principles, practices and ethics of the Oral Surgery profession. The standards of performance for all employees provided by the contractor shall reflect the degree and care, skill and learning expected of a reasonably prudent healthcare provider in the Oral Surgery profession in the state of their practice.

B. The Oral Surgeon will provide professional service, instruction, and supervision to U.S. Coast

Guard locations specified in the Performance Work Statement (PWS) (Attachment 1).

2. Qualifications. The provider of Oral Surgery services shall possess and maintain for the duration of this agreement:

A. A diploma from an accredited school of dentistry.

B. A current unrestricted license to practice dentistry in one of the 50 States.

C. A current board certification in the field of Oral Maxillofacial Surgery.

D. A Current Drug Enforcement Agency (DEA) registration certification.

E. “No unfavorable information on file” rating with the National Practitioners Data Bank

(NPDB).

F. A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI), or the American College of Emergency Physicians (ACEP).

G. A minimum of two (2) years recent experience (immediately preceding the submission of this offer).

3. Credential Review. Prior to commencement of this agreement, the Contractor shall submit the following credentials to be reviewed for technical acceptability.

A. A current curriculum vitae including AT LEAST the following information:

(1) Degrees earned;

(2) Career History;

(3) Awards and certifications received;

(4) Professional Training/Courses attended in the past two (2) years;

(5) Professional organization affiliation and memberships; and

(6) Previous work reference(s) including name of organization(s), number of years services rendered, address and name of the point of contact with telephone number;

(7) Tax identification number;

(8) Date of birth (to be used only for the purposes of independent query of the NPDB;

(9) Social security number;

(10) Evidence that active Oral Surgery has been practiced during 3 of the last 5 years immediately preceding performance under this contract;

RFP HSCG23-17-R-P1C000 ATTACHMENT 3(h) Page 2 of 2

ORAL SURGEON SERVICES

(11) “No adverse information on file” with the National Practitioners Data Bank (NPDB).

B. Copies of :

(1) A diploma from an accredited school of dentistry;

(2) A list of any malpractice claims filed, pending or settled, and/or any other adverse professional actions, that involve the contractor;

(3) A current Board certification from the American Board of Oral Maxillofacial Surgeon;

(4) A current certification in Basic Cardiac Life Support (BLS) for the Health Care Provider by the American Heart Association (AHA), American Red Cross (ARC), American Safety & Health Institute (ASHI) or the American College of Emergency Physicians (ACEP);

(5) Proof of insurability against malpractice in the amount of one million ($1,000,000.00) dollars per occurrence;

(6) Social Security Card;

(7) Three letters of recommendations from previous employers.

4. Professional Services The Contractor shall perform a full range of Oral Maxillofacial Surgery service on site, using Government furnished facilities, equipment and supplies to a variety of patients.

All aspects of Oral Maxillofacial Surgery service shall be commensurate with the capabilities of the provider and the Dental Department including but not limited to the items listed below; and in Section C.

A. History, detailed examination, testing and diagnosis; and treatment of patients in conjunction with oral surgical procedures.

B. Performance of dental procedures compatible with the facility's operating capability, equipment and privileges granted.

C. Providing immediate evaluation and management of emergency problems as they occur in addition to regularly scheduled appointments.

D. Performing preoperative and postoperative care.

E. Preparing and submitting appropriate documentation as specified in applicable regulations.

F. Be proficient in the extraction of simple fully erupted primary and permanent teeth.

G. Be proficient in the extraction of teeth with severe caries, teeth previously treated with nonsurgical root canal therapy (NSRCT), or teeth diagnosed as non-restorable.

H. Be proficient in complex surgical extractions of partially/fully impacted teeth requiring the use of a surgical handpiece for sectioning of teeth and ostectomy of bone.

I. Be proficient in procedures requiring Incision and Drainage (I & D) for treatment of infection and placement of surgical drains.

J. Be proficient in incisional/excisional biopsy technique.

K. Provide surgical assistance and advice to staff dental officers on surgical technique.

L. Reduction and fixation of fractures.

5. Hours of Performance. The contractor shall provide all aspects of personal Oral Surgery services at locations in the PWS (Attachment 1) and hours specified by the Clinic Administrator.

Note: The terms Contractor, Contract Provider and Oral Surgeon shall mean the provider or providers of care throughout this document.