Attachment_3s_-Independent_Duty_Dentist.pdf

Attachment 3(s) Independent Duty General Dentist

1. General Scope of Work: The contractor shall provide Dental services at locations specified in the task order to eligible beneficiaries as described in the Coast Guard Medical Manual. The contractor shall be assigned to a dental facility as sole dental provider where no uniformed Dentist is present.

A. The Dentist shall meet or exceed the professional standard in accordance with established practices, principals and ethics of the National and State Dental Boards standard of practice. The contractor’s employees shall reflect the degree of skill, care and learning that is expected of a reasonably prudent health care professional working as a Dentist.

2. Minimum Qualifications: The Dentist shall possess and/or maintain the following:

A. Degree from an accredited school of dentistry in the 50 United States and the District of Columbia

B. At least twenty four (24) months of current clinical experience as a licensed Dentist practicing as a full time dentist.

C. Experience must have been recent. The twenty four (24) months ending not later than six (6) months before placement.

D. Maintain all current licenses and certifications necessary to practice as a Dentist;

E. Maintain current CPR certification by either the American Heart Association or the Red Cross;

F. Maintain a current Drug Enforcement Administration (DEA) registration;

3. Required Credentials/Information: The Contractor shall submit at least, but not limited to the following documents/information in addition to that set forth in the PWS for evaluation of technical acceptability:

(1) Career history, list of any malpractice claims filed, or pending or settled and/or any other adverse professional actions, that involve the contract provider;

(2) Provide a copy of general practice residency certification, if certified;

(3) Professional organizations affiliations and memberships;

(4) The following shall be addressed in the contract provider’s Curriculum Vitae:

a. Has the provider’s license to practice dentistry in any jurisdiction ever been limited, suspended, revoked (voluntary or involuntary)?

b. Has the provider ever been refused membership in a hospital dental staff?

c. Has the provider’s privileges ever been restricted or revoked?

d. Has the provider’s narcotics registration ever been revoked (voluntary or involuntary)?

e. Has the provider ever been denied membership or renewal thereof, or been subject to disciplinary action in any dental organization?

f. Has the provider ever been arrested for drug or alcohol abuse?

g. Has the provider ever been charged in a felony case?

h. Has the provider ever had or presently has a significant medical (including mental health) problem?

i. Has the provider ever been a defendant or the subject of a dental malpractice liability subject of a dental malpractice liability claim, settlement, judicial or administrative adjudication or any other resolved or open charges of inappropriate, unethical, unprofessional or substandard care. If involved with any above, address the following:

i. Was it settled prior to final court action?

ii. Was a judgment rendered by court?

iii. Was the defendant found liable?

iv. Is/Are there matter(s) still pending?

4. Performance Requirements:

A. The Dentist shall perform a full range of duties expected of a Dentist, within the scope of clinical privileges granted by the Senior Dental/Medical Officer, who will be at a geographically separated location, using Government furnished supplies, facilities and equipment. The contract provider’s actual clinical performance will be a function of the overall demand for Dental and Dentist services;

B. Ensure active duty personnel are dentally qualified for unrestricted worldwide duty;

C. Make appropriate referrals to specialists as required of eligible beneficiaries following existing policy and regulations;

D. Diagnose and treat patients in accordance to the acceptable standards of the profession;

E. Prevent and control dental disease, this includes performing dental prophylaxis;

F. Promote dental health, and healthy life styles;

G. Prioritize the delivery of dental care to meet Coast Guard unit operational readiness requirements;

H. Ensure that patients with gingivitis or periodontal disease have the opportunity to receive follow-up care;

I. Give advice on such matters as hygiene, sanitation and safety;

J. Ensure that personnel are dentally fit for duty and attempt to learn of any unusual circumstances, which might adversely affect proficiency;

K. Maintain open and professional communication with members of the clinic and the command;

L. Notify, or assure notification, to each patient the results of biopsies, and tests whose results indicate a need to initiate or change in treatment. Notifications shall be made within 48 hours of the receipt of the results from the respective laboratory;

M. Prescribe appropriate medications in accordance with Chapter 10 of the Coast Guard Medical Manual;

N. Report any occurrence of communicable diseases to the Coast Guard Senior Dental/Medical Officer, and Cooperate with Federal. State, and Local Agencies for preventing disease reporting communicable diseases and collecting vital statistics;

O. Be familiar with Chapter 3 of the Coast Guard Medical Manual dealing with Physical Standards for Aviation personnel.

P. Perform routine dental examinations in accordance with the requirements of Chapter 3 of the Coast Guard Medical Manual and report all findings on Standard Form 88, Report of Medical Examination, an annual type 2 examinations shall be conducted on all active duty personnel collocated with dental examiners (i.e., Coast Guard Dentist, Department of Defense or civilian dentists);

Q. Follow Coast Guard regulations, policies and directives when arranging appropriate referrals or consults. The contract provider shall inform the patient of the required referral or consult and the specialty evolved. The provider shall not recommend to the patient that he/she consult a specific practitioner or use a specific practice. The provider shall forward the referral, consult and the patient to the appropriate clinic staff to process the request for referral or consult;

R. Be familiar with the duties, responsibilities, and limitations of health service technicians as described in appropriate manuals and instructions which will be made available upon commencement of services during clinic orientation;

S. Provide on-the-job medical training in clinical treatment for Health Services School students (at Petaluma only) and clinic personnel as requested by the Chief of Health Services or the Clinic Administrator;

T. Evaluate and determine each patient’s ability to work and record such determination in the patient’s health record, including an expiration date for the assigned duty status and specific limitations. The following statuses apply:

a. Fit for Full Duty (FFFD): Patient is not physically restricted or limited for any job that the Coast Guard might assign to him/her, regardless of current job assignment.

b. Fit for Limited Duty (FFLD): Patient is physically restricted or limited. Examples are:

office work only; no lifting, stooping, prolonged standing, jumping; no sea duty; etc.

c. Not Fit for Duty (NFFD): Patient cannot perform any assigned tasks regardless of assignment.

U. Inform the Senior Coast Guard Dental/Medical Officer of any patient not using or following the prescribed treatment program;

V. Report any occurrence of communicable diseases to the Senior Coast Guard Dental/Medical Officer;

W. Perform on call or after hours duties as required to perform emergency dental services for Coast Guard personnel.

X. Provide oversight to contract Dental Hygienists and Dental Assistants and technical guidance to military personnel functioning as dental assistants.

Y. Monitor infection control practices in the clinic.

Z. Monitor the dental radiology program and ensure compliance.

AA. Maintain biopsy, consult and lab logs BB. Supervise cleanliness of dental clinic at all times CC. Assist in the arrangement of consultation appointments DD. Keep SDE informed of clinic problems and recommended changes

5. Hours of performance: The contractor shall provide all aspects of personal dental services at the locations in the PWS and hours specified by the Clinic Administrator.