Attach_B_-_SOW_for_Dietary_Services.pdf

SCOPE OF WORK for

DIETARY/NUTRITIONAL SERVICES FOR

DESERT VISIONS AND NEVADA SKIES YOUTH WELLNESS

CENTERS

It is the intent of the Phoenix Area Indian Health Service to acquire onsite dietary/nutritional services under a non-personal services contract for the Phoenix Area

Indian Health Services (I.H.S)- Desert Visions Youth Wellness Center located in Sacaton, AZ; and virtual, and onsite dietary/nutritional services for the Nevada Skies treatment center located in Wadsworth, NV. Services shall be performed in accordance with the following scope of work and terms and conditions contained herein.

The regional treatment center (RTC) (Desert Visions is a 24 bed residential treatment center and Nevada Skis is 16 bed residential treatment center), i s accredi ted by the

Joint Commission (TJC). The RTC offers a bio psychosocia l t reatment approach for Nat ive American youth between the ages of 12 and 18 . The

RTC primarily serves Native American Tribes from the states of Arizona, Nevada, Utah, and California. Desert Visions is located approximately 40 miles southeast of Phoenix, AZ and Nevada Skies is located about 30 miles east of Reno Nevada.

PRICING

Reimbursement for services specified herein shall be paid in accordance with following fixed unit price and shall be identified in hours. Hourly unit pricing shall be for paid for all work actually performed, inspected and accepting during a bi-weekly billing cycle.

Invoicing shall be biweekly. Hourly unit pricing is an all inclusive rate (i.e. any other fees, per diem, travel expenses, lodging and miscellaneous costs). There is no compensation for other than actual performance at work. No special hourly rate for overtime, holidays, weekend or night shift.

SCOPE OF WORK:

In the performance of this contract the contractor shall:

1. Provide a dietary assessment on each client admitted to the centers.

2. Provide nutritional care which consists of the following:

A. Screening, assessing and reassessing for nutritional needs

B. Develop a written plan for nutritional treatment.

C. Prescribe or order food and other nutrients as needed.

D. Monitor the response of clients provided nutritional care.

3. Provide diet instruction, as needed for clients on therapeutic diets. Provide family members and/or staff with instructions.

4. Provide dietary aftercare plans that need to follow up after discharge.

5. Develop, review and approve food menu for the clients with assistance of dietary staff.

6. Provide required documentation of nutritional services provided to client in the client’s medical record.

7. Provide technical assistance in ordering and maintain an inventory of dietary supplies.

8. Inspect kitchen sanitation practices and food handling practices. Provide a compliance score with regulation and standards to Kitchen supervisor and CEO or designee.

9. Provide in-services and training to kitchen staff ongoing basis for sanitation, safe food handling and dietary preparation and food selections. Validate competency of staff as needed and document.

10. For the provision of services in Nevada Skies, contractor shall, in addition to the above, Dietician shall:

A. Cover dietary consults onsite and/or virtually through VTC/Telemedicine.

B. Provide menus and shall be available for clinical staff consults as identified in the

Initial scope of work.

11. If Dietician is required to travel to provide direct observation and services. Dietician will be reimbursed at government rate for travel, per diem, lodging and airfare. REIMBURSEMENT

FOR THE SERVICES SPECIFIED HEREIN SHALL BE PAID IN ACCORDANCE WITH

THE FOLLOWING FIXED UNIT PRICE AND SHALL BE IDENTIFIED IN HOURS.

HOURLY UNIT PRICING SHALL BE PAID FOR ALL WORK ACTUALLY

PERFORMED, INSPECTED AND ACCEPTING DURING A BI-WEEKLY BILLING

CYCLE.

*All receipts (airfare/car rental/parking) shall be forwarded to DVYWC CEO for record purposes and reimbursement shall be based on actual costs in accordance with Federal Acquisition

Regulation (FAR) 16.203 Fixed-price Contracts with Economic Price Adjustment. Consultant shall be on site @ Nevada Skies for 6-8 hours; itinerary shall be submitted with receipts. Travel from Reno airport to Wadsworth, NV will be via GSA vehicle if available; if not, rental car authorized (arrangements to be made by contractor). Airport parking associated with trip is authorized.

Desert Visions/Nevada Skies will provide adequate workspace for contractor to perform work.

QUALIFICATION REQUIREMENTS

Service shall be provided by Registered Dietitians (RD) that meets the following criteria:

-Bachelor’s degree at a US regionally accredited university or college and course work approved by The Commission on Accreditation for Dietetics Education (CADE) of the American Dietetic

Association (ADA).\

-Completion of a CADE- Accredited Supervised Practice Program at a Healthcare Facility, Community Agency, Food Service Corporation, or combine with undergraduate or graduate studies for a period of six to twelve months in length.

-Pass a national exam administered by the Commission of Dietetic Registration (CDR)

-Complete continuing professional education requirements to maintain registration.

Contractor will be required to present evidence of above documentation to the contracting officer upon request or prior to the provision of service at the Desert Visions Youth Wellness

Center.

Must be CPR certified

Must have negative PPD, meet all employee health requirements including annual influenza vaccination and verification of MMR and TDAP.

ADDITIONAL REQUIREMENTS:

Upon award, contractor will be required to complete and return the following forms to the

Desert Visions Youth Wellness Center Director:

1. OF 612 "Optional Application for Federal Employment" with a resume (resume format is attached). Include copies of social security card, Driver’s license, tribal identification and applicable licensure and credentials.

2. OF 306 "Declaration for Federal Employment"

3. "Addendum to Declaration for Federal Employment"\

4. SF-85 "Questionnaire for non-sensitive positions" with continuation sheets

5. HHS Credit Release

See: Instructions and fillable PDF files for above forms, at:

HTTP://WWW.IHS.GOV/NONMEDICALPROGRAMS/PIES/PIES-

PERSONNEL-SECURITY.ASP

6. Prior to commencement services at Desert Visions Youth Wellness

Center, the contractor shall complete the pre-security clearance process.

The process entails obtaining fingerprints and screen check through the office of inspector general’s exclusion list

HTTP://EXCLUSIONS.OIG.H HS.GOV/.

ACCOUNTABILITY:

Time and attendance/ sign-in/out sheets shall be kept on file and verified by the Desert Visions

Youth Wellness Center CEO or designee, to ensure that the services called for under the contract have been rendered. Invoices for payment shall be submitted according to established time line. Invoices for payment shall be submitted according to established timeline, verified sign-in/out sheets shall be maintained and forward to the DVYWC CEO who will approved or disapprove timesheets by signature and forward on for receiving process.

PERIOD OF PER FORMANCE:

The base period of performance is for a period of twelve 12 months to commence September 1, 2018 through August 31, 2019 including four (4) twelve (12) month option periods in accordance with federal acquisition regulation (FAR)52.217-9 option to extend the term of the contract.

CONTRACT ADMINISTRATION:

A. Desert Visions Youth Wellness Center, CEO or designee shall be responsible for monitoring the contractor’s progress including surveillance and assessment of performance and day to day contract administration. This individual does not have authority to change orders or issues changes that would affect the contract price, conditions, or period of performance, and

B. Interpreting the scope of the work;

C. Technical evaluation as required;

D. Technical inspection and acceptance required by this contract.

E. Assisting the contractor in the resolution of technical and administrative problems encountered during performance

F. Monitoring of funds available for obligation under this contract.

INVOICING:

http://www.ihs.gov/NONMEDICALPROGRAMS/PIES/PIES-PERSONNEL-SECURITY.ASP http://www.ihs.gov/NONMEDICALPROGRAMS/PIES/PIES-PERSONNEL-SECURITY.ASP http://exclusions.oig.h/

Payment will be requested on the contractors invoice and shall be submitted to Phoenix Area

Indian Health Services (PAIHS); Two Renaissance, 40 North Central Avenue, Phoenix, AZ

85004, and ATTN: FINANCIAL MANAGEMENT BRANCH.

RECEIVING:

Upon receipt of the contractors timesheet form the CEO, the receiving official shall complete a receiving and inspection report. Once completed and signed by the receiving official, shall be submitted with contractor’s timesheet to the PAIHS Financial Management Branch for payment processing. The budget assistant at Desert Visions Youth Wellness Center is designated as the receiving official.

PAYMENT

THE PAIHS Financial Management Branch is designated for payment processing. Payment shall be made as close as possible to but not later than thirty (30) days after an invoice and receiving report are received in PAIHS Financial management branch.

END OF THE STATEMENT OF WORK