IHS14777903 - TAB 3 - PWS_0001.pdf

PWS No: CPSU Pharmacist

Performance Work Statement (pWS) For Non-personal Services

Pharmacist

01 June 2023

Table of Contents

Sectio n Page

1.0 Genera I 1,3

2.0 Definitions 4-6

3.0 Government Furnished lnformation, Property, & Services 7

4.O Co ntractor Furnished Property

5.0 Perfo rma nce-Based Req uirements 9- 13

6.0 Contractor Qua lification Req uirements 13-14

7.0 Cha llenges to Conflicts 15

8.0 Te rm inatio n 14

9.0 FederalTort Claims Act 15

10.0 P ha rmacists Provider Exit Profile 1,6

11.0 List of Attachments

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PWS No: CPSU Pharmacist 01 June 2023

Crownpoint Health Care Facility Performance Work Statement (PWS) for N on-Personal Services

Pharmacist

1.0 General: This performance work statement describes the requirements for a Non-Personal services for Pharmacist Services to support the mission of the lndian Health Service (lHS) by raising the physical, mental, social and spiritual health of American lndians and Alaska Natives to the highest level.

1.1 Background: The lHS, an aSency within the U.S. Department of Health and Human S€rvices and is responsible for providing federal health services to American lndians and Alaska Natives. The provision of healthcare services to members of fed e ra lly-recogn ized tribes grew out of the special government to government relationship between the federal government and lndian tribes. The IHS is the principal federal health care provider and health advocate for the American lndian and Alaska Natives, and its goal is to raise their health status to the highest possible level. The IHS provides a comprehensive health service delivery system for approximately 2.6 million American Indians and Alaska Natives who belong to 573 federally-recognized tribes in 37 states.

1.1.1 Navaio Area lndian Health Service (NAlHSl administers health centers and hospitals providing health care to approximately 244,209 members of the Navajo Nation. The Navajo Nation is the largest lndian tribe in the United States and has the largest reservation, which encompasses more than 25,516 square miles in northern Arizona, western New Mexico, and southern Utah, with three satellite communities in central New Mexico. The NAIHS is the primary provider of inpatient, ambulatory care, preventive and community health, and environmental health services for members of the Navajo Nation and the San Juan Southern Paiute Tribe.

1.1.2 crownpoint Health Care FaciliW (CHCF) is a NAIHS facili ty. The Crownpoint Health Care

Facility serves a population of 20,000 Navajo people. The CHCF is a 20 bed inpatient hospital and outpatient facility. FY20 showed a daily inpatient load of 4, outpatient visits was 129,239; annual OB visits a|717, and the annual emergency room cases number of about 14,643. Serving a rural area, many of our patients travel long distances to receive care and do not have electricity or running water in their homes. ln addition, many of our elderly patients speak only Navajo, and live according to traditional Navajo cultural practices. Services offered include:

. Adult lnpatient . Behavioral Health . Dental . Emer8ency Medicine . Lab . OB/GYN & Midwifery . Optometry . outpatient Primary Care . Pediatrics . Pharmacy . PhysicalTherapy . Public Health . Traditional Medicine . Podiatry . Radiology . Women's Health

1.2 Scooe: The Contractor shall provide pharmacist services in accordance wlth section 5.0, Pe rforma nce Based Requirements.

1.2.1 Duties and responsibilities encompass outpatient pharmacist services to IHS patients.

1.2.2 Place of Performance: Services are to be performed at the CHCF Outpatient pharmacy as well as other clinics and health stations within the Crownpoint Service Unit.

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1.2.3 Period of Performance: Will be flexible to allow for short term (26 weeks), long term (i.-year to 3-year) and, where feasible, include intermittent support to meet unplanned needs that develop on a frequent basis. Department requests for candidates to be available up to at least at minimum for 4 weeks.

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

1.3.1 The Joint Commission

http://www. iointcommission.orsl

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

1.3.3 Accreditation Association for Ambulatory Health Care (AAAHC) http://www.aaa hc.ors

1.3.6 Health lnsurance Portability and Accountability Act (HIPAA) of 1996 http://www.cms.hhs.gov/H I PAAGen lnfo/DownloadytllP&lLaw. pdf

1.3.7 Privacy Act of L974.

http://www. usdo i,sovloio/orivstat.htm

1.3.8 IHS Service Unlt and Health Center Policies, Procedures and Protocols.

(See section 11.0 for a list of attachments and exhibits)

1.3.9 Computer Security Act of 1987

htto://csrc. nist.sov/sroups/SM A/isoa b/d ocu me nts/csa 87.txt

1.3.10 Federal Code of Conduct http://

1.3.11 IHS General Directives htt m rnm rresouceS

1.3.12 IHS Computer Security Directives http://www.ihs.gov/ad minmegreso u rces

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

htto://www. policya lma nac.orelcrime/a rch ive/crs federal crime policv.shtml

1.3,5 Section 4087 of Public Law 101-630, the lndian Child and Family Violence Act.

http://www.nicwa.orgloolicv/law/protection/index.asp

2.0 Definitions

2,7 Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of the contract.

2,2 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc,) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3 Area: A defined geographical region for lndian Health Service administrative purposes. Each Area Office may administer several Service Units.

2.4 Code of Ethics: The 1994 Code of Ethics for Pharmacists approved by the American Pharmacists Association (APhA) October 1994 and IHS Health Manual Chapter 23 - Ethical and Professional Conduct of Health Care Providers.

2,5 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2,6 Contractor: The Organization awarded a legal binding contract to provide supplies and or services;

includes the organ izatio n's employees.

2.7 Contracting Officer/s Representative (COR): A federal employee who assists the ordering/issuing activity contracting officer in the administration of task orders issued under this contract. The COR is primarily responsible for the technical assistance and day-to-day program management of the ordering activity's task orders. Ordering activities may have different designators for this employee (e.g. GTR - Government Technical Representative, CoTR{ontracting Officer's Technical Representative, or PO -

Project Officer).

2.8 Cooperative Attitude: Behaviorthat is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

2,9 Cultural Awareness: Realization and respect for American lndian and Alaska Native practices

2,10 Customer: Patients, staff and visitors of an lHs service unit and health center

2.11 Customer Evaluation/lnput: Written comments made to the Contracting Officer regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor's performance.

2.12 Dependability: Qualities of being trusted and bein8 able to repeat the same task to yield the same result.

2.13 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal

Executive agencies in their acquisition of supplies and services with appropriated funds.

PWS No: CPSU 01 June 2023

2.14 Government Vehicle: An IHS owned motor vehicle or a vehicle leased by IHS through agreements with the General services Administration (GsA) or through commercial rental agreements.

2.15 Health Center: A facility physically separated from a hospital, with a full rangeof a m bulatory services including at least primary care providers, nursing, laboratory, and x-ray which are available at least 40 hours a week for outpatient care.

2.16 Non-Personal Services Contract: A contract under which the personnel rendering the services are not subject, either by the contact's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.401.

2.18 Ordering Activity Contracting Officer: A Government employee of IHS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contract. The Ordering Activity CO has the authority to make initial determinations on all matters of dispute regarding task orders.

2.19 Orientation: An activity designed to provide basic familiarization of the facility and transition the pharmacists into the IHS Service Unit and/or Health Center and the nursing unit where the services will be provided.

2.20 Past Performance lnformation: Relevant information regarding a Contractor's actions under previously awarded contracts. This includes the Contracto/s record of conformance to specifications and to standards of good workmanship; the Contracto/s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the Contractor's adherence to contract schedules, including the administrative aspects of performance; the Contractor's history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the Contractor's business-like concern for the interest of the customer.

2.21 Patient Outcome: End result of outpatient medication ma nagement/d ispense for patient care

2.22 Pertoffnance based Matrix: Lists the services to be monitored and the standards to be applied

2,24 Quality Assurance Surveillance Plan (QASP): The QASP provides a systematic method to evaluate performance for the stated contract- This QASP explains what will be monitored, how monitorinB will take place, who will conduct the monitoring, and how monitoring efforts and results will be documented. This

QASP is a "living document" and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the Contractor. Updates shall ensure that the QASP remains a valid, useful, and enforceable document. Copies of the original QASP and revisions shall be provided to the Contractor and Government officials implementing surveillance activities.

Pharmacist

2.17 Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

2.23 Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.25 Service Unit: The local administrative unit of lHS.

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2.26 Standards of Practice and Standards of Care: Authoritative statements by which the medical profession describes the responsibility for which its practitioners are accountable. The standards provide direction for professional medical practice and framework for the evaluation of practice. The standards of professional medical practice may pertain to generalor specialty practice.

2.27 Supervisor. Government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception. This may include the Chief of Pharmacy, his or her designee, or other person assigned to act in a supervisory capacity-

2.28 Task Order: An order issued in accordance with the terms of the contract that details an ordering activity's specific requirements. An ordering activities written order to obtain services, at a minimum will include the following where applicable: description of services, skill categories, hours, price, period of performance, contract number, and the ordering activities task order number.

2.30 Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation

2.31 Verifiable Emergency: An unexpected/unplanned absence by the Contractor requiring valid documentation to confirm the occurrence.

2,29 fout of Duty: The time of day the pharmacist is scheduled to perform outpatient and inpatient pharmacist services; also considered the shift of the day, the time can vary according to the needs of each facility and/or clinic, e.g. L2-hour Tour of Duty, 8-hour Tour of Duty, 10-hour Tour of Duty.

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3.0 Government Furnished lnform ation, Prooertv and Services

3.1 lnformation: 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.

3,2 Joint Use by the Government and the Contractor: Except for the property and service listed in 3.3 and 4.0, the Government will provide, for oint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract

3.2.1 Government Vehicle: lf required by the position, authorization shall be in accordance with IHS

Chapter 12, Section 13 Motor Vehicle Management.

3.3 Contractor Exclusive [Jse:

3.3.1 Personal Protective Equipment (PPE). The Government will furnish the Contractor with appropriate PPE other than specified in paragraph 4 of the contract. 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.

3.3.2 The Government will provide facility specific photo identification badges for each Contractor. A minimum fee of 55.00 will be charged for lost or destroyed badges. An access card may also be provided. Any loss or damage should be immediately reported to the security department.

3.4 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.9., IHS information technology (lT) systems and operational procedures. Training will be provided ONLY ifthe subject matter is necessary to improve or enhance the q ua lity of pharmacist's service or includes mandates made by the lHs Service Units/Health Centers while the pharmacists is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development. See the attached List of Required Trainings, subject to change.

3.5 lnspectlon: All services rendered in the Outpatient Pharmacy in the delivery of patient care-services will be inspected, reviewed and monitored by the Supervisor, the COR, or their designee.

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Pharmacist 01 June 2023

4.0 Contractor Furnished Propertv

4.L Except for the property specified in paragraph 3 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

4.7.7 Uniforms and Lab Coats: Uniforms and Lab Coats shall conform to the requirements of the lndian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Clinical Director at each

IHS facility.

4.L.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 workunit. The Contractor shall not use unsafe equipment or supplies at a ny 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.

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PWS No: CPSU _

PWS NO: CPSU Pharmacist 01 June 2023

5.0 lqrfornpnce-Based Requirements. The Contractor shall provide uninterrupted outpatient Specific tasks include thepharmacist services in the delivery of patient care to the lndian Health Service following:

5.1 Pharmacist Duties:

5.1.1 Work on-site under the general, technical, and administrative supervision of the Supervisor, COR, or their designee.

5,1,2 The Contractor shall perform professional pharmacist services or direct patient care services under the terms of this contract, appropriately and timely pharmacy services and manage patient's needs as described in the position description and Human Resources GS-660 job series, identified by the Service Unit and as directed by Supervisor.

5.1.3 The Contractor shall perform in accordance with the competency standards listed required by Crownpoint Service Unit.

5,1.3,1 The Contractor shall provide appropriate documentation on rendered patient care utilizing Crownpoint Service Unit's electronic health record (EHR) system. The provider is responsible for utilizing the Crownpoint Service Unit EHR system to obtain, dictate, electronically enters and assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care.

Clinical data reports shall be completed in a timely manner and shall be maintained in compliance with Joint Commission (JC) standards. lt is the responsibility of the provider to use the training resources provided by Crownpoint Service Unit to develop competency in utilizing the EHR system, 5,1.3.2 The Contractor is responsible for managing medication therapy through direct patient assessment to evaluate patient responses in medication therapy, to communicate and document patient findings, to make recommendations to care team providers, and to implement and monitor pha rmacothera peutic care plans

5.1.3.3 The Contractor takes the appropriate health history, follows and adjusts the developed treatment plan and monitors the patient's outcome to the prescribed treatment pla n.

5.1.3.4 The Contractor documents all clinicalactivities, updates problem lists, and updates medication allergy information in the EHR.

5.1.4 Other ancillary duties assigned may include the following.

5.1.4.1 Front window receptionist duties

5.1.4.2 Answering phone calls while also performing other pharmacist duties.

5.1.4.3 Reconstitute vaccines as needed.

5.1.4.4 Check technician prepacks or automated dispensing cabinet refill deliveries.

5.1,4.5 Return to stocks.

5.1.4.5 lnspect crash carts, automated dispensing cabinets, or shelves for expired medications throughout the service unit.

5.1,4.7 Take phone refill requestsoffof the pharmacy refill line.

5.1.4.8 Enter prescription refills.

5.1.4.9 Unpack and put away drug wholesaler order including for controlled substances with a witness.

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PWS No: CPSU 01 June 2023

5.1.5 The Contractor shall be subject to departmental peer review per Joint Commission sta ndards.

5.1.5 The Contractor shall comply with all IHS facility infection control and safety procedures, and sta ndards.

5.7.7 The Contractor shall be familiar with the cultural, social, political, geographic, demographic, economic, and epidemiological characterlstic of the patients and the communities served. The Contractor shall be receptive and respectful of cultural diversity, language barriers, rural Native lifestyles and native ceremonies. The Contractor shall embrace and incorporate these elements into the care of the patients for positive outcomes. The Contractor shall review a Cultural Considerations document made ava ila ble d u ring orientation.

5.1.8 The Contractor shall adhere to the safety management, adverse event reporting, quality assurance and improvement requirements in accordance with the lndian Health Manual and Crownpoint Service Unit policies

5.1.9 The Contractor shall be responsible for all applicable Federal, State and Local Taxes, Mea ls, Travel/Transportation.

5,1.10 lf lodging is available by the service unit it must be paid for the by the Contractor or contract agency. Government quarters maybe available at prevailing rental rates plus utilities, as applicable, if government quarters are utilized.

5.1,11 The Contractor shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters.

5,1.12 The Contractor shall submit a proper invoice as required for payment of services rendered and attached timesheet/work record to verify the hours worked. A certification statement of service rendered will be included with a signature from the designated COR for this co ntract.

5.2 Work Schedule: Work shifts are arranged by the Supervisor, the COR, or their designee

5,2.1 The Su pervisor sha ll determ ine specific tour of duty. The Contractor shall work 100% of the contracted hours on-site. The Contractor shall work any of the following 8- or 10-hour shifts, Monday to Friday, weekends, and holidays, as per departmental staffing needs: 7:15AM-

4:15PM,8:00AM-5:00PM,9:00AM-6:00PM, 10:00AM-7:00PM, 11:00AM-8:00PM, 8:00AM-

7:00PM, 9:00AM-8:00PM. Each shift schedule shall have a 1-hour lunch break. Contractor shall be subject to working longer hours if patient load demands are present and rotatinB shifts to provide coverage in the Outpatient Pharmacy.

5.2.2 Contractor sha ll be paid only for actual time services are performed under the terms of the contract at an hourly fixed rate (one flat rate). The hourly fixed rate shall be inclusive of all the following rates: holiday; week nights; weekends, call back. All city, state, federal and local taxes and all associated rates with the provision of services must be priced out separately. The

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Pharmacist

PWS NO: CPSU Pharmacist

AII - Inclusive Hourlv Rate for Pharmacist Scrvices

Weekda . Weekend Shifts

Hourlv Ratc s Weckday Night Coverage $

Wcckcnd n' i ght Coveragc $

Holiday Coverage $

5.2,3 Continuity of Patient Care: The Contractor shall ensure the continuity of patient care and shall provide a qualified replacement to authorize the approval of time off and within the time frame specified by the Contracting Officer.

5.2.4 Work Flexibility. As directed by the Supervisor, the Contractor shall rotate into other duty sections as needed to support patient care.

5.2.5 The Contractor shall obtain approval from Supervisor or designee for any emergent leave prior to the shift and as determined by service unit leave procedures. ln the event the Contractor's employee is unable to render service on a previously agreed schedule, the Contractor shall provide a minimum seventy-two (72) hour notification to the COR or his designee. The Contractor shall then make a full, good-faith effort to provide coverage with a replacement. The contractor shall obtain approval from Chief of Pharmacy, Deputy Chief of Pharmacy, Pharmacy Supervisor, or designee for any emergent leave prior to shift and as determined by service unit Ieave procedures.

5.2.6 lf the length of the absence exceeds eight (8) work hours the Contractor shall request approval at least fifteen (15) davs, (The exception is verifiable emergencles) in advance of the desired absence. The Contractor is not authorized sick leave, annual leave and compensatory times are not authorized.

5.2.7 Contractor shall provide a qualified replacement to authorize the approval of leave

5.2.8 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. lndicating the Contractor as contagious or non-contagious.

The Government reserves the right to examine and or re-examine any Contractor who meets the criteria-

5.3 Conduct: The Contractor shall meet standards as listed in the Federal Code of Conduct

5,3.1 The Contractor shall be subject to character investigation as required by Public Law 101- 360, the lndian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizinB the US Office of Personnel Management (OPM), Electronic

01 June 2023

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Government will pay one flat rate. There is no orovision for overtime. holidav. niehts. weekend or call services.

Schedule

Questionnaire for lnvestigation Processing (eQlP) system and this shall include all fingerprinting procedures and clearances. The Contractor shall provide all requested information necessary to perform Level I and Level lt background checks. The Contractor shall comply with the requirement to obtain security investigations. The Contractor shall work with the l.H.S. 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.

5.4 Performance Evaluation:

5.4.1 The Contractor's performance will be evaluated in accordance with the standards set forth in this Performance Work Statement in addition to the Quality Assurance Surveillance Plan which may include a performance-based matrix.

5.4.2 Substantiated reports written by any customer dealing with patient safety, infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

5.5 ldentification of Contractor:

5.5.1 The Contractor shall wear a government issued Contractor identification badge during performa nce of d uty.

5,5 Management of Medical lnformation: 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.

5.6.1 Medical Records and Other Required Documentation: 100% percent of all medical records and other required documentation meets established IHS Medical Facility, JCAHO, 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 the Performance-Based Matrix in section 10.0)

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

5.6,3 The Contractor shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

5,7 IHS lnformation Technology Systems:

5.7.1 ln 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.

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5,7.2 The Contractor shall ensure that IHS information technology system security policies and procedures are adhered to. The lT policies and procedures will be made available to the Contractor at each IHS facility.

5.7.3 The Contractor shall follow all appropriate federal and locally required lnformation Technology security requirements and will be operating under HIPAA and Privacy Act regu lations.

6.0 Contractor Qualification Requirements: The Contractor shall meet the qualifications and credentialing standards and retain the qualifications and certification throughout the term of this contract.

5.1 Training/Experience. The Contractor shall have thirty-six (36) months of Pharmacists' experience, with a minim um of six months (6) in the specialty req uired by the contract, un less otherwise approved by the Contracting Officer. There must be no lopse of service of more thon 1 yeor prior to beginning tour of duty with Crownpoint Service Unit.

5.2 License/Registration, All pharmacists shall possess a current, valid, unrestricted license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States by the Accreditation Council for Pharmacy Education, throughout the term of this contract.

5.2,1 The Contractor shall maintain a valid and current Cardiopulmonary Resuscitation (CPR) and Basic Life Support (BLS) certif:cations and are mandatory for Pharmacist.

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

6.3 Health Requirements/Conditions of Employment:

6.3.1 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.

lmmunization. The Contractor shall also provide the following documentation as evidence of immunization as required by IHS national policy and NAIHS. Declination for religious or medical reasons of any required vaccines shall be accompanied by a signed declination form and supporting documentation.

Hepatitis A - Two dose series at zero and six months.

Hepatitis B - Three dose series at zero, one month, and six months or titer documentation.

Measles, Mumps, Rubella (MMR) - Two doses or titer documentation.

Varicella (chickenpox) - Two doses, titer documentation or history of varicella/shingles.

Tetanus, diphtheria, pertussis (Tdap/Td) - one dose ofTdap, then tetanus (Td) booster every 10 years thereafter.

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Documentation of ann ual TB test- may include Mantoux TB skin test (PPD). Acceptable lab testing: Quantiferon Gold or T-Spot test. For positive TB test results, please submit a copy of recent chest x-ray results.

lnfluenza - Mandatory annual vaccination.

COVID - series per current CDC recom mendations.

5.4 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 lndian and Alaska Native culture.

6.5 lnformation Technology Skills. The Contractor shall possess basic knowledge, skills, and abilities to use a com puter.

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

5.7 Background Security Clearance:

6.7 .L

6.7.2

6.7.3

6.7.4

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All Contractors shall undergo a fingerprint check and background investigation and shall be cleared prior to hire. Contractor's continued employment is contingent upon the outcome of a complete and favorable background investigation as determined by the sensitivity level of the position. lf Contractors are found not suitable, they shall be removed.

This is a designated position covered by Public Law 101 -647 , !07-630, Crime Control Act of 1990, and the lndian Child Protection and Family Violence Prevention Act, requiring contact or control over lndian children. Contractors shall be required to complete, si8n, and submit the Addendum to OF-306, Child Care & lndian Child Care

Worker Position form. Due to this requirement, persons hired for these positions shall not have been found guilty of or pleaded nolo contendere or guilty to certain crimes. Failure to comply with these statutes shall result in immediate removal.

ln accordance with lndian Health Manual Part 3, Chapter 20 - Protecting Children from Sexual Abuse by Health Care Providers, all IHS providers have a responsibility to report any incident or reasonable suspicion of sexual abuse of a ch ild by a health care provider directly to the proper child protective and/or law enforcement authorities following legally required timelines in consultation with OGC, and to the OIG Hotline at !-800-447 -8477 .

Reporting any incident or reasonable suspicion of sexual abuse of a child directly to their supervisor, the CEO, or alert the next supervisor in the chain of command if the first line supervisor is the one suspected of child sexual abuse, and the IHS

Hotline at 301-443-0658 within the same day of the incident and documenting the report in the IHS lncident ReportinB System within five business days.

PWS NO: CPSU Pharmacist 01 June 2023

7,O Challenges to Conflicts: For any inconsistency between supervisor directions, this Performance Work Statement, attachments and exhibits, the following order of precedence will apply:

(a) First Priority:

(b) Second Priority:

(c) Third Priority:

(d) Fou rth Priority:

Supervisor's directions Position Description (attached)

Performa nce Work Statement Attachments Performance Work Statement Narrative

8.0 Termination

FAR 52:2L2-4 Contract Terms and Conditions-Commercial ltems (December 2022) (m): Termination for ca use. The Government may term inate this co ntract, or a ny pa rt hereof, fo r cause in the event of a ny defa u lt by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. ln the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. lf it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

8.1 Any Contractor employee demonstrating impaired judgment shall not be allowed to continue working on the contract. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

8.2 The Contractor's employee shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this award, and/or the Contractor's VA/FSS contract.

9.O Federal Tort Claims Act

9.1 Coverage for medical related claims is extended to personalservices contractors only when an incident of negligence is alleged to have occurred during the delivery of services by a contracted health care provider in a facility owned, operated, or constructed under the jurisdiction of the lHS.

The services provided must have been within the scope of the personal service contract

10,0 Pharmacists Provider Exit Profile. The Exit Profile will be completed for each Contractor by the Supervisor or their designee. A rating of "Fully Successful" or "Exceptional" must be attained. The completed Exit Profile Form is a peer review document and is confidential and will not be shared or disclosed.

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11.0 list of Attachments

11.1 Attachments

A. Position Description B. Req uired Trainings

Pharmacist 01 June 2023

Page 17 of I 7

PWS NO: CPSU

Pharmacist Contractor Required Trainings su bject to ch ange updated 6/1/2023

IHS lnformation Systems Security Awareness (ISSA) Training.

HHS Cybersecu rity Awareness Training.

HHS Records Management Training.

IHS Privacy Training.

HHS lnstruction 990-1 Workplace Flexibilities.

HHS Equal Employment Opportunity Awareness and No FEAR Act.

HHS Preventing Bullying & Violence HHS Resolving Workplace Conflict IHS Protecting Children from Sexual Abuse by Health Care Providers.

lndian Health Service Overview of Trauma-lnformed Care and Historical Trauma

HHS lnitial Ethics Orientation (lEO).

HHS Emergency Preparedness Training FEMA ICS/NIMS 100 and 700.

NM DOH Child Health lmmunization Learning e-course NMSIIS train ing course.

COVID Vaccine reconstitution train ing Vaccine dispensing tra ining.

Hand Hygiene & PPE Training.

Mask Fit Testing.

New Employee Orientation.

Pharmacy Department Orientation Checklist.

Attachment 11.1 B. Pharmacist Contractor Performance Work Statement