IHS1488603 - PWS.pdf

PdWS No: CPSU-ED

Crownpoint Service Unit Performance Base Work Statement (PBWS)

For Personal Services

REGISTERED NURSING SERVICE _ EMERGENCY DEPARTMENT

August 3,2022

Section Page

1.0 General 1- J

2.0 Defin itions 3-6

3.0 Government Furnished lnformation, Property, & Services 6-7

4.4 Contractor Fu rnished Property 89

5.0 Performance Based Requ irements 9- 13

6.0 Contractor Qualification Req u irements 13

7.0 Federal Tort Claims 13

8.0 Cha llenge of Conflict 1,4

9.0 52.249-12 1 ermination (Personal Services) (Apr. 1984): 1_4

L4- L510.0 Tech n ical Direction

1511.0 Health Req u irement/Cond ition of Employees

151,2.0 Language Requ irement and CulturalAwareness

1-7 -1-81 1.0 List of Attachments and Exhibits

Table of Contents

PBWS No: CPSU-ED

1.3

August 3,2022 r.2.3 Point of Contact: The Contractor shall provide a point of contact that will be responsible for the performance of the work. This individual shall have full authority to act for the Contractor on all matters relating to the daily operation of the contract. The point of contract may be a provider providing care in accordance with this Performance Base Work Statement. The Contractor shall designate this individual in writing to the Contracting Officer (CO) before the contract start date.

An alternate may be designated, but the Contractor shall identify those times when the alternate shall be the primary point of contact.

1,.2.4 Availability: The point of contact shall be available via telephone 24 hours a day, seven days a week including federal holidays.

L.2.5 Arrange for Replacement Staff: The Contractor shall arrange for pre-credentia led replacement staff when their health care provider(s) is unable to provide services for one (1) or more consecutive scheduled shifts.

7.2.6 Work Roster: The point of contact shall provide a list by date, time, and individual nurse's name for those days the contractor shall be providing services. The work roster shall be provided to the Project Officer by the 20th of each month of the preceding month. Any proposed work schedule changes shall be submitted to the Project Officer at least 48 hours in advance.

1-.2.7 Continuity of Services: The Contractor shall ensure that qualified backup nurses are available to provide coverage during scheduled and unscheduled absences to primary contract providers. Absences without backup coverage will be subject to deduction in accordance with FAR Part 52-212-4(a)

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

1.3.1 The loint Commission on Accreditation of Healthcare Organizations. The Joint Commission (TJC) http://www.iointcommission.ore

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

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

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

http://www. pollcyalmanac.org/crime/archive/crs federal crime policy.sh tml

1.3.5 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

htto://www. nicwa.orRlpolicv/law/protection/index.asp

PBWS No: CPSU,ED August 3,2022

2.4. Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

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 individual awarded a legal binding contract to provide supplies and se rvrces

11 Contracting Office,'s Representative (COR) or Project Officer (PO): A federal employee who assists the ordering/issu ing 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-Contracting Officer's Technical

Representative, or PO-Prolect Officer).

2.8 Cooperative Attitude: Behavior that 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.

7.70- Customer: Patients, staff and visitors of an NAIHS service unit and NAIHS health center

2.17.

2.72.

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

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

2.L3. 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 fu nds.

2.14. Government Vehicle: A NAIHS owned motor vehicle or a vehicle leased by NAIHS through agreements with the General Services Administration (GSA) or through commercial rental agreements.

Pueblo Pintado Health Clinic & Thoreau Health Station, (THS): A facllity physically separated from a hospital, with a full range of ambulatory services including at least primary care physicians, nursing, and laboratory, and x-ray which are available at least 40 hours a week for outpatient care.

2.].5.

PBWS No: CPSU.ED August 3 2022

2.26 Standards of Practice and Sta nda rds of Care: Autho ritative statem ents by wh ich th e n u rs ing profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional nursing practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or 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.

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.

2.29 Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items; shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor. Technical direction includes requiring studies and pursuit of certain lines of inquiry regarding matters within the general tasks and requirements in Section 5 of this contract.

2.30 Tour of Duty: The time of day the nurse is scheduled to perform nursing care duties; also considered the shift of the day. The time can vary according to the needs of each NAIHS facility and/or clinic, e.g. 11.5 hour Tour of Duty, with one shift at LL hour Tour of Duty totaling 80 hours every two weeks. There may be a mid-shift scheduled from 1100 to 2330 or 1500 to 0330.

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

2.32 Verifiable Emergency: An unexpected/u nplanned a bsence by the contractor requiring valid documentation to confirm the occurrence.

3.0 Government Furnished lnformation, Property 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.

Joint Use by the Government and the Contractor: Exceptforthe property and service listed in 3.3 and 4.0, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services u nder this contract.

3.2

PBWS No CPSU.ED August 3. 2022

4.0 Contractor Furnished Property

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.! 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 theChief Nurse Executive ateach lHSfacility.

4.1,.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 work unit. The Contractor shall not use unsafe equipment or supplies at any 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.

4.1.3 lndemenification and Medical Liability lnsurance:

(a) lt is expressly agreed and understood that this is a personal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the professional aspects of the services rendered, including by example, the Contractor's professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the covernment with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than S1,000.000 per specialty per occurrence, S3,000.000 aggregate.

(b) An apparently successful offer or upon request by the Contractor Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of the clause.

(c) Liability insuTance may be on either an occurrences basis or on a claims-made basis. lf the poliry is on a claims-made basis, an extended reporting endorsement (tail) for a period of less than 3 years after the end of the contract term must also be provide.

4.L

August 3,2022

5.1.3. The contractor shall provide professional nursing service in direct patient care as follows:

(b) Contractorshall exercise knowledge of the nursing process and its application to clinical practice in order to provide individualized, goal-orientated nursing care to the adult/ pediatric patient.

(c) Contractor shall exercise knowledge of scientific and psychosocial nursing theory, principles, practices and techniques in order to plan and provide quality nursing care which meets the physical, spiritual, and social-cultural needs of the lndian patient.

(d) Contractor shall exercise knowledge of biological aspects of disease processes and illness in order to recognize complications and implement appropriate therapeutic interventions required.

(e) Contractor shall exercise knowledge of the medicatlons and dosages in order to recognize their desired effects, side-effects, and complications of their use.

(f) Contractor shall analyze the results of various medical procedures and translate them into appropriate nursing interventions.

(g) Contractor shall work effectively and harmoniously within the health care team and with lndian patients and their families.

(h) lnter-Facility Tra nsports

(i) Provide appropriate documentation regarding care rendered using

Crownpoint Service Unit (CPSU) Electronic Health Record (EHR) & RPMS system. All documentation by the provider shall be entered electronically using the Electronic Health Record system. The provider is responsible for utilizing the EHR/RPMS system to obtain pertinent patient information in assisting care. lt is the responsibility of the provider to use the training resources provided to develop competency in utilizing the Electronic Health Record system/RPMS.

(j) Follows facility policies and procedures, The .loint Commission (TlC), OccupationalSafety and Health Administration (OSHA), lnd ia n Health Services (lHS) and other federal licensing, accreditation and regulating body standards.

5.1.4 Contractor shall be subject to peer review per The .loint Commission standards.

PBWS No: CPSU-ED

(a) Contractor shall provide full range of Emergency services to patients in the Emergency Department.

PBWS NO: CPSU-ED August 3,2022 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 im med iately 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. PerformanceEvaluation

5.4.1. The Contractor's performance will be evaluated in accordance with the standards set forth in the contract and Performance-based Matrix of section 11.0.

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. ldentificationofContractor:

5.5.1. The Contractor shall wear a government issued contractor identification badge during performance of duty. PIV cards are issued after 6 months at Service Unit.

5.6. Management of Medical lnformation: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and NAIHS Service Unit and/or Health

Center specific policies and protocols.

5.6.1. 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.

5.6.2. The Contractor shall immediately report to the Contracting Officer or COR for 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.

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

The Contractor shall follow all appropriate federal and locally required information Technology security requirements and will be operating under Health lnsurance

Portability and Accountability (HIPAA) and Privacy Act regulations.

5.7.3.

8.0

PBWS Nor CPSU-ED August 3,2022

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: Supervisor's directions

(b) Second Priority: Position Description (attached)

(c) Third Priority: Performance Work Statement Exhibits

(d) Fourth Priority: Performance Work Statement Narrative

9.0 52.249-1 2 Termination (Personal Services) (Apr 1984):

The Government may terminate this contract at any time upon at least 15 days'written notice by the Contracting Officer to the Contractor. The Contractor, with the written consent of the Contracting Officer, may terminate this contract upon at least 15 days' written notice to the Contracting Officer.

9.1 Any Contractor employee demonstrating impaired judgment shall not be allowed to continue working immediately 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.

10.0 TechnicalDirection:

l0.l Performance of the work under this contract is subject to the written and verbal technical direction of the Nursing Supervisor.

10.2 The Nursing Supervisor does not have the authority to, and shall not, issue any tnstructions purporting to be technical direction that:

Constitutes an assignment of additional work outside the performance work statement;

Constitutes a change as defined in the changes;

ln any manner causes an increase or decrease in the total estimated contract cost, fixed fee (if any), or the time required for contract performance;

Changes any of the expressed terms, conditions, or specifications of the contract;

or the terms and conditions of the contract.

10.3 All technical direction shall be issued in writing by the Nursing Supervisor. All verbal direction will be confirmed in writing within 24 hours (one business day). The Contractor shall proceed promptly with the performance of technical direction duly issued by the Nursing Supervisor in the manner prescribed by this clause and within the authority. lf, in the Contractois opinion, any instructions or direction by the Nursing Supervisor falls within any of the categories defined in paragraph above, the Contractor shall not proceed but shall notify the Contracting Ofiicer in writing within 5 working days after receiving it and shall request the Contracting Officer to take action as described in this clause. Upon receiving this notification, the Contracting Officer shall either issue an appropriate contract modification within

PWS No: CPSU-AC Branch Febtuary 23,2021

11.0 Performance - based Matrix

Forthe requirement, state the feature(s) of end result that will be surveilled.

For each "indicator," state a performance levelthat, when met, means the task has been performed satisfectorily.

This Standard describes'What Success Looks tike."

For each "Standard", state the method used to check performance (i.e.

random sampling, 1m% inspection, periodic inspedion, custofi er complaints).

List Positive and Negative lncentives. Address method of linkinS payment to quality of seMce.

State the end results or outputs thal you, the customer willformally accept or reject.

See QASP. Surveillance systems will rnclude periodic inspections and customer complaints.

Service Quality

Competency

Compllance

Credentrallng

Perform 10o% required tasks at 100% of the required competencies (refer to 11.0)

100% compliance with HS Service Units and/or Health

Centers published Pollcies; Procedures; Standards of Care;

and hospital and nursing Protocols.

No reports of breached patient safetv, infection control, and other procedures that might adversely affect patient

Performance characterized by continual cultural awareness and focus on customer service. 100 percent adherence to the Nurs ng Code of Ethics and FederalCode ofConduct.

Uninterrupted credentialing as defined in 6.0 to 6-8 for period

100% percent of all documentation meets established IHS

Medical Facilrty, TJC, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

Satisfacuon wlth quality of service is evidenc€d by valid customer inputs.

Payment of contract price for satisfactory service, Contractor performance will be evaluated using the Contractors Performance Assessment Report (CPAR). The eva uation will be consrdered when future IHS

Contract selections are made.

contractor shall prov de

NursinS services in the de very of patient care to the Navajo Area Indian

Health Servrce.

Performanae- based Task lndicator Standard Oualityfusurance lncentives