IHS1530842_PWS.docx

PWS for Hospitalist/Physician Page 1 of 15 b

IHS-Great Plains Area

Pine Ridge Service Unit

Hospitalist/Physician for ACN

Performance Work Statement for the Hospitalist/Physician

June 12, 2026

Document Revision History

[Example – Post-award]

05/07/2026

06/12/2026

[Note: The document revision history is most useful for tracking changes in a major acquisition. It may not be needed for less complex acquisitions. Pre-award, it can be used internally by the agency to track the origin of and/or changes to specific requirements (not included in the solicitation when released). Post-award, it can be used to provide a centralized list of changes incorporated by modification.]

Table of Contents

Note that while, as a matter of policy, some agencies require the government to prepare the PWS, the guidance at FAR 37.602(a) stipulates that “a Performance work statement (PWS) may be prepared by the Government or result from a Statement of objectives (SOO) prepared by the Government where the offeror proposes the PWS.”

Performance Work Statement (PWS) for the Hospitalist/Physician

The mission of the Indian Health Service (IHS) is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. The mission of the Pine Ridge Service Unit (PRSU), Great Plains Area, Indian Health Service, is to provide quality inpatient, outpatient, emergency, and related health care services to the Oglala Lakota Nation and other eligible beneficiaries.

This acquisition is for contracted Hospitalist/Physician services at Pine Ridge Hospital and associated Pine Ridge Service Unit facilities. These services are needed to support continuity of care, maintain inpatient and acute medical coverage, address high patient demand, supplement limited permanent staffing, and support critical access requirements. The purpose of this acquisition is to ensure timely, safe, responsive, and effective health care services for patients served by PRSU.

1.2 Objective

The objective of this contract is to obtain qualified, licensed, credentialed, and privileged Hospitalist/Physician services to support PRSU's ability to provide safe, timely, continuous, and high-quality inpatient and acute care services to eligible beneficiaries.

The Contractor shall furnish Hospitalist/Physician personnel capable of providing direct patient care, managing inpatient admissions, conducting daily rounds, completing required medical documentation, supporting referrals and transfers, and coordinating care with PRSU clinical staff. These services are intended to maintain continuous hospitalist coverage, address high patient demand, supplement limited permanent staffing, and support the delivery of acute medical care in a rural health care environment.

This requirement supports the mission of IHS and PRSU by helping ensure that American Indian and Alaska Native patients served by PRSU receive accessible, responsive, and clinically appropriate health care services. Contractor performance shall contribute to continuity of care, patient safety, timely treatment, proper documentation, and effective coordination of inpatient, emergency, outpatient, specialty, and referred care services.

1.3 Scope of Work

The scope of this requirement is to provide qualified Hospitalist/Physician services for the Pine Ridge Service Unit, with the primary place of performance at Pine Ridge Hospital in Pine Ridge, South Dakota, and support to associated PRSU facilities as needed. The requirement includes continuous hospitalist coverage to support inpatient acute care, patient admissions, daily medical management, clinical coordination, documentation, referrals, transfers, and consultation support within the provider's credentials and privileges.

The services are limited to non-personal, contracted Hospitalist/Physician services and are intended to supplement, not replace, Government clinical oversight and permanent staffing functions. Contractor personnel shall provide care consistent with PRSU policies, medical staff bylaws, credentialing and privileging requirements, applicable federal regulations, and accepted standards of medical practice.

This work supports PRSU's ability to maintain safe and effective acute care services in a rural health care environment with high patient demand, limited permanent staffing, and limited access to higher levels of care. The overall scope is focused on ensuring continuity of care, patient safety, timely clinical response, and appropriate coordination of services for eligible beneficiaries served by the Pine Ridge Service Unit.

1.4 Background

The Pine Ridge Service Unit (PRSU), Great Plains Area, Indian Health Service (IHS), provides inpatient, outpatient, and emergency care to the Oglala Lakota Nation. Due to high patient demand, limited permanent staffing, and critical access requirements, PRSU requires contracted Hospitalist/Physician services to ensure continuity of care and compliance with IHS mission standards.

Hospitalist/Physician services are extensively utilized throughout the Pine Ridge Reservation for nearly all aspects of acute health care. The Pine Ridge Reservation is located in the southwestern corner of South Dakota, approximately 100 miles from Rapid City. Surrounded by rolling prairie, the Badlands, and the Black Hills, the Pine Ridge Reservation is home to the Oglala Lakota Nation.

The people of the Pine Ridge Reservation experience significant health disparities, including low life expectancy and high infant mortality rates. Oglala Lakota County has consistently ranked among the poorest counties in the United States, and unemployment remains high in this population. Access to higher levels of care is limited. The closest higher level of care is approximately 35 minutes away by life flight and approximately 1 hour and 30 minutes by ground ambulance. Weather conditions can be challenging and may preclude air or ground transfer.

PRSU has historically relied on a combination of permanent Government providers and contracted medical professionals to meet patient care needs. Due to ongoing recruitment and retention challenges, rural location, and the need for continuous inpatient and acute care coverage, contracted Hospitalist/Physician services remain necessary to support safe and effective hospital operations. The future vision of this requirement is to maintain consistent, high-quality Hospitalist/Physician coverage while supporting continuity of care, patient safety, timely treatment, and compliance with PRSU, IHS, accreditation, and federal requirements.

1.5 Type of Contract Contemplated

The Government contemplates award of a firm-fixed-price, performance-based, non-personal services contract for Hospitalist/Physician services.

Under this contract type, the Contractor shall provide qualified, licensed, credentialed, and privileged Hospitalist/Physician personnel to perform the required services in accordance with the terms, conditions, performance standards, and schedule established in the contract. The Contractor is responsible for managing its personnel and ensuring adequate coverage to meet PRSU requirements.

Although the contract is firm-fixed-price, the requirement includes defined labor categories, shift coverage, and minimum staffing levels necessary to ensure continuity of patient care. The Contractor may provide additional personnel as needed to meet workload demands; however, staffing shall not fall below the minimum coverage requirements established in the contract.

All services shall be performed as non-personal services. Contractor personnel are not Government employees and shall not be supervised as Government employees. The Contractor retains responsibility for employee management, performance, conduct, timekeeping, leave coverage, and replacement of personnel when required.

1.6 Period of Performance

The period of performance for this contract shall consist of a base 3 month period.

The Government reserves the right to terminate the contract for convenience if PRSU hires a sufficient number of permanent Government providers to fulfill this requirement. In such cases, the Contracting Officer shall provide the Contractor with a minimum of sixty calendar days' written notice prior to termination.

1.7 Place of Performance

The place of performance for this contract shall be the Pine Ridge Service Unit (PRSU), Great Plains Area, Indian Health Service, located in Pine Ridge, South Dakota.

The Contractor's primary duty station shall be Pine Ridge Hospital, 607 Indian Health Road, P.O. Box 1201, Pine Ridge, SD 57770.

Services shall be performed on site at Pine Ridge Hospital and, as required, at associated PRSU facilities, including outlying clinics and mobile unit operations. The Pine Ridge Service Unit consists of one hospital, four outlying clinics, and one mobile unit.

Because the requirement involves direct patient care, inpatient acute care coverage, clinical documentation, coordination with PRSU staff, and use of PRSU health information systems, performance shall primarily occur at Government facilities. Contractor personnel shall report for duty as scheduled unless the facility is closed by authorized Government leadership.

Pine Ridge, South Dakota, experiences a wide range of weather conditions, including extremely cold and windy winters. Contractors shall be prepared to travel and perform duties under adverse weather conditions. The authority to close Pine Ridge Hospital or its outlying clinics rests solely with the Chief Executive Officer. If the facility remains open, Contractor personnel shall report for duty as scheduled. The Contractor is responsible for maintaining reliable transportation and associated costs necessary to ensure timely reporting for duty in accordance with this contract.

Contractor personnel shall comply with all PRSU access, identification, credentialing, privileging, security, employee health, infection control, and facility policies while performing services at Government locations.

1.8 Applicable Documents

The Contractor shall comply with the most current versions of the following documents, regulations, standards, and policies, as applicable to the performance of Hospitalist/Physician services under this contract. These documents are applicable only to the extent they directly relate to the services required by this PWS.

Applicable documents include the Federal Acquisition Regulation (FAR), Health and Human Services Acquisition Regulation (HHSAR), Public Health Service Acquisition Regulation (PHSAR), Indian Health Manual (IHM), Centers for Medicare & Medicaid Services Conditions of Participation for Hospitals, applicable The Joint Commission standards, PRSU Medical Staff Bylaws, PRSU credentialing and privileging policies, PRSU Health Information Management and Electronic Health Record policies, PRSU infection control and employee health policies, PRSU occupational safety and personal protective equipment policies, PRSU Pharmacy and Therapeutics Committee policies and formulary, PRSU Purchased/Referred Care policies and procedures, the Privacy Act, HIPAA, HSPD-12 requirements, and applicable federal background investigation and Personal Identity Verification requirements.

In the event of a conflict between applicable documents, federal law and regulation shall take precedence, followed by HHS/IHS policy, PRSU policies and procedures, medical staff bylaws, and local operating procedures, unless otherwise directed in writing by the Contracting Officer.

Only documents and policies directly related to the Contractor's performance of Hospitalist/Physician services, patient care, credentialing, security, documentation, privacy, and facility access shall be considered mandatory for contract compliance.

2.0 Specific Requirements/Tasks

The Contractor shall provide qualified, licensed, credentialed, and privileged Hospitalist/Physician services to support inpatient and acute care operations at the Pine Ridge Service Unit. The Contractor shall perform the following tasks in a manner that ensures continuity of care, patient safety, timely documentation, and compliance with applicable PRSU, IHS, federal, accreditation, and medical staff requirements.

2.1 Task One: Provide Hospitalist/Physician Clinical Services The Contractor shall provide Hospitalist/Physician services for patients served by Pine Ridge Hospital and associated PRSU facilities. Services shall be provided by qualified providers who meet all licensing, credentialing, privileging, security, and employee health requirements before performing work under this contract.

2.1.1 Inpatient and Acute Care Services

The Contractor shall provide inpatient and acute care services within the provider's approved clinical privileges. Services include evaluating, diagnosing, and treating admitted patients; conducting patient interviews and physical examinations; ordering and interpreting diagnostic tests; developing and updating treatment plans; managing inpatient admissions, daily rounds, progress notes, and discharge planning; prescribing medications in accordance with PRSU formulary and applicable prescribing requirements; coordinating patient transfers when a higher level of care is required; providing referrals when services are not available at PRSU; consulting with nursing, pharmacy, laboratory, radiology, social services, specialty clinics, and other clinical support services as needed; and providing care consistent with accepted medical standards, PRSU policies, and medical staff bylaws.

2.1.2 Emergency Department Support

The Contractor shall provide limited Hospitalist/Physician support to the Emergency Department when requested for adult medicine patients and when patient safety requires additional physician support.

Hospitalist/Physician personnel shall not serve as Emergency Department physicians unless separately privileged and assigned under an appropriate requirement. Emergency Department support shall be limited to care consistent with the provider's training, experience, and approved privileges.

2.1.3 Specialty Clinic and Consultation Support

The Contractor shall provide consultation support to PRSU outpatient and specialty clinics, as clinically appropriate. Consultation support may include chart review, clinical advice, in-person evaluation, admission recommendation, referral recommendation, or transfer recommendation.

Specialty clinic consultation may include support for Dental, Optometry, Ophthalmology, Women's Health, Podiatry, Diabetic, Cardiology, ENT, Physical Therapy, Surgery, Orthopedics, and other specialty services available through PRSU.

2.2 Task Two Maintain Continuous Hospitalist Coverage

The Contractor shall provide sufficient qualified personnel to support continuous Hospitalist/Physician coverage at Pine Ridge Hospital, 24 hours per day, 365 days per year, in accordance with the contract schedule and staffing requirements.

2.2.1 Shift Coverage

The Contractor shall provide coverage for day shift from 7:00 a.m. to 7:00 p.m. and night shift from 7:00 p.m. to 7:00 a.m. Contractor personnel shall be physically present in the inpatient Acute Care Nursing ward or other assigned PRSU clinical area during scheduled duty hours.

Contract Hospitalists shall work 12-hour shifts. Shifts may be scheduled in blocks ranging from seven to fourteen consecutive days or nights. Scheduling may follow rotations such as one week on/one week off or ten days on/ten days off, but shall not exceed 14 consecutive days or nights to support patient and provider safety.

Hospitalist schedules may vary depending on patient volume, case complexity, and operational needs of PRSU. Adjustments to schedules shall be coordinated through the Contractor and designated PRSU clinical leadership.

2.2.2 Continuity of Care

The Contractor shall ensure continuity of patient care between shifts, rotations, and provider transitions. Contractor personnel shall complete appropriate handoff communication and ensure that pending patient care needs, admissions, transfers, referrals, test results, and documentation requirements are communicated to appropriate clinical staff.

Contractor personnel may be required to work beyond scheduled shifts to complete urgent patient care tasks, admissions, transfers, handoff responsibilities, or outstanding documentation. Overtime or extended hours shall be handled in accordance with contract requirements and applicable approval procedures.

2.2.3 Coverage During Absences

The Contractor shall ensure uninterrupted coverage during planned or unplanned absences of Contractor personnel. The Contractor is responsible for providing qualified replacement personnel who meet all contract, credentialing, privileging, security, employee health, and training requirements before performing services.

2.3 Task Three Complete Medical Documentation and Health Information Requirements The Contractor shall complete all required medical documentation in the PRSU Electronic Health Record and other approved PRSU systems in accordance with PRSU Health Information Management policies, medical staff bylaws, and applicable federal requirements.

2.3.1 Electronic Health Record Documentation

The Contractor shall ensure that all clinical care is documented accurately, completely, timely, and legibly. Documentation may include admission notes, history and physical examinations, daily progress notes, orders, procedure notes, consultation notes, transfer documentation, discharge summaries, purpose-of-visit diagnoses, coding-related clinical documentation, medication and treatment documentation, and follow-up care instructions.

All records generated in the performance of this contract remain the exclusive property of PRSU.

2.3.2 Documentation Timeliness and Completion

The Contractor shall ensure that Contractor personnel complete medical records in accordance with PRSU documentation timelines and requirements. Contractor personnel shall resolve documentation deficiencies before the end of each rotation unless otherwise authorized by PRSU Health Information Management.

The Contracting Officer and Contracting Officer's Representative shall be notified within two business days if HIM identifies deficiencies or refusal to correct deficiencies.

2.3.3 HIM Clearance

The Contractor shall ensure that each provider obtains a Health Information Management Clearance Form confirming zero documentation deficiencies at the end of each rotation. Required clearance documentation shall be submitted with timesheets and invoices as required by the contract. No invoices or timesheets shall be processed without submission of a valid HIM Clearance Form.

Health Information Management points of contact include Flora "Ellie" Bettelyoun at (605) 867-3208, Flora.Bettelyoun@ihs.gov, Angela Swallow at (605) 867-3156, Angela.Swallow@ihs.gov.

2.4 Task Four: Meet Credentialing, Privileging, Security, and Training Requirements The Contractor shall ensure that all Contractor personnel meet all required qualifications before providing services under this contract.

2.4.1 Professional Qualifications

Each contract Hospitalist shall be a graduate of an accredited school of allopathic or osteopathic medicine (MD/DO); hold an active, current, and unrestricted medical license in any U.S. state or territory, or the Commonwealth of Puerto Rico; be Board Certified or Board Eligible by the American Board of Internal Medicine, American Board of Family Medicine, American Board of Pediatrics, or American Board of Physician Specialties; maintain current certifications in Basic Life Support, Advanced Cardiovascular Life Support, and Neonatal Resuscitation Program; and meet all credentialing and privileging requirements of PRSU prior to performing services.

2.4.2 Credentialing and Privileging

Contract Hospitalists may not perform services until the PRSU Governing Body grants staff membership and clinical privileges in writing. All providers must be credentialed and privileged in accordance with PRSU and Great Plains Area credentialing policy. Compliance with credentialing and privileging requirements is a condition of contract performance. Failure to comply shall be considered non-performance.

Privileges will not be granted until credentials are verified and the provider has successfully completed the required federal background clearance process, including eQIP submission and PIV card issuance. Providers will be granted basic core privileges upon verification of required credentials. PRSU clinical leadership may deny or restrict privileges if the provider cannot demonstrate valid licensure, sufficient training, procedure logs, or professional references confirming competency.

The Contractor shall furnish required credentialing documentation for each proposed Hospitalist, including recognizable photo identification; copy of active, unrestricted state medical license; proof of Board Certification or Board Eligibility; complete curriculum vitae with full work history, including explanation of all employment gaps of eight weeks or more; current BLS, ACLS, and NRP certifications valid for the entire period of performance; three professional references no more than six months old, including one supervisor and two peers; active DEA license with Schedule II and IIN prescribing authority; proof of liability insurance of at least $1,000,000 per incident and $3,000,000 aggregate; record of at least 20 CME/CEU credits per year in physician care within the past three years; and evidence of CME compliance prior to reappointment.

Credentialing and privileging point of contact:

Tammy Bailey, Medical Staff Coordinator

(605) 867-3043, fax (605) 867-3271, Tammy.Bailey@ihs.gov.

2.4.3 Security and Suitability

All Contractor personnel shall successfully complete a federal background investigation and obtain a Tier 2 Security Clearance and Personal Identity Verification card prior to performing any services under this contract.

Providers may not participate in any aspect of this contract, including orientation, EHR training, ancillary service briefings, meetings, medical rounds, or patient care, until a favorable adjudication is issued. Providers may present at Pine Ridge IHS Hospital only for fingerprinting appointments under personal escort. Once fingerprints are completed, the provider shall depart the facility and may not return until clearance is granted.

The Contractor shall ensure each proposed provider completes and submits all required security documentation, including FD-258 fingerprint card, OF-306 Declaration for Federal Employment and Addendum, Provisional Waiver Form, curriculum vitae or resume, SF-86 eQIP submission, General Release Form, and state-specific security packets as directed by the PRSU IHS HSPD-12 office.

All Contractor staff must appear in person at an HSPD-12 enrollment or issuance station and provide two forms of acceptable identification. Processing will be coordinated through the Great Plains Area HSPD-12/Suitability Office with PRSU IHS.

The Contractor shall ensure Contractor personnel respond to all background investigation requests within seven calendar days, replace any provider denied, withdrawn, or adjudicated unsuitable without delay, and submit only candidates reasonably likely to obtain favorable clearance. If a provider receives an unfavorable adjudication, the Contractor shall immediately propose a qualified replacement. Delays in securing a replacement may constitute grounds for the Government to terminate the contract or purchase order for convenience. Failure to comply with security requirements shall be considered contract non-performance.

Fingerprint cards and supporting documentation shall be sent to Pine Ridge IHS Hospital, Attn: Simone Miyasato, Contract Officer Representative, 607 Indian Health Road, P.O. Box 1201, Pine Ridge, SD 57770.

Documents must be transmitted securely through encrypted email or secure transfer to the primary point of contact, Raine Little, PRSU Administration, (605) 867-3390, Raine.Little@ihs.gov, with courtesy copy to COR II/TPOC as applicable.

2.4.4 Employee Health and Training

The Contractor shall comply with the PRSU Employee Health Program policy to ensure all Contractor staff are free from communicable diseases or other conditions that may impair their ability to perform assigned duties.

Contractor personnel shall provide proof of required immunizations and health screenings to the PRSU Employee Health Department within seven calendar days of employment. Required immunizations and screenings include, but are not limited to, measles, mumps, and rubella; varicella; tetanus, diphtheria, and pertussis; tuberculosis testing; hepatitis A; hepatitis B; annual influenza; meningococcal; shingles; and COVID-19 vaccination series.

Contractors shall remain current on all vaccinations as required by PRSU policy. Failure to comply with employee health requirements may result in suspension from duty until deficiencies are corrected.

Employee Health point of contact: JoDee Bettelyoun, Employee Health Nurse, (605) 867-3286, Jodee.Bettelyoun@ihs.gov.

All Contractor staff shall attend New Employee Orientation prior to assuming duties under this contract. New Employee Orientation is conducted every other week at PRSU. Contract staff shall complete all PRSU-required orientation modules, mandatory trainings, and annual refresher trainings as directed. The Contractor is responsible for ensuring all staff remain current with required annual trainings throughout the performance period. Staff who fail to complete required training shall not be permitted to perform services until compliance is achieved.

2.5 Task Five: Support Quality, Safety, and Performance Improvement The Contractor shall provide services in a manner that supports patient safety, quality of care, infection control, peer review, and performance improvement.

2.5.1 Quality of Care

The Contractor shall ensure that all care provided under this contract is clinically appropriate, patient-centered, timely, and consistent with accepted standards of medical practice. Contractor personnel shall comply with PRSU clinical policies, medical staff bylaws, infection control requirements, personal protective equipment standards, chaperone policy, patient safety procedures, and applicable accreditation standards.

2.5.2 Peer Review

The Contractor shall conduct ongoing peer reviews of hospitalist and nocturnist clinical performance in accordance with medical staff bylaws, IHS policy, and applicable accreditation standards. Peer reviews are intended to evaluate the quality, appropriateness, and effectiveness of medical care provided by Contractor personnel and to ensure that patient care meets accepted clinical and professional standards.

The Contractor shall establish and maintain a peer review process consistent with hospital and PRSU quality assurance procedures. Reviews shall be performed by qualified physicians who are independent of the individual being reviewed and who possess comparable clinical credentials. Peer review shall address, at a minimum, accuracy and completeness of EHR documentation, compliance with clinical protocols and hospital policies, appropriateness of diagnosis and treatment, and responsiveness to patient needs and interdisciplinary collaboration.

The Contractor shall share peer review findings, summaries, and trend analyses with the PRSU Chief of Medical Staff and/or Contracting Officer's Representative in accordance with established hospital procedures. Reports shall be submitted quarterly or more frequently if requested and must include aggregate data, corrective actions taken, and performance improvement recommendations. All peer review documentation shall be handled consistent with confidentiality requirements and federal privacy laws, including the Privacy Act and HIPAA.

2.5.3 Corrective Action

When peer review or Government review identifies deficiencies in care, documentation, conduct, or performance, the Contractor shall develop and implement a Corrective Action Plan within 30 calendar days of notification unless otherwise directed by the Contracting Officer. The Corrective Action Plan shall outline specific actions, responsible parties, and timelines for resolution, and shall be reviewed by PRSU for adequacy and compliance.

PRSU reserves the right to participate in or independently conduct peer reviews as necessary. The Government may request access to Contractor peer review documentation to verify compliance, evaluate quality performance, or support credentialing actions.

2.6 Task Six: Coordinate Referrals, Transfers, Purchased/Referred Care, and Pharmacy Requirements The Contractor shall coordinate referrals, transfers, outside care needs, and medication-related requirements when services cannot be provided at PRSU or when additional coordination is necessary for patient care.

2.6.1 Purchased/Referred Care

Contractor Hospitalists shall provide treatment at PRSU facilities whenever possible. If services are required that cannot be performed at PRSU, the Contractor shall initiate a referral in the Electronic Health Record in accordance with PRSU procedures. The referral shall include sufficient clinical justification to support the request for outside care. Once submitted, the referral will be reviewed by the PRSU Purchased/Referred Care Department. The Contractor is responsible for ensuring all referrals are complete, accurate, and compliant with PRSU policy.

2.6.2 Transfers

The Contractor shall coordinate medically necessary transfers to higher levels of care when a patient's condition exceeds PRSU capabilities. Transfer coordination shall include clinical stabilization, communication with receiving facilities, required documentation, and communication with PRSU staff involved in patient care.

2.6.3 Pharmaceuticals

Contractor Hospitalists authorized to prescribe shall do so in accordance with the PRSU IHS formulary. Substitutions of generic drugs for prescribed medications shall follow instructions provided by PRSU Pharmacy Services. Medications not listed on the formulary require prior approval by the PRSU Pharmacy and Therapeutics Committee. Requests for non-formulary drugs must be initiated by completing a non-formulary drug request form, which will be reviewed at the next scheduled Pharmacy and Therapeutics Committee meeting. The Contractor is responsible for ensuring all prescribing practices are compliant with PRSU policy and federal prescribing regulations.

2.7 Task Seven: Comply with Administrative and Contract Requirements The Contractor shall comply with all administrative requirements necessary to support contract performance, payment, accountability, and facility operations.

2.7.1 Timekeeping

Contractor personnel shall record work hours using the PRSU time clock system or other approved timekeeping system identified in the contract. Timesheets shall capture daily time in and time out and a mandatory 30-minute unpaid lunch break. Time shall be tallied in 15-minute increments. Time worked from one to seven minutes shall be rounded down, and time worked from eight to fourteen minutes shall be rounded up to the nearest quarter hour.

Overtime shall not be worked without prior written approval from the authorized Government official identified in the contract. A Health Information Management Clearance Form must be submitted with each timesheet, verifying zero documentation deficiencies. Timesheets and HIM Clearance Forms must be signed by the appropriate PRSU official for approval. No invoices will be processed unless the associated timesheet and HIM Clearance Form are approved.

The Contract Hospitalist is responsible for ensuring all approved timesheets and HIM Clearance Forms are submitted to both the contracting company and the COR/TPOC.

2.7.2 Invoicing

The Contractor shall submit invoices at a minimum of bi-weekly intervals through the Invoice Processing Platform. Each invoice must include approved timesheets and approved Health Information Management Clearance Forms. Invoices submitted without required documentation shall not be processed for payment.

The Contractor shall be paid for actual hours worked at the fixed hourly rate in accordance with the labor category established under this contract.

Invoices shall be addressed to the Deputy Clinical Director, Brandi.Dimmitt@ihs.gov; Contract Officer Representative, Brian.Julius@ihs.gov; Technical Point of Contact, Simone.Miyasato@ihs.gov; and Great Plains Area Accounts Payable Accountant, Rachel.Olson@ihs.gov, or as otherwise directed in the contract.

2.7.3 Third Party Enrollment

During New Employee Orientation, the PRSU Business Office shall provide Contractor staff with all required Medicare Part B and other insurance provider enrollment documentation. Contractor staff shall complete all enrollment forms to the satisfaction of the PRSU Business Office in order to confirm insurance enrollment. No timesheets or invoices will be approved or processed until all required enrollment documentation is completed and verified. The enrollment process generally requires two to three business days for approval.

2.7.4 Identification and Facility Access

Upon clearance to begin work, each contract Hospitalist shall obtain a PRSU IHS work identification badge from the PRSU IHS Information Technology Department. Contractor personnel shall wear their identification badge at all times while on duty or performing services under this contract. Failure to display the badge may result in denial of access to PRSU facilities.

2.8 Task Eight: Provide Contractor Management and Personnel Oversight The Contractor shall manage its personnel and ensure successful performance of all requirements under this contract. The Contractor remains responsible for employee supervision, scheduling support, leave coverage, replacement of personnel, conduct, performance, and compliance with contract requirements.

2.8.1 Non-Personal Services and Contractor Personnel Management All services provided under this contract are non-personal services. No employer-employee relationship exists or will exist between the Government and Contractor personnel. Contractor personnel shall not be supervised or formally evaluated by Government personnel, except for peer review and authorized clinical coordination; placed in positions of supervision or control over Government staff or other contractors; or integrated into the Government as de facto employees.

The Government may provide necessary clinical and task-related coordination to Contractor personnel to ensure patient safety and operational efficiency. Such coordination does not alter the non-personal services nature of this contract.

The Contractor is fully responsible for the performance and conduct of its personnel. This includes completion and accuracy of timekeeping; approving and providing coverage for leave requests; addressing quality of work issues and performance concerns; maintaining motivation, morale, and responsiveness of staff; and ensuring continuity of services in the absence of on-site contractor supervisors.

2.8.2 Replacement of Personnel

The Government reserves the right to require removal and replacement of Contractor personnel for failure to meet required qualifications, failure to maintain privileges, substandard performance, unacceptable conduct, behavior concerns, security or suitability concerns, patient safety concerns, or failure to comply with contract requirements.

Replacement personnel must meet all contract, credentialing, privileging, employee health, security, and training requirements before performing services.

2.8.3 Contractor-Furnished Property

The Contractor shall furnish and maintain a working form of communication, such as cellular phone or pager, for all Contractor personnel at its own expense. The Contractor shall provide and maintain an electronic time clock system with required software to accurately record hours worked. The Contractor shall ensure that the time clock system is connected to the internet. LTE or cellular-based connectivity is preferred. All costs associated with Contractor-furnished property shall be the responsibility of the Contractor.

3.0 Contractor Quality Assurance

The Contractor shall establish and maintain an internal quality assurance process to ensure all services performed under this contract meet the requirements of this PWS, applicable PRSU policies, medical staff bylaws, credentialing and privileging requirements, federal regulations, and accepted standards of medical practice.

The Contractor's quality assurance process shall address clinical performance, documentation accuracy and timeliness, staffing continuity, credentialing and privileging compliance, employee health compliance, security compliance, patient safety, peer review, corrective action, and responsiveness to Government-identified concerns.

The Contractor shall monitor its own performance and take timely corrective action when deficiencies are identified. The Contractor's quality assurance activities do not replace the Government's right to inspect, review, monitor, or accept services in accordance with the contract.

3.1 Contractor Quality Control Responsibilities

The Contractor shall ensure all Contractor personnel meet licensing, credentialing, privileging, security, employee health, and training requirements before performing services. The Contractor shall maintain continuous hospitalist coverage in accordance with the contract schedule and staffing requirements. The Contractor shall monitor the quality, timeliness, and completeness of clinical documentation. The Contractor shall conduct peer review of Hospitalist/Physician services in accordance with applicable medical staff, PRSU, IHS, and accreditation requirements.

The Contractor shall identify and correct performance, conduct, documentation, or quality-of-care deficiencies. The Contractor shall provide qualified replacement personnel when required to prevent interruption of services. The Contractor shall maintain records supporting compliance with contract requirements and communicate significant performance or compliance issues to the Contracting Officer, Contracting Officer's Representative, Technical Point of Contact, or designated PRSU point of contact.

3.2 Performance Measures

The Government may assess the Contractor's performance using the following performance measures.

Coverage and Staffing: The Contractor shall maintain required Hospitalist/Physician coverage for scheduled shifts without unauthorized gaps in service. Performance may be assessed through schedule reviews, timesheet reviews, COR/TPOC observation, and incident reports.

Credentialing and Privileging: Contractor personnel shall be fully credentialed and privileged before providing clinical services and shall maintain all required qualifications throughout the period of performance. Performance may be assessed through credentialing file reviews, Medical Staff Office verification, and compliance records.

Security and Suitability: Contractor personnel shall complete all required background investigation, suitability, and Personal Identity Verification requirements before participating in work under the contract. Performance may be assessed through HSPD-12/suitability verification, PIV issuance records, and facility access records.

Clinical Care Quality: Services shall be provided in accordance with accepted medical standards, approved privileges, PRSU policies, and medical staff bylaws. Performance may be assessed through peer review, chart review, quality assurance reports, patient safety reports, and medical staff review.

EHR Documentation: Medical records shall be accurate, complete, timely, authenticated, and compliant with PRSU Health Information Management requirements. Performance may be assessed through EHR audits, HIM deficiency reports, HIM Clearance Forms, and chart reviews.

HIM Clearance: Contractor personnel shall obtain required Health Information Management clearance with zero unresolved documentation deficiencies at the end of each rotation. Performance may be assessed through HIM Clearance Form reviews, timesheet package reviews, and invoice support reviews.

Referral and Transfer Coordination: Referrals and transfers shall include appropriate clinical justification, required documentation, and timely coordination. Performance may be assessed through EHR reviews, Purchased/Referred Care reviews, transfer documentation reviews, and case reviews.

Employee Health and Training: Contractor personnel shall remain compliant with required immunizations, screenings, orientation, and annual training requirements. Performance may be assessed through Employee Health records, training completion records, and compliance reports.

Peer Review and Corrective Action: Peer reviews shall be completed, and findings, trends, and corrective actions shall be reported as required. Performance may be assessed through peer review summaries, quarterly reports, and corrective action plans.

Administrative Compliance: Timesheets, HIM Clearance Forms, invoices, and required supporting documentation shall be complete, accurate, and submitted on time. Performance may be assessed through invoice reviews, timesheet reviews, COR/TPOC review, and Accounts Payable feedback.

Professional Conduct: Contractor personnel shall maintain professional conduct, comply with PRSU policies, and interact appropriately with patients, staff, and the public. Performance may be assessed through COR/TPOC observation, patient complaints, staff feedback, and incident reports.

3.3 Quality Assurance Documentation

The Contractor shall maintain documentation demonstrating compliance with quality assurance requirements. Documentation may include credentialing and privileging records, licenses and certifications, background investigation and PIV compliance records, employee health and immunization records, training completion records, shift coverage schedules, timesheets, HIM Clearance Forms, peer review summaries, Corrective Action Plans, quality improvement reports, and incident or complaint follow-up documentation.

The Contractor shall provide quality assurance documentation to the Government upon request, subject to applicable privacy, confidentiality, peer review, and patient information protection requirements.

3.4 Corrective Action

If the Government identifies a performance deficiency, the Contractor shall respond within the timeframe specified by the Contracting Officer, Contracting Officer's Representative, or designated Government representative.

Corrective Action Plans shall include a description of the deficiency, root cause or contributing factors, corrective steps to be taken, responsible Contractor personnel, target completion date, measures to prevent recurrence, and method for confirming resolution.

Failure to correct deficiencies may result in remedies available under the contract, including rejection of services, withholding of payment for unsupported or noncompliant services, removal and replacement of Contractor personnel, termination, or other remedies available to the Government.

4.0 Delivery or Deliverables

Timely submission of deliverables and reports is essential to successful performance of this requirement. The Contractor shall prepare and submit all required deliverables in accordance with the content, schedule, format, quantity, and submission instructions identified in this PWS.

All deliverables shall be accurate, complete, timely, and submitted to the designated PRSU point of contact. Deliverables containing personally identifiable information, protected health information, credentialing information, peer review information, security information, or other sensitive data shall be transmitted using secure methods approved by the Government.

The Government may reject incomplete, inaccurate, late, or noncompliant deliverables and require the Contractor to correct and resubmit the deliverable at no additional cost to the Government.

4.1 Deliverable Requirements

The Contractor shall submit credentialing and privileging documentation for each proposed Hospitalist/Physician provider no later than 30 to 45 calendar days prior to the proposed start date, and as required for renewal, reappointment, expiration, or change in status. One copy per provider shall be submitted by secure email, secure data transfer, or fax to Tammy Bailey, Medical Staff Coordinator, and any other designated PRSU credentialing official.

The Contractor shall submit character investigation, suitability, and security documentation for each proposed provider no later than 30 calendar days prior to the proposed start date, or as otherwise directed by the HSPD-12/Suitability Office. One copy per provider shall be submitted by secure email, secure data transfer, tracked mail, or other Government-approved method to the HSPD-12 Representative, Supervisor, COR/TPOC, or other designated PRSU official.

The Contractor shall submit employee health documentation for each provider within seven calendar days of employment and annually thereafter, or as otherwise required by PRSU policy. One copy per provider shall be submitted by hand delivery or another approved secure submission method to the Employee Health Nurse. The COR shall be notified of any noncompliance.

The Contractor shall submit training and orientation completion records for each provider before the provider assumes duties and annually thereafter, as required by PRSU policy. One copy per provider shall be submitted through the approved PRSU training record system or other secure submission method to the COR/TPOC or designated PRSU training point of contact.

The Contractor shall submit a Health Information Management Clearance Form at the end of each provider rotation and with each timesheet package. One original or approved electronic copy shall be submitted by hand delivery or approved electronic submission to the Supervisory Hospitalist, Clinical Director, COR/TPOC, or other designated PRSU official.

The Contractor shall submit timesheets bi-weekly, or as otherwise required by the contract. One original or approved electronic copy shall be submitted by hand delivery or approved electronic submission to the Supervisory Hospitalist, Clinical Director, TPOC/COR, or other designated PRSU official.

The Contractor shall submit invoices at a minimum of bi-weekly intervals through the Invoice Processing Platform. Each invoice shall include all required supporting documentation, including approved timesheets and Health Information Management Clearance Forms. Invoices shall be submitted through IPP, with email distribution as required, to the Deputy Clinical Director, COR, TPOC, Great Plains Area Accounts Payable Accountant, and any other designated Government official.

The Contractor shall submit peer review summaries and quality assurance reports quarterly, or more frequently if requested by the Government. One copy shall be submitted by secure email or other approved secure submission method to the PRSU Chief of Medical Staff, COR/TPOC, or other designated PRSU official.

The Contractor shall submit a Corrective Action Plan within 30 calendar days of notification of a deficiency, unless a different timeframe is specified by the Contracting Officer or COR. One copy shall be submitted by secure email or other approved secure submission method to the Contracting Officer, COR/TPOC, or designated PRSU official.

The Contractor shall submit updated licenses, certifications, DEA registration, liability insurance, CME documentation, and other professional qualification records upon renewal, expiration, change, or Government request. One copy per provider shall be submitted by secure email, secure data transfer, or fax to the Medical Staff Coordinator, COR/TPOC, or other designated PRSU official.

4.2 Draft and Final Deliverables

When a written deliverable is required in draft form, the Government will review the draft and provide comments within the timeframe specified by the Contracting Officer or COR. Unless otherwise stated in writing, the Contractor shall submit the final version within five business days after receiving Government comments.

For routine administrative deliverables, including timesheets, invoices, credentialing documents, security documents, employee health records, training records, and HIM Clearance Forms, draft submissions are not required unless specifically requested by the Government.

4.3 Deliverable Acceptance

Deliverables shall be subject to Government review for completeness, accuracy, timeliness, and compliance with contract requirements. Acceptance of a deliverable does not waive the Government's right to identify performance deficiencies, require corrective action, withhold payment for unsupported or noncompliant services, or pursue other remedies available under the contract.

4.4 Notice to Contractors: Protection and Ownership of Information All information and data related to this contract that the Contractor gathers, generates, receives, or obtains shall be protected from unauthorized release and shall be considered the property of the Government.

The Contractor shall not release, disclose, publish, reproduce, or use contract-related information, patient information, Government records, credentialing information, peer review information, security information, or other sensitive information except as authorized in writing by the Contracting Officer or as required for performance of this contract.

The Contracting Officer is the sole authorized official to approve the release, verbally or in writing, of any data, draft deliverables, final deliverables, written materials, printed materials, electronic materials, press releases, marketing materials, or other…