SSN_TMSU.docx
DOCX document 26 KB Posted
- Solicitation number
- IHS1532109
About this file
This is a Sources Sought document for the Indian Health Service (IHS) seeking capability information from Indian Small Business Economic Enterprises (ISBEEs), Indian Economic Enterprises (IEEs), small businesses, and other responsible sources for qualified Certified Registered Nurse Anesthetists (CRNAs) services at Quentin N. Burdick Memorial Healthcare Facility in Belcourt, North Dakota.
The requirement is for up to two CRNAs to provide inpatient, outpatient, and emergency anesthesia care for patients of all ages within approved scope and facility-granted privileges. Services will be delivered in fourteen-day assignment blocks, staffed by either one CRNA for fourteen days or two CRNAs for seven days each, with standard clinical hours of 7:00 a.m. to 3:30 p.m. on weekdays and scheduled night, weekend, and Federal holiday on-call and call-back coverage. Respondents should recommend feasible schedules and clarify whether coverage extends to assigned blocks only or continuous coverage. The anticipated contract structure is a firm-fixed-price arrangement for commercial, non-personal healthcare services, priced monthly and including defined clinical and call coverage with associated contractor costs. The tentative start date is February 1, 2027, with a six-month base period and four six-month option periods, subject to change. Services commence only after award and completion of required onboarding, credentialing, and privileging. The anticipated NAICS code is 621399 (Offices of All Other Miscellaneous Health Practitioners) with a small business size standard of $10 million in average annual receipts. The IHS is considering a Buy Indian Act set-aside under 25 U.S.C. 47 and applicable HHSAR requirements as part of acquisition planning.
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Other files
| File | Type | Posted |
|---|---|---|
| PWS.docx | DOCX document | |
| QASP_MR_Draft.docx | DOCX document | |
| IEE Representation Form.pdf |
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Text version
Turtle Mountain Service Unit | Quentin N. Burdick Memorial Health Care Facility
Sources Sought Notice Certified Registered Nurse Anesthetist Services Notice Number: IHS1532109 Quentin N. Burdick Memorial Healthcare Facility Belcourt, North Dakota Market Research Only
1.0 Notice Type
This Sources Sought Notice is issued for informational and planning purposes only and shall not be construed as a solicitation, request for quotation (RFQ), request for proposal (RFP), obligation, or commitment by the Indian Health Service (IHS), U.S. Department of Health and Human Services (HHS).
The purpose of this notice is to determine the availability and capability of Indian Small Business Economic Enterprises (ISBEEs), Indian Economic Enterprises (IEEs), small businesses, and other responsible sources capable of performing the requirement described herein. Responses will assist the Government in determining an appropriate acquisition strategy, including consideration of a set-aside under the Buy Indian Act (25 U.S.C. 47) and HHSAR Subpart 326.71, as revised by HHSAR Class Deviation 2026-25. No set-aside determination is announced by this notice.
The anticipated North American Industry Classification System (NAICS) code is 621399 – Offices of All Other Miscellaneous Health Practitioners, with a small business size standard of $10 million in average annual receipts, subject to Contracting Officer confirmation. Respondents may recommend another NAICS code with supporting rationale.
2.0 Background
The Quentin N. Burdick Memorial Healthcare Facility, an IHS facility in Belcourt, North Dakota, requires contracted CRNA services to supplement existing anesthesia staffing, support leave coverage, and maintain continuity of patient care. The anticipated requirement is for up to two (2) qualified CRNAs to provide scheduled anesthesia services and on-call coverage.
3.0 Objective
The objective is to identify sources capable of recruiting, credentialing, placing, and retaining qualified CRNAs to provide anesthesia services for patients of all ages within their approved scope of practice and facility-granted privileges. Sources must demonstrate an ability to sustain scheduled coverage and provide qualified replacements when necessary.
4.0 Scope
The Contractor would provide up to two (2) qualified CRNAs, personnel management, supervision, transportation, and resources necessary to perform the requirement, except for Government-furnished items and services identified in the draft Performance Work Statement (PWS). The draft PWS and Quality Assurance Surveillance Plan (QASP) are available in this SAM.gov notice's attachments/links.
Clinical services
| • | Pre-anesthesia assessments, clinical examinations, consultation, and preparation of anesthesia plans and related documentation. |
| • | Anesthesia services for inpatient, outpatient, and emergency procedures, including general, regional, and local anesthesia within approved privileges. |
| • | Airway management, maintenance of life support functions, recognition and management of anesthesia emergencies, and consultation when indicated. |
| • | Post-anesthesia evaluation and follow-up, timely medical record completion, patient and family education, and participation in facility quality improvement and medical staff activities. |
Staffing and coverage
| • | Usual weekday clinical hours of 7:00 a.m. to 3:30 p.m., Monday through Friday, with on-call and call-back coverage during weeknights, weekends, and Federal holidays as scheduled. |
| • | Coverage blocks of fourteen (14) consecutive days, which may be staffed by one CRNA for fourteen days or two CRNAs for seven days each. During assigned blocks, home call is anticipated on Saturdays and Sundays and on weekdays outside the usual clinical hours. |
| • | Qualified replacement coverage for absences and provider changes, with continuity of patient care and completion of required credentialing and privileging before clinical service begins. |
Assignment frequency and coverage between fourteen-day blocks remain under development. Recommend schedules specifying block-only or continuous coverage and identify call obligations. Final requirements will be established in any subsequent solicitation.
Provider qualifications and contractor responsibilities
| • | Current, unrestricted nursing licensure and applicable advanced practice authorization; current nurse anesthesia board certification; and facility credentialing and clinical privileges before providing care. |
| • | Current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP) certifications, as required by the draft PWS; and active anesthesia practice within the preceding year. |
| • | Compliance with facility onboarding, employee health, background investigation, privacy, information security, infection control, and patient safety requirements. |
| • | Medical liability insurance consistent with the draft PWS, including at least $1 million per occurrence and $3 million aggregate; and, for claims-made coverage, an extended reporting endorsement of at least three years after the contract term. |
| • | A contractor quality control program, cooperation with Government surveillance under the QASP, and responsibility for travel, lodging, per diem, and other contractor costs identified in the draft PWS. |
The Contractor would manage its personnel, subject to facility credentialing, privileging, clinical standards, and contract performance requirements.
5.0 Contract Type and Monthly Pricing Basis
The Government anticipates a firm-fixed-price contract for commercial, non-personal healthcare services, priced on a monthly basis. The anticipated pricing unit is one month (MO) of the required CRNA coverage. The firm-fixed monthly price would include all required scheduled clinical services, standby/on-call availability, call-back services, holiday coverage, qualified replacement coverage, personnel management, travel, lodging, insurance, and other contractor costs necessary to meet the defined requirement. Payment would be based on satisfactory performance of the required monthly coverage, rather than reimbursement for labor hours worked. Final monthly coverage requirements, pricing schedules for the base and option periods, and treatment of partial months will be established in any subsequent solicitation.
6.0 Period of Performance
The tentative performance start date is February 1, 2027. The anticipated contract structure is:
| • | Base Period: Six (6) months beginning on the date established in the award. |
| • | Option Periods: Four (4) consecutive six (6)-month option periods. |
The February 1, 2027, start date is for planning purposes and is subject to change. Services may begin only after contract award and completion of required onboarding, credentialing, and privileging. Final performance dates and option provisions will be specified in any subsequent solicitation and resulting contract.
7.0 Place of Performance
Quentin N. Burdick Memorial Healthcare Facility Indian Health Service Belcourt, North Dakota 58316
8.0 Payment and Invoice Submission
For any resulting contract, invoices would identify the applicable monthly line item, service period, and firm-fixed monthly price. Payment would be subject to Government acceptance and the contract terms. Payment requests would be submitted electronically through the U.S. Department of the Treasury Invoice Processing Platform (IPP), or its successor system, in accordance with HHSAR 352.232-71 and award instructions, unless an applicable exception or written authorization for alternate procedures applies. Information is available at https://www.ipp.gov. No invoice or payment request is requested in response to this notice.
9.0 Capability Statement Submission Requirements
Interested parties are requested to submit capability statements addressing the following:
1. General Capability Assessment Describe your understanding of the requirement, staffing approach, capacity to provide up to two CRNAs, ability to cover the proposed fourteen-day blocks and after-hours call, and any challenges or recommended changes.
2. Relevant Experience and Performance History Provide examples of comparable Federal, State, Tribal, or commercial anesthesia staffing contracts. Describe scope, location, performance period, staffing levels, on-call responsibilities, and experience maintaining coverage in rural or remote facilities. Include customer references when available.
3. Technical Capability Explain your ability to meet the draft PWS and QASP requirements, including provider qualifications; recruitment and retention; credentialing and privileging support; background and onboarding requirements; malpractice coverage; documentation; quality control; and qualified replacement coverage. Identify anticipated mobilization lead time and provider availability. Describe how your staffing approach supports safe scheduling and continuity of care.
4. Business Information
| • | Organization name, address, and Unique Entity Identifier (UEI); CAGE code, if available; and SAM.gov registration status. |
| • | Point of contact name, telephone number, and email address. |
| • | Applicable NAICS code(s), business size under the anticipated NAICS code, and socioeconomic status, including applicable small business program certifications. |
| • | IEE and/or ISBEE status, if applicable. Identify the Tribe(s) relied upon for that status and provide the current IHS Indian Economic Enterprise Representation form, available through https://www.ihs.gov/dap/, if claiming such status. |
5. Contract Vehicles Identify any applicable GSA Schedule, Federal Supply Schedule, Government-Wide Acquisition Contract, or other procurement vehicle, including contract number and applicable service category.
6. Additional Information Recommend refinements to the PWS, QASP, schedule, or acquisition strategy. Optional nonbinding estimates should state an all-inclusive firm-fixed monthly price for each proposed coverage approach. Identify coverage days and sequence, coverage between fourteen-day assignments, staffing rotations, clinical services, standby/on-call and call-back services, holidays, and minimum coverage commitments. Price alternative approaches separately and identify any base/option price differences. Hourly quotations and formal proposals are not requested.
10.0 Submission Instructions
Capability statements shall not exceed ten (10) single-sided pages, including all attachments, resumes, organizational charts, and supporting documentation. Submissions shall use a minimum 12-point font, Microsoft Word or PDF format, 8.5 x 11-inch pages, and 1-inch margins on all sides.
Submit responses by email to David.Jones@ihs.gov using the subject line specified in Section 12. Proprietary information shall be clearly identified and marked. Submissions will be used for market research and acquisition planning, and proprietary information will be handled in accordance with applicable law and regulations. Do not submit patient information, Social Security numbers, banking information, or individual provider health records.
11.0 Closing Statement and Disclaimer
This Sources Sought Notice is issued for informational and planning purposes only. It does not constitute a solicitation, request for quotation, request for proposal, or commitment by the Government. The Government will not reimburse respondents for any costs associated with preparing or submitting a response.
The Government may use information submitted for acquisition planning and requirement development. Submission does not guarantee receipt of a future solicitation or contract award. The Government is under no obligation to provide individual feedback, acknowledgment, or responses regarding submissions.
After reviewing responses, the Government may issue an RFQ or other formal solicitation on SAM.gov. Responses to this notice are not offers and cannot be accepted for award.
12.0 Point of Contact
David Jones Contract Specialist Indian Health Service Great Plains Area, Division of Acquisition Management Email: David.Jones@ihs.gov Subject Line for Submission:
Sources Sought Notice: IHS1532109 – CRNA Services – Belcourt ND
13.0 Due Date
All responses must be received no later than:
November 23, 2026, at noon Central Time.
IHS1532109 | CRNA Services Page 1
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