_Solicitation_IHS5417160.pdf

Youth Intervention Program for Sexual and Reproductive Health Chinle Comprehensive Health Care Facility

Solicitation Number: IHS5417160 Date Issued: 05/08/2017 Date Closing: 05/22/2017

This notice is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. The Navajo Area Indian Health Services, Chinle Comprehensive Health Care Facility (CCHCF), Health Promotion is requesting for submittal of offers for a contractor to provide an evidence-based, comprehensive sexual and reproductive health program for youth and families delivered through an innovative summer basketball camp and individualized youth-parent component.

Services shall be performed in strict accordance with the attached Statement of Work

(SOW).

The Chinle Comprehensive Health Care Facility (CCHCF) is based in Chinle, Arizona (Northeast Arizona near Canyon De Chelly National Monument). The CCHCF is a 60 bed hospital which serves as the health care hub for the region. The medical staff includes Family Physicians, Internists, Pediatricians, General Surgeons, OB/GYN's, Anesthesiologists, and a Psychiatrist. In addition to routine outpatient and inpatient primary care, services available to our patients include: Adult Intensive Care, General Surgery (including laparoscopic surgery), routine and operative Obstetrics, and 24-Hour Emergency Room Services. Health care services are provided to approximately 37,000 active users. Strong Navajo cultural traditions exist within the community, offering an opportunity to learn the Navajo language, or to learn about traditional Navajo medicine.

EVALUATION CRITERIA

The Government reserves the right to issue a single award or multiple awards to the contractor(s) whose quote represents the best value as defined by FAR 2.101. In determining best value, the following Evaluation Factors will be considered: Past Performance, Capabilities, & Qualifications. The Evaluation Factors and significant sub factors when combined are significantly more important than cost or price. The socio-economic status of an offeror may also be considered, should one or more quotes represent the best value.

OFFER CONTENT

To be considered for award, your offer shall include all the following documents.

1) Complete and sign the attached Pricing Schedule. The Government will consider competitive rates upon negotiation.

2) The Contractor shall provide information on key personnel who have a Master’s in Public Health. A copy of the degree shall be provided.

3) The Contractor shall provide studies proving their curriculum has worked effectively in other areas.

4) The Contractor shall provide your Plan of Action on how services will be delivered.

5) The Contractor shall provide evidence in experience in providing services of similar scope and complexity to Federal Government or other large commercial/government entities within the last three (3) years of operation.

6) The Contractor shall provide evidence that your offer meets the requirements listed in the Statement of Work (SOW).

OFFER SUBMITTAL

Email you offer to the Contracting Officer for this action is: Tanya Begay, Supervisory Contract Specialist, 928-674-7635, tanya.begay2@ihs.gov . Questions may be submitted via email to the Contracting Officer by May 15, 2017, 5:00pm MST.

CLAUSES AND PROVISIONS

Department of Health and Human Services Applicable Clauses:

352.202-1 Definitions. (JAN 2006) 352.224-70 Privacy Act (DEC 2015) 352.226-1 Indian Preference (DEC 2015) 352.226-2 Indian Preference Program (DEC 2015)

352.237-70 Pro-Children Act. (Dec 2015)

(a) Public Law 103-227, Title X, Part C, also known as the Pro-Children Act of 1994 (Act), 20 U.S.C. 7183, imposes restrictions on smoking in facilities where certain federally funded children's services are provided. The Act prohibits smoking within any indoor facility (or portion thereof), whether owned, leased, or contracted for, that is used for the routine or regular provision of: (i) kindergarten, elementary, or secondary education or library services or (ii) health or day care services that are provided to children under the age of 18. The statutory prohibition also applies to indoor facilities that are constructed, operated, or maintained with Federal funds.

(b) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all subcontracts awarded under this contract for the specified children's services. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act. Failure to comply with the Act may result in the imposition of a civil monetary penalty in an amount not to exceed $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity. Each day a violation continues constitutes a separate violation.

352.237-71 Crime Control Act of 1990-Reporting of Child Abuse (Dec 2015)

(a) Public Law 101-647, also known as the Crime Control Act of 1990 (Act), imposes responsibilities on certain individuals who, while engaged in a professional capacity or activity, as defined in the Act, on Federal land or in a federally-operated (or contracted) facility, learn of facts that give the individual reason to suspect that a child has suffered an incident of child abuse.

(b) The Act designates covered professionals as those persons engaged in professions and activities in eight different categories including, but not limited to, teachers, social workers, physicians, dentists, medical residents or interns, hospital personnel and administrators, nurses, health care practitioners, chiropractors, osteopaths, pharmacists, optometrists, podiatrists, emergency medical technicians, ambulance drivers, alcohol or drug treatment personnel, psychologists, psychiatrists, mental health professionals, child care workers and administrators, and commercial film and photo processors. The Act defines the term child abuse as the physical or mental injury, sexual abuse or exploitation, or negligent treatment of a child.

(c) Accordingly, any person engaged in a covered profession or activity under an HHS contract or subcontract, regardless of the purpose of the contract or subcontract, shall immediately report a suspected child abuse incident in accordance with the provisions of the Act. If a child is suspected of being harmed, the appropriate State Child Abuse Hotline, local child protective services (CPS), or law enforcement agency shall be contacted. For more information about where and how to file a report, the Childhelp USA, National Child Abuse Hotline (1-800-4-A-CHILD) shall be called. Any covered professional failing to make a timely report of such incident shall be guilty of a Class B misdemeanor.

(d) By acceptance of this contract or order, the Contractor agrees to comply with the requirements of the Act. The Act also applies to all applicable subcontracts awarded under this contract. Accordingly, the Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understands, and complies with the provisions of the Act.

Additional Applicable Federal Acquisition Clauses 52.204-7 System Award Management (Oct 2016) 52.212-4 Contract Terms and Conditions—Commercial Items (Jan 2017) 52.224-1 Privacy Act Notification (Apr 1984) 52.224-2 Privacy Act (Apr 1984) 52.229-3 Federal, State, and Local Taxes (Feb 2013) 52.232-33 Payment by Electronic Funds Transfer - System for Award Management (Jul 2013) 52.237-2 Protection of Government Buildings, Equipment, and Vegetation (Aug 1984) 52.237-3 Continuity of Services (Jan 1991) 52.232-40 Providing Accelerated Payments to Small Business Sub-Contractors (Dec 2013) 52.232-18 Availability of Funds (APR 1984)

Health Insurance Portability and Accountability Act (HIPAA) The Indian Health Service (IHS) is required to comply with HIPAA in the provision of health care to IHS patients. HIPAA was implemented by the U.S. Department of Health and Human Services, Office of Civil Rights, under the Code of Federal Regulations, Part 160 and

164. Accordingly, all health care providers, including contracted health care providers are required to comply with HIPAA requirements (Full text will be furnished upon request).

ATTACHMENTS:

-Statement of Work (SOW) -Pricing Schedule

Statement of Work Services In Partnership with the Chinle Service Unit:

Health Promotion Program

1. Scope

a. Background

Despite alarming rates of sexually transmitted infection (STI) and unintended pregnancy among adolescents and young adults in Navajo communities, there are few evidence-based interventions developed for and with American Indian populations. The Chinle Service Unit: Health Promotion Program, sees a need for a Contractor to provide services focused on holistic interventions that provide youth with essential education and skills training to promote sexual and reproductive health.

The Contractor shall have a long history of successfully implementing public health programs in partnership with communities across the Navajo Nation. The Contractor shall be uniquely positioned to address the current need identified by the Navajo Nation Health Department by disseminating the evidence-based program: Respecting the Circle of Life: Mind, Body and Spirit (RCL).

RCL is an evidence-based, comprehensive sexual and reproductive health program for youth and families delivered through an innovative summer basketball camp and individualized youth-parent component. RCL incorporates culturally appropriate education and activities to increase awareness for prevention of STIs, unintended pregnancy and sexual violence. It was developed in partnership with the White Mountain Apache Tribe, and has been proven effective in improving:

• Sexual health prevention knowledge and attitudes

• Partner negotiation skills related to sex and substance use

• Conversations with parents and family about sexual health

• Condom use intention and condom use self-efficacy

The RCL Program is designed to be delivered by facilitators, Native community health workers, from communities where families are served. Eight sessions are taught during an eight-day summer basketball camp to small groups of peers divided by gender and age. A 9th lesson is taught to the youth by a facilitator together with their parent or another trusted adult in their home. RCL is poised for replication and dissemination through a rigorous process of training and technical assistance provided by the Contractor staff.

RCL curriculum provides a ready platform for promoting sexual and reproductive health as well as skills training for healthy adolescent development. Curriculum content includes:

1. Communication around sex and substance use

2. Healthy relationships training

3. Sexual violence education

4. Partner negotiation skills

5. Problem-solving skills

6. Sexual health decision-making skills

7. Condom use skills

8. Contraception education

9. Values clarification

10. Goal-setting

11. Parent-adolescent communication

12. Parental monitoring

The partnership between the Contractor and the Chinle Service Unit: Health Promotion Program shall start with a preparation phase to identify a local program coordinator/ liaison, build community collaborations and infrastructure to host a summer basketball camp, and tailor the RCL curriculum to the local context. After preparation we shall begin a training phase in which selected Chinle Service Unit staff members shall be trained by the Contractor in the tailored RCL curriculum for implementation. The training process shall follow the existing the Contractor protocol for providing a week-long training, and week-long refresher training, in addition to pre-training and post-training technical assistance to the implementing site.

The Contractor shall provide training to cover up to 12 trainees who will each receive the packaged RCL curricular set (including: 9 lessons; facilitator implementation manual; and facilitator resource “box”). The Center can provide training for additional trainees upon request from the Chinle Service Unit: Health Promotion Program and a supplemental contract can be developed to cover those costs.

The next phase shall be implementation. The local site shall host a summer basketball camp to deliver the 8-lesson RCL curriculum (summer, 2017) and the parent-youth lesson (within 3 months after camp). The remainder of the contract will be devoted to sustainability and include a booster training, along with ongoing technical assistance to the local site for sustained implementation of the RCL program (second summer camp, 2018) and parent-youth lesson (within 3 months of second camp).

b. Purpose

Goal: To disseminate the Respecting the Circle of Life program to Navajo youth to address risk and protective factors and promote sexual and reproductive health, and to train and support the Chinle Service Unit: Health Promotion Program in RCL program implementation and sustainability.

2. Requirements:

a. Tasks

To achieve this goal, the Contractor shall partner with the Chinle Service Unit: Health Promotion Program to accomplish the following aims in three phases:

Preparation:

1. Chinle Service Unit: Health Promotion Program shall identify a local program coordinator/liaison from the Chinle Service Unit as well as staff member(s) and supervisor(s) who will lead RCL implementation at the local site.

2. The Contractor shall support the Chinle Service Unit: Health Promotion Program to identify community collaborators to organize and launch a summer sports camp. This shall include identification of:

o Summer camp dates o A local facility including gymnasium for basketball play and breakout classrooms o Basketball coaches o A local vendor to provide lunch and snacks during camp o A local bus service to provide transportation to youth during summer camp dates

3. The local program coordinator/liaison and site team shall work with the Curriculum

Manager to adapt and tailor components of the RCL curriculum to the local context.

Training:

1. Monthly pre-training meetings with the Contractor Curriculum and Program Managers and the local program coordinator/liaison and site team will occur, to begin planning for the training and to initiate discussion about implementation in the community.

2. The local site team shall receive the tailored RCL curriculum package to review curricular content. This shall ensure a solid grounding in curriculum content prior to the training weeks and will facilitate more focus on implementation and quality service delivery.

3. One week-long training will be conducted to provide in-depth training to the site team in the RCL Program. A second week-long refresher training will be conducted to provide refresher training and extra practice and role-playing opportunities. During the last refresher training day, staff will be assessed on delivery of the RCL program. Each staff must pass an exam prior to receiving certification and being allowed to deliver the RCL program. Further, each staff member cannot miss more than four hours of training instruction to be awarded certification. If a staff member misses more than four hours of training during the training weeks, his/her certification will be withheld until that content can be made up by a supervisor. Upon demonstrating competency of curriculum content and ability to effectively deliver the curriculum, each trainee will receive certification from the Contractor at the end of the two trainings. During the trainings, thorough training on implementation procedures will also be provided to build the capacity of the team to deliver and sustain the program. The local program coordinator/liaison will be responsible for all logistics related to the trainings.

4. Following the refresher training, monthly post-training meetings will occur between the

Contractor and local site team to provide ongoing guidance and technical assistance in implementing the RCL Program.

5. The Contractor staff shall advise the site team and the Chinle Service Unit: Health

Promotion Program in evaluation tools to track desired process measures and outcomes.

The Contractor shall provide the team with a proposed evaluation plan for the program, based on the desired scope and resources for evaluation. The local site team will be responsible for implementation of the program evaluation and analysis. The Center can be contracted to provide additional support to implement the evaluation and can conduct the analysis upon request from the Chinle Service Unit and a supplemental contract can be developed to cover those costs.

Implementation:

1. The local site team will recruit youth and parents or other trusted adults to participate in the summer basketball camp and parent-youth session, with technical assistance provided by the Contractor staff.

2. The local site team will host an 8-day summer basketball camp (2017) and deliver the

RCL program to enrolled youth.

3. The local site team will deliver the youth-parent session to each youth that participated in the camp, within 3 months of camp completion (2017).

Booster & Sustainability:

1. A third, week-long refresher training will be conducted to provide additional training, practice and role-playing opportunities. This training will also include protocol training and support for sustaining the project by the local site team after the contract period ends.

2. Technical assistance will be provided by the Contractor to ensure the local site team is prepared to sustain RCL program implementation.

3. The local site team will host a second 8-day summer basketball camp (2018) and deliver the RCL program to enrolled youth.

4. The local site team will deliver the youth-parent session to each youth that participated in the second camp, within 3 months of camp completion (2018).

3. The Contractor Key Personnel:

• The Contractor shall provide information on key personnel who have a Master’s in Public Health. A copy of the degree shall be provided.

• The Contractor shall provide studies proving their curriculum has worked effectively in other areas.

• The Contractor shall provide your Plan of Action on how services will be delivered.

• The Contractor shall provide evidence in experience in providing services of similar scope and complexity to Federal Government or other large commercial/government entities within the last three (3) years of operation.

• The Contractor shall provide evidence that your offer meets the requirements listed in the Statement of Work (SOW).

4. Place of Performance The contractor shall provide the requested services at the Chinle Service Unit of the Navajo Area Indian Health Service.

5. Contactor Furnished Property The Contractor shall provide all necessary personnel, supplies, equipment, and facilities to perform this contract.

6. Period of Performance This work will be performed over a two year period.

Line Item Description Qty Unit Price

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 1-3

1 EA

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 4-6

1 EA $

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 7-9

1 EA $

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 10-12

1 EA $

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 13-15

1 EA $

Professional services Respecting the Circle of Life: Mind, Body, and Spirit

Months 16-18

1 EA $

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 19-21

1 EA $

Professional services Respecting the Circle of Life: Mind, Body, and Spirit, Months 22-24

1 EA $

Signature:

Contractor Representative Date

DUNS #:

Note 1 The contractor will be compensated at an all-inclusive firm fixed price for items listed above.

Pricing Schedule

Chinle Comprehensive Health Care Facility

TOTAL =