SOW Proficiency testing 10.16.pdf

WOODROW WILSON KEEBLE MEMORIAL HEALTH CARE CENTER

INDIAN HEALTH SERVICE

STATEMENT OF WORK

GENERAL

The Mission of the Sisseton Indian Health Service (IHS) Woodrow Wilson Keeble Memorial Health Care Center (WWKMHCC) is to provide the best possible healthcare services to the patients on the Lake Traverse Reservation in South Dakota. To meet the mission, WWKMHCC is requesting an all-inclusive, non-personal service contract for the Laboratory.

BACKGROUND

The IHS is an agency within the Department of Health & Human Services and is responsible for providing federal health services to American Indians and Alaska Natives. The Indian Health Service provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaskan Natives who belong to 567 federally recognized tribes, in 35 states. The Indian Health Service Headquarters is in Rockville, MD and then divided into twelve (12) physical areas: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland, and Tucson.

The Great Plains Area Office (GPAO) works in conjunction with 19 Indian Health Service Units and Tribal Managed Service Units to provide health care to approximately 130,000 Native Americans located in North Dakota, South Dakota, Nebraska, Iowa. The Area Office’s service units include seven hospitals, eight health centers, and several smaller health stations and satellite clinics.

Our facility, the WWKMHC, falls under the GPAO. WWKMHCC provides medical care for approximately 7,000 tribal members living on the Lake Traverse Reservation. Serving rural areas, many outpatients travel 100 miles round trip to receive care. The WWKMHCC was built in 2007 to provide an expanded level of outpatient health care services specifically designed to meet the needs of the WWKMHCC population. Services include Behavioral Health, Community Health, Dental, Laboratory, Nutrition services, optometry, Pharmacy, Physical Therapy, Public Health Nursing, Purchased & Referred Care Services, and Radiology Services.

TYPE OF WORK

This statement of work is for laboratory proficiency testing starting January 1, 2026 and ending December 31, 2026.

Below is the list of analyzers and tests performed.

1. Quidel Ortho Vitros 5600

a. ALBUMIN

b. ALKALINE PHOSPHATASE (ALP)

c. ALT

d. AMMONIA

e. AMYLASE

f. AST

g. BILIRUBIN, DIRECT (DBIL)

h. BILIRUBIN, TOTAL (TBIL)

i. NT proBNP

j. BUN

k. CALCIUM

l. CHLORIDE (Cl)

m. CHOLESTEROL

n. CK

o. CO2

p. CREATININE

q. CRP

r. DIGOXIN

s. ETHANOL

t. FT4

u. GLUCOSE

v. HCG-QUANT

w. HDL

x. HGB A1C

y. LDH

z. LDL

aa. LIPASE

bb. MAGNESIUM

cc. PHOSPHATE

dd. POTASSIUM (K)

ee. PROTEIN, TOTAL (TP)

ff. POSTATE SPECIFIC ANTIGEN (PSA)

gg. SODIUM (Na)

hh. TRIGLYCERIDE

ii. TROPONIN-I

jj. TSH

kk. URIC ACID

2. Symex XN-450

a. RBC

b. Hemoglobin

c. Hematocrit

d. MCV

e. MCH

f. MCHC

g. RDW

h. Platelet

i. IG%

j. IG ABS

k. WBC

l. NEU%

m. LY%

n. MO%

o. EOS%

p. BASO%

q. NEU ABS

r. LYM ABS

s. MO ABS

t. EOS ABS

u. BASO ABS

3. Siemens Clinitek Advantus

a. Glucose

b. Bilirubin

c. Ketones

d. Specific Gravity

e. Blood

f. PH

g. Protein

h. Urobilinogen

i. Nitrite

j. Leukocyte Esterase

4. Cepheid GeneXpert (moderately complex)

a. Respiratory Panel (Cov, RSV, Flu A&B)

b. Strep A

c. Chlamydia and Gonorrhea

5. MiniiSED

a. Sedimentation rate (ESR)

6. Quidel Triage MeterPro

a. DDimer

7. CoaguChek XS Plus

a. INR

8. Other

a. Manual differential

b. Wet mount (clue cells, trichomonas, yeast)

c. hCG urine test (qualitative)

d. iFOB

Proficiency testing samples and evaluations for all analytes are required. Copies of the laboratory records are to be sent to CMS (via COLA) and other accrediting agencies which monitor compliance.

Proficiency Testing is a process designed to evaluate a laboratory’s performance, testing accuracy, and overall practices. It is a key element in the laboratory accreditation process. Proficiency testing determines the performance of the laboratory for specific tests and is used to evaluate the laboratories’ continuing performance. The intent of the statement of work is to obtain proficiency testing from an HHS approved program.

1. Authority

1.1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.

1.2. No action or omission of any government employee or representative other than the Contracting

Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer;

1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer;

1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

1.3.4.2. Expend hours in excess of a specified level of effort.

COR

Ella Mae Greybuffalo Procurement & Contracting Admin Support, COR III Ella.greybuffalo@ihs.gov mailto:Ella.greybuffalo@ihs.gov