STATEMENTOFWORKRADBCHFY2015BARSTOW_COMMUNITY_HOSPITAL.docx

PERFORMANCE STATEMENT OF WORK

Purpose: To provide continuity in filming of diagnostic X-rays between the Occupational Health Detachment at Marine Corps Logistic Base, Barstow and the Barstow Community Hospital, California. The contractor shall ensure services performed under this contract/task order are fully compliant under the Health Insurance Portability and Accountability Act (HIPAA). The contractor shall protect patient privacy and security in the use and disclosure of protected health information. Contractor employees performing services under this order will be controlled, directed, and supervised at all times by management personnel of the contractor. Contractor shall represent an acceptable malpractice risk to the Government.

Contractor at Barstow Hospital shall provide these services to include:

1. All radiological procedures must be performed by a certified radiology technician and must be read and interpreted by a board certified radiologist Monday through Friday except on holidays from 0730 to 1600. X-rays shall be conducted for each individual as ordered by Occupational Health Department.

2. The vendor’s Radiology Department must have films screen radiography (FSR) capability to obtain chest x-rays for CURRENT asbestos workers as required. For PAST asbestos workers, either FSR or digital chest x-rays (whether digital or computed radiography) may be used for medical surveillance. For current workers, all FSR chest x-rays must be on 14” x 17” film. For past workers, digital x-rays must be printed full size on 14” x 17” for B-reading process. Copies of all asbestos chest x-rays must be provided to the Occupational Health Detachment for B-reading and filming as required by OSHA Asbestos Standard 29 CFR Section 1910.1001 and OPNAVINST 5100.23 Series.

3. Asbestos chest x-rays must be obtained according to Imaging System and X-ray Technique Recommendations. See enclosure (2)

4. During working hours (Monday through Friday), 0730- 1600), injured and or ill Marine Base employees reporting to the vendor for x-rays must have wet readings completed and results provided to the Occupational Medicine physician as soon as reasonably possible but no later than one hour after x-rays are completed. Results shall be conveyed either by telephone or written note.

5. Copies of x-rays shall be provided to Marine Corps Logistics Base employees upon request as needed for specialty referrals.

6. In any emergent or STAT situation, results must be provided within one to two hours of collection.

7. The Occupational Health Unit shall be notified immediately by telephone of any abnormal (high risk) results.

Cost forecast:

1. The Vendor shall submit itemized invoices in the WAWF system; and provide courtesy copies to: Department of the Occupational Medicine Clinic, and Occupational Health Detachment, Barstow. Itemized invoices shall be one time charges which includes the fee of the Radiologist reading and reporting of the X-Ray. This fee shall be noted in the vendors bid for each type of proposed X-Ray Taken as shown in the schedule of the Statement of work under Enclosure (1)). Fee schedule shall not contain any identifiers (names, social security number) that will provide any type of patient information in compliance with the HIPAA and patient privacy. The Contractor providing this service at Barstow Community Hospital shall work with the (COR) Contracting Officer Representative on this contract for any concerns of billing, payment from WAWF and any other administrative issues that may come up during the performance period of this contract. Vendor will not get reimbursed or paid for any invoices submitted outside the scope of the contract for non-radiology services.

2. This is Services for: Radiology Technician (one who performs in taking of the X-rays either digital or by film) and Board Certified Radiologist reading of X-rays services.

Enclosure (1) Radiology Procedures:

Enclosure (2) Table II. Imaging System and X-ray Technique Recommendations

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b. 1/10 second if single pahse and less generator capacity than 300 milliamperes at 125 kilovolt peak or patient greater than 28 centimeters