NPSC_SOW-_Int_Med_Night_Hospitalist_2014.docx

DEPARTMENT OF HEALTH & HUMAN SERVICES INDIAN HEALTH SERVICE

Northern Navajo Medical Center Department of Internal Medicine

Office: (505) 368-7030 Fax: (505) 368-7011

**Applicants must have completed an ABIM certified Internal Medicine Residency program and be either ABIM board-certified or board eligible.

Internal Medicine-Night Hospitalist Scope of Work – Non Personal Services

1. This is a non-personal service contract for the provision of providing internal medicine services to Northern Navajo Medical Center patients. Applicant MUST have completed an internal medicine residency and preferably be Board Certified in Internal Medicine.

2. Services shall be provided both in outpatient and inpatient settings, which includes services during evening and weekend hours when on shift. Coverage includes a 5 bed ICU with patients requiring mechanical ventilation. In general, the Contract will be required to work 12 hour shifts daily on a 7 night on, 7 night off schedule. Usual shift is 7:30PM to 7:30AM. Recent experience with inpatient care and preferably ICU care is required.

WORK SCHEDULE (Contractor will work 7 night on, 7 nights off)

· Sunday through Saturday – 7:30 p.m. to 7:30 a.m.

3. The provider will provide consultation clinic services to admitted inpatients on the surgery service. The provider will be responsible for admission to the Family Medicine and Internal Medicine services from the ER or Urgent Care Clinic. The provider also covers any issues with ICU, Peds ward or Med/Surg ward adult admitted patients overnight. The provider will also take cross cover nursing home calls. The provider will work on referring patients, if we cannot provide services here at NNMC.

4. The Contractor shall provide direct care services to NAIHS patients under the terms of this contract, appropriate and timely medical services in accordance with the Standards of Care established by recognized medical care organizations and in accordance with the policies and procedures of the SU's Medical Staff Bylaws, Rules and Regulations.

5. The Contractor shall provide services at the Shiprock Service Unit. There is some variability of daily and weekly hours based on workload, emergency cases, scheduling of cases and staffing variability.

6. The Contractor shall be subject to supervision and direction of the designated Government official.

7. Contractor shall be responsible for meals, and transportation.

8. Contractor may be sent home if the patient load does not require their services.

9. Ensure original timesheet is accurately filled out by the contractor. Clearly state the performance period worked, for example, 10/07/2012 to 10/20/2012. Hours are clearly stated for each day worked including lunch hour. If lunch is not taken, justification must be stated by the supervisor on the timesheet. Total hours are clearly written in hours and/or quarter hours in accordance to the contract. Make sure that the date matches the day of the week. Obtain all required signatures from the contractor and department supervisor.

10. The contractor is responsible for completing their timesheet, delivering the timesheet to the Department Chief (or designee) who will review the hours worked and sign the timesheet to verify accuracy of hours worked at the end of each pay period. The Department Chief or the department secretary will fax the timesheets to the contract companies, make a copy to give to the contractor and the original timesheet will be delivered to the Special Project Officer (SPO) in the Clinical Division. Timesheets will be honored for payment only when a verification signature of the SPO is on the timesheet. Any timesheet without a verification signature will not be paid. Each contract company is responsible for maintaining a file with the verified timesheets. Contractors are not to fax their unverified timesheets or this practice will delay the payment to the contract company. The contract company in return will not accept unverified timesheets from the contractor. ONLY THE ORIGINAL TIMESHEET WITH THE ORIGINAL SIGNATURES ARE TO BE ACCEPTED BY THE CLINICAL PROJECT OFFICER. Copied, faxed, emailed or scanned timesheets will not be accepted.

11. Contractor is responsible for correcting errors only on the original timesheet.

12. All state, federal, local taxes are to be included in the hourly rate.

13. We DO NOT accept fingerprints conducted by the Veterans Administration. Fingerprinting of contractors will be cleared and done prior to coming on board at Northern Navajo Medical Center.

14. HOUSING IS NOT AVAILABLE.

15. Only the Northern Navajo Medical Center Acquisitions personnel are authorized to make commitment on behalf of the Federal government.

16. Contractor will no longer be needed if the vacant position they are occupying is filled with a permanent employee. The contractor is here on an “as needed” basis.

17. Contractor must abide to Standard Precautions. NNMC provides safety supplies for employees to use to protect themselves.

18. Mandatory requirements are completed the first day at Northern Navajo Medical Center, prior to working.

19. The identification tag provided by NNMC will be worn at eye level position during work hours.

20. The contractor will abide to all government regulations, policies and procedures, failure to follow any of these requirements could result in termination.

21. The contractor will have access to the internet to use the Electronic Health Record. All documentation on patients will be completed prior to the contractor’s shift is over.

22. Delinquent charts will be completed prior to the contractor completion of his/her contract at Northern Navajo Medical Center. If the delinquent chart is not completed the contract company will assume the responsibility of returning the contractor to Northern Navajo Medical Center to complete any outstanding delinquent charts.

23. Falsification of hours or any negative work performance, personal issues brought into the work site will not be tolerated while employed at NNMC. This practice could result in immediate termination of the contractor and the contract company will be notified through the Acquisition Office.

24. Complaints pertaining to the contractor will be submitted to the contracting company through the Acquisition Office for corrective actions and quality control purposes.

CLINICAL PRIVILEGES

The contractor must be credentialed and clinical privileges granted by the Northern Navajo Medical Center’s clinical director or designee prior to providing services. The contractor must provide the following appropriate forms for privileging from the Northern Navajo Medical Center’s credential’s specialist upon award of this contract.

1) Completed Application for IHS Medical Staff Appointment

2) Privileges Request Form

3) Completed NPDB Query Form

4) Medicare/Medicaid Acknowledgement Form

5) Medical Staff Bylaws, Rules & Regulations Acknowledgement Form

6) All Hazards Plan Acknowledgement Form

7) Copies of ALL active state licenses (license must indicate an expiration date)

8) Copy of DEA Registration License / Controlled Substance

9) Copies of ALL Board Certifications

10) Copy of Medical School Degree

11) Copy of Residency Certificate(s)

12) Copy of NPI and UPIN Notification Letter

13) Copies of ECFMG (Educational Commission for Foreign Medical Graduates), if applicable

14) Copies of applicable BLS, ACLS, ATLS, PALS NRP (As indicated in Rules & Regulations)

15) Copies of CME (Continuing Medical Education) for past 2 years

16) Copy(s) of malpractice insurance

17) Current Photo (Driver’s License or Passport)

18) Curriculum Vitae

The contractor must retain certification and licensure status as defined below throughout the term of the contract. Current and valid documents shall be provided to the Northern Navajo Medical Center’s Credentialing Coordinator upon renewal of said documents.

Valid current full and unrestricted license in all State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

Retain US Citizenship.

Health status allowing physical and mental ability to carry out required functions. This is to be verified on an annual basis by the employing agency or a copy of a physical examination.

CLIENT BACKGROUND

Many of the patients served may only speak a native language and reside on the reservation. The contractor should be able to show sensitivity to cross-cultural and languages differences and have the ability to work through interpreters as necessary for non-English speaking patients. In situation where interpretation is required, the Northern Navajo Medical Center’s staff will provide these services.

****Fingerprinting Card FBI-FD 258 (provided by the Federal Government) Fingerprinting must be cleared and approved prior to the start date.

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