Statement of Work.pdf

This is a Statement of Work (SOW) for professional medical chart review and peer review services at Northern Navajo Medical Center and its affiliated clinics in Shiprock, New Mexico.

The Hardenberg Group, Inc. (operating as MD Review, A Hardenberg Company) will perform On-going Professional Practice Evaluation (OPPE) and external peer reviews on inpatient and outpatient medical records across fourteen clinical departments including Emergency Medicine, Pediatrics, Internal Medicine, Rheumatology, Family Medicine, General Surgery, Obstetrics and Gynecology, Orthopedics, Podiatry, Wound Care, Optometry, Neurology, Pathology, Radiology, Rehabilitation, Psychiatry, and other specialties. The contractor must designate independent, board-certified physicians with no conflicts of interest to conduct focused chart reviews for compliance with standards of care. Approximately 500-600 charts will be submitted for review from both inpatient and outpatient departments across three contract years (May 2026–May 2029), with urgent reviews completed within one week and routine reviews within twenty-one days of record receipt. The contractor must establish procedures for case reviews, provide curricula vitae of assigned reviewers, coordinate directly with hospital leadership, return or destroy all documents within 120 days after review completion, and maintain HIPAA Business Associate compliance. Performance standards require 100% competency in task performance, 100% compliance with accepted Standards of Care, 100% professionalism using non-inflammatory language, 100% board certification of assigned staff, and complete documentation with conclusions for each review. Payment is contingent upon satisfactory service delivery with no compensation for incomplete work; contractor performance will be evaluated using a Contractor Performance Assessment Report.