ORTHOPEDIC SOLICITATION.pdf

A. a. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice, FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994) (Public Law 103-355) & FAR 37.4, Non-Personal Health Care Services Contract (10 U.S.C. 2304 and 41 U.S.C 253). This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.

b. The Indian Health Service/Cheyenne River Health Center intends to award a Firm Fixed-Price, Non- Personal Service Contract to provide Orthopedic Services for the Medical Department at the Cheyenne River Health Center located in Eagle Butte, South Dakota. All orders may be submitted via email to Danielle.chasinghawk@ihs.gov

(i) This solicitation is being issued under solicitation number CRHC-24-020.

(ii) The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2024-02 dated 01/22/24.

(iii) This is a Small Business Set-Aside and the associated NAICS code is 621111 Offices of Physicians (except Mental Health Specialists), with a Small business Size Standard of $16.0 Million, Product Service Code is Q513 Medical-Orthopedic

(iv) Services purchased through this contract will be Orthopedic Services for patient care. A list of line items, quantities/units of measure are attached. The “Unit Price” is an all-inclusive cost. All “inclusive cost” is defined to include, but not limited to travel, lodging, per diem, benefits, fuel, freight etc., plus all other costs pertinent to the performance of this contract. The period of performance will be a base year, plus the option to exercise, Two (2) one (1) year option terms.

See Attached Pricing/Cost Schedule.

(v) Description of Services: Include, continuous Orthopedic Services, required by the attached Performance Work Statement, for the Cheyenne River Health Center, Eagle Butte, South Dakota.

(vi) The period of performance will include one base year, plus the option to exercise two-1 year option years. Delivery and acceptance terms for this order are with the PWS. POP: Base Year: 04/01/2024 –

03/31/2025, OY1: 04/01/2025 – 03/31/2026, OY2: 04/01/2026 –03/31/2027.

(vii) The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial Services (Sept 2023), applies to this acquisition. Quotes shall be submitted on company letterhead stationery, signed and dated; it shall include, at a minimum;

1. Solicitation number CRHC-24-020

2. Closing Date: March 8, 2024 at 1:00pm MST

3. Name, address, telephone number of the offeror and email address of the contact person

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements in the solicitation.

5. Terms of any express warranty

6. Price and any discount terms

7. “Remit to” address, if different than mailing address http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1579_222340

8. A completed copy of the representations and certifications at FAR 52.212-3

9. Acknowledgement of Solicitation Amendments, if issued

10. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representation or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

Quotes shall also include the following to be considered acceptable.

1. Price/Cost Schedule.

2. Proof of Malpractice Insurance Coverage.

3. Certify they understand and can meet all requirements listed in this

Solicitation, Performance Work Statement and Attachments.

4. Candidate information, to include: Resume, current/up-to-date licenses & certifications as requested in the PWS, completed Background clearance forms attached to this solicitation, proof of Mandatory Employee Health Records Requirements as spelled out in the PWS, and guarantee report date.

(viii) The clause at 52.212-2, Evaluation-Commercial Products and Commercial Services (Nov 2021) applies to this acquisition. See attachment for Full Text

(ix) Offerors must include a completed copy of the provision at 52.212-3, Offeror Representations and Certifications – Commercial Products and Commercial Services (Nov 2023), with its offer. The offeror shall complete only paragraphs (b) of the provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at http://www.sam.gov

(x) The clause at 52.212-4, Contract Terms and Conditions—Commercial Products and Commercial Services (Nov 2023), applies to this acquisition. See attachment for Full Text.

(xi) The clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes or Executive Orders (Dec 2023) – See attachment for Full Text.

(xii) Offerors are due on March 8, 2024 by 1:00 PM MST, and can be e-mailed to Email: Danielle.chasinghawk@ihs.gov

Questions in reference to this solicitation shall be submitted to the email address listed above. The last day to submit questions is February 23, 2024 at 1:00pm MST. No questions will be answered after this date/time. Please be advised that https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1060530 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1657_236576 http://www.sam.gov/ http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1974_281919 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P2174_322700 mailto:Danielle.chasinghawk@ihs.gov the Government reserves the right to transmit those questions and answers of a common interest to all prospective vendors through a solicitation amendment.

(xiii) Points Of Contacts: Danielle Chasing Hawk, Supervisory Contract Specialist, Danielle.ChasingHawk@ihg.gov, 605/964-0605 or Kolbi Haskell, Purchasing Agent, Kolbi.haskell@ihs.gov 605/964-1565

(xiv) Contractor will need a UEI number, TIN number, and be active & registered in SAM at www.sam.gov.

Invoice Processing Platform (IPP) The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system in compliance with the Office of Management and Budget (OMB) M-15-19 memorandum “Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date. The IPP website address is: https://www.ipp.gov If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973- 3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer.

SECURITY CLEARANCE

Performance of this contract will require routine access by employees of the Contractor or its subcontractors to facilities or systems controlled by the Indian Health Service (I.H.S.). Before starting work requiring routine access to I.H.S. facilities or systems each person must complete a FBI National Criminal History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the Office of Personnel Management Personnel Investigations Processing System. Contractors shall allow five business days for I.H.S. processing of fingerprints taken electronically at an I.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capability is available from the Contracting Officer.

In addition, no Contractor or subcontractor employee shall be permitted to perform work under this contract if listed on the HHS Office of Inspector General List of Excluded Individuals/Entities (LEIE), http://exclusions.oig.hhs.gov. As soon as practicable prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance, the Contractor shall provide the Contracting Officer the names of any additional or substitute employees for screening before they begin work.

mailto:Danielle.ChasingHawk@ihg.gov mailto:Kolbi.haskell@ihs.gov http://www.sam.gov/ mailto:IPPCustomerSupport@fiscal.treasury.gov

The Contractor is responsible for conducting security preclearance investigations in sufficient depth to ensure that each Contractor or subcontractor employee referred to I.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor-Hour or Cost Reimbursement contract, the contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial or access or the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price contract, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the contract amount.

Government will pay for the cost to process the contractors suitability clearances. However, multiple investigations for the same position may, at the Contracting Officers discretion, lead to reduction(s) in the contract price of no more than the cost of the extra investigation(s).

Employees that DO NOT have access to LMS, contractors, volunteers, or IHS employees with IPA’s or MOA’s to tribal organizations please, click here IHS Sexual Abuse Prevention website. When the contractors have completed and passed the training, please have them send a copy of the last page of the training with Name, Date, and Time to their Supervisor, COR, and Kimmen LeBeau, e-mail:

Kimmen.LeBeau@ihs.gov https://www.ihs.gov/sexualabuseprevention/training/ mailto:Kimmen.LeBeau@ihs.gov

SERVICES AND PRICES/COSTS

(Fixed-Price, Services, Commercial Items)

Firm Fixed Price, Non-Personal Services contract, to provide Orthopedic Services, for the Cheyenne River Health Center, located in Eagle Butte, South Dakota. The Period of Performance will be from April 1, 2024 through March 31, 2025 with two (2) one (1) year options.

BASE YEAR: 04/01/2024-03/31/2025

Item No

Descript of Service Estimated Qty

Unit Unit Price Total Amount

1. Orthopedic (Two 8 hr. days per month)

192 HRS

TOTAL Base Year:

OPTION YEAR ONE (1): 04/01/2025 – 03/31/2026

Descript of Service Estimated Qty

Unit Unit Price Total Amount

1. Orthopedic (Two 8 hr. days per month)

OPTION YEAR TWO (2): 04/01/2026-03/31/2027

Descript of Service Estimated Qty

Unit Unit Price Total Amount

1. Orthopedic (Two 8 hr. days per month)

1. AGGREGRATED TOTALS

TOTALS

1. Base Year (04/01/2024-03/31/2025)

2. Option Year One (04/01/2025-03/31/2026)

3. Option Year Two (04/01/2026-03/31/2027)

AGGREGRATED TOTAL FOR ALL THREE

YEARS:

Section B Solicitation: CRHC-24-020 Orthopedic Services Cheyenne River Health Service

B.1. TYPE OF CONTRACT (FAR 52.216-1 (APR 1984))

The Cheyenne River Health Center - Indian Health Service (IHS) is requesting proposals in accordance with the Request for Proposal to provide Orthopedic Services for the Cheyenne River Health Center in Eagle Butte, S.D. The Cheyenne River Health Center anticipates awarding a Firm Fixed Price Non-Personal Healthcare Service, Purchase Order, from this solicitation. The contract is for one (1) base year from April 1, 2024 through March 31, 2025 with two (2) – one

(1) year options in a twelve (12) month period. The Indian Health Service reserves the discretionary authority to exercise any one of the two (2) option years.

B.2. CONSIDERATION AND PAYMENT

The Contractor shall provide the commercial services described in Section C, Description/ Specifications/Work Statement. Except as otherwise specified in the contract, the Contractor shall furnish the necessary personnel, materials, services, facilities, and otherwise provide all tasks necessary for or incident to the performance of the work set forth herein. The Contractor shall be paid upon submission of an invoice and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer Representative at the location where the Purchase Order has been issued on behalf of or where the services have been rendered, of the deliverables and/or services, clause 52.212-4 (i) (2), Prompt Payment, and Section G.2 of this contract.

This is a Small Business competitive solicitation and the offer your firm submits will be used by the Indian Health Service to determine, which offer is the “Trade Off FAR 15.101-1” in the best interest to the government. Be advised that the quantities listed within are, “estimates only” and it is not the intent of IHS to be obligated to order the “maximum quantities”.

B.3. CONTRACT PRICE

a. Upon delivery and acceptance of the item(s) specified in the Delivery Article in Section F of this contract, the Government shall pay to the Contractor resulting from the firm-fixed price cost.

b. Upon delivery and acceptance of the services described in the Scope of Work of this contract and identified in the schedule of charges below, the Government shall pay to the Contractor the total prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

Section B Solicitation: CRHC-24-020

Cheyenne River Health Service

Base Year: April 01, 2024 thru March 31, 2025 Regular Clinic Hours – Eight (8) hours per day x two days per month - 192 Hours $_______________.

Total Estimated Contract Price for the Base Year $_______________.

1st Option Year: April 01, 2025 thru March 31, 2026 Regular Clinic Hours – Eight (8) hours per day x two days per month - 192 Hours $_______________.

Total Estimated Contract Price for the Option Year One $_______________.

2nd Option Year: April 01, 2026 thru March 31, 2027 Regular Clinic Hours – Eight (8) hours per day x two days per month - 192 Hours $_______________.

Total Estimated Contract Price for the Option Year Two $_______________.

Total Estimated Contract Price for the Base + Two (2) Option Years

B.4. OPTION PRICES

a. Unless the Government exercises its option pursuant to the option clause referenced in Contract Clauses section of this contract consists only of the Base Period specified in this contract.

b. Pursuant to FAR Clause 52.217-8, Option to Extend Services and FAR Clause 52.217-9, Option to Extend the Term of the Contract, set forth in Contract Clauses of this contract, the Government may, by unilateral contract modification, require the Contract to perform the Option Period (s) as defined in the Performance Work Statement of this contract. If the Government exercises this/these option (s), notice must be given before the expiration date of the contract.

c. Upon the delivery and acceptance of the Option Services described in the Performance Work Statement of the contract and identified in the price schedule, the Government shall pay the Contractor the unit price (s) set in the price schedule and will be paid from the Contract Line Item Numbers (CLINs) accordingly.

d. If the Government exercises its option pursuant to the Option Provision of this contract, the Government’s total estimated contract amount is represented by the sum of the price of base plus option periods as set forth the proposal schedule

Section C Solicitation: CRHC-24-020

Cheyenne River Health Service

ORTHOPEDIC SURGEON

PERFORMANCE WORK

STATEMENT CRSU

1. PURPOSE OF CONTRACT:

To recruit, credential, and place an Orthopedic Surgeon at the IHS-Cheyenne River Service Unit at Eagle Butte, SD. The care provided by the Contractor shall be as comprehensive as the Indian Health Service {IHS) supplied facilities, equipment and support services permit, The Indian Health Service requires Orthopedic Surgeon Physician services continue without interruption during the term of the contract. The continuity of services is vital and must be available during the term of the contract.

Period of Performance

Base year, to include 2 option years.

Base Year: April 1, 2024 through March 31, 2025 Option Year One: April 1, 2025 through March 31, 2026 Option Year Two: April 1, 2026 through March 31, 2027

The contract resulting from this solicitation shall:

1. Be a non-personal health care services contract under which the Contractor is an independent contractor;

2. Allow the Government to evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of the services rendered, (e.g., professional judgments, diagnosis for specific medical treatment).

3. Require the Contractor to indemnify the Government for any liability producing act or omission by the Contractor, its employees and agents occurring during contract performance;

4. Require the Contractor to maintain medical liability insurance, in the coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty concerned; and

5. Require the Contractor to ensure its subcontracts for provision of health care services, contain the requirements of the clause at FAR 52.237-7, including the maintenance of medical liability insurance.

6. Contractor will be paid their hourly wage based on hours delivering patient care services.

2. STATEMENT OF WORK

I. Purpose of the Contract

J. Historically, Orthopedic Surgeon clinical services have not been provided at the Cheyenne River Health Center.

K. The provision of comprehensive direct patient care services.

II. Project Objective

A. Provide 2 days of 8 hours per day per month of Orthopedics direct patient services at the Cheyenne River IHS Hospital (Monday-Friday). Services will continue until all scheduled patients have been provided care.

B. Improve the coordination of care for Orthopedic patients.

C. Improve the quality of care for Orthopedic patients.

III. Government Furnished Property, Facilities and Services A. The service unit shall provide a patient examination area and all medical and non-

Cheyenne River Health Service medical equipment and supplies used in the Indian Health Service facility for the care and maintenance of patients.

B. The Orthopedic Surgeon consultant physician shall be provided with an orientation to the Indian Health Service and the Indian community being served. The initial orientation and continuing orientation shall be provided by the Service Unit personnel.

IV. Statement of Work A. The primary functions of the Orthopedic Surgeon shall include the following:

Adult and/or Pediatric:

1. Regular and Routine Consultation regarding concerns related to Orthopedic disorders on OPD/IPD/ER as needed.

2. Review of care provided to Orthopedic patients

3. Provide services to diagnosis, treat, evaluate orthopedic related illnesses or diseases including referral outside of CRHC, injections, and cast/splint placement.

4. Provide examination, diagnosis, follow-up and recommend treatment plans as part of the patient assessment

a. The Contract physician shall be knowledgeable in all areas that are, as a standard, covered by any Accredited Orthopedic Surgery residency program. The Contract physician shall have sufficient experience to adequately diagnose and treat a full range of orthopedic cases, procedures and surgeries.

5. Specific Orthopedic physician services shall include, but are not limited to:

• Grade I and II ligamentous injuries to the joint.

• Lacerations of the skin without violation of the joint or bone.

• Lacerations of the skin involving bone without fracture.

• Lacerations of the skin including violation of the joint with or without fracture.

• Dislocations of the shoulder glenohumeral joint.

• Dislocations of the acromioclavicular joint, Grade I & IL

• Dislocations of the phalanges of the foot.

• Non-displaced or minimally displaced fractures of the clavicle, distal forearm, proximal humerus, stable thoracolumbar spine, pelvis not including the acetabulum, ankle and foot.

• Displaced and non-displaced fractures of the skeletal system.

• Musculocutaneous wounds and injuries.

• Dislocations of the joints

• Benign and malignant tumors of bone.

• Injections of all commonly injected joints (knee, shoulder, ankle, elbow, hip).

• Evaluation of in-patient patients when necessary

• Evaluation of ER patients when necessary

• Placement of appropriate splints as applicable.

6. The Orthopedic Surgeon will be responsible for all travel and other personal expenses

7. The standards of medical practice and duties of the Contractor Orthopedic Surgeon

Physician shall be determined pursuant to the bylaws of the Cheyenne River Service Unit, regulations of the facility, applicable provisions of the law, other rules and regulations of any and all governmental authorities relating to licensure and regulations of physicians and hospitals, and the standards and recommendations of CMS and any other Accrediting Body. Contract physicians shall be required to collaborate with the Outpatient Department Supervisor and Deputy Clinical Director

Cheyenne River Health Service in a quality improvement program, which is consistent with current accrediting requirements for ongoing monitoring and evaluation of the quality and appropriateness of care.

8. Medical services shall not be performed by a Contract Physician until professional staff membership and clinical privileges have been granted in writing by the IHS Governing Body. As a prerequisite to performance under the resultant contract, the contract physician performing the services must be privileged in accordance with IHS policy. Therefore, compliance with the IHS privileging requirements is essential in the performance of the contract. Any failure to comply with IHS privileging requirements shall be considered to be non-compliance of the contract.

The Governing Body will not grant clinical privileges until it is determined that credential information has been verified.

ii. Exceptions to the IHS credentialing review and clinical privileges process will not be considered. The Contractor's failure to submit successful applicants shall not excuse non-performance of contract requirements. Any contract physician who fails to maintain medical staff appointment and clinical privileges will not be permitted to perform services under the contract and shall be promptly replaced by the contractor.

iii. Contract physician shall generate and maintain proper medical record information on beneficiaries to whom treatment is provided in accordance with Indian Health Service Regulations.

9. The contract physician shall prepare all medical record documentation to meet or exceed the established standard of the IHS facility to include but not be limited to:

timeliness, legibility, accuracy, content and signature. All medical record information generated in the performance of this contract will remain the property of, and subject to, the exclusive control of the Indian Health Service.

VI. Technical Requirements A. Possess a Medical Degree from an accredited school of medicine B. Board Certified in field of specialty C. A current license to practice medicine.

D. Maintain continuing medical education credits necessary for renewal

V. ORTHOPEDIC PHYSICIAN QUALIFICATIONS

The Contract Orthopedic physician shall be board certified, or board eligible without additional education or training, by the American Board of Orthopedic Surgery. It is a condition of this contract that required certifications in this Statement of Work remain current during the life of this contract.

The Contract Orthopedic physician must hold a current, unrestricted state medical license from any of the 50 United States or the Commonwealth of Puerto Rico.

The Contract Orthopedic physician must meet the CRSU medical staff credentialing and privileging requirements before being allowed to provide medical services at the CRSU IHS facility.

Current Basic Life Support (BLS) and ACLS certification is required of the Contract Orthopedic physician.

Must have a current fee based DEA license.

The Contract Orthopedic physician must have at least three recent (within past year) written letters of professional references from another physician.

The Contract Orthopedic physician must have laboratory titer results showing immunity to Hepatitis B.

The Contract Orthopedic physician must have had a PPD test performed and read within the past year if not positive in the past. Documentation is required. If the PPD has been positive in the past, then either documentation of completion of treatment (if under age 35 or part of a high risk group) or a negative chest x-ray within the past year (if over age 35 and not in a high risk group) is required. Contract Orthopedic physician must comply with new Executive Order 14042 for COVID Vaccination requirements as per regulation deadlines.

Cheyenne River Indian Health Service hospital policy requires all staff with direct patient contact, be able to provide proof of PPD and Tdap (Tetanus, Diphtheria, acellular Pertussis).

This includes all permanent employees, volunteers, and contractors (for all contractors in this category, acceptable proof can be in the form of an immunization record or written documentation from a physician). This proof must be provided as part of the application submission process prior to being accepted for a position. Contractor personnel currently serving in a contract position can receive these immunizations from the facility. It is required per IHS policy that the provider receive an influenza vaccine annually prior to providing direct patient care services (The vaccine is available on site).

The Contract Orthopedic Physician must cooperate fully and in a timely fashion to complete all Background Investigation procedures in full prior to starting work, including fingerprinting and the accurate completion of relevant forms.

The Contract Orthopedic Physician shall not have any work or health restrictions which interfere with the performance of orthopedic physician services.

The Contract Orthopedic physician shall speak, understand, read and write English fluently and communicate with sufficient clarity to be understood by Cheyenne River Indian Health Service Hospital personnel and patients. The Contract Orthopedic physician shall possess sufficient initiative, interpersonal communication skills and social/cultural sensitivity such that he/she can relate appropriately to patients from the local Native American community.

The Contract Orthopedic physician shall maintain standards of personal hygiene/grooming such that his/her image as a physician is compatible with the expectations of the Cheyenne River Indian Health Service Hospital clinical staff, Cheyenne River Reservation community, and CRSU patients. Complies with CRSU and IHS dress code policy.

The Contract Orthopedic surgeon must be eligible for enrollment in the Service Unit's Medicare Part B program, so as to enable the hospital to bill for the surgeon's services.

CONTRACTOR'S RESPONSIBILITY:

a. Contractor shall comply that eligible patients under treatment will be rendered services that provide the best medical care within the Contractor's professional training and experience. All services rendered shall be in accordance with current standard medical practices to assure quality care.

b. The Orthopedic Surgeon consultant physician shall attend upon request a Medical Staff Meeting to detail program highlights, outcomes, and plans for service improvement.

c. Document patient services including all orders, referrals and notes using the Electronic Health Record (EHR). This includes a diagnosis and treatment plan. EHR exceptions to dictate and have notes uploaded into the EHR will be granted on a case by case basis. Provide case consultation on difficult or problematic cases. Contract physicians shall generate and maintain proper medical record information on beneficiaries to whom treatment is provided, in accordance with Indian Health Service regulations. The

Cheyenne River Health Service

Contract Physician shall prepare all medical records documentation to meet or exceed the established standards of the IHS facility to include, but not limited to: timeliness, accuracy, content and signature. Records must be completed at the end of the work day.

d. All medical record information generated in the performance of this contract will remain the property of, and subject to the exclusive control of the Indian Health Service.

e. BILLING STATEMENT Contract Provider shall complete all proper Purpose of Visit (POV) and Evaluation and Management (E&M) and Electronic Health Record (EHR) by the end of the shift. Must be registered for Medicare/Medicaid for work completed at CRHC.

f. Contractor shall not bill for any services provided while working at the I.H.S. facility as I.H.S. is already paying for those services via the contract.

g. The incumbent must possess a specialized knowledge of the concepts, principles and practices of Orthopedic Surgeon such as is obtained through the successful completion of a course of study leading to the Doctor of Medicine or Osteopath degree with specialization in Orthopedic Surgery from an accredited American college or university.

h. Participates in the peer review, focused, and ongoing professional practice (OPPE, FPPE) review process as part of the quality improvement program.

i. Abides by the Cheyenne River Hospital's By-laws, Rules and Regulations, and IHS/HHS policies and procedures.

j. Will submit to a background check.

k. Will certify by signature and by their medical provider documentation on "Statement of Physical and Mental Fitness" as part of medical staff application that he/she is in good physical and mental health and free of any contagious disease. All immunizations are complete and updated.

l. In performing work under this contract in an Indian Health Service facility, the Contractor shall conform to the specific safety requirements established by the IHS facility. Comply with the safety rules of the Indian Health Service facility that concern related activities not directly addressed this contract. Take all reasonable steps and precautions to prevent accidents and preserve the life and health of Contractor and Government personnel connected in any way with performance under this contract.

m. Will comply with completing and submitting the timesheets and invoices per Clinical Directors instructions. Timesheet is to be submitted to the following address within one week of clinical services. Payment will occur only after receipt of timesheet.

Timesheets must be verified by Clinical Director and the HIM department to ensure notes are closed.

n. Contractor will be responsible for bringing specialized support staff to conduct patient care and consultations. This may include an Orthopedic Tech or nurse depending on the schedule/service for that day. The tech/nurse will likewise take charge of caring for the equipment/supplies and shall assume responsibility for the quality of all obtained and completed study results.

CONTACT PERSON:

1. THE CONTRACTOR WILL:

a) Ensure that the Contractor at the Cheyenne River Service Unit under the terms of any resultant delivery order is appropriately covered by Malpractice and Liability Insurance provided by the Contractor.

b) Comply with DHHS, PHS, IHS, IT, CRSU, medical staff, training and certification requirements.

c) Use of RPMS/EHR and Scheduling Software

d) Great Plains Area Indian Health Service will pre-approve all researches, studies, etc., Cheyenne River Health Service involving the Contractor, the GPAIHS, as well as its patients. No research will be allowed without such prior approval in writing from GP AIHS. All publications and statements of the Contractor and collaborating parties will include clarification that they do not reflect official GPAIHS policy. All parties shall strictly follow GPAIHS patient privacy and right policies and procedures.

f) Must comply with all applicable laws, regulations, and IHS Policy regarding standards of care, patient rights, documentation requirements, conduct, Privacy Act, HIP AA, etc.

g) The standards of medical practice and duties of the Contractor through its Physician(s) shall be determined pursuant to the bylaws of the Service Unit. The regulations of the hospital, applicable provisions of law, other rules and regulations of any and all governmental authorities relating to licensure and regulation of physicians and hospitals must be followed. The standards and recommendations of Centers for Medicare and Medicaid Services (CMS) Accreditation must be adhered to. The Contract Physician(s) shall be required to participate in a quality improvement program, which is consistent with current requirements for ongoing monitoring and evaluation of the quality and appropriateness of care."

52.224-70 CONFIDENTIALITY OF INFORMATION (APR 1984)

The following clause is covered by the policy set forth in subpart 324.70 and is to be used in accordance with the instructions set forth in 324.7004.

CONFIDENTIALITY OF INFORMATION (APR 1984)

(a) Confidential information, as used in this clause, means (1) information or data of a personal nature about an individual, or (2) proprietary information or data submitted by or pertaining to an institution or organization.

(b) In addition to the types of confidential information described in (a)(I) and (2) above, information which might require special consideration with regard to the timing of its disclosure may derive from studies or research, during which public disclosure of preliminary invalidated findings could create erroneous conclusions which might threaten public health or safety if acted upon.

(c) The Contracting Officer and the Contractor may, by mutual consent, identify elsewhere in this contract specific information and/or categories of information which the Government will furnish to the Contractor or that the Contractor is expected to generate which is confidential. Similarly, the Contracting Officer and the Contractor may, by mutual consent, identify such confidential information from time to time during the performance of the contract. Failure to agree will be settled pursuant to the "Disputes" clause.

(d) If it is established elsewhere in this contract that the information to be utilized under this contract, or a portion thereof, is subject to the Privacy Act, the Contractor will follow the rules and procedures of disclosure set forth in the Privacy Act of 1974, 5 U.S.C. 552a, and implementing regulations and policies, with respect to systems of records determined to be subject to the Privacy Act.

(e) Confidential information, as defined in (a)(l) and (2) above, that is information or data of a personal nature about an individual, or proprietary information or data submitted by or pertaining to an institution or organization, shall not be disclosed without the prior written consent of the individual, institution, or organization.

(f) Written advance notice of at least 45 days will be provided to the Contracting Officer of the Contractor's intent to release finding of studies or research, which have the possibility of adverse effects on the public or the Federal agency, as described in (b) above. If the Contracting Officer does not pose any objections in writing within the 45-day period, the Contractor may proceed with disclosure.

Disagreements not resolved by the Contractor and the Contracting Officer will be settled pursuant to the "Disputes" clause.

(g) Whenever the Contractor is uncertain with regard to the proper handling of material under the contract, or if the material in question is subject to the Privacy Act or is confidential information subject to the provision of this clause, the Contractor should obtain a written determination from the Contracting

Cheyenne River Health Service

Officer prior to any release, disclosure, dissemination, or publication.

(h) Contracting Officer determination will reflect the results of internal coordination with appropriate programs and legal officials.

(i) The provisions of paragraph (e) of this clause shall not apply when the information is subject to conflicting or overlapping provisions in other Federal, State or local laws.

Section E Solicitation: CRHC-24-020

SECTION E – INSPECTION AND ACCEPTANCE

E.1. INSPECTION AND ACCEPTANCE

All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor’s performance, evaluating the quality of services provided by the Contractor, and performing final inspection and acceptance of all deliverables and services called for by the contract.

The COR shall ensure that services provided by the contractor maintain the required levels of performance throughout the life of the contract.

All services delivered to the COR will be deemed to have been accepted 30 calendar days after date of delivery, except as otherwise specified in this RFP, if written approval or disapproval has not been given within such period

Section F Solicitation: CRHC-24-020 Orthopedic Service Cheyenne River Health Service

SECTION F – DELIVERIES OR PERFORMANCE

F.1 PERIOD OF PERFORMANCE

The period of performance shall be as follows:

Base Year - 04/01/2024 – 03/31/2025 Option Year One (1) - 04/01/2025 – 03/31/2026 Option Year Two (2) - 04/01/2026 – 03/31/2027

F.2. PLACE OF PERFORMANCE

Cheyenne River Health Center 24276 166th Street, Airport Road Eagle Butte, S.D. 57625

F.3. PERFORMANCE REQUIREMENT

The contractor must perform to a level that is satisfactory and in accordance with the Performance Work Statement.

A. Record of Services Provided

Time sheets shall be submitted by the contractor every 2 weeks to the Clinical Director or designee.

Time sheets SHALL BE signed by the Clinical Director or Deputy Clinical Director (or delegate). No invoices will be processed unless the Clinical Director or Deputy Clinical Director (or delegate) has provided properly signed time sheets to the Cheyenne River Health Center Contract Officer Representative monitoring and overseeing this contract and its invoices. A record must be maintained in order to follow the budget of the contract. This is a firm fixed price unit price purchase order. Records will be maintained for the life of the contract as per FAR regulations for contract close processes and will be subject for review and/or audit by the Clinical Director or Contract Officer or Contract Officer Representative at any time during business hours.

F.4. DELIVERY REQUIREMENTS

When a deliverable due date occurs on a weekend or a Government holiday, the deliverable will be due on the following Government business day.

GOVERNMENT HOLIDAYS

New Year’s Day January 1 Martin Luther King’s Birthday Third Monday in January President’s Day Third Monday in February Memorial Day Last Monday in May

Section F Solicitation: CRHC-24-020 Orthopedic Service Cheyenne River Health Service

Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday October Veteran’s Day November 11 Thanksgiving Day Fourth Thursday November Christmas Day December 25

F.5. FAR 52.242-15 Stop-Work Order (AUG 1989)

F.6. FAR 52.242-17 Government Delay of Work (APR 1984)

Section G Solicitation: CRHC-24-020

Cheyenne River Health Service

SECTION G – CONTRACT ADMINISTRATION

G.1. AUTHORITIES OF GOVERNMENT PERSONNEL

Authority to negotiate changes in terms, conditions, or amounts cited in this contract is reserved to the Great Plains Area Indian Health Service Contracting Officer.

Notwithstanding the Contractor’s responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government’s points of contact during the performance of this Contract:

G.1.1. CONTRACTING OFFICER

The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:

Craig J. Wells, Chief of the Contracting Office Indian Health Service/Great Plains Area IHS (GPAIHS) 115 4th Ave SE, Fed. Bldg. Rm. 309 Aberdeen, SD 57401 Phone: 605-226-7567 e-mail: craig.wells@ihs.gov

All communications pertaining to contractual and/or administrative matters under the contract shall be sent to the address above and to the following Contract Specialist:

G.1.2. CONTRACT SPECIALIST

Danielle Chasing Hawk, Contract Specialist Cheyenne River Health Center 24276 166th Street, Airport Road Eagle Butte, South Dakota 57625 Phone: 605-964-0605 e-mail: Danielle.chasinghawk@ihs.gov

G.1.3. CONTRACTING OFFICER’S REPRESENATIVE APPOINTMENT AND AUTHORITY

The COR shall be responsible for:

a.) Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and issuing technical changes;

b.) Interpreting the Performance Work Statement;

mailto:craig.wells@ihs.gov mailto:Danielle.chasinghawk@ihs.gov

Cheyenne River Health Service c.) Technical Inspections and acceptances required by this contract;

d.) Assisting the Contractor in the resolutions of technical problems encountered during the performance of this contract; and, e.) Monitoring funds available for obligation under this contract.

The Contractor will receive a copy of the written COR designation from the Contracting Officer.

It will specify the extent of the COR’s authority to act on behalf of the Contracting Officer.

G.2. INVOICE SUBMISSION

The Contractor shall submit invoices once or twice per month.

INVOICE SUBMISSION AND PAYMENT Invoices shall be submitted through IPP. The Contractor shall submit a signed and approved invoice to request payment on at least a monthly basis. (If services are billed at an hourly rate, invoices will include timesheet signed off by the department supervisor.)

The Contractor shall include the following information on each invoice in accordance with the Prompt Payment Act (5 CFR Part 1315.9(b): 1. Contractor's name; 2. Invoice number and date;

3. Entire award number/Contract number or other authorization number for delivery of goods or services; 4. Description (including dates of service), price, and quantity of goods and services rendered; 5. Shipping and payment terms; 6. DUNS number and Taxpayer Identifying Number (TIN); and 7. Contact name (where practicable), title and telephone number. The Indian Health Service (IHS) is in the process of implementing an electronic invoicing system In compliance with the Office of Management Continued ... Prescribed by GSA FAR (48 CFR) 53.213(f) AUTHORIZED FOR LOCAL REPODUCTION OPTIONAL FORM 348 (Rev. 4/2006) PREVIOUS EDITION NOT USABLE TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17(H)) $1,413.85 DATE OF

ORDER 4 ORDER FOR SUPPLIES OR SERVICES SCHEDULE - CONTINUATION CONTRACT NO. UNIT

AMOUNT PRICE QUANTITY UNIT ORDERED ITEM NO. SUPPLIES/SERVICES IMPORTANT: Mark all packages and papers with contract and/or order numbers. ORDER NO. QUANTITY ACCEPTED 04/06/2022 75H70622P00489 PAGE NO (a) (b) (c) (d) (e) (f) (g) and Budget (OMB) M-15-19 memorandum "Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing" directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted this award will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests. IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury's Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register- however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date. The IPP website address is: https://www.ipp.gov If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM

Cheyenne River Health Service to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov "Should the contractor feel that use of the IPP would be unduly burdensome, their response to this solicitation should include an explanation of this position for a determination by the contracting officer".

Additionally, the Contractor is required to include its Data Universal Numbering System (DUNS) number on each invoice. For additional information about the Dun & Bradstreet (D&B) DUNS number, please visit http://fedgov.dnb.com/webform. Invoices shall be submitted in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc. All information set forth in FAR Clause 52.212-4(g), Invoice, must be included in all invoices for it to constitute a proper invoice. In accordance with OMB Memorandum, M-11-32, Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. If a small business contractor is not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as “Small Business.” Additionally, in accordance with OMB Memorandum, M-12-16, all prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMB Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors, see FAR 52.232-40.

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this contract will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer – System for Award Management. Failure to submit directly to the offices listed above will delay prompt payment of your invoice.

G.3. GOVERNMENT FURNISHED PROPERTY

The Service Unit shall provide work space including a desk, computer, printer, and office supplies.

The Orthopedic Contractor will be authorized to use all areas of the Service Unit available to civil service and commissioned personnel in similar positions. The same restrictions apply to Orthopedic Contractor as any other IHS personnel to use these areas for official business activities only.

http://fedgov.dnb.com/webform

Cheyenne River Health Service

The Orthopedic Contractor will be authorized to use all administrative and professional support available to IHS personnel. This will include, but not be limited to, copy machines, telefax machines, and telephone service. The same restrictions to use these items for official Indian Health Service business apply.

The Service Unit shall provide all medical and non-medical equipment and supplies used in the care and management of patients.

Section H Solicitation: CRHC-24-020

Cheyenne River Health Service

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1. CONTRACTOR PERFORMANCE EVALUATION REPORT

During the life of this contract, Contractor performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. This evaluation shall become a part of the contract file and shall be used as past performance information in evaluating the Contractor’s, and any significant subcontractors’ or affiliates, past performance on future contracts. Contractor Performance Assessment Report System (CPARS) is an online reporting system https://www.cpars.gov/. The Contractor Performance Report is completed by the COR electronically and sent to the Contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report. After review by the Contracting Officer, the report becomes a permanent record of the Contractor’s past performance.

H.2. INTERCONNECTION SECURITY AGREEMENT (ISA)

Before an entity to the IHS connects to any IHS System, an ISA must be in place and…