Performance Work Statement 08-01 - Emergency Department - POD A-B - dated 7-26-23.pdf

PWS No.: 08-01 – Emergency Department (POD A & B) July 26, 2023

Performance Work Statement (PWS)

For Non-Personal Services

Registered Nurse Emergency Room – Outpatient Department

Table of Contents

Section Page

1.0 General 1-3

2.0 Definitions 4-6

3.0 Government Furnished Information, Property, & Services 7

4.0 Contractor Furnished Equipment 8

5.0 Performance Based Requirements 8-10

6.0 Contractor Qualification Requirements 11-12

7.0 Federal Torts Claim Act (FTCA) 12

8.0 Challenges to Conflicts 12

9.0 52.249-12 Termination (Personal Services) (Apr 1984) 12

10.0 Performance based Matrix 13

11.0 List of Attachments and Exhibits 14

Performance Work Statement (PWS)

Non-Personal Services

Registered Nurse Emergency Room – Outpatient Department

1.0 General: This performance work statement describes the requirements for Non-Personal service nursing services to support the mission of the Indian Health Service (IHS).

1.1 Background: IHS is an agency within the U.S. Department of Health and Human Services and is responsible for providing federal health services to American Indians and Alaska

Natives. The provision of health services to members of federally recognized tribes grew out of the special government-to-government relationship between the federal government and Indian tribes. The IHS is the principal federal health care provider and health advocate for the Indian people. The goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American

Indians and Alaska Natives. The IHS currently provides health services to approximately

1.5 million American Indians and Alaska Natives who belong to more than 557 federally recognized tribes in 34 states.

There is a nationwide shortage of nurses, which is amplified by the remote and rural areas served by the Indian Health Service. This performance work statement covers requirements for the Navajo, Phoenix and Tucson Areas. The positions to be filled may include: Registered Nurse (RN), Licensed Practical Nurse (LPN), Operating Room

Technician (ORT), Obstetrics Technician (OBT), Nursing Assistant, Health Technician, and

Medical Assistant for the provision of outpatient, inpatient, and community health nursing services.

1.1.1 Navajo Area Indian Health Services (NAIHS): administers health centers and hospitals providing health care to approximately 201,583 members of the Navajo Nation. The Navajo Nation is the largest Indian tribe in the

United States and has the largest reservation, which encompasses more than 25,516 square miles in northern Arizona, western New Mexico, and southern Utah, with three satellite communities in central New Mexico.

The NAIHS is the primary provider of inpatient, ambulatory care, preventive and community health, and environmental health services for members of the Navajo Nation and the San Juan Southern Paiute Tribe.

1.1.2 Chinle Comprehensive Health Care Facility (CCHCF): provides medical care for approximately 35,000 Navajos. Serving a rural area, many of our patients travel 100 miles round trip to receive care and do not have electricity or running water in their homes. Most of our elderly patients speak only Navajo, and live according to the traditional Navajo cultural practices. The Chinle Comprehensive Health Care Facility and Ambulatory

Care Center is a 60-Bed inpatient hospital and outpatient facility. Services offered are: Adult Inpatient and Pediatric Inpatient Care, Outpatient

Primary Care, Adult Intensive Care, Emergency Medicine, General Surgery, Podiatry, OB/GYN, Labor and Delivery, Women’s Health, Midwifery, Mental

Health, Pharmacy, Optometry, Dental, Physical Therapy, Occupational

Therapy, Speech, Pathology, Audiology, Laboratory, Public Health and

School Health.

1.2 Scope: The Contractor shall provide nursing services in accordance with section 5.0, performance based requirements and the attached Scope of Work (Department Specific).

1.2.1. Duties and responsibilities may encompass outpatient, inpatient and community health nursing services to IHS patients. If Supervisor determines necessary, then

Contractor may accompany patient on direct patient care related transports.

1.2.2. Place of Performance: Services are to be performed at hospitals, clinics and other healthcare facilities in the Navajo Area Indian Health Service within the State of

Arizona, New Mexico. Services shall be performed in the Emergency Department

(POD A & POD B) at Chinle Comprehensive Health Care Facility, Chinle, Arizona

86503.

1.2.3. Period of Performance: Will be flexible to allow for short term (13 weeks), long term (1-year to 3-year) and, where feasible, include intermittent support to meet unplanned needs that develop on a frequent basis.

1.3. Applicable Documents: Please see the web link listed unless document is listed as an attachment.

1.3.1. The Joint Commission on Accreditation of Healthcare Organizations (The Joint

Commission) http://www.jointcommission.org

1.3.2. Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov

1.3.3. Accreditation Association for Ambulatory Health Care (AAAHC) http://www.aaahc.org

1.3.4. Section 231 of Public Law 101-647, the Crime Control Act of 1990.

http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.sh tml

1.3.5. Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

http://www.nicwa.org/policy/law/protection/index.asp

1.3.6. Health Insurance Portability and Accountability Act (HIPAA) of 1996.

http://www.cms.hhs.gov/hipaa

1.3.7. Privacy Act of 1974. http://www.usdoj.gov/oip/privstat.htm

1.3.8. Revised American Nurses Association Code of Ethics and Standards of Practice and

Care (1996) http://www.nursingworld.org

1.3.9. State Nurse Practice Act for the Contractor’s licensing state. http://medi smart.com/practice.htm

1.3.10. IHS Service Unit and Health Center Policies, Procedures and Protocols. (See section

11.0 for a list of attachments and exhibits) http://www.jointcommission.org/ http://www.cms.hhs.gov/ http://www.cms.hhs.gov/ http://www.aaahc.org/ http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.nicwa.org/policy/law/protection/index.asp http://www.cms.hhs.gov/hipaa http://www.usdoj.gov/oip/privstat.htm http://www.nursingworld.org/ http://medi‐smart.com/practice.htm http://medi‐smart.com/practice.htm

1.3.11. Computer Security Act of 1980

http://www.ihs.gov/adminmggrresouces/computersecurityact

1.3.12. Federal Code of Conduct http://www.ihs.gov

1.3.13. IHS General Directives http://www.ihs.gov/adminmggrresouces

1.3.14. IHS Computer Security Directives http://www.ihs.gov/adminmggresources

1.3.15. Nurse License Look up http://www.nursys.com

2.0 Definitions:

2.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart

46.5 and subject to other terms and conditions of the contract.

2.2 Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements.

Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3 Area: A defined geographical region for Indian Health Service administrative purposes.

Each Area Office may administer several Service Units.

2.4 Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of

Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

2.5 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.6 Contractor: The individual awarded a legal binding contract to provide supplies and services.

2.7 Contracting Officer’s Representative (COR): A federal employee who assists the ordering/issuing activity contracting officer in the administration of task orders issued under this contract. The COR is primarily responsible for the technical assistance and day-to-day program management of the ordering activity’s task orders. Ordering activities may have different designators for this employee (e.g. GTR – Government Technical

Representative, COTR–Contracting Officer’s Technical Representative, or PO Project

Officer).

2.8 Cooperative Attitude: Behavior that is positive and displays a willingness to perform assigned patient care tasks and to be a team player.

http://www.ihs.gov/ http://www.ihs.gov/adminmggrresouces http://www.ihs.gov/adminmggresources http://www.nursys.com/ http://www.nursys.com/

2.9 Cultural Awareness: Realization and respect for American Indian and Alaska Native practices. Awareness and sensitivity to the native culture.

2.10 Customer: Patients, staff and visitors of an IHS service unit and health center.

2.11 Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor’s performance.

2.12 Dependability: Qualities of being trusted and being able to repeat the same task to yield the same result.

2.13 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal

Executive agencies in their acquisition of supplies and services with appropriated funds.

2.14 Government Vehicle: An IHS owned motor vehicle or a vehicle leased by IHS through agreements with the General Services Administration (GSA) or through commercial rental agreements.

2.15 Health Center: A facility physically separated from a hospital, with a full range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray which are available at least 40 hours a week for outpatient care.

2.16 Nonpersonal Services: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.

2.17 Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

2.18 Ordering Activity Contracting Officer: A Government employee of IHS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contract. The Ordering Activity CO has the authority to make initial determinations on all matters of dispute regarding task orders.

2.19 Orientation: An activity designed to provide basic familiarization of the facility and transition the nurse into the IHS Service Unit and/or Health Center and the nursing unit where the services will be provided. During the orientation process, ALL contractors must complete RN nursing competencies specific to the ED.

2.20 Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance to specifications and to standards of good workmanship; the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts;

the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business-like concern for the interest of the customer.

2.21 Patient Outcome: End result of nursing care.

2.22 Performance based Matrix: Lists the services to be monitored and the standards to be applied.

2.23 Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.24 Service Unit: The local administrative unit of IHS.

2.25 Standards of Practice and Standards of Care: Authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional nursing practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or specialty practice.

2.26 Supervisor: Government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception.

2.27 Task Order: An order issued in accordance with the terms of the contract that details an ordering activity’s specific requirements. An ordering activities written order to obtain services, at a minimum will include the following where applicable: description of services, skill categories, hours, price, period of performance, contract number, and the ordering activities task order number.

2.28 Tour of Duty: The time of day the nurse is scheduled to perform nursing care duties. also considered the shift of the day, The time can vary according to the needs of each facility and/or clinic, e.g. 12 hour Tour of Duty, 8 hour Tour of Duty, 10 hour Tour of Duty. With thirty minutes lunch break for day and night shift.

2.29 Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

2.30 Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

3.0 Government Furnished Information, Property, & Services:

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, will be made available to the Contractor. The

Contracting Officer or designee will be the point of contact for identification of any required information to be supplied by the Government.

3.2 Joint Use by the Government and the Contractor: Except for the property and service listed in 3.3 and 4.0, the Government will provide, for joint use by the Government and the

Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

3.3 Contractor Exclusive Use:

3.3.1 Personal Protective Equipment (PPE): The Government will furnish the

Contractor with appropriate PPE other than specified in paragraph 4 of the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

3.3.2 The Government will provide facility specific contractor identification badges for each contractor. A minimum fee of $100.00 will be charged for lost or destroyed badges.

3.4 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures.

Training will be provided ONLY if the subject matter is necessary to improve or enhance the quality of nursing services or includes mandates made by the IHS Service Units/Health

Centers while the nurse is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

3.5 Supervisor: The Contactor is subject to the supervision and direction of Wilma Hunter-Pine, Supervisory Nurse or his designee for this order.

3.5.1 Contracting Office Representative (COR): Henrietta James, Health System

Specialist is primarily responsible for monitoring the technical progress including surveillance and assessment of performance for this order.

3.5.2 Point of Contact: Hazel Tso, Health System Specialist (928)-674-7190;

Henrietta James, Health System Specialist (928)-674-7189

4.0 Contractor Furnished Equipment:

4.1 Except for the property specified in paragraph 3 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

4.1.1 Uniform and Lab Coats: Uniform and Lab Coats shall conform to the requirements of the Indian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Chief Nurse Executive at each I.H.S. Facility.

4.1.2 Other Personal Medical Instruments: “Other personal medical instruments” are defined as Contractor owned items may include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

5.0 Performance Based Requirements: The Contractor shall provide nursing services in the delivery of patient care to the Indian Health Services. Specific Tasks include the following:

5.1 Nursing Duties:

5.1.1 The Contractor shall perform nursing duties and manage patient’s needs as described in the (PD), Identified by the Service Unit and as directed by

Supervisor.

5.1.2 The Contractor shall perform in accordance with the competency standards listed in Exhibits, paragraph 11. During the orientation process, ALL contractors must complete RN nursing competencies specific to the ED.

5.1.3 The Contractor shall provide professional nursing services in direct patient care as follows:

5.1.3.1 Provide Full Range of Emergency Care to patients of all age ranges.

Exercise knowledge of the triage process to guide decision-making and rapidly access patients requiring emergency care.

5.1.3.2 Exercise Knowledge of the nursing process and its applications to clinical practices in order to provide individualized, goal oriented nursing care to the adult patient.

5.1.3.3 Exercise Knowledge of scientific and psychosocial nursing theory, principles and techniques in order to plan and provide quality-nursing care that meets the physical, spiritual, and social-cultural needs of the Indian patient.

5.1.3.4 Exercise knowledge of biological aspects of disease processes and illness in order to recognize complications and implement appropriate therapeutic intervention required.

5.1.3.5 Exercise knowledge of the medications and dosages in order to recognize their desired effects, side effects, and complications of their use.

5.1.3.6 Analyze the results of various medical procedure and translate them into appropriate nursing interventions.

5.1.3.7 Work effectively and harmoniously within the Health care teams and with

Native Americans patients and their families.

5.1.3.8 Inter-Facility Transports.

5.1.3.9 Contactor shall follow facility policies and procedures, TJC, OSHA, CMS, I.H.S. and other federal licensing, accreditations, and regulating body standards.

5.1.3.10 Coordinate care teams, offer guidance, and support to the team members.

5.1.3.11 Teach and offer appropriate health education to staff, patients, and customer owners.

5.1.3.12 Perform Clinical procedures, intravenous access, and phlebotomy, point of care laboratory testing, IV Infusions/IV medications, EKG, SVN

Respiratory Treatments and response to emergency codes. Responsible for hospital equipment and supplies.

5.1.3.13 Provides guidance to other staff regarding clinical decisions. Assist with and ensures unit is in compliance with daily quality checks.

5.1.3.14 Contractor shall make patient unit assignments, specifically deciding assignment to ensure adequate patient flow. Contractor shall ensure narcotic inventory, daily checks and logs are completed in a timely manner.

5.1.4 Contractor shall be subject to peer review per Joint Commission Standards, and the Baby-Friendly Hospital Initiative (BFHI).

5.1.5 Contractor shall meet the safety management reporting requirements in accordance with the Service Unit Safety Measure Policy.

5.1.6 Contractor shall be responsible for all applicable Federal, State, and Local

Taxes, Meals, Travel/Transportation, and housing is not available. The

Contactor shall be responsible and liable for the proper care of government owned or leased property.

5.2 Work Schedule:

5.2.1 The Supervisor at each IHS facility shall determine specific tour of duty.

The contractor shall work 100% of the contracted hours. Contractor shall work shifts following the unit’s hours of 12.5 hour shifts totaling 7 shifts/2 week period, may work weekends, holidays, rotating day, mid-level, and night shifts, as scheduled by the SCN based on the unit’s need for coverage. With thirty-minute lunch break for day shift and night shift.

Seven (7) shifts in a row is not permitted.

5.2.2 Work Flexibility. As directed by the Supervisor, the Contractor shall rotate into other duty sections as needed to support patient care.

5.2.3 The Contractor shall obtain approval of the department Supervisor or designee prior to any absence from work. If the length of the absence exceeds eight (8) work hours the Contractor shall request approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.

5.2.4 Approval of leave is contingent upon availability of a qualified replacement.

5.2.5 The Contractor shall provide written documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

5.2.5.1 The cause of the current illness or incapacitation AND

5.2.5.2 Indicating the Contractor as contagious or non-contagious.

5.2.5.3 The Government reserves the right to examine and or re-examine any

Contactor who meets the criteria.

5.3 Conduct: The Contractor shall meet standards as listed in the Federal Code of Conduct.

5.4 Performance Evaluation:

5.4.1 The Contractor’s performance will be evaluated in accordance with the standards set forth in the contract and Performance-based Matrix of section 10.0.

5.4.2 Substantiated reports written by any customer dealing with patient safety, infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

5.5 Identification of Contractor:

5.5.1 The Contractor shall wear a government issued contractor identification badge during the performance of duty.

5.6 Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and I.H.S. Service Unit and/or Health

Center specific policies and protocols.

5.6.1 The Contractor shall ensure adherence to DHHS IT system security policies and procedures. The IT policies and procedures will be made available to the Contractor.

5.6.2 The Contractor shall immediately report to the Contracting Officer or

Contracting Officer Representative any information or circumstances that may violate any statue, policy, or procedure.

6.0 Contractor Qualification Requirements:

6.1 Experience: The Contractor shall have thirty six (36) months of nursing experience, with a minimum of twelve months (12) in the specialty required by the contract, unless otherwise approved by the Contracting Officer.

6.2 License/Registration: All Nurses shall possess a current, valid, unrestricted nursing license in a state, the District of Columbia, The Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract.

6.2.1 Motor Vehicle Operator’s License: If required by the position, the

Contractor shall possess a valid state driver’s license throughout the term of this contract.

6.3 Certifications (American Heart Association), Current Basic Life Support (BLS) is mandatory.

6.3.1 Degree of diploma from a professional nursing program approved by the legally designated state accrediting agency at the time of the program was completed by the applicant.

6.3.2 Current BCLS, ACLS, PALS and TNCC (Trauma Certification) or

6.3.3 Experience that equips the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the positions to be filled.

6.4 Health Requirements/Conditions of Employment:

6.4.1 Medical Evaluation: The Contractor shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

6.4.2 Immunizations:

6.4.2.1 Hepatitis A – 2 Dose series at 0 and 6 months.

6.4.2.2 Hepatitis B – 3 Dose series at 0, 1 and 6 months or documented immunity.

A signed declination of Hepatitis B vaccination series will be accepted.

6.4.2.3 Measles, Mumps, Rubella (MMR) – 2 Dose or Titer Documentation.

6.4.2.4 Varicella (Chicken Pox) – 2 Doses, titer documentation or history of varicella/shingles.

6.4.2.5 Tetanus, Diphtheria, Pertussis (Tdap/Td) – 1 Dose of Tdap, Then tetanus

(Td) booster every 10 years after thereafter.

6.4.2.6 Meningococcal – Two Vaccines (MenACWY and MenB) recommended for microbiologists routinely exposed to N. meningitides.

6.4.2.7 Documentation of annual TB test – May include Mantoux TB Skin Test

(PPD). All new employees will require the 2 Step TST. Acceptable lab testing: Quantiferon Gold or T-Spot Test. For Positive TB test results, please submit a copy of recent chest x-ray results.

6.4.2.8 Influenza – MANDATORY annual vaccination

6.5 Language Requirements and Cultural Awareness: The Contractor shall read, understand, speak and write English to effectively communicate with patients and other health care workers, and shall be respectful of the Local, American Indian and Alaska Native Culture.

6.6 Information Technology Skills: The Contractor shall possess moderate knowledge, skills, and abilities to use a computer.

6.7 Orientation: All Nurses providing service under this contract shall attend mandatory orientations and training specified by the government. And any department meetings.

During the orientation process, ALL contractors must complete RN nursing competencies specific to the ED.

6.8 Background Checks: As directed by the Contracting Officer, the Contractor shall provide all requested information necessary to perform Level I and Level II background checks. The

Contractor shall comply with the requirement to obtain security investigations. The

Contractor shall work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. All completed forms will be reviewed by the Contractor and forwarded to the Supervisor. The

Contractor will be immediately removed from the position if at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

7.0 Federal Tort Claims Act (28 USC 1346 (B), 1946): FTCA is not extended to Non-Personal Service

Contractors, Refer to clause 20.237-7 Indemnification and Medical Liability Insurance.

8.0 Challenges to Conflicts: For any inconsistency between supervisor directions, this Performance

Work Statement, attachments and exhibits, the following order of precedence will apply:

8.1 First Priority – Supervisor’s Directions

8.2 Second Priority – Position Description (attached)

8.3 Third Priority – Performance Work Statement Exhibits

8.4 Fourth Priority – Performance Work Statement Narrative

9.0 52.248-12 Termination (Personal Services) (Apr 1984): The Government may terminate the contract at any time upon at least 15 days’ written notice by the Contracting Officer to the

Contractor. The Contractor, with written consent of the Contracting Officer, may terminate this contract upon at least 15 days’ written notice to the Contracting Officer.

9.1 Any Contractor employee demonstrating impaired judgement shall not be allowed to continue working immediately on the contract. The Government reserves the right to remove from the facility any contractor employee who is in the judgement of a licensed healthcare practitioner is impaired.

10.0 Performance – Based Matrix

Performance based Task Indicator Standard Quality Assurance Incentives

State the end results or outputs that you, the customer will formally accept or reject.

For the requirement, state the feature(s) of end result that will be surveilled.

For each “indicator,” state a performance level that, when met, means the task has been performed satisfactorily.

This Standard describes “What Success Looks Like.”

For each “Standard”, state the method used to check performance (i.e.

random sampling, 100% inspection, periodic inspection, customer complaints).

List Positive and Negative

Incentives. Address method of linking payment to quality of service.

Contractor shall provide

Nursing services in the delivery of patient care to the Navajo Area Indian

Health Service.

Competency

Compliance

Patient Outcomes

Professionalism

Credentialing

Documentation

Service Quality

Perform 100% required tasks at 100% of the required competencies (refer to 11.0). Must completed ALL competencies specific to the ED.

100% compliance with IHS Service Units and/or Health Centers published Policies; Procedures; TJC, Standards of Care; and hospital and nursing Protocols.

No reports of breached patient safety, infection control, and other procedures that might adversely affect patient outcome.

Performance characterized by continual cultural awareness and focus on customer service. 100 percent adherence to the Nursing Code of Ethics and Federal Code of Conduct.

Uninterrupted credentialing as defined in 6.0 to 6.8 for period of contract.

100% percent of all documentation meets established IHS Medical Facility, JCAHO, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession.

Satisfaction with quality of service is evidenced by valid customer inputs.

See QASP. Surveillance systems will include periodic inspections and customer complaints.

Payment of contract price for satisfactory service.

Contractor performance will be evaluated using the Contractors Performance Assessment Report (CPAR). The evaluation will be considered when future IHS Contract selections are made.

11.0 List of Attachments and Exhibits: To be provided by the Contracting Officer upon request.

11.1 Attachments:

11.1.1 Position Description – (Service Unit Specific)

11.2 Exhibits Applicable to the Navajo Area I.H.S.

11.2.1 Written Competency Assessments:

11.2.1.1 Confidentiality/HIPAA/Patient’s Rights

11.2.1.2 EMTALA Compliance Exam, 2004

11.2.1.3 Age Specific Competency Verifications

11.2.1.4 RN Medication Administration Competency Examination

11.2.1.5 RN Medication Administration Competency Verification

11.2.1.6 Intravenous Therapy Exam

11.2.1.7 Venipuncture Procedure Skills Competency Verification; CLIA proficient lab competency

11.2.1.8 Pain Management Competency Verification

11.2.1.9 Restraints

11.2.1.10 Soft Restraint Applications Competency Verification

11.2.1.11 Hard Leather Restraint Application

11.2.1.12 CCHC Protocols

11.2.1.13 ED

11.2.2 Contract Nurse Orientation Check List

11.2.3 Contract Nurse Orientation Competency Verification Instructions

11.2.4 Contract Nurse Billing Information

11.2.5 Standard Emergency Codes

11.2.6 Confidentiality: Legal and Ethical Concerns in Healthcare

11.2.7 EMTALA – Emergency Medical Treatment and Labor Act

11.2.8 What are Age‐Specific Competencies?

11.2.9 An Introduction to the Navajo Culture

11.2.10 Verbal and Telephone Orders

11.2.11 Medication Administration

11.2.12 Pain Management

11.2.13 Latex Allergy

11.2.14 Focus Charting

11.2.15 Patient Restraints

11.2.16 Charge Nurse Duties: Responsibility and Expectation

11.2.17 Nursing Standards

11.2.18 Standards of Nursing Practice