PERFORMANCE WORK STATEMENT.pdf

PERFORMANCE WORK STATEMENT

DESCRIPTION OF SERVICES

The Contractor shall provide two (2) Pharmacists to perform pharmaceutical services. These services shall be performed in accordance with all federal, state, local laws and regulations, commercial professional standards, Indian Health Service policy and practice standards, the Accreditation Association for Ambulatory Healthcare (AAAHC), The Joint Commission (TJC), and the Performance Work Statement (PWS).

HOURS OF OPERATION

Hours of operation are Monday through Friday, between 7:00am and 6:30pm; with a possibility of 4-10 hour days. The work shifts will be scheduled as needed based on staffing needs and shall not exceed 40 hours per week. The typical work week will be 40 hours/week on Monday thru Friday. Work shifts will normally be eight (8) hour days, with a 30 minute lunch. Alternate shift of ten (10) hour days, with a 30 minute lunch depending on need.

Federal Government holidays, compensation time, including overtime are excluded.

SCHEDULED ABSENCES.

All scheduled absences shall be coordinated with the Prime contractor who will notify the COR.

UNSCHEDULED ABSENCES.

Unscheduled absences are those absences not coordinated at least two weeks in advance.

The contractor shall provide notice of an unscheduled absence as early as possible.

Notification must be given within a minimum of 1 hour of start of shift (i.e., acute illness).

MAJOR DUTIES: Pharmacist Contractor shall possess the knowledge, skills and ability to perform a full range of service in his/her specialty, including the most difficult cases. Services include but are not limited to the following:

• The contractor will dispense approximately 300-400 prescriptions (mostly refill prescriptions) per day

• Working knowledge of general computer applications/software to include Microsoft Office programs, MS outlook (E-Mail), Access, Excel, PowerPoint, and internet familiarity is required.

• Working knowledge of pharmacy computer systems, such as the IHS Electronic Health Record (EHR), Resource Patient Management System (RPMS), ScriptPro Central Workflow Management system and Omnicell.

• Process prescription orders in the IHS Electronic Health Record (EHR), and check for completeness, appropriateness, dosing, and allergies.

• Shall assure that all medications prescribed are on the WESU & RLSU formulary.

• Shall check for drug-drug and food interactions, contraindications and warnings.

• Will assess renal function by calculating the patient’s height, weight, age, and serum creatinine, and the creatinine clearance.

• Shall provide instructions to all prescribing practitioners as to substitutions of medications as applicable and answer any medical questions pertaining to medications and patient care.

• Deliver comprehensive pharmaceutical services within the personnel, supply, and equipment capabilities of the facility.

• Counsel patients regarding safe and effective use of medications.

• Review patient profiles in electronic health records to closely monitor medication therapy to identify medication-related problems and propose solutions.

• Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients.

• Compound medications as required.

• Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.

• Work closely with clinical staff in developing patient wellness programs such as smoking cessation programs and asthma classes.

• Provide medication related information to clinical staff (i.e., appropriate use of medications;

comparison of current medication therapies; and other topics as deemed appropriate by the department head).

• Provide clinical direction to pharmacy technicians.

• Assist with inventory control of pharmaceuticals and supplies in the pharmacy, specifically scheduled pharmaceuticals, and maintain pharmacy security.

• Maintain appropriate records and security of all scheduled controlled substances according to applicable regulations and local policy. This would include documenting scheduled medications per policy, reviewing and signing off on the daily controlled substance report within 24 hours of previous business day.

• Consult with other specialty practitioners to provide optimal patient pharmaceutical care.

• Participate in a quality improvement efforts.

• Maintain clean and safe work areas are according to applicable regulations and local policy.

• Document significant medication interactions and pharmacy interactions with prescribers.

• Conduct Adverse Drug Reaction (ADR) and medication error reporting in accordance with local policy.

• Participate in medication use evaluations as necessary.

• Speak, understand, read, and write English fluently and communicate with sufficient clarity.

• Knowledge of and ability to apply medical privacy and confidentiality standards including the

HIPPA, AAAHC, TJC, and facility practice guidelines.

• Shall be able to walk, stand, bend, sit, and use computers for prolonged periods of time.

• Shall have the ability to hear well is necessary to perform the duties. Patient conversation occurs through a thick window.

• Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines.

• Provides care within ethical and legal boundaries.

• Serves and participates in committees, functions and other meetings as directed.

• Provides relevant and timely information as needed and assists with decision making and process improvement.

• Participates in customer service initiatives, and medical readiness activities designed to enhance health services.

• Ensures a safe work environment, safe work habits and patient safety in accordance with regulatory agencies, infection control policies, and implemented process improvements.

• Must understand and support local Service Unit and Departmental Policy, participate in problem-resolution, and adapt and incorporate change as needed.

• Shall immediately advise the COR of any problem(s) encountered or which may be encountered in connection with meeting the needs and concerns of patients.

• Must demonstrate effective customer service skills with courtesy and respect to internal and external customers, face-to-face, electronic and by telephone.

• Shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships.

• Must be able to use conflict resolution skills when necessary.

• DOCUMENTATION: All contract personnel shall prepare documentation to meet or exceed established standards of the facility. Contract personnel shall ensure complete patient identifying information is on all documentation that is to become part of a health care record.

All documentation shall comply with HIPAA and all required protected health information policies as required in this PWS.

• RECORDS: The contractor shall manage all records created for Government use in accordance with records management procedures Records Disposition-Procedures and Responsibilities. All records containing Privacy Act material when collecting, safeguarding, maintaining, using, accessing, amending, and disseminating personal information in a system of records, shall be protected per HIPAA guidelines.

• ANNUAL TRAINING REQUIREMENTS: All contract personnel shall complete annual training as required to comply with HIPAA, Accreditation, IHS Computer Security Policy, IHS Safety and other relevant training that is deemed necessary during contract period.

• APPEARANCE: Contract personnel shall present a neat, professional appearance, and clothing shall be appropriate for patient care. Personnel shall wear and have readily visible, IHS issued identification at all times when on duty.

• PRIVACY AND CONFIDENTIALITY: All patient lists shall be treated as privileged information. Lists and/or names of patients shall not be disclosed to or revealed in any way for any use outside the facility without prior written permission by the Chief Contracting Officer and facility Chief Executive Officer.

• REPLACEMENT STAFF: The Contractor shall have adequate replacement personnel available to meet contract replacement requirements to ensure a lapse in coverage does not occur. All replacement personnel shall meet or exceed position qualifications.

• ORIENTATION AND TRAINING: The Government will provide mandatory orientation and training for all contracted personnel prior to providing services. No contract personnel shall begin orientation unless a complete credentialing package has been submitted. Orientation takes approximately four hours to complete. Orientation consists of walk-thru of the facility, fire and safety training, review of infection control policies, providing proof of immunizations and other training requirements.

• At no time shall the contract provider or company attempt to bill the patient, patient insurance or alternate resources.

• Safety Hazards: Services under this contract shall occur in a healthcare facility therefore, the Contractor can be expected to come in contact with potentially infectious materials, infectious individuals, handling chemicals, among other hazards. The Contractor shall be responsible for providing their personnel with adequate training for all potential hazards that their personnel may encounter while performing services in a healthcare setting to ensure safety.

• Personal Protective Equipment: The Contractor staff shall utilize PPE as appropriate in a healthcare setting and as required by IHS policy, OSHA, and other regulating bodies. The Contractor shall ensure that assigned staff have been trained on proper use of PPE to ensure staff know when it is necessary; what kind is necessary; how to properly put it on, adjust, and take it off; limitations of equipment; proper care, maintenance, useful life, and disposal of equipment.

• Government Furnished Property: The Government will provide, without cost to the Contractor, designated space(s) in the building necessary for the contracted staff to provide the support outlined in the PWS. Said workspace is to be used only in connection with the performance of this contract. The Government will provide all supplies and equipment needed to meet the requirements of the PWS.

• Food and Lodging: The contractor is responsible for own food and lodging. This facility does not provide or have available Government quarters for use. Contractor provider shall plan accordingly.

• Contractor provider shall report to the security desk when entering or leaving the facility.

• Contractor shall provide a valid photo identification card upon request to security personnel.

• This is not a virtual or telework service and shall occur onsite at the designated Government facility.