Performance Work Statement - Pharmacist - LB-12.11.25.pdf

Pharmacist Statement of Work Page 1 of 12

LOWER BRULE INDIAN HEALTH CENTER

PERFORMANCE WORK STATEMENT FOR PHARMACIST SERVICES ON AN AS-NEEDED

BASIS

Background of the Contract

The mission of the Lower Brule Indian Health Center is to provide the best possible healthcare services to the Lower Brule Sioux Tribe and all other qualified Native Americans. To meet this mission, the Lower Brule Indian Health Center has identified a need for an all-inclusive, non-personal service contract for a Registered Pharmacist. The Lower Brule Indian Health Center is also referred to as the Lower Brule Service Unit throughout this Statement of Work.

Purpose of the Contract

The purpose of this contract is to maintain and continue pharmaceutical services at the Lower Brule Indian Health Center.

To maintain the highest quality of healthcare and pharmacy services to the people we serve, the Lower Brule Service Unit requires the contract pharmacy services support during leave and/or training of the staff and Chief pharmacist. The care provided by the Contractor through its employees shall be as comprehensive as the Indian Health Service (IHS) supplied facilities, equipment, and support services permit. The Contractor shall furnish the necessary personnel to provide Registered Pharmacist(s) recruitment, credentialing, and placement services to the Lower Brule Service Unit in the Great Plains Area of the Indian Health Service. The service unit requires these services be provided in the time period stated.

The contract resulting from this solicitation shall:

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

• Allow the Government to evaluate the quality of professional and administrative services provided.

• 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.

• Require the Contractor to maintain liability insurance which is not less than the amount normally prevailing within the local community for the medical specialty concerned.

• Require the Contractor to assume sole and exclusive responsibility for employee federal taxes, Social Security, unemployment insurance, and workman’s compensation.

• Require the Contractor to provide daily compensation and travel reimbursements to each

Contract Pharmacist as appropriate.

• Contractor shall ensure that all qualified staff are physically onsite and available for duty no later than 30 days after contract award.

Place of Performance

Lower Brule Health Center Indian Health Service 601 Gall St Lower Brule, SD 57548

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Period of Performance

The Period of Performance is from 02/01/2026 – 07/04/2026, Monday through Friday, between 8:00AM-4:30PM, as needed for leave and/or training of staff and chief pharmacist. Work shifts will normally be eight (8) hours in length, with a 30-minute lunch. The Contractor will work no more than 40 hours per week, depending on staffing needs each week, and as scheduled with the Chief Pharmacist or their designee. Up to thirty (30) minutes may be allowed at the end of the scheduled shift to accommodate unexpected patient care only with approval from the Pharmacy Supervisor or designee.

Only hours worked that are pre-approved by the Chief Pharmacist or their designee will be approved for payment. The contract pharmacist will not work on federal holidays, overtime, or compensation time.

Government Furnished Property, Facilities, and Services

Pharmacists placed by the Contractor will be authorized to use all areas of the medical treatment facility available to civil service and commissioned personnel in similar positions. The same restrictions apply to contract pharmacists as any other Indian Health personnel to use these areas for official business activities only.

Contract pharmacists will be authorized to use all administrative and professional support available to Indian Health Service personnel. This will include but not be limited to: copy machines, fax machines, printers, drug information resources, email, and telephone service.

Contractors will follow the same rules, regulations, policies, and procedures that the permanent IHS government employees follow.

Each contract pharmacist shall be provided with an orientation to the Lower Brule Service Unit and the Indian community being served. The Chief of Pharmacy or a designated representative shall provide the initial orientation and continuing orientation prior to the contract pharmacist performing his/her assignments.

The Lower Brule Service Unit shall provide all medical and non-medical equipment and supplies in the facility for the care and management of patients.

The Lower Brule Service Unit shall provide all required blank government forms applicable to the Indian Health Service. The Chief of Pharmacy or a designated representative will provide an appropriate orientation to the necessity of such forms.

Candidate Presentation:

The Contractor shall present a candidate to the Lower Brule Health Center Contracting Officer’s Representative (COR) for review by the Pharmacy Supervisor within five (5) business days of the purchase order and will include the following documentation for the Contract Pharmacist:

1. Full name

2. Date of birth

3. Social security number

4. Phone number

5. E-mail address

6. Current curriculum vitae with listing of all work experience, and explanations for any employment gaps

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7. Signed Release of information

8. Minimum of three (3) letters of reference (preferably within the past 6 months); must have (1) clinical supervisor and (2) peers from the same discipline

In the event the Pharmacy Supervisor does not accept the Contract Pharmacist, the documentation will be sent to the COR for review/comments and the Contractor will have three (3) business days to present a new Contract Pharmacist.

Upon acceptance of a Contract Pharmacist, a full background investigation shall be sent to the contractor.

The Contractor is responsible for ensuring that proposed Contract Pharmacist possess the requisite credentials to allow for performance of all objectives identified. The contractor shall send a fully completed background investigation back within seven (7) days. The entire candidate presentation and paperwork completion shall be accomplished within thirty (30) days.

Once a Contract Pharmacist has been cleared for suitability with a completed background check and has been granted privileges, the Contractor shall submit a confirmation service agreement and include the following information:

1. Contract Pharmacist name and phone number

2. Dates of service

3. Confirmation of Contractor’s completion of Contract Pharmacist’s orientation to this scope of work

4. Point of contact and phone number

Prior to the assumption of duty on any scheduled work shift, the Contract Pharmacist may be briefed by the service unit Pharmacy Supervisor or his/her designee concerning any matter relevant to the Contract Pharmacist’s responsibilities under the terms of this contract. The Contractor shall advise the COR, or his/her designee of any problem encountered in connection with meeting the needs of patients treated by the Contract Pharmacist.

Conflict of Interest

The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of Health and Human Services (HHS) unless such a person seeks and receives approval in accordance with the Department of HHS.

Continuity of Services

The Contract Pharmacist’s services are considered vital to the Government and must be continued with minimal interruption. In order to minimize interrupted services, the Contractor shall exercise best efforts and cooperation to provide coverage during periods of permanent staff absences.

In the event the Contractor is unable to fulfill the purchase order requirements for whatever reason; the government reserves the right to fulfill its need outside of this contract. A written confirmation from the contractor indicating the inability to fulfill the purchase order is immediately required. The government’s right to fulfill its need outside this contract(s) does not waive its right to the issuance of a cure notice nor does it waive its right to terminate.

Character Investigation

CRIMINAL BACKGROUND CHECK REQUIREMENT. The Government will conduct, at the

Pharmacist Statement of Work Page 4 of 12 government expense, a Tier 2 with Subject Interview (T2S) and state criminal history checks on individuals providing direct, unsupervised child care services under this contract. This investigation will be conducted at the expense of the Government and will be based upon the Federal Bureau of Investigation (FBI), state and local criminal history repositories.

The Contract Pharmacist(s) are subject to Public Law 101-630, The Indian Child Protection and Family Violence Prevention Act. The Indian Health Service Personnel Office will conduct the criminal background investigations, and obtain fingerprints on each Contract Pharmacist provided by the Contractor. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contract Pharmacist(s) must not have unsupervised contact with Indian children or access to Federal Information System that contain Personally Identifiable Information (PII) or Protected Health Information (PHI). The investigation may take several months to complete. Contract Pharmacists receiving unfavorable background investigations shall not be employed. If at any time the Contractor fails to meet or maintain suitability or eligibility for Federal employment, the Contractor will be removed from providing services at the Lower Brule Health Center.

The Contractor shall submit completed personnel background check applications within seven (7) working days after candidate acceptance. Any corrections needed to the background investigation process must be completed and resubmitted within seven (7) days.

Individuals shall have the right to obtain a copy of any background check pertaining to themselves and to challenge the accuracy and completeness of the information contained in the report.

Contractor Furnished Equipment, Facilities, and Services

The Contractor shall provide the qualified personnel in order to complete the Contractor's responsibilities at the Lower Brule Indian Health Center. The Lower Brule Indian Health Center does not anticipate a need for contractor furnished equipment.

The Contractor shall be responsible for travel, lodging, per diem, fringe benefits, health and life insurance, Social Security, Federal, State, and Local taxes, plus any other costs pertinent to the performance of this contract.

Scope of Work

The Contractor shall furnish a Registered Pharmacist to provide, support, and maintain pharmaceutical services to patients at the Lower Brule Indian Health Service, as requested by the Chief Pharmacist or their designated representative, for the term of this contract. The contract pharmacist(s) shall perform pharmacy services compatible with the facilities operation, capacity and equipment of the Lower Brule Indian Health Service. Contract pharmacists shall cover the range of pharmacy services typically provided in a rural civilian practice of similar size. Contract performance shall be according to the requirements contained in this statement of work.

All contract pharmacists shall be required to participate in a clinic-based quality improvement program that is consistent with current Accreditation Association for Ambulatory Health Care (AAAHC) requirements for ongoing monitoring and evaluation of quality and appropriateness of care; and serve as a member of a health care team providing care on a regular basis.

The main duties of the contract pharmacist(s) will be checking prescriptions for accuracy before dispensing them to the patient and counseling the patients, but must also be knowledgeable in the

Pharmacist Statement of Work Page 5 of 12 following pharmacy functions:

• The contract pharmacist(s) shall be able to read medication orders from the prescriptions and process prescription orders in the Electronic Health Record (EHR), and check for completeness, appropriateness, and allergies. The contract pharmacist(s) shall ensure that all medications that are prescribed are on the Lower Brule Service Unit formulary. The contract pharmacist(s) shall check for any drug-drug and drug-food interactions. The contract pharmacist(s) 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.

• The contract pharmacist(s) must be able to work independently and may also be required to work as the sole pharmacist on certain occasions when the permanent staff is attending meetings, completing administration assignments, or on leave.

• In the clinic area, the contract pharmacist(s) must be able to enter the prescriptions using the computer software system. The computer software will provide a label and medication information sheet for each prescription. The contract pharmacist(s) must be able to accurately fill the prescription, attach the prescription and auxiliary labels to the bottle, and dispense the medications. The contract pharmacist(s) shall appropriately counsel the patients on their medications.

• The contract pharmacist(s) shall determine appropriateness of the medications. When a medication order is incomplete or inappropriate, a medication the patient is allergic to, or for non-formulary medication(s), the contract pharmacist(s) must then clarify the order with the prescriber before filling the medications. The contract pharmacist(s) shall review all medication orders for drug-drug and food-drug interactions; and access renal function.

All medications that need to be adjusted or changed shall be brought to the attention of the prescriber.

• The contract pharmacist(s) shall interact with other medical professionals within the clinic in order to solve problems that occur in the ordering and delivery of medications.

• The contract pharmacist(s) shall keep complete records as far as controlled medications.

The Contractor and /or the contract pharmacist(s) shall immediately advise the Chief Pharmacist or their designated representative of any problem(s) encountered or which may be encountered in connection with meeting the needs and concerns of patients. The contract pharmacist(s) shall notify the Chief of Pharmacy or their designated representative immediately when he/she is unable to perform due to illness or family emergency, i.e., death, etc.

When the Chief Pharmacist is absent, the contract pharmacist(s) shall follow the delegation of authority posted in the pharmacy and perform duties as assigned by the Chief Pharmacist's designee.

Contract Registered Pharmacist Qualifications

The Contract Registered Pharmacist(s) shall:

• Be a graduate of a school of pharmacy approved by a state-accrediting agency.

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• Possess a current, active, unrestricted license from any of the 50 US states, the Commonwealth of Puerto Rico, or the District of Columbia.

• Maintain continuing education/certification, and have a current Basic Life Support (BLS) certification.

• Have a minimum of 2 years of experience as a pharmacist within the past 36 months, and must meet all background investigation requirements.

• Not have any work or health restrictions that interfere with the performance of pharmacy services.

• Speak, understand, read, and write English fluently and communicate with sufficient clarity to be understood by Lower Brule Service Unit personnel and the Native American community.

• Possess sufficient initiative, interpersonal relationship skills, and social sensitivity such that he/she can relate constructively to patients from Native American communities.

• Maintain standards of personal hygiene and grooming such that his/her image as a

Registered Pharmacist is compatible with the expectations of the Great Plains Area Indian Health Service clinical staff and the Native American community.

Contractor Technical Requirements

The Contractor shall possess the following:

• Ability to provide pharmacist(s) in a timely manner who can provide on-site pharmaceutical services to beneficiary patients of all ages that present for care to the

LBHC.

• Ability to assist with completion of background investigation paperwork for the Contract Registered Pharmacist(s) in a timely manner prior to assignment.

• Ability to provide Contract Registered Pharmacist(s) who can interact with patients and clinical staff in a customer friendly and culturally sensitive manner.

• Ability to provide Contract Registered Pharmacist(s) who possess Electronic Health Record Experience.

Special Contractor Responsibilities

The Contractor shall be responsible to ensure that the Contract Registered Pharmacist(s) providing services under this contract is fully trained and completely competent to perform the required work.

The Contractor shall be required to maintain records that document competence and performance level of Contractor employees working under this contract in accordance with AAAHC and other regulatory body requirements.

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The Lower Brule Service Unit's Chief Pharmacist, or their designated representative, shall monitor the contract pharmacist's work to ensure contract compliance and not withstanding other contract requirements, upon request of the Contracting Officer. The Contractor shall remove the contract pharmacist(s) who does not comply with orientation requirements, meet competency requirements, or complete the assignments for the contract work being performed under this Statement of Work. If removed, the Contractor shall immediately provide another qualified, contract pharmacist who will meet these requirements and complete the assignments listed within this Statement of Work. The Contractor's failure to submit successful applicants shall not excuse nonperformance of contract requirements.

The contractor must perform the required work, in accordance with AAAHC or other regulatory body standards. The contractor is required to develop and maintain the following documents for each Contract employee working on the contract : credentials and qualifications for the job, a competence assessment checklist (an assessment of knowledge, skills, abilities, and behaviors required to perform a job correctly and skillfully, including knowledge and skills required to provide care for certain patient populations, as appropriate); a current performance evaluation supporting the ability of the contract employee to successfully perform the work required in this solicitation; and listing of relevant continuing education for the last two years. The Contractor shall maintain and provide copies of these records upon request.

Verification of Licensure

To ensure that the contract Registered Pharmacist(s) providing services under this contract is properly licensed and that the Lower Brule Service Unit is aware of any disciplinary actions taken against such pharmacist, the Contractor shall:

• Provide a copy of licensure ensuring that each pharmacist placed at the Lower Brule Service

Unit holds a current, active pharmacy license that is in good standing.

• Inform IHS of the status of all licenses for each Registered Pharmacist(s) providing services under this contract at the Lower Brule Service Unit.

• Provide all information regarding performance and disciplinary actions that is collected on the pharmacist placed under this contract to the Service Unit's Chief Pharmacist.

• Certify that all information on the contract Registered Pharmacist(s) has been reviewed and verified by the Contractor. This certification must include a statement that the Contractor has found no reason to reject the pharmacist application.

Evaluation and Performance Requirements

The Contractor shall allow the Government to evaluate the quality of professional and administrative services provided with the technical requirements of this contract. This assessment will include observations of the work system, methods and execution. Examples of monitoring methods include, but are not limited to: appropriateness of candidate placement (e.g., number or removals, number of early terminations of assignments due to personality conflict, poor work habits, inadequate skills for the assignment, unprofessional or discourteous behavior). An assessment spreadsheet with these methods will be monitored by the Pharmacy Supervisor and the Contracting Officers’ Representative (COR). The Contract Pharmacist’s performance will be monitored through peer review/competency, identifying deficiencies in the quality of services performed before the level of performance becomes

Pharmacist Statement of Work Page 8 of 12 unacceptable. These evaluations may be used as a record of contract performance history for the purpose of evaluation in other competitive or non-competitive acquisitions.

All services rendered shall be in accordance within the Contract Pharmacist’s professional training and experience, and with current standard medical practices to assure quality care. The Contract Pharmacist(s) must perform at a level that is satisfactory and in accordance to all applicable laws, policies, rules, regulations, and within the Statement of Work.

NEGLIGENT BEHAVIOR. Any negligent behavior or any behavior jeopardizing patient safety will not be tolerated. Professional Review Action may be taken if activity, demeanor or conduct of the Contract Pharmacist(s) is detrimental to patient care, disruptive to the service unit operation, in violation of IHS policy, or is unethical. Each incident will be evaluated and documented, and the Pharmacy Supervisor will notify the COR, and provide copies of pertinent documentation as soon as possible when the necessity to exercise such authority becomes apparent. These incidents may be grounds for immediate removal.

PERFORMANCE SURVEILLANCE PLAN. Performance surveillance monitors will be established to comply with regulatory guidelines and to monitor contract performance. The performance surveillance plan has been developed to outline the Indian Health Service’s general plan in providing effective and systematic surveillance and reporting of all aspects of contract performance. This plan recognizes the responsibility of the Contractor to carry out its own quality control obligations in the performance of this contract.

Surveillance will be accomplished through review of the Contractor’s performance against requirements listed in the work statement and performance standards listed in this plan. Performance-based incentives are consistent with the intent and purpose of the contract.

Upon completion of the contract, the Government will complete and keep on record the Contractor’s performance evaluation form based on the following objectives.

OBJECTIVE/

TASK

PERFORMANCE

STANDARD

ACCEPTABLE

QUALITY

LEVEL (AQL)

SURVEILLANCE

METHOD/

MEASURES

CONTRACT

OR

INCENTIVE

DISINCENTIVE/

DEDUCT

PERFORMANCE

OBJECTIVE 1

The Contractor shall establish a technical approach and management plan for the placement of Pharmacist(s) into temporary assignments at LBHC providing coverage when requested

Once a task order/request is received:

Contractor shall locate a Pharmacist and complete all paperwork within established time frames

Present candidate(s) within five (5) days of contract award and if found unacceptable, Placement of staff 100% of the time

Pharmacy Supervisor shall submit monthly spreadsheet of placement dates to the COR to monitor the placement requirement of coverage when requested

Favorable Contractor performance evaluation

Unfavorable

Pharmacist Statement of Work Page 9 of 12 locate a replacement within three (3) days.

Complete IHS background investigation information and return to LBHC within seven (7) days.

OBJECTIVE 2

All Contract Pharmacist(s) shall perform in accordance with clinical standards

Care provided is within clinical standards of care

100% found on peer reviews

Pharmacy peer reviews and / or competencies will be completed and will review the following elements:

-Appropriateness of new prescription(s), including appropriate dose, allergy review, formulary process followed, and counseling literature documented.

-Accurate verification and dispensing of medication, including allergy review and counseling documentation.

Unfavorable performance evaluation, removal from contract until such time the Contract Pharmacist(s) meet qualification standards

OBJECTIVE 3

Contract Pharmacist(s) are capable and knowledgeable of effective communication

Contract Pharmacists shall be respectful, courteous, and culturally sensitive to IHS patients and staff

No more than two (2) valid complaints per Contract Pharmacist annually

The Contractor shall respond to the COR in writing whenever they receive notice of a valid complaint against a Contract Pharmacist with an explanation of what was done to address the matter

The invoice will be put on hold until the complaint is investigated and resolved in seven

(7) working days, removal from contract until such time the Contract Pharmacist(s) meet qualification standards

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Contract Officer’s Representative:

The Contracting Officer’s Representative (COR) representing the Government for the purpose of this contract shall be designated in writing by the Contracting Officer at the Great Plains Area Indian Health Service.

The COR is responsible for:

1. Monitoring the Contractor’s technical progress including surveillance, assessment, and performance and recommending to the Contracting Officer changes in requirements,

2. Interpreting the Statement of Work,

3. Performing technical evaluation as required,

4. Performing technical inspection and acceptance required by this contract,

5. Assisting the Contractor in the resolution of technical problems encountered during performance, and

6. Serving as systems manager to ensure compliance with the Privacy Act.

The designated COR for this contract is:

Michelle Chmela, COR I Lower Brule Health Center 601 Gall St.

PERFORMANCE

OBJECTIVE 4

Contract Pharmacist(s) shall complete all required trainings on time

All required training is completed on time

95% completion, no deviations

Periodic sampling Favorable Contractor performance evaluation

Unfavorable contract performance evaluation, suspension or termination of all physical and/or electronic access privileges and removal from contract until training is completed

OBJECTIVE 6

Contract Pharmacist(s) are aware of all laws, regulations and policies related to Privacy, Confidentiality and HIPAA, and complies with all standards of privacy

Pharmacist(s) comply with all laws, regulations and policies relating to Privacy, Confidentiality and

HIPAA

100% compliance, no deviation

Pharmacist shall provide copies of all required trainings to the Pharmacy Supervisor, HIM will report any violation to the Pharmacy Supervisor for review

Immediate removal of Contract Pharmacist from contract

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Lower Brule, SD 57548 Phone: (605) 473-8172

Email: Michelle.Chmela@ihs.gov

The designated Technical Point of Contact (TPOC) for this contract is:

Sierrah Ellenbecker, Chief Pharmacist Lower Brule Health Center 601 Gall St.

Lower Brule, SD 57548 Phone: (605) 473-8188 Email: Sierrah.Ellenbecker@ihs.gov

Issuance of changes which affect the articles, terms, or conditions of this contract will be accomplished through the Contracting Officer who is the only party authorized to bind the Government to the contract.

Compensation:

The Contractor shall be responsible for all inclusive costs, and there will be no differential pay for government holidays, overtime, compensation time, and night differential. “All inclusive” is defined to include travel, lodging, per diem, fringe benefits, Federal/State/Local taxes, plus any other costs pertinent to the performance of this contract, including overtime and holiday pay.

Payment Process:

The Contractor shall submit a weekly invoice of services rendered that is mutually agreed upon by the Contractor and the Project Officer, or her designated representative, and follow IPP Guidelines.

The following information MUST be included on each invoice submitted for the Finance Department to process payment:

Contractor/Vendor Name Mailing Address Telephone Number Tax Identification Number (TIN) Invoice Date and Number Purchase Order Number (in Block #3 of the OF-347 form) Description of services provided, quantity, unit of issue, unit price, and the total amount due

UEI

1. Authority

1.1. No person other than the Contracting Officer has the authority to bind the Government with respect to this contract.

1.2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3. In no event shall any of the following be effective or binding on the Government or imputed to the mailto:Michelle.Chmela@ihs.gov mailto:Sierrah.Ellenbecker@ihs.gov

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Contracting Officer with respect to this contract:

1.3.1. An understanding or agreement between the Contractor and anyone other than the Contracting Officer.

1.3.2. A purported modification or change order issued by anyone other than the Contracting Officer.

1.3.3. A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

1.3.4.2. Expend hours in excess of a specified level of effort.