Work Statement - Radiology & Ultrasound Tech.docx

Pinon Health Center Performance Work Statement (PWS) For Non-personal Services Diagnostic Radiologic Technician/Ultrasound Technician Table of Contents

Section

Page

Pinon Health Center Performance Work Statement (PWS) For Non-personal Services Diagnostic Radiologic Technician/Ultrasound Technician

1.0 General: This performance work statement describes the requirements for non-personal services for a Diagnostic Radiologic Technician/Ultrasound Technician 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.

1.1.1. Navajo Area Indian Health Service (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. Pinon Health Center (PHC) and Chinle Service Unit (CSU) serving a rural area. Pinon Health Center is associated with Chinle Service Unit – Indian Health Services in the Heart of the Navajo Reservation – Northern Arizona. Pinon Health Center provides medical care to approximately 11,000 patients – majority of which are Navajo and many are traditional Navajo who still speak the language. A collegial group of providers offer services in primary care, women’s health, counseling, dental, dietary and community nutrition, health promotions, lab, x-ray, native medicine, optometry, pharmacy, physical therapy, speech therapy, podiatry and public health nursing.

1.2. Scope: The Contractor shall provide outpatient Radiologic/Ultrasound technician services in accordance with section 5.0, Performance-Based requirements.

1.2.1. Duties and responsibilities will encompass outpatient Radiologic/Ultrasound technician services to IHS patients.

1.2.2. Place of Performance: Services are to be performed Pinon IHS healthcare facility in the Navajo IHS Area within Pinon Health Center Radiology Department.

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 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: 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.shtml

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/HIPAAGeninfo/Downloads?HIPAALaw.pdf

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

1.3.8. IHS Services Unit and Health Center Policies, Procedures, and Protocols. (See section 11.0 for a list of attachments and exhibits)

1.3.9. Computer Security Act of 1987: http://csrc.nist.gov/groups/SMA/ispad/documents/csa_87.txt

1.3.10. Federal Code of Conduct: http://ihs.gov

1.3.11. IHS General Directives: http://www.ihs.gov/adminmggrresources

1.3.12. IHS Computer Security Directives: http://www.ihs.gov/adminmggresoures

2.0 Definitions

2.1. Acceptance: Constitutes acknowledgement that the supplies or services conform to the acceptable 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: Acknowledgement 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 Services administrative purposes. Each Area Office may administer several Service Units.

2.4. Code of Ethics: The Code of Ethics for Radiology Technicians approved by the American Board of Radiology.

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) or Project Officer (PO): A federal employee who assists the ordering/issuing activity contracting office 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 the 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.

2.9. Cultural Awareness: Realization and respect for American Indian and Alaska Native practices.

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 of 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 vehicle leased by IHS through agreements with General Services Administration (GSA) or through commercial rental agreements.

2.15. Health Care: 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. Non-Personal Services Contract: 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 37.401.

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 make subsequent task order modification(s) under this contact. 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 radiology technician into the IHS Service Unit and /or Health Care where the services will be provided.

2.20. Past Performance Information: Relevant information regarding a contractor’s action under previously awarded contracts. This includes 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 outpatient, Radiologic/Ultrasound Technician 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. Personal Service Contracts: A contract that, by its express terms or as administered, makes the Contractor appear to be Government employee, as defined in FAR 37.

2.25. Service Unit: The local administrative unit of IHS.

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

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

2.28. 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, contact number, and the ordering activities task order number.

2.29. Tour of Duty: The time of day the Contractor is scheduled to perform outpatient radiology/ultrasound duties; also considered the shift of the day.

2.30. Valid Patient Complaint: Justifiable accusations made by a patient and supported by investigation.

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

3.0 Government Furnished Information, Property, and 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 Used by the Government and the Contractor: Except for the property and services 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.

3.2.1. Government Vehicle: If required by the position, authorization shall be in accordance with IHS Chapter 12, Section 13 Motor Vehicle Management.

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 $10.00 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 shall be provided ONLY if the subject matter is necessary to improve or enhance the quality of Radiology/Ultrasound Technician services or includes mandates made by the IHS Service Unit/Health Centers while the Radiology/Ultrasound Technician is working under this contact. Training will not be provided for the purpose of continuing education, career development or individual development.

3.5. Supervisor: The contractor is subject to the supervision and direction of Sean Meade, MD, Chief Medical Officer or his/her designee for this order.

3.5.1. Contracting Officer Representative (COR): Edith Denny, 928/725-9801, is primarily responsible for monitoring the technical progress including surveillance and assessment of performance for this order.

3.5.2. Point of Contact: Mike Bovos, MD, 928/725-9634, and Secretary, 928/725-9538 are the points of contact for this requirement.

4.0 Contractor Furnished Property

4.1. Except for the property specified in paragraph 3 as government furnished, the Contractor shall provide all uniform 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 Clinical Director at each IHS 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 contact. 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 uninterrupted outpatient Radiologic/Ultrasound Technician services in the delivery of patient care to the Indian Health Services. Specific task include the following:

5.1. Radiologic/Ultrasound Technician Duties:

5.1.1. Work under the general technical, administrative supervision of the Pinon Health Center (PHC) Clinical Services Administrative Medical Officer or his/her designee. The Contractor shall perform outpatient Radiologic and Ultrasound Technician duties and manage patient’s need as described in the (PD), identified by the Service Unit and as direct by Supervisor.

5.1.2. The Contractor shall provide professional medical services or direct patient care services under terms of this contract, appropriate and timely medical services in accordance with the standards of care established by recognized medical care organizations and in accordance with the policies and procedures of Service Unit’s Medical Staff Bylaws and Rules & Regulations. Including attendance at departments and medical staff meeting at Chinle Service Unit facilities.

5.1.3. The Contractor shall provide professional radiologic/ultrasound services as follows:

1. Clear and accurate studies are essential to enable the doctor to evaluate and treat the patient’s condition.

2. Position and transfers patients for some various all standard diagnostic x-ray and ultrasound procedures.

3. Independently performs standard examinations.

4. Schedules patients for examinations. Evaluates the nature of critical and emergency procedures and rearranges patient priorities to accommodate them. When time permits, perform appropriate clerical filing and maintains orderly records.

5. Advises radiologist or referring physicians of results of examinations and provides.

6. Provide consultation on difficult cases to practitioners in the same or other specialties. Provide teaching to medical practitioners, residents and students on the most complex patients.

7. Contractor shall submit invoices as required for payment of services rendered and hours worked. Contractor shall submit an original invoice.

5.1.4. The Contractor shall be subject to peer review per Joint Commission standards.

5.1.5. The contactor 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/Transpiration. Lodging is provided but must be paid for by the contractor or contract agency. Government quarters are available at prevailing rental rates plus utilities, as applicable, if government quarters are utilized. The contractor shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters.

5.2. Work Schedule:

5.2.1. Works shifts as arranged by: Mike Bovos, MD, Chief of Acute Care Services. Tour of Duty: Regular work hours are 8:00 a.m. to 5:00 p.m. Monday, Tuesday, Wednesday, Thursday and Friday. Pinon Health Center is closed on Federal Holidays and the IHS does not compensate for holidays. Worked hours before 8:00 a.m. and beyond 5:00 p.m. maybe needed to meet patient care needs due to increased workload or patients pending transport to a higher level of care, for completion of time-sensitive projects and/or for required trainings. Total work hours per week in thirty six (36) to forty (40) hours per week. Work beyond 40 hours per week may be necessary during times of high workload and is compensated at the same hourly rate. Work beyond 45 hours per week is not compensated unless specifically pre-approved in writing.

5.2.2. Continuity of Patient Care: The Contractor shall ensure the continuity of patient care and shall provide a replacement within the time frame specified by the Contracting Officer, or shall consider ground of Termination for Default. If the CCHCF staff need to provide patient care coverage for any of the contracted shifts noted herein, the Contractor will be assessed a penalty fee of $75.00 per hour for each hour of coverage provided. Penalty fee will be deducted from the invoice payment.

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

5.2.4. 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. Sick/Annual Leave/Compensatory time are not authorized.

5.2.5. Contractor shall provide a qualified replacement to authorize the approval of leave.

5.2.6. 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:

1. The cause of the current illness or incapacitation AND

2. Indicating the Contractor as contagious or non-contagious.

3. The Government reserves the right to examine and/or re-examine any Contractor who meets the criteria.

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

5.3.1. The contractor shall be subject to character investigation as required by Public Law 101-360, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OMP), Electronic Questionnaire for Investigation Processing (eQIP) system and this shall include all fingerprinting procedures and clearances. The contractor shall provide all requested information necessary to perform Level I and Level II background checks. The contractor shall comply with the requirements 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 form to be completed. All completed forms will be reviewed by the contractor and forwarded to the government personnel. 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.

5.4. Performance Evaluation:

5.4.1. The Contractor’s performance shall 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 in contract and show cause of termination.

5.5. Identification of Contractor:

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

5.6. Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols.

5.6.1. Medical Records and Other Required Documentation: 100% of all medical records and other required documentation meets established IHS Medical Facility, Joint Commission, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature, and designated profession. (Note: payment shall be withheld for inaccurate or incomplete medical records per paragraph 10.0 of this performance work statement.)

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

5.6.3. The Contractor shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

5.7. IHS Information Technology Systems:

5.7.1. In performance of this contact, the Contractor shall adapt to and successfully utilize IHS information technology systems that are deemed by the Supervisor as necessary for acceptable contractor performance.

5.7.2. The Contractor shall ensure that IHS information technology system security policies and procedures are adhered to. The IT policies and procedures will be made available to the Contractor at each IHS facility.

5.7.3. The Contractor shall follow all appropriate federal and locally required Information Technology security requirements and will be operating under HIPAA and Privacy Act regulations.

6.0 Contractor Qualification Requirements:

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

6.1.1. Contractor shall have completed training and experience in necessary Radiologic/Ultrasound Technician Programs.

6.2. License/Registration: The contractor shall provide evidence of competency in Radiology/Ultrasound program. If the contractor is asked to perform outside the normal training parameters of his/her specialty, then the contractor shall provide certification of hospital privileges in those additional field/s of practice.

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.

6.2.2. The Contractor shall meet the qualification and credentialing standards.

6.2.3. The contractor shall maintain a valid, current, full, and unrestricted DEA license and maintain certification throughout the term of the contract.

6.3. Certifications. The Contractor shall provide evidence of current and valid Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR), and any additional certifications as appropriate to each specialty.

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. Health Requirements/Conditions of Employment:

1. Hepatitis A – 2 dose series at 0 and 6 months.

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.

3. Measles, Mumps, Rubella (MMR) – 2 doses or titer documentation.

4. Varicella (chickenpox) – 2 doses, titer documentation or history of varicella/shingles.

5. Tetanus, diphtheria, pertussis (Tdap/Td) – 1 dose of Tdap, then tetanus (Td) booster every 10 years therafter.

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

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.

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 works, and shall be respectful of the local, American Indian and Alaska Native culture.

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

6.7. Orientation: All Radiologic/Ultrasound Technician providing service under this contract shall attend mandatory orientations and trainings specified by the government.

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 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 of at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.

6.9. General Requirements:

6.9.1. Contractor shall provide as minimum three current letters of reference from other health care providers familiar with the candidate’s clinical practice skills within the same discipline. One letter must be from the Chief of Staff/Medical Director or Immediate Supervisor at the hospital in which the provider either holds or last held staff privileges. If the contractor’s provider has just completed a residency program, one of the letters shall be from program director or service chief.

7.0 Indemnification and Medical Liability Insurance (52.237-7):

(a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor’s professional medical judgement, diagnosis, or special medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than $1,000,000 per occurrence or $3,000,000 aggregate.

(b) An apparently successful offeror, upon request by the Contracting Officer, shall furnish prior to contract award evidence of its insurability concerning the medical liability insurance required by paragraph (a) of this clause.

(c) Liability insurance may be on either an occurrences basis or on a claims-made basis. If the policy is on a claims-made basis, an extended reporting endorsement (tail) for a period of not less than 3 years after the end of the contract term must also be provided.

(d) Evidence of insurance documenting the required coverage for each health care provider who will perform under this contract shall be provided to the Contracting Officer prior to the commencement of services under this contract. If the insurance is on a claims-made basis and evidence of an extended reporting endorsement is not provided prior to the commencement of services, evidence of such endorsement shall be provided to the Contracting Officer prior to the expiration of this contract. Final payment under this contract shall be withheld until evidence of 0the extended reporting endorsement is provided to the Contracting Officer.

(e) The policies evidencing required insurance shall also contain an endorsement to the effect that any cancellation or material change adversely affecting the Government’s interest shall not be effective until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer. If, during the performance period of the contract the Contractor changes insurance providers, the Contractor must provide evidence that the Government will be indemnified to the limits specified in paragraph (a) of this clause, for the entire period of the contract, either under the new policy, or a combination of old and new policies.

(f) The Contractor shall insert the substance of this clause, including this paragraph (f), in all subcontracts under this contract for health care services and shall require such subcontractors to provide evidence of and maintain insurance in accordance with paragraph (a) of this clause. At least 5 days before the commencement of work by any subcontractor, the Contractor shall furnish to the Contracting Officer evidence of such insurance.

8.0 Challenges to Conflicts: For any inconsistency between supervisor direction, this Performance Work, Statement, attachment and exhibits, the following order of precedence will apply:

9.0 52.249-12 Termination (Personal Services) (Apr 1984): The Government may terminate this contract at any time upon at least fifteen (15) days’ written notice by the Contracting Officer to the Contractor. The Contractor, with the written consent of the Contracting Officer, may terminate this contract upon at fifteen (15) days’ written notice to the Contracting Officer.

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

PWS No. CSU-14-01 24 SEPT 2018 10.0

11.0 Performance Based Matrix

This Standard describes “What Success Looks Like.”

No Payment for incomplete work.

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

· CPARS evaluation will be forwarded to the GSA/FSS Contracting Officer.

12.0

13.0 List of Attachment and Exhibits

13.1. Attachments

1. A Position Description (Service Unit Specific)

2. Certification Statement for Performance Work Statement (PWS) NO. CSU-14-01

13.2. Written Competency Assessments

1. Confidentiality/HIPAA/Patient’s Right

2. EMTALA Compliance Exam, 2004

13.2.2. Standard Emergency Codes

13.2.3. Confidentiality: Legal and Ethical Concerns on Healthcare

13.2.4. An Introduction to the Navajo Culture

13.2.5. Verbal and Telephone Orders

13.2.6. Pain Management

13.2.7. Focus Charting