ULTRASOUND TECHNOLOGIST SERVICES

NON-PERSONAL SERVICES

PERFORMANCE-BASED

SECTION 1.0 – PERFORMANCE WORK STATEMENT

1.1 Purpose

The purpose of this contract is to provide qualified up to Three (3) Full time Equivalent (FTE) Ultrasound Technologist services to support continuous, safe, timely, and diagnostically accurate imaging services for Pine Ridge Service Unit, Pine Ridge Hospital, and associated clinical areas.

The Contractor shall provide non-personal Ultrasound Technologist services necessary to support direct patient care, emergency services, inpatient care, outpatient care, obstetrical care, and radiology department operations in a remote rural healthcare environment.

1.2 Period of Performance

The Period of Performance shall be November 1, 2026 through October 31, 2031, unless otherwise stated in the contract award.

1.3 Contract Type

This requirement shall be a Firm-Fixed-Price, Performance-Based, Non-Personal Services Contract.

This acquisition is structured as a performance-based Firm-Fixed-Price contract in accordance with federal acquisition policy favoring measurable outcomes, clearly defined performance standards, and contractor accountability for mission results.

The contract structure is intended to:

Promote cost predictability and fiscal accountability;

Emphasize measurable clinical and operational outcomes;

Reduce performance risk to the Government;

Support continuity of patient care operations in a remote rural healthcare environment; and Align with current Executive Branch direction encouraging fixed-price, outcome-based service acquisitions.

The Contractor shall be fully responsible for managing personnel, staƯing stability, operational oversight, and performance necessary to achieve required performance outcomes.

1.4 Performance Objectives and Outcomes

1.4.1 Objective 1 – Ultrasound Imaging Services

The Government’s objective is to acquire measurable clinical imaging support outcomes rather than prescribe day-to-day contractor operations. Performance requirements are intentionally structured around mission results, staƯing continuity, patient safety, diagnostic quality, regulatory compliance, and timely service delivery.

The Contractor shall exercise independent professional and managerial responsibility necessary to achieve required outcomes while maintaining compliance with all applicable clinical, accreditation, safety, and contractual requirements.

Performance metrics identified in this PWS are intended to support:

Objective contract administration;

Performance accountability;

Quality assurance surveillance;

Invoice validation;

Risk reduction;

Continuity of healthcare operations; and Performance-based acquisition oversight.

Failure to meet performance standards may result in corrective action requirements, invoice review, performance documentation, adverse CPARS considerations, reduction of future option exercise consideration, or other contractual remedies allowable under the contract.

The Contractor shall perform ultrasound examinations and procedures used in medical diagnosis, utilizing stationary and mobile ultrasound equipment.

Required duties include:

Perform abdominal, pelvic, obstetrical, small parts, and other ultrasound studies supported by available equipment.

Obtain diagnostic-quality images for referring clinicians and radiologists.

Determine appropriate scan techniques, positioning, views, and equipment settings.

Adjust equipment parameters to obtain suƯicient diagnostic information.

Recognize significant anatomical structures and abnormal findings requiring radiologist review.

Provide technical findings to the radiologist but shall not issue oƯicial interpretations.

Outcome:

Ultrasound examinations are completed accurately, safely, and timely, resulting in diagnostic-quality imaging that supports patient care and radiologist interpretation.

Performance Standards:

≥95% of ultrasound studies accepted as diagnostic quality on initial acquisition.

≥95% of ultrasound examinations completed within facility-established turnaround expectations.

≥98% compliance with proper imaging protocols, positioning, and documentation requirements.

100% compliance with patient identification, infection control, and safe patient handling requirements.

Zero oƯicial diagnostic interpretations issued by Contractor personnel.

1.4.2 Objective 2 – Diagnostic Radiology Support, If Required

When there are no ultrasound examinations to perform, the Contractor may support diagnostic radiology duties within the scope of qualifications and facility need.

Required duties may include:

Operate fixed and portable radiography equipment.

Perform routine to complex radiographic examinations.

Receive and position patients.

Set appropriate technical factors to obtain high-quality radiographs.

Support department workflow consistent with qualifications and contract requirements.

Outcome:

Radiology department operations remain supported during periods of ultrasound downtime without compromising patient care or scope of practice.

Performance Standards:

≥95% of radiographic images accepted as diagnostic quality on first acquisition.

Repeat imaging due to technologist error shall not exceed 5%.

100% compliance with radiation safety, ALARA principles, and shielding requirements.

100% compliance with equipment-use policies and facility safety procedures.

1.4.3 Objective 3 – Continuous StaƯing Coverage

The Contractor shall provide qualified personnel to support Radiology Department operations based on facility need, including days, evenings, nights, weekends, and holidays.

Outcome:

Pine Ridge Service Unit maintains uninterrupted ultrasound and radiology support necessary to sustain emergency services, inpatient care, outpatient operations, obstetrical services, and continuity of direct patient care within a geographically isolated and medically underserved rural healthcare environment.

Performance Standards:

≥98% scheduled shift coverage.

No uncovered shifts without prior Government approval.

Minimum 30-day schedule submitted and maintained.

Contractor shall notify the Government immediately of call-oƯs, vacancies, delays, or coverage risks.

Contractor shall maintain operational staƯing plans suƯicient to minimize disruptions caused by turnover, absenteeism, travel delays, severe weather, or emergency staƯing shortages.

Contractor shall implement contingency staƯing procedures to maintain continuity of operations.

Contractor staƯing failures shall not result in avoidable cancellation of patient care services except under circumstances outside Contractor control.

1.4.4 Objective 4 – Safety, Compliance, and Quality

The Contractor shall comply with applicable PRSU policies, IHS requirements, infection control standards, radiation safety standards, and accreditation expectations.

Outcome:

Contractor personnel perform safely and in compliance with facility and regulatory requirements.

Performance Standards:

100% compliance with patient safety requirements.

100% compliance with infection control requirements.

100% compliance with radiation safety standards when performing radiographic duties.

Zero preventable adverse patient safety events attributable to Contractor performance.

Zero significant compliance violations.

The Contractor shall maintain internal quality control and performance oversight processes suƯicient to ensure ongoing compliance with imaging standards, patient safety requirements, accreditation expectations, and contract performance objectives.

The Contractor shall proactively identify, mitigate, and correct performance deficiencies without requiring continuous Government direction or supervision.

1.4.5 Objective 5 – EHR Documentation and Records

The Contractor shall maintain accurate documentation of patient workload, exams performed, and required imaging documentation in the applicable facility systems.

Outcome:

Patient records, billing support, and continuity of care are supported through complete and accurate documentation.

Performance Standards:

100% of imaging encounters documented accurately and timely.

100% required workload and timekeeping records maintained.

No invoice shall be validated for payment without documentation supporting services rendered.

Accurate and timely documentation is considered a critical performance outcome under this contract due to its direct relationship to patient safety, continuity of care, workload capture, regulatory compliance, and invoice validation.

Failure to maintain required documentation standards may result in delayed invoice approval, corrective action requirements, or performance documentation within contractor performance records.

1.5 Contractor Responsibilities

The Contractor shall:

Provide qualified Ultrasound Technologist personnel.

Ensure personnel meet all credentialing, onboarding, health, security, and competency requirements.

Provide all employer supervision, scheduling, leave management, payroll, discipline, and personnel administration.

Provide radiation dosimeter badges for Contractor personnel when radiographic duties are performed.

Ensure personnel complete all required facility orientation, annual training, and policy acknowledgments.

Ensure personnel perform only within their professional qualifications and authorized scope.

1.6 Personnel Qualifications

Contractor personnel shall:

Be ARDMS eligible or ARDMS registered, as applicable.

Have at least one year of experience performing ultrasound examinations.

Be experienced in a wide range of ultrasound studies.

Preferably hold ARRT Radiology certification or equivalent radiology certification when radiographic duties are required.

Maintain current BLS/CPR certification.

Provide proof of required immunizations, including PPD and Tdap, consistent with facility policy.

Meet all PRSU onboarding, credentialing, background, and access requirements prior to performance.

1.7 Government Responsibilities

The Government will provide:

Radiology workspace and access to available imaging equipment.

Facility orientation and applicable policies.

Access to required systems, subject to completion of onboarding and security requirements.

PPE and facility-required supplies.

Clinical workload priorities and outcome-based performance expectations.

SECTION 2.0 – DELIVERABLES

Deliverable Frequency Requirement

StaƯing Schedule Weekly / 30-day minimum

Upcoming schedule, coverage risks, call-oƯs, and replacements

Timekeeping Report Weekly Actual hours worked, modality supported, and invoice validation support

Credentialing Package At award / staƯing change

Certifications, immunizations, BLS, onboarding, background/PIV status

Quality Report Monthly Image quality, repeat exams, safety issues, corrective actions

EHR Documentation Report

Monthly Confirmation all encounters are complete and accurate

Incident / Corrective Action Report

As needed Required within 24–72 hours after incident or performance failure

QASP Support Data Monthly Data needed for COR surveillance and performance validation

Performance Improvement Plan

As Requ ired

Required when performance metrics fall below acceptable quality levels or operational deficiencies are identified

(Add another deliverable row)

Deliverable Frequency Requirement

StaƯing Contingency Plan

At Award / Upon Update

Contractor procedures for maintaining continuity of operations during staƯing shortages, emergencies, travel disruptions, or unexpected vacancies

SECTION 3.0 – NON-PERSONAL SERVICES COMPLIANCE

All services shall be provided strictly as non-personal services. No employer-employee relationship is created between the Government and Contractor personnel.

Contractor personnel shall:

Remain employees of the Contractor.

Be supervised, scheduled, paid, evaluated, and disciplined only by the Contractor.

Not be supervised by Government personnel.

Not perform inherently governmental functions.

Not bind the Government contractually.

Not supervise Federal employees.

Not make policy, acquisition, funding, or personnel decisions.

Government personnel may provide outcome-based direction, facility priorities, patient care coordination, and contract surveillance, but shall not control the details of Contractor employee performance.

The Government shall evaluate contract performance based on measurable outcomes and mission support results rather than direct supervision of individual contractor employees.

Contract administration under this requirement is intended to maintain strict compliance with non-personal services principles while supporting performance accountability, operational continuity, and patient care mission requirements.

Nothing in this contract shall be interpreted as creating an employer-employee relationship between the Government and Contractor personnel.

Place of Performance

Pine Ridge IHS Hospital 607 Indian Health Rd.

Pine Ridge, SD 57770

Technical Point of Contact (TPOC)/Contracting OƯicer Representative (COR)

TPOC: TBD

COR: TBD

INVOICING

Invoices submitted under any award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payment Requests.

The IPP website address is: https://ww.ipp.gov. IPP Helpdesk: (866) 973-3131 (M-F 8AM to 6PM ET) Email: IPPCustomerSupport@fiscal.treasury.gov

Contracting Authority

The Contracting OƯicer (CO) is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the CO on all matters pertaining to contract administration. Only the CO is authorized to make commitments or issue any modification to include (but not limited to) terms aƯecting price, quantity or quality performance of this contract. No person other than the Contracting OƯicer has authority to bind the Government with respect to this contract. No action or omission of any government employee or representative other than the Contracting OƯicer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract. In no event shall any of the following be eƯective or binding on the Government or imputed to the Contracting OƯicer with respect to this contract: An understanding or agreement between the Contractor and anyone other than the Contracting OƯicer; A purported modification or change order issued by anyone other than the Contracting OƯicer; A promise by anyone other than the Contracting OƯicer to provide additional funding or make payments; or An order, direction, consent, or permission from anyone other than the Contracting OƯicer to: Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or expend hours in excess of a specified level of eƯort.

SECTION 4.0 – QUALITY ASSURANCE SURVEILLANCE PLAN

This requirement is intentionally structured as a measurable, performance-based acquisition emphasizing defined outcomes, operational accountability, quality performance metrics, and objective surveillance standards consistent with evolving federal acquisition policy emphasizing performance-driven contracting methodologies.

The Contractor shall be responsible for achieving required contract outcomes within the established Firm-Fixed-Price structure without reliance upon continuous Government operational direction.

The QASP is designed to support performance-based acquisition oversight through objective surveillance of measurable contract outcomes, operational eƯectiveness, patient safety, staƯing reliability, regulatory compliance, and quality performance indicators.

Performance surveillance methods may include:

EHR audits;

RIS/PACS review;

Image quality review;

Radiologist feedback;

Timekeeping validation;

StaƯing schedule review;

Incident tracking;

Accreditation compliance review;

Corrective action monitoring; and Contractor performance trend analysis.

See Below :

Objective Performance Standard

AQL Surveillance Method Frequency

Ultrasound Image Quality Diagnostic-quality studies

≥95% Radiologist feedback / image review

Monthly

Timeliness Exams completed within facility expectations

≥95%

EHR/RIS/PACS

timestamps

Monthly

Protocol Accuracy Correct views, positioning, and technical settings

≥98% Random audit Monthly

StaƯing Coverage Scheduled shifts covered

≥98% Schedule/timekeeping review

Weekly

Documentation Complete and accurate EHR records

100% EHR/HIM audit Monthly

Safety / Infection Control Compliance with safety standards

100% Observation / incident review

Ongoing

Radiation Safety, if applicable

ALARA, shielding, dosimetry

100% Badge/safety review Monthly

Professional Conduct No substantiated conduct issues

Zero incidents

COR feedback / complaint review

Ongoing

Credentialing StaƯ fully qualified and cleared

100% File review At award / monthly

StaƯing Continuity Planning

Adequate contingency procedures maintained

100% COR review Quarterly

Corrective Action Responsiveness

Timely corrective action implementation

100% COR/QASP review As Needed