PWS for Non-Personal service Dietitian.pdf

PWS No.: 08-01 – RD IM February 13, 2026

Performance Work Statement (PWS)

For Non-Personal Services

Dietetic Services

Table of Contents

Section Page

1.0 General 1 - 4

2.0 Definitions 4 - 6

3.0 Government Furnished Information, Property, & Services 6 - 7

4.0 Contractor Furnished Equipment 7

5.0 Performance Based Requirements 7 - 10

6.0 Contractor Qualification Requirements 10 - 12

7.0 Challenges to Conflicts 12

8.0 Performance based Matrix 13

9.0 List of Attachments and Exhibits 14

Performance Work Statement (PWS)

Non-Personal Services

Dietitian – Inpatient/Outpatient Department

1.0 General: This performance work statement describes the requirements for Non-Personal service Dietitian 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 Dietitian, 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: Clinical Dietitians, Dietitians, Dietitians and Nutritionists, Dietitians, Clinical, Nutritionists and Nutritionist, Public Health 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, Medical Nutrition Therapy Counseling and Education, Public Health and School Health.

1.2 Scope: The Contractor shall provide Dietitian services in accordance with section 5.0, performance-based requirements.

1.2.1. Duties and responsibilities involve providing dietetic services to HIS patients in outpatient, inpatient and community settings. 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, schools, clinics and community settings within Chinle Service Unit. Services shall be performed under the Clinical and Community Nutrition Department at Chinle Comprehensive Health Care Facility, Chinle, Arizona 86503.

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

Work schedule is suggested as 5 days a week, which can include a weekend day, and 8 - 9 hours days, and the possibility of one 4-hour shift, within 7:00 am to 7:00 pm for a total of 36-40 hours. The exception will be work weeks that include holidays, for which the total hours can be less due to holiday hours the department’s staff is not working.

1.2.4. When available, government housing will be offered at prevailing rental rates plus utilities. For unfurnished units, the contractor/awarded vendor (agency) would provide furniture and other household items at their own expense.

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 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

1.3.8. IHS Service 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 1980

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

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

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

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

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

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

2.6 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).

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

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

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

2.10 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.

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

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

2.12 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.

2.13 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.

2.14 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.

2.15 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.

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

2.17 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.

2.18 Orientation: An activity designed to provide basic familiarization of the facility and transition the Dietitian into the IHS Service Unit and/or Health Center and the Dietitian unit where the services will be provided.

2.19 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.

2.20 Patient Outcome: Provide accurate and reliable results for direct patient care as Dietitian.

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

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

2.23 Service Unit: The local administrative unit of IHS.

2.24 Standards of Practice and Standards of Care: Authoritative Clinical & Community

Nutrition department policies and procedures manuals which provide the duties and responsibilities of the Clinical & Community Nutrition department staff. The standards provide direction for professional Dietitian practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or specialty practice.

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

2.26 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.

2.27 Tour of Duty: Will be flexible schedule 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. Work schedule is suggested as 5 days a week, which can include a weekend day, and 8 - 9 hours days, and the possibility of one 4-hour shift, within 7:00 am to 7:00 pm for a total of 36-40 hours. The exception will be work weeks that include holidays, for which the total hours can be less due to holiday hours during which the department staff is not working.

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

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

2.30 Government Property: Government property will be provided and assigned to the contractor: a laptop, a work cellphone, and a hotspot, to safeguard patient information, ensure access to the governmental network, support daily work assignments and productivity, and maintain professional standards. The department supervisor, Revondolyn Scott-Suberu will serve as the IHS Property Administrator for equipment used by the contractor.

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 and supplies including electronic devices such as laptop, desktop, and cellphone, 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 $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 will be provided ONLY if the subject matter is necessary to improve or enhance the quality of dietetic services or includes mandates made by the IHS Service Units/Health Centers while the Dietitian 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 Revondolyn Scott- Suberu, Supervisor of Clinical and Community Nutrition Department or her designee for this order.

3.5.1 Contracting Office Representative (COR): Ferlinda Jishie-Garnenez, Office Automatic Assistant, Diabetes is primarily responsible for monitoring the technical progress including surveillance and assessment of performance for this order.

3.5.2 Point of Contact: Revondolyn Scott-Suberu, Supervisor of the Clinical & Community Nutrition Department (928-674-7673).

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 dietetic services in the delivery of patient care to the Indian Health Services. Specific Tasks include the following:

5.1 Dietitian Duties:

5.1.1 The Contractor shall perform nutrition related 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.

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

a. Provide nutrition expertise in planning, implementing and evaluating inpatient, outpatient and community nutrition care, educate individuals, families, and group on prevention and management of chronic diseases, i.e. diabetes, weight loss, and others.

b. Provides nutrition services in inpatient, outpatient clinics, and community settings.

c. Participants in the continuous quality improvement process, meeting nutrition care standards of I.H.S. and THE JOINT COMMISSION and other regulatory agencies.

d. Reviews, selects, develops and disseminate suitable education and counseling materials for patients in the inpatient, outpatient and community setting.

e. Provides medical nutrition therapy to individuals and nutrition education to groups in outpatient or community settings directed at control of type 2 diabetes and other health conditions.

f. Conducts comprehensive nutritional assessment for all patients, developing nutritional care plans with them and their families consistent with cultural, social, and physiological requirements.

g. Plans for and participates in group teaching and training of clients, staff and community members to expand services and increase public awareness of diabetes, diabetes control and prevention.

h. Work effectively and harmoniously within the health care teams, colleagues and coworkers and with Native American patients and their families.

i. Contractor shall follow facility policies and procedures, THE JOINT COMMISSION, O.S.H.A., I.H.S. and other federal licensing, accreditations and regulating body standards.

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

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

l. Provides consultation to professional and paraprofessional staff concerning diets and nutrition; records information in medical records regarding nutritional requirements, patient’s progress, education, follow-up, etc. and performs other related duties as assigned.

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

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, Lodging is provided but must be paid for by the Contractor or Contract agency. Government quarters are available at prevailing rental rates plus utilities. The Contactor shall be responsible and liable for the proper care of government owned or leased property furnished in occupied quarters. If transient quarters are not available, there may be other units available that are unfurnished. The contractor/agency would need to provide furniture and other household items at their own expense.

5.2 Work Schedule:

5.2.1 The Supervisor shall determine specific tour of duty. The contractor shall work

100% of the contracted hours. Contractor’s Tour of Duty (work schedule) shall be within 7:00 am - 7:00 pm, a minimum of 36 hours, not to exceed 40 hours per week, with one hour lunch break per work day. The exception will be work weeks that include holidays, for which the total hours can be less due to holiday hours that the departmental staff is not working. The work week will consist of 5 workdays, from Sunday to Saturday, with an 8-9 hour schedule most days, and the possibility of one 4-hour shift.

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

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:

5.2.5.1.1 The cause of the current illness or incapacitation AND

5.2.5.1.2 Indicating the Contractor as contagious or non-contagious.

5.2.5.1.3 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.

5.3.1 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 U.S. Office of Personnel Management (OPM), 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.

5.3.2 The contractor shall work with the I.H.S. 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 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 world affect the investigation becomes known.

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, PIV Cards are issued after 6 months at the Service Unit.

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 License/Registration: Contractor must possess and maintain current registration with the Commission on Dietetics Registration. Need current registration with application.

6.1.1 Motor Vehicle Operator’s License: The Contractor shall possess a valid state driver’s license throughout the term of this contract.

6.2 Certifications, Current Basic Life Support (BLS) is mandatory.

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

6.2.2 Current BCLS, ACLS, PALS Certification (or experienced that is equivalent).

6.2.3 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.

6.3 Health Requirements/Conditions of Employment:

6.3.1 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.

6.3.2 Immunizations:

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

6.3.2.2 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.

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

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

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

(Td) booster every 10 years after thereafter.

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

6.3.2.7 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.

6.3.2.8 Influenza – MANDATORY annual vaccination

6.4 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.

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

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

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

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

7.1 First Priority – Supervisor’s Directions

7.2 Second Priority – Position Description (attached)

7.3 Third Priority – Performance Work Statement Exhibits

7.4 Fourth Priority – Performance Work Statement Narrative

8.0 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 Dietitian 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)

100% compliance with IHS Service Units and/or Health Centers published Policies; Procedures; 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.

No payment for incomplete work.

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

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

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

9.1 Attachments:

9.1.1 Position Description – (Service Unit Specific)

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

9.2.1 Written Competency Assessments:

9.2.1.1 Confidentiality/HIPAA/Patient’s Rights

9.2.1.2 EMTALA Compliance Exam, 2004