PWS Hospitalist mw.pdf

Pine Ridge Indian Health Service Hospitalist/Physician Performance Work Statement

Performance Work Statement (PWS) Hospitalist/Physician

1) Background The Pine Ridge Service Unit (PRSU), Great Plains Area, Indian Health Service (IHS), provides inpatient, outpatient, and emergency care to the Oglala Lakota Nation. Due to high patient demand, limited permanent staffing, and critical access requirements, PRSU requires contracted Hospitalist services to ensure continuity of care and compliance with IHS mission standards.

The mission of the Pine Ridge Service Unit (PRSU) Indian Health Service is to raise the physical, mental, social and spiritual health of American Indians and Alaska Natives to the highest level. To meet this mission, Hospitalist/Physician services are extensively utilized through the reservation for nearly all aspects of acute health care. The Pine Ridge Reservation is located in the southwestern corner of South Dakota, approximately 100 miles from Rapid City. Surrounded by rolling prairie, Badlands and Black Hills, the Pine Ridge Reservation is home to the Oglala Lakota Nation.

The people of the Pine Ridge Reservation have a low life expectancy and high infant mortality rates.

Furthermore, Oglala Lakota County has consistently been the poorest county in the United States (US) according to the US Government. Unemployment is high in this population. The closest higher level of care is 35 minutes away by life flight and 1 hour and 30 minutes by ground ambulance. Weather conditions at times can be challenging thus precluding air or even ground transfer.

C.2) General Requirements

C.2.1 Purpose of Contract The purpose of this Performance Work Statement (PWS) is to define the requirements for providing Hospitalist/Physician services at Pine Ridge Hospital and associated Pine Ridge Service Unit (PRSU) facilities. This contract shall be awarded as a firm-fixed-price, non-personal services contract, in compliance with the Federal Acquisition Regulation (FAR), Health and Human Services Acquisition Regulation (HHSAR), Public Health Service Acquisition Regulation (PHSAR), and Indian Health Manual (IHM) Part 5 policies.

Under this requirement, the Contractor shall furnish qualified, licensed, and board-certified physicians in Internal Medicine or combined Adult Medicine/Pediatrics. Contractor personnel will provide direct patient care in the Acute Care Unit, Emergency Department, and Outpatient Department to ensure continuous coverage and continuity of care.

PRSU anticipates the need for up to three (3) physicians capable of alternating and complementary work shifts functioning as hospitalists. The Contractor shall ensure that all personnel meet credentialing, privileging, training, and compliance requirements, and shall provide services in accordance with all terms, conditions, and performance standards of this contract.

C.2.2 Contract Type This requirement will be fulfilled through a firm-fixed-price, performance-based service contract for Hospitalist services.

While the contract is firm-fixed-price, staffing levels are driven by patient acuity and standards of care at the Pine Ridge Service Unit (PRSU). Accordingly, this contract establishes minimum coverage requirements that must be maintained for each shift to ensure continuity of patient care.

The Contractor may assign more personnel as needed to meet workload demands; however, the minimum staffing presence may not fall below the levels established in this contract.

As a practical matter, this structure means that although the contract is firm-fixed-price, the staffing requirement reflects certain labor hour characteristics, in that specific skill categories and shift coverage hours are stipulated to guarantee safe and effective service delivery.

For the purposes of this contract:

• “Contractor” refers to the entity awarded the contract.

• “Contractor Personnel” refers to the individual staff provided by the Contractor to perform the required services.

C.2.3 Contract Performance Period The period of performance for this contract shall consist of:

• Base Period: 3 months from the effective date of award.

• Options: Nineteen (19) 3-month option periods, to be exercised at the Government’s discretion.

The Government reserves the right to terminate this contract for convenience in accordance with FAR provisions if PRSU hires a sufficient number of permanent Government providers to fulfill this requirement. In such cases, the Contracting Officer shall provide the Contractor with a minimum of sixty

(60) days’ written notice prior to termination.

C.2.4 Contract Place of Performance The place of performance under this contract shall be the Pine Ridge Service Unit (PRSU), which consists of one hospital, four outlying clinics, and one mobile unit. The Contractor’s primary duty station shall be Pine Ridge Hospital (PRH) in Pine Ridge, South Dakota.

C.2.5 Weather Pine Ridge, South Dakota, experiences a wide range of weather conditions, including extremely cold and windy winters. Contractors shall be prepared to travel and perform duties under adverse weather conditions, which may differ significantly from their customary experience.

The authority to close Pine Ridge Hospital (PRH) or its outlying clinics rests solely with the Chief Executive Officer (CEO). If the facility remains open, the Contractor shall report for duty as scheduled, consistent with the requirements for all hospital personnel.

The Contractor is responsible for maintaining reliable transportation and associated costs necessary to ensure timely reporting for duty in accordance with this contract.

C.3) Performance Requirements

C.3.1 Scope The Pine Ridge Service Unit (PRSU) operates 24 hours per day, 365 days per year. To meet these requirements, the Contractor shall furnish sufficient qualified personnel to provide continuous Hospitalist services. The Government reserves the right to increase or decrease the level of effort through formal contract modification in response to staffing and operational needs.

All services provided under this contract are non-personal services. No employer–employee relationship exists or will exist between the Government and Contractor Personnel. Accordingly, Contractor Personnel shall not be:

• Supervised or formally evaluated by Government personnel (except for peer review and authorized work direction);

• Placed in positions of supervision or control over Government staff or other contractors; or

• Integrated into the Government as de facto employees.

The Government may provide necessary work direction to Contractor Personnel to ensure patient safety and operational efficiency. Such direction will be limited to clinical and task-related coordination and does not alter the non-personal services nature of this contract.

The Contractor is fully responsible for the performance and conduct of its personnel. This includes, but is not limited to:

• Completion and accuracy of timekeeping;

• Approving and providing coverage for leave requests;

• Addressing quality of work issues and performance concerns;

• Maintaining motivation, morale, and responsiveness of staff; and

• Ensuring continuity of services in the absence of on-site contractor supervisors.

To function effectively in the PRSU environment, Contractor Personnel must demonstrate a high level of professional knowledge, skills, and abilities in Hospitalist medicine. Contractor management plays a critical role in sustaining a high-performing, motivated, and responsive workforce that supports PRSU’s mission and maintains the trust of the Native American population served.

The Contractor’s work is considered mission essential. Performance directly impacts:

• The health and long-term well-being of a large patient population; and

• The education and training of interns and residents in patient care.

C.3.2 Hospitalist Qualifications Minimum Professional Qualifications:

Each contract Hospitalist shall:

• Be a graduate of an accredited school of allopathic or osteopathic medicine (MD/DO).

• Hold an active, current, and unrestricted medical license in any U.S. state or territory, or the

Commonwealth of Puerto Rico.

• Be Board Certified or Board Eligible by one of the following:

o American Board of Internal Medicine (ABIM) o American Board of Family Medicine (ABFM) o American Board of Pediatrics (ABP) o American Board of Physician Specialties (ABPS)

• Maintain current certifications in BLS, ACLS, and NRP.

• Meet all credentialing and privileging requirements of PRSU prior to performing services.

Scope of Services Contract Hospitalists shall provide a full range of hospitalist services typically required in a rural hospital setting, including:

1. Interview and examine patients, obtain medical history, and order/perform diagnostic tests.

2. Make preliminary diagnoses, prescribe or provide treatment, and arrange for referral or specialized care.

3. Document all care and clinical observations in accordance with PRSU medical record policies.

4. Provide urgent and emergency care within scope of training and privileges (excluding duties of

Emergency Department physicians).

5. Manage inpatient care, including daily rounds and progress notes.

6. Coordinate referrals to contract medical or government facilities for services beyond PRSU capabilities.

7. Collaborate with allied health professionals (e.g., nurses, social workers, health educators) in patient care.

8. Consult with outpatient and specialty clinic providers, either by phone or in person, as required.

9. Ensure compliance with PRSU infection control, safety protocols, PPE standards, and chaperone policy.

Emergency Department Support Hospitalists may be called to the Emergency Department (ED) to evaluate and treat adult medicine patients when the attending ED physician determines that patient safety is at risk due to excessive workload. Hospitalists shall not function as ED physicians and will only provide care consistent with their training, experience, and privileges.

Specialty Clinic Support Hospitalists may provide consultations for outpatient specialty clinics (e.g., Dental, Optometry, Ophthalmology, Women’s Health, Podiatry, Diabetic, Cardiology, ENT, Physical Therapy, Surgery, Orthopedics). Consultations may include chart reviews, telephonic advice, or in-person evaluations, and may result in admission, ED transfer, or referral to outside facilities.

Physical Requirements The duties of the Hospitalist role may require:

• Standing, walking, and moving over uneven or rough surfaces;

• Frequent bending, stooping, stretching, and lifting of moderately heavy items (up to 50 pounds, occasionally more);

• Above-average agility, dexterity, and physical endurance;

• Ability to perform under extended or rotating shifts, which may include high emotional and physical stress.

Government Rights The Government reserves the right to require removal and replacement of Contractor Personnel for reasons including, but not limited to:

• Failure to meet required qualifications or maintain privileges;

• Substandard performance; or

• Unacceptable conduct, behavior, or security/suitability concerns.

C.3.3 Credentialing & Privileging (C&P) All Contractor Hospitalists shall comply with the PRSU Medical Staff Bylaws, policies, and protocols, as well as The Joint Commission (TJC) standards and CMS regulations. Providers must also participate in PRSU quality improvement programs consistent with TJC requirements.

Credentialing & Privileging Requirement

• Contract Hospitalists may not perform services until the PRSU Governing Body grants staff membership and clinical privileges in writing.

• All providers must be credentialed and privileged in accordance with PRSU/Great Plains Area credentialing policy.

• Compliance with credentialing and privileging requirements is a condition of contract performance. Failure to comply shall be considered non-performance.

• Privileges will not be granted until credentials are verified and the provider has successfully completed the required federal background clearance process (eQIP submission, PIV card issuance).

Core Privileges

• Providers will be granted basic core privileges upon verification of required credentials.

• The Supervisory Hospitalist, Clinical Director, or Deputy Clinical Director may deny or restrict privileges if the provider cannot demonstrate valid licensure, sufficient training, procedure logs, or professional references confirming competency.

Required Credentialing Documentation The Contractor shall furnish, at minimum, the following for each proposed Hospitalist:

1. Recognizable photo identification.

2. Copy of active, unrestricted state medical license.

3. Proof of Board Certification or Eligibility (ABIM, ABFM, ABP, or ABPS).

4. Complete Curriculum Vitae with full work history (all employment gaps ≥ 8 weeks must be explained).

5. Current BLS, ACLS, and NRP certifications (valid for entire period of performance).

6. Three professional references (≤ 6 months old; one supervisor, two peers).

7. Active DEA license with Schedule II & IIN prescribing authority.

8. Proof of liability insurance of at least $1,000,000 per incident / $3,000,000 aggregate.

9. Record of recent continuing education (≥ 20 CME/CEU credits per year in Physician care, within past 3 years).

10. Evidence of CME compliance prior to reappointment; failure to provide shall result in denial of renewal of privileges.

Point of Contact – Credentialing & Privileging Tammy Bailey, Medical Staff Coordinator �� (605) 867-3043 | �������� (605) 867-3271 | ����� Tammy.Bailey@ihs.gov

C.3.4 Security – Character Investigation All Contractor Personnel shall successfully complete a Federal background investigation and obtain a Tier 2 Security Clearance and Personal Identity Verification (PIV) card prior to performing any services under this contract.

Pre-Service Restrictions

• Providers may not participate in any aspect of this contract—including orientation, EHR training, ancillary service briefings, meetings, medical rounds, or patient care—until a favorable adjudication is issued.

• Providers may present at Pine Ridge IHS Hospital only for fingerprinting appointments under personal escort. Once fingerprints are completed, the provider shall depart the facility and may not return until clearance is granted.

Required Security Documentation The Contractor shall ensure each proposed provider completes and submits the following:

1. FD-258 fingerprint card (digital preferred; hard copy acceptable with tracking, at Contractor expense).

2. OF-306, Declaration for Federal Employment, and Addendum.

3. Provisional Waiver Form.

4. Curriculum Vitae/Resume.

5. SF-86 (eQIP submission).

6. General Release Form.

7. State-specific security packets, as directed by PRSU IHS HSPD-12 office.

PIV Processing

• All Contractor staff must appear in person at an HSPD-12 enrollment/issuance station.

• Two forms of acceptable identification are required.

• Processing will be coordinated through the Great Plains Area HSPD-12/Suitability Office with

PRSU IHS.

Contractor Responsibilities

• Ensure Contractor Personnel respond to all background investigation requests within 7 calendar days.

• Replace any provider denied, withdrawn, or adjudicated unsuitable without delay.

• Submit only candidates reasonably likely to obtain favorable clearance.

Government Rights and Remedies

• If a provider receives an unfavorable adjudication, the Contractor shall immediately propose a qualified replacement.

• Delays in securing a replacement shall constitute grounds for the Government to terminate the contract or purchase order for convenience.

• Failure to comply with security requirements shall be considered contract non-performance.

Submission Instructions Fingerprint cards and supporting documentation shall be sent to:

Pine Ridge IHS Hospital Attn: Simone Miyasato, Contract Officer Representative (COR) 607 Indian Health Road, P.O. Box 1201 Pine Ridge, SD 57770 Documents must be transmitted securely (encrypted email or secure transfer) to:

• Primary POC: Casey Weston, PRSU Administration �� (605) 867-3062 | ����� Casey.Weston@ihs.gov

• Courtesy Copy: COR II / TPOC

C.3.5 Tour of Duty Shift Structure

• Contract Hospitalists shall work twelve (12) hour shifts physically located in the inpatient Acute Care Nursing ward (ACN).

• Shifts may be scheduled in blocks ranging from seven (7) to fourteen (14) consecutive days/nights.

• Scheduling may follow rotations such as “one week on / one week off” or “ten days on / ten days off,” but shall not exceed 14 consecutive days/nights to ensure patient and provider safety.

Extended Hours

• Hospitalists may be required to work beyond their scheduled shift to complete urgent tasks, such as:

o Patient care completion, o Admission or transfer, or o Hospitalist handoff/change of shift responsibilities.

• Hospitalists may also remain after their rotation to complete outstanding documentation.

Variable Hours

• Hospitalist schedules may vary depending on:

o Patient volume, o Case complexity, and o Operational needs of PRSU.

• Adjustments to schedules shall be determined by the Supervisory Hospitalist, Deputy Clinical Director, or Clinical Director, and communicated to the Contractor.

Assignment & Oversight

• The Contractor shall ensure all staff are informed of Hospitalist Department hours and any schedule changes.

• Contractor Personnel’s schedules will be assigned, maintained, and monitored by the

Supervisory Hospitalist, Deputy Clinical Director, or designee.

Pre-Shift Briefing

• Prior to each shift, contract Hospitalists shall be briefed using the Situation, Background, Assessment, Recommendation (SBAR) method by the Supervisory Hospitalist or designated representative.

• Any issues interfering with care shall be immediately reported to the Supervisory Hospitalist or designee.

C.4) Special Requirements Peer Review and Information Sharing The contractor shall conduct ongoing peer reviews of hospitalist and nocturnist clinical performance in accordance with medical staff bylaws, IHS policy, and applicable accreditation standards.

1. Purpose:

Peer reviews are intended to evaluate the quality, appropriateness, and effectiveness of medical care provided by contractor personnel and to ensure that patient care meets accepted clinical and professional standards.

2. Requirements:

• The contractor shall establish and maintain a peer review process consistent with hospital and PRSU quality assurance procedures.

• Reviews shall be performed by qualified physicians who are independent of the individual being reviewed and who possess comparable clinical credentials.

• The peer review shall address, at a minimum:

Accuracy and completeness of documentation in the Electronic Health Record

(EHR);

Compliance with clinical protocols and hospital policies;

Appropriateness of diagnosis and treatment; and Responsiveness to patient needs and interdisciplinary collaboration.

3. Reporting and Information Sharing:

• The contractor shall share all peer review findings, summaries, and trend analyses with the PRSU Chief of Medical Staff and/or the Contracting Officer’s Representative (COR) in accordance with established hospital procedures.

• Reports shall be submitted quarterly (or more frequently if requested) and must include aggregate data, corrective actions taken, and performance improvement recommendations.

• All peer review documentation shall be handled in a manner consistent with confidentiality requirements and federal privacy laws (including the Privacy Act and

HIPAA).

4. Corrective Action:

• When peer review identifies deficiencies in care, the contractor shall develop and implement a Corrective Action Plan (CAP) within 30 calendar days of notification.

• The CAP shall outline specific actions, responsible parties, and timelines for resolution, and shall be reviewed by PRSU for adequacy and compliance.

5. Government Oversight:

• PRSU reserves the right to participate in or independently conduct peer reviews as necessary.

• The Government may request access to contractor peer review documentation to verify compliance, evaluate quality performance, or support credentialing actions.

C.4.1 Health Information Management (HIM)/Electronic Health Record (EHR) EHR Use & Documentation

• The Contractor shall use the PRSU Electronic Health Record (EHR) system to maintain accurate and up-to-date information on clinical care.

• Contractor staff shall complete all required documentation, including coding and purpose-of-visit diagnoses, in accordance with PRSU policies and medical staff bylaws.

• Documentation shall meet standards of timeliness, legibility, accuracy, content, and authentication.

• All records generated in performance of this contract remain the exclusive property of PRSU.

HIM Clearance Requirement

• At the end of each rotation, Contractor Personnel shall obtain a Health Information Management Clearance Form (HIMCF) confirming all records have been completed with zero deficiencies.

• HIMCFs must be submitted with timesheets for approval. Timesheets will not be approved without an HIMCF indicating compliance.

• The Contracting Officer (CO) and Contracting Officer’s Representative (COR) shall be notified within two (2) business days if HIM identifies deficiencies or refusal to correct deficiencies.

Responsibility for Compliance

• It is the individual Contractor’s duty to work with HIM staff to resolve deficiencies and secure an approved HIMCF.

• No invoices or timesheets shall be processed without submission of a valid HIMCF.

Points of Contact – Health Information Management (HIM):

1. Flora “Ellie” Bettelyoun – �� (605) 867-3208 | ����� Flora.Bettelyoun@ihs.gov

2. Angela Swallow – �� (605) 867-3156 | ����� Angela.Swallow@ihs.gov

C.4.2 Timesheet Time Recording

• Contractor Personnel shall record work hours using the PRSU time clock system (see Contractor Furnished Property requirements).

• Timesheets shall capture:

o Daily time in and time out; and o A mandatory 30-minute unpaid lunch break.

• Time shall be tallied in 15-minute increments:

o Time worked from 1–7 minutes shall be rounded down;

o Time worked from 8–14 minutes shall be rounded up to the nearest quarter hour.

Overtime Approval

• Overtime shall not be worked without prior written approval from the Supervisory Hospitalist, Deputy Clinical Director, or designee.

HIM Clearance Requirement

• A Health Information Management Clearance Form (HIMCF) must be submitted with each timesheet, verifying zero documentation deficiencies.

• Timesheets and HIMCFs must be signed by the Supervisory Hospitalist, Deputy Clinical Director, or designee for approval.

• No invoices will be processed unless the associated timesheet and HIMCF are approved.

Contractor Responsibility

• The Contract Hospitalist is responsible for ensuring all approved timesheets and HIMCFs are submitted to both the Contracting Company and the Contract Officer’s Representative (COR)/Technical Point of Contact (TPOC).

C.4.3 Invoicing Submission Requirements

• The Contractor shall submit invoices at a minimum of bi-weekly intervals through the Invoice Processing Platform (IPP).

• Each invoice must include:

o Approved timesheet(s); and o Approved Health Information Management Clearance Form(s) (HIMCFs).

• Invoices submitted without the required documentation shall not be processed for payment.

Payment Basis

• The Contractor shall be paid for actual hours worked, at the fixed hourly rate, in accordance with the labor category established under this contract.

Invoice Distribution Invoices shall be addressed to the following:

• Deputy Clinical Director – Brandi.Dimmitt@ihs.gov

• Contract Officer Representative (COR) – Brian.Julius@ihs.gov

• Technical Point of Contact (TPOC) – Simone.Miyasato@ihs.gov

• Great Plains Area Accounts Payable (AP) Accountant – Rachel.Olson@ihs.gov

C.4.4 Employee Health Requirements The Contractor shall comply with the PRSU Employee Health Program policy to ensure all Contractor staff are free from communicable diseases or other conditions that may impair their ability to perform assigned duties.

Immunization & Health Screening Requirements

• Contractor personnel shall provide proof of required immunizations and health screenings to the PRSU Employee Health Department within seven (7) calendar days of employment.

• Required immunizations include, but are not limited to:

a. Measles, Mumps, & Rubella (MMR)

b. Varicella (Chickenpox)

c. Tetanus, Diphtheria, Pertussis (Tdap)

d. Tuberculosis testing

e. Hepatitis A

f. Hepatitis B

g. Influenza (annual)

h. Meningococcal

i. Shingles (Shingrix)

j. COVID-19 vaccination series

Annual Compliance

• Contractors shall remain current on all vaccinations as required by PRSU policy.

• Failure to comply with employee health requirements may result in suspension from duty until deficiencies are corrected.

Point of Contact – Employee Health JoDee Bettelyoun, Employee Health Nurse �� (605) 867-3286 | ����� Jodee.Bettelyoun@ihs.gov

C.4.5 Purchased Referred Care (PRC)

• Contractor Hospitalists shall provide treatment at PRSU facilities whenever possible.

• If services are required that cannot be performed at PRSU, the Contractor shall initiate a referral in the Electronic Health Record (EHR) in accordance with PRSU procedures.

• The referral shall include sufficient clinical justification to support the request for outside care.

• Once submitted, the referral will be reviewed by the PRSU Purchased Referred Care (PRC)

Department, which meets daily to approve or deny patient referrals.

• The Contractor is responsible for ensuring all referrals are complete, accurate, and compliant with PRSU policy.

C.4.6 Pharmaceuticals

• Contractor Hospitalists authorized to prescribe shall do so in accordance with the PRSU IHS formulary.

• Substitutions of generic drugs for prescribed medications shall follow instructions provided by PRSU Pharmacy Services.

• Medications not listed on the formulary require prior approval by the PRSU Pharmacy and Therapeutics Committee.

• Requests for non-formulary drugs must be initiated by completing a non-formulary drug request form, which will be reviewed at the next scheduled Pharmacy and Therapeutics Committee meeting.

• The Contractor is responsible for ensuring all prescribing practices are compliant with PRSU policy and federal prescribing regulations.

C.4.7 Third Party Enrollment

• During New Employee Orientation, the PRSU Business Office (BO) shall provide Contractor staff with all required Medicare Part B and other insurance provider enrollment documentation.

• Contractor staff shall complete all enrollment forms to the satisfaction of the PRSU Business Office in order to confirm insurance enrollment.

• No timesheets or invoices will be approved or processed until all required enrollment documentation is completed and verified.

• The enrollment process generally requires two (2) to three (3) business days for approval.

C.4.8 New Employee Orientation (NEO) & Annual Trainings

• All Contractor staff shall attend New Employee Orientation (NEO) prior to assuming duties under this contract.

• NEO is conducted every other week at the Pine Ridge Service Unit (PRSU).

mailto:Jodee.Bettelyoun@ihs.gov

• Contract staff shall complete all PRSU-required orientation modules, mandatory trainings, and annual refresher trainings as directed.

• The Contractor is responsible for ensuring all staff remain current with required annual trainings throughout the performance period.

• Staff who fail to complete required training shall not be permitted to perform services until compliance is achieved.

C.4.9 Work Identification Badge

• Upon clearance to begin work, each contract Hospitalist shall obtain a PRSU IHS work identification badge from the PRSU IHS Information Technology Department.

• Contractor personnel shall wear their identification badge at all times while on duty or performing services under this contract.

• Failure to display the badge may result in denial of access to PRSU facilities.

C.4.10 Contractor Furnished Property

• The Contractor shall furnish and maintain a working form of communication (e.g., cellular phone or pager) for all Contractor personnel at their own expense.

• The Contractor shall provide and maintain an electronic time clock system with required software to accurately record hours worked.

• The Contractor shall ensure that the time clock system is connected to the internet. Preferred connectivity method is LTE/cellular-based.

• All costs associated with Contractor-furnished property shall be the responsibility of the Contractor.

C.5) Additional Requirements

C.5.1 Contract Line-Item Numbers (CLINs)

• The Contractor shall provide on-site Hospitalist coverage at Pine Ridge Service Unit facilities 365 days per year.

• Coverage shall be divided into two shifts:

• Day Shift: 7:00 AM – 7:00 PM

• Night Shift: 7:00 PM – 7:00 AM

• The specific schedule and assignment of Contractor Personnel to shifts shall be determined by the Supervisory Hospitalist, Clinical Director, or designee.

• CLINs associated with this contract shall reflect these requirements and will specify labor category, shift, and applicable rates.

C.6) Additional Information

C.6.1 PRSU IHS Furnished Property PRSU IHS shall furnish the following for use by Contractor Personnel during the performance of this contract:

• Patient examination areas;

• Medical equipment and supplies necessary for the delivery of care; and

• Non-medical equipment and supplies necessary to support patient care and facility operations.

All Government-furnished property shall be used by the Contractor only for the performance of this contract and in accordance with applicable PRSU standards of care.

The Contractor shall be responsible for exercising reasonable care and proper use of all Government-furnished property provided under this contract.

C.6.2 Work Environment Contractor Personnel shall perform duties in a hospital and clinical environment at Pine Ridge Hospital (PRH) and associated PRSU facilities.

Personnel may be exposed to:

• Contagious diseases; and

• Bodily fluids in the course of providing care, including trauma and emergency situations.

Contractor Personnel shall comply with all PRSU infection control, occupational health, and safety policies.

The Contractor is responsible for ensuring that its personnel are trained, equipped, and prepared to work safely in this environment.

C.6.4 Meals

• Contractor personnel may purchase meals at the Pine Ridge IHS Hospital.

• All costs for meals shall be the responsibility of the Contractor. The Government shall assume no financial responsibility for Contractor meals.

Payment Requirements:

• All payments for meals must be submitted electronically through Pay.gov – Indian Health Service Great Plains General Collections, a secure U.S. Treasury system.

• The PRSU Finance Department shall provide invoices for meal tickets.

• Payments will not be considered complete until confirmation of Pay.gov submission is received.

Points of Contact (POCs):

• Meal Ticket Inquiries:

o Kirk Trujillo – �� (605) 867-3109 o Lois Cross – �� (605) 867-3020 o Alyssa Janis �� (605) 867-3092

C.6.5 Housing

• Contractor personnel may be assigned quarters (housing) when available.

• All costs for housing shall be the responsibility of the Contractor. The Government assumes no financial responsibility for housing.

Payment Requirements:

• All payments for housing must be submitted electronically through Pay.gov – Indian Health

Service Great Plains General Collections, a secure U.S. Treasury system.

• The PRSU Quarters Manager shall provide invoices for housing.

Quarters (Housing):

• Housing may be provided, if available, to ensure timely response to on-call responsibilities.

• Contractors assigned quarters shall pay rent in accordance with PRSU IHS rental guidelines.

• PRSU IHS will invoice the individual renting quarters, and payment must be made via Pay.gov.

Points of Contact – Quarters

• Quarters (Housing) Inquiries:

o Ilene Packard �� (605) 867-3023 Email: Ilene.Packard@ihs.gov o Chance Knutson �� (605) 867-3042 o Barrett Haas �� (605) 867-3071

C.7) Deliverables The Contractor shall provide the following deliverables in accordance with PRSU requirements:

Deliverable Frequency Number of copies to

PRSU IHS

Delivery format to

PRSU IHS

Submit to at

PRSU IHS

Credentialing & Privileging Requirements (C.3.3)

30 to 45 days prior to employment

1 copy Via fax or via secure data transfer email

Tammy Bailey, Medical Staff Coordinator

Health Information Management Clearance Form (C.3.5)

Every two weeks 1 original Hand deliver Supervisory Hospitalist or Clinical Director, Contract Officer Representative

(COR)

Employee Health Requirements (C.3.9)

Within 7 days of employment & annually thereafter.

1 copy Hand deliver Employee Health Nurse, COR if non compliance

Character Investigation Requirements (C.4.1)

30 days prior to employment

1 copy Via fax or via secure data transfer email

HSPD-12

Representative & Supervisor, COR

Timesheet (C.5.2) Bi-Weekly 1 original Hand deliver Supervisory Hospitalist Clinical Director, TPOC/ Contract Officer Representative.

Invoice (C.5.3) Bi-Weekly 1 copy Via email Supervisory Hospitalist, Clinical Director, GPA Accountant &

TPOC/COR

mailto:Ilene.Packard@ihs.gov

Authority

1.1. No person other than the Contracting Officer has 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 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.