PWS_Lifestyle Medicine Training.docx

Performance Work Statement Lifestyle Medicine Practice Transformation Services

BACKGROUND:

The mission of the Indian Health Service (IHS) is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives (AI/AN) to the highest level. Similarly, the IHS Vision is to support healthy communities and quality healthcare systems through strong partnerships and culturally responsive practices. The IHS provides evidence-based care for American Indians/Alaska Natives (AI/ANs). As practice-based medicine evolves, IHS understands that therapeutic lifestyle interventions are a primary modality for treating chronic disease and as a foundation to transform healthcare and support sustainability.

Lifestyle medicine includes six pillars: whole foods (plant-predominant nutrition), restorative sleep, positive social connection, regular physical activity, avoidance of risky substances, and stress management. The IHS recognizes that these evidence-based practices align with traditional AI/AN practices and the Making America Healthy Again strategy.

Optimal lifestyle medicine services in primary care are best delivered through multidisciplinary approaches with a designated primary health practitioner lead and supporting health care team. Lifestyle medicine is a board certification that encourages patients to be active participants in their care through interventions designed to promote positive patient behavior by providing coaching support, opportunities for knowledge attainment, and skill-building necessary for success. Effective implementation is enhanced through community partnerships that provide health education and health promotion activities. The IHS recognizes that practice transformation and training for pharmacists and care teams are necessary to redefine the traditional IHS care model and patient care planning to practice in new ways. Didactic training curricula, EHR integration strategies, practice transformation models, and sustainability will be necessary for successful implementation.

OBJECTIVE:

The IHS requires the professional services of a contractor to develop evidence-based provider and health-system guidelines and highly specialized services to facilitate the creation and deployment of an innovative IHS-specific curriculum to coach and train pharmacy staff and care teams in the evidence base for lifestyle medicine (LM), practical application of LM in the IHS care setting, and documentation standards to ensure sustainability. Secondary drivers for this project are improved health outcomes for the IHS staff participating in the training programs and support for safe elder deprescribing initiatives. The result of this two-year training program will be creating a replicable model that can be transferred across the continuum of care and to other clinical settings.

DESCRIPTION:

· Develop and deliver a training curriculum consisting of up to 12 seminar sessions and applied learning didactic topic discussions for integrating lifestyle medicine concepts into IHS pharmacy practice, culminating in a certificate training program.

· Meet accreditation criteria for joint accreditation continuing education. IHS will submit to an accredited provider (e.g., Indian Health Service Clinical Support Center). Successful course completion should credit 20 CME/CEU/ACPE hours for MD, RN, PharmD, etc.

· Trainees will initially consist of IHS PGY1 & PGY2 residents in a concentrated learning block and other experienced clinical pharmacy staff practicing in primary care. Learning will be conducted virtually, with one optional on-site opportunity hosted at a designated IHS Hospital/IHS meeting venue. Additionally, professional designations will be considered in year two based on the interest and availability of IHS employees and sites.

· Produce recommendations to IHS regarding LM patient acceptance and overall program evaluation. Validated tools are preferred, as they typically have been studied and confirmed to accurately reflect the information they are gathering and may also relate to a health outcome of interest.

SPECIFIC REQUIREMENTS:

The contractor shall possess a PharmD, Board Certification in Lifestyle Medicine, and IHS practice experience, and be able to demonstrate 10 years of experience training clinicians and conducting learner assessments.

Period of Performance:

This requirement's performance period includes a base year plus one option year.

Place of Performance: Virtual Delivery

Bemidji Area Indian Health Services 2225 Cooperative Court N.W.

Bemidji, MN 56601-1005