PWS - Med Supply Tech.pdf

PERFORMANCE BASED WORK STATEMENT (PBWS)

NON-PERSONAL SERVICE (Medical Supply Technician)

TABLE OF CONTENTS

Page

1.0 General 2

1.1 Background 2

1.2 Scope 2

1.3 Applicable Documents 4

2.0 Definitions 5-7

3.0 Government Furnished Information, Property & Services 8

3.1 Information 8

3.2 Joint Use by the Government and the Contractor 8 —

3.3 Contractor Exclusive Use 8

3.4 Training 8

3.5 Protection of Government Buildings, Equipment and Vegetation 8

4.0 Contractor_Furnished_Equipment 8

4.1.1 Uniform and Lab Coat 9

4.1.2 Other Personal_Medical_Instruments 9

4.1.3 Indemnification and Medical Liability Insurance 9-10

5.0 Performance-based Requirements 10

5.1 Medical Supply Technician Duties 10

5.2 Work Schedule 10 —

5.3 Conduct 10

5.4 Performance Evaluation 10

5.5 Identification of Contractor 10

5.6 Management of Medical Information 11

5.7 HIS_Information_Technology Systems 11

6,0 Contractor_Requirements 11

6.1 Experience 11

6.2 Certifications 11

6.3 Health Requirements/Conditions of Employment 11

6.4 Language Requirement and Cultural Awareness 11

6.5 Information Technology Skills 11

6.6 Orientation 12

6.7 Background Checks 12

7.0 Termination for Cause 12

8.0 Technical Direction 12-13

9.0 Performance-Based_Matrix 14

10.0 List_of Attachments_and_Exhibits 15

PERFORMANCED BASED WORK STATEMENT (PBWS)

FOR NON-PERSONAL SERVICE-OPERATING ROOM ASSISTANT

1.0 General: This performance based work statement describes the requirements for a non-personal service contract for operating room nursing assistant services to support the mission of the Indian Health Service (IHS).

1.1 Background: IHS is an agency within the US Dept. 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 Indian and Alaska Natives. The IHS currently provides health services to approximately 1.5 million American Indians and Alaska Natives who belong to one of the 557 federally recognized tribes in 34 states.

1.2 Scope: The Contractor shall provide operating Medical Supply Technician services for the Navajo Area Indian Health Service (NAIHS) in accordance with

Section 5.0 performance based requirements.

1.2.1 Duties and responsibilities will encompass outpatient and inpatient medical supply technician services to all patients.

1.2.2 Place of Performance: Service will be performed at various NAIHS facilities (Service Units, Health Centers) located throughout the States of

Arizona, New Mexico and Utah. The 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.

1.2.3 Point of Contact: The contractor shall provide a point of contact who shall be responsible for the performance of the work. This individual shall have full authority to act for the Contractor on all matters relating to the daily operation of the contract. The point of contact may be a provider providing care in accordance with this Performance Work

Statement. The Contractor shall designate this individual in writing to the Contracting Officer (CO) before the contract start date.

1.2.4 Availability: The point of contact or alternate shall be available via telephone 24 hours a day, seven days a week including federal holidays.

1.2.5 Arrange for Replacement Staff: The Contractor shall arrange for pre credentialed replacement staff when their health care provider(s) is unable to provide service for one (1) or more consecutive scheduled shifts.

1.2.6 Work Roster: The point of contact shall provide a list by date, time, and individual medical supply technician’s name for those days the contractor shall be providing services.

1.2.7 Continuity of Services: The Contractor shall ensure that qualified backup medical supply technician are available to provide coverage during scheduled and unscheduled absences to primary contract providers. Absences without backup coverage will be subject to deduction in accordance with FAR Part 52-212-4(a).

1.3 ApplIcable Documents:

Please see the web link listed unless a document is listed as an attachment.

1.3.1 Joint Commission on Accreditation of Healthcare

Organizations (JCAHO) http://www.icaho.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) httx//www.aaahc.org

1.3.4 Section 231 of Public Law 101-647, the Crime Control Act of

1990 (Attached)

1.3.5 Section 4087 of Public Law 101-630, the Indian Child and

Family Violence Act (Attached)

1.3.6 Health Insurance Portability and Accountability Act (HIPAA) of 1996. htt://www.cms.hhs.gov/hipaa

1.3.7 Privacy Act of 1974 (Attached)

1.3.8 Revised American Nurses Association Code of Ethics and

Standards of Practice and Care (1996) httD ://www.nursingworld.org

1.3.9 Association for the Advancement of Medical

Instrumentation httr,s://www.aami.orgJstandards

1.3.10 NAIHS Service Unit and Health Centers Polices, Procedures and Protocols (See paragraph 11.0 for exhibits 1 through 18)

1.3.11 Location Map (attached)

1.3.12 Sample task order (attached)

1.3.13 Customer Evaluation Form (attached)

1.3.14 Computer Security Act of 1980.

http://www.ihs.gove/adminmggrresources/computersecuri

1.3.15 Federal Code of Conduct.

htt://www.ihs.gov/adm inmggrresources

1.3.16 IHS General Directives.

httrj :J/www.ihs.gov/ad m inmggrresources

1.3.17 IHS Computer Security Directives.

http ://www.ihs.govJadminmgrresources

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: Acknowledgement by the designated Government official that submittals, deliverables, or administrative documents (e.g. insurance certificates, installation schedules, planning 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 Code of Ethics: The Position Statement Code of Ethics by the Association for the Advancement of Medical Instrumentation.

2.5 Contracting Office (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 entity awarded a legal binding contract to provide supplies or services.

2.7 Contracting Officer’s Representative (COR) or Project Officer (PD): A federal employee who assists with 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

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 NAIHS service unit and NAIHS health center

2.11 Customer Evaluation: Written comments made to the Contracting Officer regarding the

Contractor’s performance. This is one of the criteria used to monitor the Contractor’s performance.

2.12 Dependability: Quality of being trusted to repeat the same task yield the same result.

2.13 Federal Acquisition Regulation (FAR): The FAR Is the primary regulation for use by all Federal

Executive agencies in the acquisition of supplies and services with appropriated funds.

2.14 Government Vehicle: A NAIl-IS owned motor vehicle or a vehicle leased by NAIHS through agreements with the General Services Administration or through commercial rental agreements.

2.15 Health Center: A faclflty, physically separated from a hospital, with a full range of ambulatory services including at least primary care physicians, nursing, laboratory, and x-ray which are available at least 40 hours a week for outpatient care.

2.16 Non-Personal Service 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 on FAR 37.

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

2.18 Ordering Activity Contracting Officer: A government employee of NAIl-IS 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.

2.19 Orientation: An activity designed to provide basic familiarization of the facility and transition the medical supply technician into the NAIHS Service Unit and/or Health Center and the nursing unit where the services will be provided.

2.20 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.

2.21 Patient Outcome: End result of medical supply technician.

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 QualIty Assurance Surveillance Plan (QASP): A written document prepared and used by the

Government for Quality Assurance surveillance of the contractor’s performance.

2.25 Quality Control Plan (QCP): Those actions taken by the Contractor to control the quality of services provided. The Contractor’s QCP must be equivalent to the Government’s Quality Assurance

Plan.

2.26 Standards of Practice and Standards of Care: Authoritative statements by which the

Association for the Advancement of Medical Instrumentation profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional medical supply technician practice and a framework for the evaluation of practice. The standards of professional operating room nursing assistant practice may pertain to general or specialty practice.

2.27 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, and period of performance, contract number, and the ordering activities task order number.

2.28 Technical Direction: A directive to the Contractor that approves, approaches solutions, designs, or refinements; fills In details or otherwise completes the general description of work or documentation items; shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor. Technical direction includes requiring studies and pursuit of certain lines of injury regarding matters within the general tasks and requirements in Section 5 of this contract.

2.29 Tour of Duty: The time of day the medical supply technician is scheduled to perform the duties on the day shift from 0730-1600 hours with Holiday off.

2.30 Valid Patient Complaint: Justifiable accusation 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: All 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, supplies and clinic space to perform the services under this contract.

3.2.1 GSA Vehicle: If required by the position, authorization shall be in accordance with NAIHS

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 PBSOW. 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 fee of up to $100.00 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. NAIHS 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 the nursing services or includes mandates made by the NAIHS Service Units/Health Centers while the medical supply technician is working under this contract. Training will not be provided for purposes of continuing education, career development or individual development.

3.5 Protection of Government Buildings, Equipment, and Vegetation:

The Contractor shall use reasonable care to avoid damaging existing buildings, equipment, and vegetation on the Government installation. If the Contractor’s failure to use reasonable care causes damage to any of this property, the Contractor shall replace or repair the damage at no expense to the Government as the Contracting Officer directs. If the Contractor fails or refuses to make such repair or replacement, the Contractor shall be liable for the cost, which may be deducted from the contract price.

4.0 Contractor Furnished Property

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:

B

4.1.1 UnIforms and Lab Coats: Uniforms and Lab Coats must 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 NAIHS facility. Uniforms and Lab Coats must conform to the AORN Recommended Practice for Surgical Attire.

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 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.

4.1.3 Indemnification and Medical UabIIity Insurance:

(a) It is expressly agreed and understood that this is a non-personal services contract, as deflned in the 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 the professional aspects of the services rendered, including by example, the Contractor’s professional medical judgment, diagnosis, or specific 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 specialty per occurrence, #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 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 the 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 be 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 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.

5.0 Performance-based Requirements: The Contractor shall provide medical supply technician services in the delivery of patient care to the Indian Health Service. Specific tasks includes the following:

5.1 Nursing Duties: (a) Will provide sterilization and control of sterilized supplies and equipment by using the AAMI, Federal regulations and AORN Standards regarding cleaning, disinfection, sterilization, quality control/verification of proces5, package, storage, recall due to process failure, and implants. Appropriate safety methods and procedures are as follows;

A. Operating sterilizers or equipment or when using disinfectant solutions according to manufacturer’s recommendation.

B. Disassembling and reassembling equipment/instrument trays.

C. NNMC Quality testing completed daily and weekly on washers and sterilizers. Quality testing is with every load proceeded through sterilizers. Tray and instrumentation optimization monitored as a performance improvement for incre4asing efficiency of sterilization and length of life of instrumentation.

(b) Selects appropriate method when wrapping supplies to prevent breakthrough, dates ad labels package upon completion. Assists in maintaining the sterility of supply of indicators, rotating stock by disposing or reprocessing contaminated or outdated sterile goods and assures proper storage and transport of sterile goods.

Cc) Performs daily and/or load biological testing of sterilizers, records result and notifies charge

Nurse/ Nurse Manager of any contaminated loads so they can institute recall procedure.

(d) Demonstrates knowledge of asepsis and sterilization methods with the ability to under5tand the basic medical and surgical terminology, with therapeutic practices for human anatomy and physiology.

(f)Operate and trouble shoot equipment used for sterile process and complete required documentation.

5.1.1 The Contractor shall perform medical supply technician duties and manage patient’s needs as described on the attached Position Description (PD).

5.1.2 The Contractor shall perform in accordance with the competency standards listed in Exhibits, paragraph 10.2.

5.2 Work Schedule:

5.2.1 The Supervisor as each NAIHS facility will provide technical direction on the specific tour of duty.

5.2.2 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:

A. The cause of the current illness/incapacitation AND B. Indicating the contractor as contagious or non-contagious.

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.

5.4 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 safety1 infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

5.5 Identification of Contractor:

5.5 The Contractor shall wear 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 NAIHS Service Unit and/or Health Center specific polices and protocols.

5.6.1 The Contractor shall ensure adherence to the 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 Representative (COR) any information or circumstances that may violate any status, policy, or procedure.

5.7 IHS Information Technology Systems

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

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

6.0 Contractor Qualification Requirements:

6.1 Experience: The Contractor shall have a minimum of twenty-four (24) months relevant experience within the last thirty-six (36) months unless otherwise approved by the Contracting

Officer.

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

6.3 Health Requirements/Conditions of Employment:

6.3.1 Medical Evaluation: The Contractor shall ensure candidate(s) has the physical ability to perform tasks assigned.

6.3.2 The Contractor shall also provide the following documentation:

• Immunity to Rubella, Mumps, Measles

• Immunity to Hepatitis A and B

• History of Chicken Pox disease or positive titer

• Tetanus Diphtheria (Td) within the last 5 years

• Documentation of receiving a TB skin test (PPD) within the past 12 months with documentation of follow-up for a positive test.

• A signed declination of the Hepatitis B vaccination will be accepted.

6.4 Language Requirement 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 basic knowledge, skills, and abilities to use a computer.

6.6 Orientation: All medical supply technician providing service under this contract shall attend mandatory orientations and training specified by the Government.

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 NAIHS 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 Contracting Officer. The Contractor will immediately be 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.

e-QIP—Required Background Investigation Information:

Executive Orders 10450, 12968, and HSPD-12 require a background investigation as a condition of employment. This investigation will be processed utilizing the US Office of Personnel

Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system.

FINGERPRINT CARD—FBI FD-258 (provided by the Federal Government) Fingerprint MUST be cleared and approved prior to contract assignment. Contract assignment(s) are conditional on a cleared background check.

7.0 Termination for Cause: The Government may terminate this contract for cause in accordance with FAR52.212.24 (i) and (m).

7.1 Any Contractor demonstrating impaired judgment shall not be permitted to work in the NAIHS.

The Government reserves the right to remove from the facility any Contractor who in the judgment of a licensed physician is impaired by drugs or alcohol.

8.0 Technical Direction:

8.1 Performance of the work under this contract is subject to the written and verbal technical direction of the Contracting Officer’s Representative (COR) who shall be specifically appointed by the Contracting Officer in writing.

8.2 The COR does not have the authority to, and shall not, issue any instructions purporting to be technical direction that:

• Constitutes an assignment of additional work outside the statement of work;

• Constitutes a change as defined in the changes;

• In any manner causes an increase or decrease in the total estimated contract cost, fixed fee

(if any), or the time required for contract performance;

• Changes of any expressed terms, conditions, or specifications of the contract; or the terms and conditions of the contract.

8.3 All technical direction shall be issued in writing by the COR. All verbal direction will be confirmed in writing within 24 hours (one business day).

8.4 The Contractor shall proceed promptly with the performance of technical direction duly issued by the COR in the manner prescribed by this clause and within the authority. If, in the Contractor’s opinion, any instructions or direction by the COR falls within any of the categories defined in paragraph 8.2 above, the Contractor shall not proceed but shall notify the Contracting Officer in wiring within 5 working days after receiving it and shall request the Contracting Officer to take action as described in this clause. Upon receiving this notification, the Contracting Officer shall either issue an appropriate contract modification within a reasonable time or advise the Contractor in wiring that the instruction or direction is within the requirements of the contract and does not constitute a change under the changes clause of the contract and that the contractor shall proceed promptly with its performance.

8.5 A failure of the Contractor and Contracting Officer agree that the Instruction or direction is both rescinded in its entirety; or within the requirements of the contract and does not constitute a change under the changes clause, or a failure to agree upon the contract action to be taken with respect to the instruction or direction shall be subject to the Disputes clause of this contract.

8.6 Any action taken by the Contractor in response to any direction given by any person other than the Contracting Officer or the COR shall be at the Contractor’s risk.

Standard

Performs 100% requIred tasks at 100% oF the required competencies (refer to 10.2)

100% compliance with NAINS Service Units and/or Health Centers published Policies;

Procedures; Standards of Care;

and hospital and nursing protocols

No reports of the breached patient safety, infection control, and other procedures that adversely affects patient outcome.

Performance characterized by continual cultural awareness and focus on customer service.

100% adherence to the Nursing Code of Ethics and Federal Code of Conduct.

Uninterrupted credentialing as defined In 6.0 to 6.8 throughout the contract period

100% of all documentation meets established NAIHS Medical Facility, JCAHO, and CMS standards to lnclude timeliness, legibility, accuracy, content, date, time, signature and designated profession.

Satisfaction with quality of service is evidenced by valid customer inputs.

See OASP, Surveillance systems will Include periodic Inspections and customer complaints

Payment of contract price for

5alisfactory service.

Contractor performance will be evaluated using the Past

Performance information Retrieval System (PPIRS)

Contractor performance Report the evaluation will be considered when future NAIHS contract selections are made.

9.0 based Matrix Performance Based Task

Indicator Quality Assurance Incentives

For each indicator” state a For each standard”, state List Positive and Negative

State the end results or outputs For the performance level that, when the method used to check incentives Address method of that you, the customer will requirement state met, means the task has been performance (ie, Random linking payment to quality of formally accept or reject the feature(s) of performed satisfactorily, sampling. 100% inspectIon, service.

end result that will periodic inspection, be survellied This standard describes What customer complaints).

Success Looks Like” The Contractor shall provide Non-Personal Service Contract Medical supply technician servIce in the delivery of patient care to Navajo Area Indian Health Service

Competency

Compliance

Patient Outcomes

Professionalism

Credentialing

Documentation

Quality Service

10.0 List of Attachments and Exhibits

10.1 Attachments

Position Description # 117190

10.2 Exhibits

10.2.1 Written Competency Assessments

a) Rapid Regulatory 1 and 2/ HIPAA

b) Age Specific Competency Verification

c) Information Security Awareness