PWS Medical Technologist.pdf

PWS No. Lab 12.03

Performance Work Statement ( PWS) for Non-Personal Services

M edical Technologist

Table of Contents Section Page

1.0 General 1

2.0 Definitions 3-5

3.0 Government Furnished Information, Property, & Services 6

4.0 Contractor Furnished Property 7

5.0 Performance-Based Requirements 8-12

6.0 Contractor Qualification Requirements 13

7.0 FAR 52.237-7 Indemnification and Medical Liability Insurance 15

8.0 Challenges to Conflicts 16

9.0 52.249-12 Termination (Personal Services) (Apr 1984) 16

10.0 Performance-based Matrix 17

11.0 List of Attachments and Exhibits 18

November 2020

Performance Work Statement ( PWS) for Non-Personal Services

M edical Technologist

1.0 General: This performance work statement describes the requirements for Non-Personal Service Contract, a medical technologist 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.

1.1.1 Navajo Area Indian Health Service (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 Scope: The Contractor shall provide medical technologist services in accordance with section 5.0, performance based requirements.

1.2.1 Duties and responsibilities will encompass outpatient medical technologist services to IHS patients.

1.2.2 Place of Performance: Services are to be performed at the Kayenta Health Center, Laboratory Department, Kayenta, AZ.

1.2.3 Period of Performance: Will be flexible 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.

1.3 Applicable Documents: Please see the web link listed unless document is listed as an attachment.

1.3.1 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.shtml

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/HIPAAGenInfo/Downloads/HIPAALaw.pdf

1.3.7 Privacy Act of 1974.

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 1987

http://csrc.nist.gov/groups/SMA/ispab/documents/csa_87.txt

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 http://www.jointcommission.org/ http://www.cms.hhs.gov/ http://www.aaahc.org/ http://www.policyalmanac.org/crime/archive/crs_federal_crime_policy.shtml http://www.nicwa.org/policy/law/protection/index.asp http://www.usdoj.gov/oip/privstat.htm http://csrc.nist.gov/groups/SMA/ispab/documents/csa_87.txt http://www.ihs.gov/

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) or Project Officer (PO): 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.

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

2.16 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.

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

2.18 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.

2.19 Patient Outcome: Provide accurate and reliable test results for direct patient care.

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

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

2.22 Personal Service Contracts: A contract that, by its express terms or as administered, makes the Contractor appear to be Government employee, as defined in FAR 37.

2.23 Service Unit: The local administrative unit of IHS.

2.24 Standards of Practice and Standards of Care: Authoritative Laboratory Department Policies and Procedures manuals which provide the duties and responsibilities of the Laboratory department staff. The standards provide direction for professional medical technologist technician practice and a framework for the evaluation of practice. The standards of professional medical technologist 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: The time of day the medical technologist is scheduled to perform laboratory duties; also considered the shift of the day. The time can vary according to the needs of each facility and/or clinic, e.g. 12 hour Tour of Duty, 8 hour Tour of Duty, 10 hour Tour of Duty; and the work days may include holidays, weekends, days, nights, or evenings.

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.

3.0 Government Furnished Information, Property and 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, supplies, and clinic space to perform the services under this contract.

3.2.1 Government Vehicle: If required by the position, authorization shall be in accordance with IHS 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 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 medical technology service or includes mandates made by the IHS Service Units/Health Centers while the medical technologist is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

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:

4.1.1 Uniforms and Lab Coats: Uniforms and Lab Coats shall conform to the requirements of the Indian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Clinical Director at each IHS facility.

4.1.2 Other personal medical instruments: “Other personal medical instruments” are defined as Contractor owned items may include but not limited to 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 medical technologist services in the delivery of patient care to the Indian Health Service. Specific tasks include the following:

5.1 Medical Technologist Duties:

5.1.1 The Contractor shall perform medical technologist duties and manage patient’s needs as described in the (PD), identified by the Service Unit and as directed by Supervisor. Serves as a Medical Technologist in the Clinical Laboratory of the Kayenta Health Center at the Kayenta Service Unit, with the duties of performing a variety of standardized routine and specialized procedures in the areas of Chemistry, Hematology, Microbiology, Urinalysis, Phlebotomy, Specimen, and dispatch requirements. Medical Technologist will need to be proficient with the hospital information system, RPMS (Resource Patient Management System), which is the main method of processing patient specimen and reporting patient test results.

5.1.2 MAJOR DUTIES AND RESPONSIBILITIES:

A. Provision of full range of Laboratory care to patients seen in Kayenta

Service Unit, including laboratory testing, maintenance of diagnostic equipment, operates automated equipment and performs complex manual procedures in Chemistry, Hematology, Urinalysis, Microbiology, Phlebotomy, special dispatch and specimen requirements, quality controls and other diagnostics required by laboratory supervisor.

B. Capable of performing phlebotomy on various age-groups: (infants to geriatric ages) and familiar with requirements and equipment for each age group, such as finger sticks, heel sticks and venipuncture with different needle gauges.

C. Performs required recordkeeping procedures and reports discrepancies to appropriate technologist or supervisor for patient results, demographics, QC, QA, and performance improvement.

D. Performs start up, shut-down, daily, weekly, monthly, and quarterly preventative maintenance procedures on analyzers and other testing procedures on instrumentation in Chemistry, Hematology, Urinalysis, and Microbiology as assigned or instructed.

E. Performs quality control procedures as required, and semi-annual Calibration verification or Method Comparison Studies as assigned;

analyzes and monitors significant trends, troubleshoots analyzer problems. Identifies and recognizes technical and instrumental causes of problems.

F. Recognizes factors which can adversely affect specimens, procedures, and results and is capable of determining whether procedures, specimens, or results have been affected, then performs corrective actions as needed (including sequestering patient samples and retesting after the analyzer issues have been resolved).

G. Assures preparation of tests for all patients, including performing the test calibrations and calibration verification studies as needed. Checks specimens, prepares reagents, and maintains adequate supplies.

Electronically enters, or writes clinical reports and descriptions of laboratory care. Reorders as appropriate under direction of supervisor or technologist.

H. Examines all patients lab work, reviews all testing (lab) and requests or performs diagnostic tests and refers tests to internal and external Laboratory facilities. Completes all tests requested by physicians and refers out when needed. Makes note of all assessments and records results. Reports results to appropriate individuals, calls critical values to appropriate individuals and recognizes the need for timely reporting of laboratory data and shipment of products and specimens.

I. Follows the Laboratory Department policies and procedures and the Kayenta Clinical practice guidelines when relevant. Follows federal licensing, accreditation and regulating body standards from organizations such as CMS, TJC, CLIA and IHS; and any other agency to which the facility is accountable.

J. Provides specialty laboratory services to the Kayenta Health patients and works as a team with the medical staff. Interacts in a professional manner with patients and co-workers.

5.1.3 FACTORS:

Factor 1 - Knowledge Required by the Position:

Knowledge of medical technology principles, concepts and methodology sufficient to perform a broad range of tests, including some complex and non-routine analysis covered by procedure manuals and run quality controls, etc.

Knowledge of mathematics sufficient to perform routine calculations.

Knowledge of CLIA high complexity tests (i.e., body fluid cell counts, manual differential testing, etc.).

Knowledge and skill sufficient to operate, calibrate, and perform preventative maintenance on available instrumentation under supervision of technologist.

Knowledge of technical, physiologic, and mechanical indicators of malfunctions sufficient to correct minor problems, to troubleshoot, and to notify technologist of major testing problems. Knowledge and skills necessary to provide laboratory testing to a wide range of age groups (neonate -geriatric). Knowledge and ability to assess laboratory data and interpret the data to meet the relative needs of each specific age group.

Must have knowledge and be proficient with the RPMS as all laboratory work revolves around the hospital and laboratory information system.

Factor 2 - Supervisory Controls:

The work is performed in an independent role, but under technical guidance of a supervisor or a higher grade employee from Kayenta Health Center. The employee uses initiative in carrying out recurring tasks independently and unfamiliar situations are referred to supervisor or higher-grade employee for decision or help. Additional instructions are provided for new or unusual assignments. The supervisor assures finished work and methods used are technically accurate and in compliance with instructions. Review of the work increases with more difficult assignments if the employee has not previously performed similar assignments.

Factor 3 - Guidelines:

A number of established procedures and specific guidelines are available in the form of policies and manuals; test and controls descriptions; calibration procedures; instructions on collecting, preserving, transporting, and receiving specimens; guidance on preparation, labeling, storing, and evaluating reagents. The employee refers situations requiring significant judgment to the supervisor or others for guidance/resolution.

Factor 4 - Complexity:

The work consists of duties that involve related steps, processes, or methods to perform a variety of tests and examinations. Decisions regarding what needs to be done involves various choices that require the employee to recognize the existence of and differences among recognizable situations. The work includes such tasks as discriminating between colors and patterns, recognizing factors that affect procedures and results, and identifying technical or instrument related problems. Actions to be taken or responses to be made differ with the patient’s condition, differences in test of examination ordered, and difference in patient responses.

Factor 5 - Scope and Effect:

The purpose of the work is to perform a range of relatively standardized tests, examinations, and determinations. The procedures and techniques are well-established, but involve many meticulous sequential steps to complete a test.

Work performed affects the accuracy and reliability, as well as timeliness of the procedures.

Factor 6 - Personal Contacts:

Personal contacts are with co-workers, technologists and technicians in other sections of the laboratory, patients, nurses and to a limited degree, physicians.

Factor 7 - Purpose of Contacts:

The purpose of contacts is to report on and clarify test results and orders and instruct and assist subordinates as required.

Factor 8 - Physical Demands:

The work requires regular and recurrent standing to perform tests, walking between the different sections of the laboratory and reading and bending to obtain supplies and operate instruments. Occasionally lifts 30/40 pound containers of liquid reagents.

Factor 9-Work Environment:

The work involves moderate risks or discomforts associated with working in a chemical laboratory with regular and recurrent exposures to hazards such as infectious materials, chemicals, and electrical appliances. The technician must use protective clothing and gear such as gloves, facemask, eye protectors, and biological safety hoods.

5.1.4 The Contractor shall perform in accordance with the competency standards listed in Exhibits, paragraph 11.2.

5.2 Work Schedule:

5.2.1 The Supervisor at each IHS facility shall determine specific tour of duty (which includes any and all shifts: dayshift, evening shift, or night shift, on weekends, holidays needed to provide 24 hour, 7 day per week, patient care coverage of the ED). The contractor shall work 100% of the contracted hours.

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

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:

A. The cause of the current illness or 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 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 performance of duty.

5.6 Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols.

5.6.1 Laboratory Records and Other Required Documentation: 100% percent of all laboratory records and other required documentation meets established IHS Medical Facility, Joint Commission, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, signature and designated profession. (Note: payment will be withheld for inaccurate or incomplete laboratory records per paragraph 10.0 of this performance work statement.)

5.6.2 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.

5.6.3 The Contractor shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, 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 technology systems that are deemed by the Supervisor as necessary for acceptable contractor performance.

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

5.7.3 The Contractor shall complete the Information Systems Security Awareness (ISSA) training within 24 hours of start date.

6.0 Contractor Qualification Requirements:

6.1 Education and Experience. The Contractor shall have proof of completion (I.e., copy of diploma and transcripts) of a Bachelor’s of Science degree in Medical Technology, or Clinical Laboratory Science, or in a primary science (i.e., Biology, Chemistry, Microbiology, etc.). The Contractor shall have a minimum of twelve (12) months of Laboratory experience as a Generalist Medical Technologist, performing CLIA high complexity work.

6.2 Certification. All medical technologists shall hold a current (non-expired) certification as a Medical Technologist, or a Medical Lab Scientist, or as a Clinical Lab Scientist by the appropriate agency (i.e., ASCP, AMT, or equivalent MLS, CLS, or MT certification).

6.2.1 Motor Vehicle Operator’s License. If required by the position, the Contractor shall possess a valid state driver’s license throughout the term of this contract.

6.3 Other Certifications. Current Basic Life Support (BLS)

6.4 Health Requirements/Conditions of Employment:

6.4.2 Immunization. The Contractor shall also provide the following documentation:

Immunity to Rubella, Mumps, Measles Immunity to Hepatitis B series History of chicken pox (varicella) disease or positive titer Tetanus Diphtheria (Td) within the last 5 years Documentation of receiving a TB Mantoux 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 series will be accepted.

6.5 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.

6.6 Information Technology Skills. The Contractor shall possess basic knowledge, skills, and abilities to use a computer.

6.7 Orientation. All medical technologists providing service under this contract shall attend mandatory orientations and training specified by the government.

6.8 Background Checks: The Contractor shall comply with Agency Personal Identity Verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) Guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201; this includes fingerprinting guidelines.

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 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 would affect the investigation becomes known. If FSS Contract was initiated before 10/29/2010, then fingerprint clearance can be submitted when provider first arrives on-site. If FSS Contract was initiated after 10/29/2010, then fingerprint clearance must be approved before tour of duty begins, UNLESS your FSS contract contains a Background Investigations clause, then fingerprint clearance can be submitted when provider first arrives on-site.

The Contractor shall turn in all Human Resource application forms to Clinical Department at least 5 days prior to beginning tour of duty. Clinical Department will forward forms to the local Human Resource Department. Have two (2) forms of Identification.

7.0 FAR 52.237-7 Indemnification and Medical Liability Insurance (Jan 1997)

(a) It is expressly agreed and understood that this is a nonpersonal services contract, as defined in 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 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 the following amount(s) per specialty per occurrence: * _$1,000,000.00_____.

(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 not 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 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 evidence of and maintain insurance in accordance with paragraph (a) of this clause.

At least 5 days before the commencement

8.0 Challenges to Conflicts: For any inconsistency between supervisor directions, this Performance Work Statement, attachments and exhibits, the following order of precedence will apply:

(a) First Priority: Supervisor’s directions

(b) Second Priority: Position Description (attached)

(c) Third Priority: Performance Work Statement Exhibits

(d) Fourth Priority: Performance Work Statement Narrative

9.0 52.249-12 Termination (Personal Services) (Apr 1984): The Government may terminate this contract at any time upon at least 15 days’ written notice by the Contracting Officer to the Contractor. The Contractor, with the written consent of the Contracting Officer, may terminate this contract upon at least 15 days’ written notice to the Contracting Officer.

9.1 Any Contractor employee demonstrating impaired judgment shall not be allowed to continue working on the contract. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

10.0 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 Medical Technologist 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 Laboratory 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 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 laboratory records and other required documentation meets established IHS Medical Facility, Joint Commision, and CMS standards to include, but are not limited to, timeliness, legibility, accuracy, content, date, time, and signature.

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 Contractor Assessment Performance Report. The evaluation will be considered when future IHS contract selections are made.

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

11.1 Attachments

Position Description (Service Unit specific)

11.2 Written Competency Assessments

a. Confidentiality/HIPAA/Patient’s Rights

b. EMTALA Compliance Exam, 2004