PWS Nocturnist_Updated.pdf

Attachment A – Performance Work Statement

PERFORMANCE WORK STATEMENT (PWS)

NON-PERSONAL SERVICE – Nocturnist Physician Services (Internal Medicine or Family Medicine) Table of Contents

Page

1.0 General 2

1.1 Background 2

2.0 Scope 2-3

3.0 Applicable Documents 3-4

4.0 Definitions 4-6

5.0 Government Furnished Information, Property & Services 6-7

6.0 Contractor Furnished Equipment 7

7.0 Performance-Work Statement (PWS) Requirements 7-10

7.1 Nursing Duties

7.2 Work Schedule

7.3 Leave Requests

7.4 Timesheets

7.5 Ethics & Conduct

7.6 Performance Evaluation

7.7 Identification of Contractor

7.8 Management of Medical Information

7.9 IHS Information Technology Systems

8.0 Contractor Qualification Requirements 10-11

8.1 Experience

8.2 License/Registration Certifications

8.3 Certifications

8.4 Health Requirements/Conditions of Employment

8.5 Immunization

8.6 Contractor History

8.7 Language Requirement and Cultural Awareness

8.8 Information Technology Skills

8.9 Orientation

8.10 Background Checks

9.0 Technical Direction 11-12

10.0 Performance Work Statement (PWS) – Requirements Summary 13 List of Attachments and Exhibits 14

1. General: This performance work statement describes the requirements for a Non-Personal Service Contract for physician nocturnist services to support the mission of the Indian Health Service (IHS) at the Northern Navajo Medical Center (NNMC) and associated Navajo Area facilities, as applicable.

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.

1.2. There is a nationwide shortage of physicians which is amplified by the remote and rural areas served by the Indian Health Service. This performance work statement covers requirements for the Navajo Area and Shiprock Service Unit which includes Northern Navajo Medical Center (NNMC), Dzilth- Na-O-Dith-Hle Health Center (DZHC), and Four Corners Regional Health Center (FCRHC). The position to be filled requires an internal medicine or family medicine physician for the provision of nocturnist (nocturnal hospitalist) services.

1.3. NNMC has a 55-bed inpatient capacity, that includes 5 critical care beds in the Intensive Care Unit. A nocturnist physician is required to provide continuous coverage of the inpatient general medicine service, including admissions, inpatient management, transfers, discharges, response to emergencies, and consultations to other services.

1.4. This role is important because it supports high quality care during night-time hours, without diverting resources from overstretched daytime inpatient and outpatient services.

2. Scope: Scope: The Contractor shall provide Physician Nocturnist duties in accordance with section 7, performance-based requirements.

2.1 Duties and responsibilities shall encompass hospitalist services to adult IHS patients.

2.2 Place of Performance: Services are to be performed at hospitals, clinics and other healthcare facilities within the Shiprock Service Unit.

Primary Location: Northern Navajo Medical Center, US Hwy 491 North, Shiprock, NM 87420

2.3 Department: Internal Medicine

2.4 Period of Performance: Shall be 1 Base Period + 4 Option Periods. Each contract period of performance shall contain a 6-month period of performance.

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

3.1. The Joint Commission (TJC) http://www.jointcommission.org

3.2. Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov http://www.jointcommission.org/ http://www.cms.hhs.gov/

3.3. Accreditation Association for Ambulatory Health Care(AAAHC) https://www.aaahc.org

3.4. Section 231 of Public Law 101-647, the Crime Control Act of 1990.

http://www.icctc.org/Crime%20Conrol%20Act%20of%201990.pdf

3.5. Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act http://www.icctc.org/IHS-BIA%20CPT%Handbook/PL%201101-630.pdf

3.6. Health Insurance Portability and Accountability Act (HIPAA) of 1996.

http://www.cms.gov/HIPAAGeninfo/

3.7. Privacy Act of 1974. http://www.justice.gov/opcl.privacyact1974.htm

3.8. IHS Service Unit and Health Center Policies, Procedures and Protocols. (See section 11.0 for a list of attachments and exhibits)

3.9. Computer Security Act of 1980 http://security.ihs.gov/index.cfm

3.10. Federal Code of Conduct: Contractor Code of Business Ethics and Conduct eCFR :: 48 CFR 52.203-13 -- Contractor Code of Business Ethics and Conduct. (FAR 52.203-13)

3.11. IHS General Directives http://www.ihs.gov/index.cfm?module=AtoZ&option=index

3.12. IHS Computer Security Directives: http://security.ihs.gov/index.cfm

4. Definitions

4.1. 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.

4.2. 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.

4.3. Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

4.4. Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

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

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

4.7. Contracting Officer's Representative (COR): A federal employee who assists the ordering/issuing http://www.aaahc.org/ http://www.icctc.org/Crime%20Conrol%20Act%20of%201990.pdf http://www.icctc.org/IHS-BIA%20CPT%25Handbook/PL%201101-630.pdf http://www.cms.gov/HIPAAGeninfo/ http://www.justice.gov/opcl.privacyact1974.htm http://security.ihs.gov/index.cfm https://www.ecfr.gov/current/title-48/chapter-1/subchapter-H/part-52/subpart-52.2/section-52.203-13 http://www.ihs.gov/index.cfm?module=AtoZ&option=index http://security.ihs.gov/index.cfm 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. COR- contracting Officer's Representative or GTR-Government Technical Representative,).

4.8. Contractor Performance Assessment Report: A report that assesses a contractor's performance and provides a record, both positive and negative, on a given contract for specific period of time.

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

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

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

4.12. 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.

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

4.14. 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.

4.15. 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.

4.16. Health Insurance Portability and Accountability Act (HIPAA): A US law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers.

4.17. Non-Personal Service Contracts: means a contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees as defined in FAR 37.

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

4.19. Past Performance Information: Relevant information regarding a contractor's actions under previously awarded contracts. This includes the contractor's record of conformance to specifications and to standards of good workmanship; the contractor's record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor's adherence to contract schedules, including the administrative aspects of performance; the contractor's history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor's business-like concern for the interest of the customer.

4.20. Patient Outcome: End result of nursing care.

4.21. Performance Work Statement Requirements summary: lists the services to be monitored and the standards to be applied.

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

4.23. Service Unit: The local administrative unit of IHS.

4.24. Standards of Practice and Standards of Care: Authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional nursing practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or specialty practice.

4.25. 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 inquiry regarding matters within the general tasks and requirements in Section 5 of this contract.

4.26. Nocturnist: The official title of the position in IHS is Physician (Nocturnist). This is the same as a hospitalist in either Internal Medicine or Family Medicine who provides primarily night-time services.

4.27. Tour of Duty: The time of day the Nocturnist physician is scheduled to perform clinical 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. For physicians contracted as a Nocturnist, shifts are typically 12-hour shifts, 7:30 PM to 7:30 AM.

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

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

5. Government Furnished Information, Property and Services

5.1. 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.

5.2. Joint Use by the Government and the Contractor: 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.

5.2.1. Government Vehicle: If required by the position, authorization shall be in accordance with HIS Manual, Chapter 9, Part 1 – Motor Vehicle Safety.

5.3. Contractor Exclusive Use:

5.3.1. Personal Protective Equipment (PPE). The Government will furnish the Contractor with appropriate PPE other than specified in section 7 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.

5.3.2. The Government will provide facility specific contractor identification badges for each contractor. A minimum fee of $20.00 will be charged for lost or destroyed badges.

5.4. Training: Facility specific training necessary for the Contractor to perform the required duties, e.g., HIS 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 nursing services or includes mandates made by the service unit while the Tour Coordinator is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

6. Contractor Furnished Property

6.1. Except for the property specified in section 5.0 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

6.1.1. Uniforms and Lab Coats: Uniforms and Lab Coats shall conform to the requirements of the Indian Health Service Manual, Part 3, Chapter 6, and meet the approval of the SCN within the Shiprock Service Unit or Northern Navajo Medical Center.

6.1.2. Other personal medical instruments: “Other personal medical instruments” are defined as

Contractor owned items may include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the Supervisory Clinical Nurse (SCN) prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

7. Performance Work Statement (PWS) Requirements.

7.1. Nocturnist Physician Duties:

7.1.1. The Contractor shall perform nocturnal hospitalist duties and manage patients’ needs as described in the PWS identified by the Service Unit and as directed by Supervisor.

7.1.2. The Contractor shall perform in accordance with the competency standards listed in the Shiprock Service Unit Medical Staff By-Laws.

7.1.3. The Contractor shall provide professional medical services or direct patient care services under the terms of this contract, appropriate and timely medical services in accordance with the standards of care established by recognized medical care organizations and in accordance with the policies and procedures of Service Unit's Medical Staff Bylaws and Rules & Regulations at Shiprock hospital.

7.1.4. The contractor shall provide professional Nocturnist physician services in direct patient care services as follows:

7.1.4.1. The Nocturnist physician (hereafter referred to as the Contractor) shall provide inpatient Hospitalist care overnight for patients at the Indian Health Service, Northern Navajo Medical Center, Shiprock, New Mexico.

7.1.4.2. Clinical duties. The Contractor shall provide professional medical services in direct inpatient care services as follows:

7.1.4.3. The Contractor will be responsible for inpatient admission/observation to the General Medicine service from the Emergency Room. The Contractor will also discuss requests for and manage subsequent transfer from outside hospital Emergency Departments and Urgent Cares in accordance with EMTALA.

7.1.4.4. The Contractor will cross-cover adult patients admitted to the General Medicine service.

These patients may be admitted to the Intensive Care Unit, Med/Surg ward, or Pediatrics ward. [Adult patients can be admitted to the Pediatric ward.]

7.1.4.5. The Contractor will provide overnight coverage for Emergency Room patients requiring short-term observation or boarding while awaiting transfer to higher level of care facilities.

7.1.4.6. The Contractor will provide overnight coverage and admission to an open five-bed Intensive Care Unit. The Contractor will manage critical care patients in the intensive care unit, including patients requiring vasopressors or ventilator support.

7.1.4.7. The ability to perform bedside procedures, including lumbar punctures, paracentesis, thoracentesis, joint aspirations, and central line placement, is preferred.

7.1.4.8. The Contractor will provide consultation services for admitted inpatients on other services such as Surgery and OBGYN.

7.1.4.9. The provider will also occasionally take cross-cover calls on nursing home patients who are part of our service unit. This is a very rare occurrence.

7.1.4.10. The Contractor will refer and transfer inpatients if we cannot provide services here at

NNMC.

7.1.4.11. The Contractor may be assigned departmental tasks overnight such as EKG and PFT interpretations.

7.1.5. The contractor shall consult with members of the Internal Medicine and Family Medicine departments on matters of patient care.

7.1.6. The contractor shall ensure that patients are receiving the proper inpatient care.

7.1.7. The contractor shall review clinical records and adhere to records documentation procedures to ensure that records are properly maintained.

7.1.8. The contractor shall be under the administrative supervision of the Chief of Internal Medicine or his/her designee. The contractor's provision of Nocturnist Physician care will be monitored by the Northern Navajo Medical Center's quality assurance plan.

7.1.9. Contractor shall have access to the Internet to use the Electronic Health Record. All documentation on patients shall be completed prior to the contractor's shift is over. Delinquent charts shall be completed prior to the contractor completion of his/her contract at Northern Navajo Medical Center.

If the delinquent chart is not completed the contract company shall assume the responsibility of returning the contractor to Northern Navajo Medical Center to complete any outstanding delinquent charts.

7.1.10. The contactor may be subject to technical direction and/or guidance of the designated Government official.

7.2. Work Schedule:

7.2.1. The Supervisor at each IHS facility shall determine specific tour of duty. The contractor shall work 100% of the contracted hours.

7.2.2. The Contractor shall provide services at Northern Navajo Medical Center in Shiprock Service Unit.

The usual shift is 12 hours nightly, from 7:30pm to 7:30am in the hospital. A full-time schedule typically comprises of Sunday through Saturday or Monday through Sunday work weeks, alternating 7 nights on and 7 nights off. Alternatively, stretches of 4 to 5 contiguous shifts may spread throughout the month to equal 14 shifts in a 28 day period.

7.2.3. There is some variability of daily and weekly hours based on workload, emergencies and staffing variability. As directed by the Supervisor, the Contractor shall rotate into other duty sections as needed to support patient care.

7.3. Leave Requests

7.3.1. The Contractor shall establish, implement, and administer its own leave policies and procedures.

The Contractor is solely responsible for managing leave, absences, and scheduling of its personnel, including the development of internal processes for requesting, approving, and coordinating leave.

7.3.2. The Contractor shall coordinate all leave in a manner that ensures continuity of services and maintains adequate staffing levels at all times. Personnel availability shall be managed to consistently meet all performance requirements without disruption to services.

7.3.3. The Contractor is responsible for ensuring that leave or absences do not adversely impact the quality, timeliness, or effectiveness of services, including maintaining appropriate coverage to support patient care requirements.

7.3.4. The Contractor shall ensure that staffing levels remain sufficient to meet all contract requirements and performance standards, regardless of individual personnel availability. Any staffing adjustments necessary to maintain required performance shall be the sole responsibility of the Contractor.

7.3.5. Approval of leave shall be contingent upon the Contractor’s ability to maintain adequate staffing levels and uninterrupted service delivery.

7.3.6. The Contractor shall ensure that all key personnel provide timely notification of leave requests and coordinate such requests with the Supervisor and the Contracting Officer’s Representative (COR) in advance, in accordance with established procedures, to ensure proper coverage and continuity of services.

7.4. Timesheets: The contractor shall track timesheets and ensure accurate tracking of hours worked to allow for correct billing. The government shall provide a blank timesheet template for use to track hours for billing. The contractor shall use this government template or provide the contractor with blank timesheet copies for accurate tracking.

7.4.1. Timesheets shall be verified by Internal Medicine Supervisor or designee each week for correct billing purposes.

7.5. Ethics & Conduct: The Contractor shall meet standards as listed in the Federal Code of Conduct:

Contractor Code of Business Ethics and Conduct.

7.5.1. The Government reserves the right to examine and or re-examine any Contractor who meets the criteria of unplanned absences and does not meet performance standards as listed herein this PWS.

7.6. Performance Evaluations:

7.6.1. The Contractor's performance will be evaluated in accordance with the standards set forth in the contract and Performance Requirements Summary on page 13.

7.6.2. 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.

7.7. Identification of Contractor:

7.7.1. The Contractor shall wear a government issued contractor identification badge during performance of duty. The identification badge, any other assigned keys or badges that are given upon starting the contract must be returned upon completion of contract or service end date.

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

7.8.1. Medical Records and Other Required Documentation: 100% percent of all medical 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 shall be withheld for inaccurate or incomplete medical records.)

7.8.2. 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.

7.8.3. The Contractor shall immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

7.9. IHS Information Technology Systems:

7.9.1. ln performance of this contract, the Contractor shall adapt to and successfully utilize IHS information technology systems that are deemed by the SCN as necessary for acceptable contractor performance.

7.9.2. 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.

8. Contractor Qualification Requirements:

8.1. Experience: The Contractor shall have thirty-six (36) months of physician experience, with a minimum of twelve months (12) in an inpatient hospitalist care specialty required by the contract, unless otherwise approved by the Contracting Officer. Recent experience with inpatient care and ICU care is required.

The ability safely manage ventilators is required. The ability to perform bedside procedures, including central line placement and paracentesis, is strongly encouraged.

8.2. License/Registration: All Hospitalist physician contractors shall possess a current, valid, unrestricted license in any state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract.

8.3. Certifications:

8.3.1. 6.3.1. Board certification: Active board certification is required in the specialty of either Internal Medicine (ABIM) or Family Medicine (ABFM).

8.3.2. 6.3.2. Life support certifications: Current Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) provider certifications are mandatory.

8.3.3. The contractor shall ensure that the certifications remain valid throughout the term of this contract.

8.4. Health Requirements/Conditions of Employment:

8.4.1. Medical Evaluation. The Contractor shall provide a fitness for duty certificate issued by a licensed physician to perform the proposed job without significant risk to personal health or the health and safety of others.

8.5. Immunization. The Contractor shall also provide the following documentation prior to RN Candidate selection:

8.5.1. Immunity to Rubella, Mumps, and Rubeola (Measles);

8.5.2. Proof of Hep B vaccination x3 OR positive titer OR a signed declination of the Hep B vaccinations will also be accepted;

8.5.3. Documented history of chicken pox OR varicella vaccination x2 OR positive varicella titer;

8.5.4. History of Tdap vaccination, with subsequent Td vaccination if older than 10 years;

8.5.5. Documentation of Tuberculosis testing (TB skin test or IGRA) within the past 12 months with documentation of chest x-ray and follow-up for a positive history;

8.5.6. 12 months with documentation of follow-up for a positive test.

8.5.7. Proof of influenza vaccination from October -1 thru March 31, per IHS Mandatory Influenza

Vaccination Policy.

8.6. Contractor History: Per the IHS SOP for credentialing for high-risk findings, the contractor cannot have a history of any of the following actions:

8.6.1. Suspension, restriction, revocation, denial, probation or involuntary relinquishment of any clinical professional license or registration held by the licensed practitioner

8.6.2. Suspension, restriction, revocation, or denial of employment, medical staff membership, or clinical privileges at any place of employment, including, hospitals, clinics or other healthcare settings

8.6.3. Subject of civil, criminal, or administrative action regarding sexual misconduct, child abuse, domestic violence, elder abuse, or other violent crimes.

8.6.4. Any arrest, charge, conviction, or sentence for the following crimes: Driving Under the Influence

(DUI) or while impaired or intoxicated

8.6.5. Any sexual misconduct

8.6.6. Illegal drugs forbidden by Federal Law

8.7. 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.

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

8.9. Orientation. The Nocturnist under this contract shall attend mandatory orientations and training specified by the government.

8.10. Background Checks: As directed by the Contracting Officer, the Contractor shall provide all requested information necessary to perform 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.

8.11. Liability: This is a non-personal 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.

PERFORMANCE WORK STATEMENT (PWS)

REQUIREMENTS SUMMARY

10. IDENTIFICATION OF REQUIRED PERFORMANCE STANDARD/QUALITY LEVELS

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

10.0 Performance Requirements Summary

Performance-based Task Indicator Standard Quality Assurance Incentives

Contractor shall provide OB/GYN PHYSICIAN 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 % 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% of all medical 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.

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

See QASP.

Surveillance systems shall include periodic inspections and customer complaints.

Payment of contract price for satisfactory service.

No payment for incomplete work.

Contractor performance shall be evaluated using the Contractor’s Performance Assessment Report (CPAR).

The evaluation shall 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

11.2 Written Competency Assessments

a. Confidentiality/HlPAA/Patient's Rights

b. EMTALA Compliance Exam, 2004

11.2.1 Standard Emergency Codes

11.2.2 Confidentiality: Legal and Ethical Concerns in Healthcare

11.2.3 An Introduction to the Navajo Culture

11.2.4 Verbal and Telephone Orders

11.2.5 Pain Management

11.2.6 Focus Charting

11.2.7 Medical Staff Bylaws