PWS-Podiatry.pdf

Zuni Service Unit

Statement of Work for Profession Medical Services

Performance Work Statement (PWS) for Podiatrist

GENERAL

This Performance Work Statement (PWS) defines the requirement for professional podiatry services at the Zuni Comprehensive Community Health Center (ZCCHC). The contractor shall provide clinical and surgical podiatric care, consultation services, and related medical support in accordance with IHS standards of practice. Services shall be provided on an as-needed basis to maintain continuity of podiatric care and ensure adequate coverage for patient needs.

BACKGROUND

The Indian Health Service (IHS), an agency within the U.S. Department of Health and Human Services, provides federal health services to American Indian and Alaska Native (AI/AN) populations. This responsibility stems from the government-to-government relationship between the United States and federally recognized tribes.

ZCCHC is located on the Zuni Pueblo, approximately 150 miles west of Albuquerque, NM, and serves a rural and culturally traditional community of approximately 14,000 individuals, including members of the Zuni and Navajo tribes. ZCCHC provides full-spectrum family medicine, specialty services, inpatient care, 24/7 emergency care, and surgical support. The podiatry service supports this mission by delivering high-quality foot and ankle care consistent with culturally competent medical practice.

OBJECTIVE

The objective of this acquisition is to obtain qualified Podiatry services over a five-year period to fill gaps in scheduling, ensure continuity of care, and provide direct clinical and surgical podiatric services.

SCOPE OF WORK

This is a non-supervisory position. The contractor shall provide comprehensive podiatric medical services in inpatient, outpatient, and surgical settings. Professional judgment is required to diagnose, treat, and manage podiatric conditions, and to determine the appropriate level of care for patients served by ZCCHC.

CONTRACTOR REQUIREMENTS

Clinical Duties The contractor shall:

1. Conduct complete podiatric evaluations, including history and physical examinations.

2. Order and interpret diagnostic studies including radiographs, laboratory tests, and pathology reports.

3. Formulate diagnoses and treatment plans and communicate findings to patients and families.

4. Provide consultation to medical staff regarding podiatric conditions, preventive care, and referrals.

5. Provide follow-up care, patient education, and ongoing management of chronic and acute podiatric conditions.

6. Perform inpatient rounds and develop plans of care when required.

7. Document all patient encounters in the Electronic Health Record (EHR) following ZCCHC policies and procedures.

8. Participate in staff meetings, quality improvement activities, and continuing education as needed to maintain proficiency.

Surgical Responsibilities

The contractor shall perform in-office and operative surgical procedures including, but not limited to:

In-Office Procedures

• Debridement of wounds, ulcers, calluses, and nails

• Nail care including trimming, Dremel use, and ingrown toenail procedures

• Foreign body removal

• Incision and drainage of abscesses

• Wart and soft-tissue lesion removal

• Laceration repair (simple and complex)

Operative/Surgical Procedures Performed at Gallup Indian Medical Center (GIMC), including:

• Forefoot and ankle surgeries

• Emergency and elective procedures

• Amputations and limb salvage

• Tendon, ligament, and soft-tissue repairs

• Osseous corrective and urgent procedures

• Fracture/dislocation repair

• Reconstruction including bunion correction, fusions, flatfoot correction, Charcot reconstruction

The contractor is responsible for travel to GIMC using their own vehicle, and must maintain valid automobile insurance.

Non-Surgical Responsibilities The contractor shall provide:

• Orthotics, casting, splinting, taping, manipulation, and non-invasive treatments

• Medication prescriptions, injections, and aspiration procedures

• Construction or modification of supportive or corrective devices

• Review and interpretation of radiographs, pathology reports, and laboratory results

QUALIFICATIONS

The contractor shall:

1. Hold active, unrestricted podiatry licensure in a U.S. state, District of Columbia, Puerto Rico, or U.S. territory.

2. Be Board Certified or Board Qualified by the American Board of Foot and Ankle Surgery.

3. Maintain current Basic Life Support (BLS) certification.

4. Provide proof of required immunizations in accordance with ZCCHC policy.

5. Complete all ZCCHC credentialing and security requirements.

6. Complete “Protecting Our Children” and “Fraud, Waste and Abuse” training within 30 days of onboarding.

7. Maintain personal malpractice insurance, vehicle, and personal insurance as required.

GOVERNMENT-FURNISHED EQUIPMENT AND SUPPLIES (GFE/GFS)

ZCCHC will provide medical equipment, supplies, and clinical workspace necessary for the contractor to perform podiatry services. The contractor shall return all government-furnished items at the end of each period of performance.

PERIOD OF PERFORMANCE

The period of performance will consist of five (5) years, structured as a base period with four (4) option periods.

PLACE OF PERFORMANCE

• Primary: Zuni Comprehensive Community Health Center (ZCCHC), Zuni Pueblo, NM

• Secondary (for operative procedures): Gallup Indian Medical Center (GIMC), Gallup, NM

Contractor is responsible for all travel between locations.

SECURITY & CREDENTIALING REQUIREMENTS

The contractor shall complete:

• IHS credentialing processes

• Background checks

• Immunization verification

• Required facility access forms

• Mandatory trainings as stated in Section 6.0

Work Schedule/Hours:

Tour of duty includes 5 full days per week, from 8:00 am to 5:00 pm, lunch break 12:00 pm to 1:00 pm.

The contract terms and conditions does not allow for accrual of annual or sick leave or other fringe benefits.

Supervision, adherence to policies, quality of patient care:

Contractor will be under the direct supervision of the Chief of Podiatry and or/Clinical Director at ZCCHC.

Contractor must be knowledgeable of service unit medical staff by-laws and rules and regulations and comply with all policies and laws of the IHS/Federal Government, TJC and professional standards of appropriate specialty.

Standard of Conduct

The contractor shall meet standards as listed in the Federal Code of Conduct.

The Government reserves the right to remove from the facility any individual failing to abide with the

Federal Code of Conduct.

Physical Demands

Work frequently involves standing, walking, bending, and lifting.

Work Environment

Work is performed in the ZCCHC patient wards, outpatient clinic, community and in the office and involves risk of exposure to contagious disease.

Surgeries performed by the Podiatrist will be located at Gallup Indian Hospital (GIMC).

Management of Medical Information

The contractor shall ensure that each contractor manage all patient information in accordance with

HIPAA standards, Privacy Act, and IHS Service Unit and /or Health Center specific policies and protocols, including the following:

Delivery and Accountability of work shall be documented by the Contracting Officers Representative

(COR)

IHS Contracting Officer Responsibility:

The authority to negotiate a change in terms, conditions, or amounts cited is reserved for the

Contracting Office.

Contracting Officer Representative:

Michelle Sanchez- COR, 505-782-7352.

The COR listed above is hereby designated to monitor the performance of this order on behalf of the

Government and ensure contractor accountability and assist the contractor in the resolution of problems encountered during the performance, and request UFMS receipts and process invoices for payment. The COR will provide no supervisory or instructional assistance to Contractor personnel. Direct supervision is provided by the Chief of Podiatry and in his/her absence, the Clinical Director.