PWS with Tier 2 Security Clearances.pdf

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

NURSE PRACTITIONER (NP) OR PHYSICIAN ASSISTANT (PA-C)

PINE RIDGE HOSPITAL

OUT-PATIENT CLINIC

Pine Ridge Service Unit, Great Plains Area Indian Health Service

PURPOSE OF CONTRACT

The primary purpose of this non-personal service contract position is to secure direct patient care services of an adult nationally certified nurse practitioner (NP), or physician assistant (PA-C). The mission of the Pine Ridge Indian Health Service (IHS) Hospital, Pine Ridge Service Unit, Great Plains Area IHS is to provide the best possible health care services to the Native American people on the Oglala Lakota (Sioux) Indian Reservation in South Dakota. To meet the mission, the Pine Ridge Hospital requires contracting support to assist the service unit in the recruitment of an outpatient same day appointment clinic, capable Nurse Practitioner or Physician Assistant, hereafter referenced to as the Contractor. The care and prevention activities shall be as comprehensive as our Service Unit permits.

The Contractor is responsible for direct patient care and adhering to the policies and procedures of the Pine Ridge IHS Hospital.

The contract resulting from this solicitation shall:

Be a non-personal health care service contract under which the Contractor is under the administrative and medical direction of the Pine Ridge Indian Health Service Hospital's IPC/OPC supervisor or his/her designee. It is of utmost importance to note that the Contractor is supervised by their respective contract company not any Government (IHS) employee. If the Contractor seeks time off, they must go through their contract company so the company may make necessary arrangements to secure a qualified replacement candidate without a break in coverage. It is of the utmost importance the contract vending company understands this fact and informs their contract providers to avoid any unnecessary break in coverage.

Allow the government to evaluate the quality of professional and administrative services provided.

This contract can be modified, or terminated for the convenience of the Government if a permanent IHS provider is hired to serve in the capacity described in the Statement of work.

Vendor Responsible for Contractor/Employee Performance

The Awardee is at all times responsible for Contractor Personnel as their Employer. It is the Direct responsibility of the Contractor to perform all tasks normally associated with an employer-employee relationship. Approve time cards, approving and supplying coverage for leave requests, resolving quality of work issues, ensuring high motivation and morale, and resolving Government-identified Contractor performance concerns. The services to be delivered under this contract by the Contractor to the

Government are non-personal services and no employer-employee relationship exists or will exist under the contract between the Government and the Contractor Personnel.

Contractor Personnel under this contract shall not be:

Placed in a position where they are under the supervision or evaluation of a government employee Except for mandatory peer review and authorized "work direction":

Placed in a position of supervision, management, or control over Government Personnel, or Personnel of other Contractors, or become a part of the Government.

Given the nature of the contract requirements and the medical working environment, it may be necessary for specifically designated Government supervisory personnel to provide "work direction" to the

Contractor Personnel. This is accomplished while preserving the non-personal services nature of the contract. The operational need to work as a team is accomplished in a manner consistent with preserving the management responsibilities of the Contractor.

The physical absence of an on-site Contractor direct line supervisor does not relieve the Contractor of these responsibilities. For example, the completion and accuracy of time cards is a direct responsibility of the Contractor, not the Government. Since this is a non-personal services contract, the Government will not assume the supervisory functions except to the extent of providing the work direction addressed above.

To function effectively and efficiently as a team member in this environment, the work demands

Contractor Personnel with a high degree of Pediatric Physician knowledge, skills, and abilities. Contractor management plays a key role in sustaining this high performing, highly motivated, and responsive support effort that enhances the image of the PRSU and gains the confidence of the supported Native American population.

***The Government may require the removal and replacement of Personnel as a result of security actions or other reasons, e.g., removal of unqualified or habitually careless Personnel or the removal of

Personnel that cannot perform the assigned tasks or display unacceptable conduct and behavior.

Contract Performance Period

Contract Delivery type will be a Labor-hour, Performance Based Service contract with 16 options. The period of performance will be 10/15/2025 to 10/14/2027.

In addition, this contract can be terminated for the convenience of PRSU if, a sufficient number of permanent government providers are hired to serve in this work capacity. In this event, an authorized government CO shall provide a preliminary written notice to contractor, 30 days in advance.

PERIOD OF PERFORMANCE

The Period of Performance of this contract will be from October 15, 2025, to October 14, 2027, with a Base plus 16 Option Periods:

Base Period of Performance: 10/15/25 to 11/26/25

Option Period 1: 11/27/25 to 01/17/26

Option Period 2: 01/18/26 to 02/28/26

Option Period 3: 03/01/26 to 04/11/26

Option Period 4: 04/12/26 to 05/23/26

Option Period 5: 05/24/26 to 07/04/26

Option Period 6: 07/05/26 to 08/15/26

Option Period 7: 08/16/26 to 09/26/26

Option Period 8: 09/27/26 to 11/07/26

Option Period 9: 11/08/26 to 12/19/26

Option Period 10: 12/20/26 to 01/30/27

Option Period 11: 01/31/27 to 03/13/27

Option Period 12: 03/14/27 to 04/24/27

Option Period 13: 04/25/27 to 06/05/27

Option Period 14: 06/06/27 to 07/17/27

Option Period 15: 07/18/27 to 08/28/27

Option Period 16: 08/29/27 to 10/14/27

1) Contract Place of Performance

PRSU is comprised of one hospital, four outlying clinics, mobile unit and Community Out Reach Events.

The contractor’s primary duty station will be at Pine Ridge Hospital (PRH). At times, the contractor may be asked to provide services at any of the outlying clinics or mobile unit.

1. Pine Ridge Hospital (located in Pine Ridge, SD)

2. LaCreek Clinic (outlying clinic, located in Martin, SD)

3. Kyle Health Center (outlying clinic, located in Kyle, SD)

4. Wanblee Health Center (outlying clinic, located in Wanblee, SD)

5. Mobile Unit (parked at PRH, deployed throughout Pine Ridge Reservation)

6. Reservation Correctional Facilities

7. Community Out Reach Events (Pine Ridge Reservation)

Required Contractor Administrative Responsibilities:

1) Security – Character Investigation Contractor staff will be required to follow PRIHS procedures for obtaining a full Federal background investigation including completing e-Quip. In order to obtain a Personal Identity Verification (PIV) card, contractor staff shall complete and pass a Federal background investigation conducted by the Office of Personnel Management. PRSU IHS will process the investigations through the Office of Personnel Management on all contractor staff.

Processing of PIV cards shall be completed by Great Plains Area HSPD-12/Suitability Office in conjunction with PRSU IHS PIV card stations. The contractors will be required to be physically present at one of the HSPD-12 enrollment and issuance workstations to obtain a PIV Card. Two forms of matching identification are needed for PIV related matters. (Please see attached for acceptable forms).

Each contractor shall complete each of the requirements below and receive clearance from GPA/PRIHS prior to performing services under this contract.

1) Fingerprints must be captured for digital processing. Contractor may have fingerprints captured via hard copy, then sent to PRIHS by postal service (at contractor’s expense), tracking is highly recommended. Note, FD-258 fingerprint card is the only acceptable hard copy.

1) The OF-306, Declaration for Federal Employment shall be completed;

2) The Addendum to the OF-306, shall be completed;

3) Provisional Waiver form shall be completed;

4) Copy of Curriculum Vitae/Resume;

5) 86 C form shall be completed;

6) General Release form shall be completed;

7) e-QIP

8) The contractor shall be enrolled for PIV once e-QIP is completed;

9) State Packets, individualized documents shall be completed, please consult with PRSU IHS HSPD- 12 representative for guidance.

The Contractor shall work with Contractor Personnel to ensure any background requests are being completed in a timely manner. Contractor Personnel’s failure to comply to background requests within 7 (seven) days will result in the candidate being withdrawn. Contactor will be responsible to follow up with contract personnel ensuring candidate is not holding up background processes.

The contractor shall ensure that the employees it proposes for work under this contract have a reasonable chance for approval. If at any point during the investigation process a contractor staff is deemed ineligible or found to have other than favorable suitability, the individual must be removed from providing services under this contract. PRSU IHS shall investigate personnel at no cost to the contractor.

Please address (FD-258) hard copy fingerprint card:

Pine Ridge I.H.S Hospital Contract Officer Representative 607 Indian Health Road P.O. Box 1201 Pine Ridge SD, 57770

Background documents must be sent via secure data or password encrypted to PRSU IHS HSPD-12 Background Point of Contact and courtesy copy, Contracting Officer Representative and Technical Point of Contact:

Third Party Enrollment

**All Medicare B and other insurance provider enrollment documentation submitted to the contracted provider by Pine Ridge IHS Hospital Credential & Business Office personnel SHALL BE completed by the Contractor to the satisfaction of the Pine Ridge IHS Billing Department. Initial Contractor hospital orientation list is required to be signed off by the Business Office for insurance enrollment confirmation. NO INITIAL TIME SHEETS OR

INVOICES WILL BE APPROVED AND PROCESSED UNTIL THE RESPECTIVE PROVIDER HAS

COMPLETED ALL INSURANCE FORM DOCUMENTATION. The deciding authority for provider enrollment insurance documents will be the Supervisor, or Acting, of the Business Department.

EHR/Medical Records

The Contractor will be required to utilize facility Electronic Health Record (EHR) for all patient encounter documentation. Experience is highly recommended. The Contractor shall type all their notes and complete all documentation required by the Health Information Management Department (HIM). This includes completing all coding and purpose of visit diagnoses.

**All patient health record documentation initiated by the contract NP/PA from patient encounters SHALL BE completed to the satisfaction of the supervisor, or designee, of the HIM (Health Information Management) Department & Business Office Supervisor or designee. The approving authority of the Contractor's time sheets will NOT sign off on the final time sheets unless the provider has successfully completed all required patient medical encounter documentation (medical records). Further, if the Contractor has delinquent medical records as determined by the supervisor, or designee, of the HIM department, the approving authority will NOT sign off on any time sheets or process any invoices generated from "unauthorized" time sheet signatures. This is a condition of the

SOW.

Timesheets

Time sheets SHALL BE signed by the Outpatient Services Director or Project Officer. No invoices will be processed unless properly signed time sheets have been provided to the Pine Ridge Administrative Officer monitoring and overseeing this contract and its invoices. A record must be maintained in order to follow the budget of the contract.

Government Furnished Property Facilities. Services:

The Hospital shall provide a patient examination area and all medical and non-medical equipment and supplies used in the Indian Health Service facility for the care and maintenance of patients.

The Hospital shall provide an on-going method of monitoring and evaluation of the quality and appropriateness of patient care, and of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable. Methodology involves peer review on patient chatting, peer evaluations, support personnel evaluations, documented complaints, and incident reports.

The Contractor shall be provided with an orientation to the IHS and the Indian Community being served. The Service Unit/Hospital personnel shall provide the initial orientation and continuing orientation.

The Government does not anticipate any required Contractor furnished property, facilities, or services for the duration of this contract.

Contractor Furnished Property PRSU IHS requires the contractor to carry a working form of communication (i.e. cellular phone or pager) at their expense. Contractor will be required to have an electric time clock, with necessary software. Time Clock Solution and Internet connectivity for timeclock system provided by contractor, connectivity preferred method is LTE/Cellular connected solution.

Statement of Work:

The primary functions of the Contractor shall include the following:

Seamless NP/PA provider service provided throughout the entire duration of this contract's period of performance.

The Contractor shall be fingerprinted immediately upon arrival to Pine Ridge IHS Hospital in order to be cleared as a background check AND cannot see patients until their fingerprints clear and have been adjudicated.

Tour of Duty & Responsibilities

The Outpatient Clinic (OPC) hours may vary depending on the recommendation or direction of the Leadership Committee of Pine Ridge IHS Hospital. All Contractors must be made aware by their respective company their clinic shifts could likely change due to the changing demand of the patient population.

The Contractors will be assigned to either schedule A or B as well as Sunday clinic or Holiday clinic:

Contractors assigned to schedule "A" will work in the OPC from 8:00 AM to 7:00 PM MST, Monday thru Friday. Contractors assigned to schedule "A" will have a mandatory lunch break from 12:00 PM to 12:30 PM. And mandatory dinner break from 5:00 PM to 5:30 PM.

Contractors assigned to schedule "B" will work in the OPC from 10:00 AM to 9:00 PM MST, Monday thru Friday. Contractors assigned to schedule "B" will have a mandatory lunch break from 12:00 PM to 12:30 PM. And mandatory dinner break from 5:00 PM to

5:30 PM.

Contractors assigned to Sunday or Holiday clinic will work in the OPC from 12:00 PM To 5:00 PM. The Contractors will not be provided a lunch or supper break on Sundays or Holiday.

The point of contact for the Contractor's patient scheduling is the Outpatient Services Director or designee. The Contractor on occasion may need to work for short periods of time beyond when such extra time is necessary to finish a patient visit. This extra time is billable. In case of short staff at the outpatient clinic, contract provider's schedule may consist of a twelve-(12) hour billable per day work during operating clinic hours from Mondays through Fridays. The start time will be 8:00 AM MST and the end of time will be 9:00 PM MST. During this shift the contractor shall take a thirty-(30) minute break for lunch and thirty-(30) minute break for dinner/supper. The total amount of non-billable lunch and dinner break time per normal day (M-F) is sixty-(60) minutes.

The Contractor will work under the direction of Outpatient Service Director or the physicians assigned to the adult medicine outpatient clinic for that day. This physician could be a family practice, internal medicine, or the on-call hospitalist physician depending on hospital staffing patterns. After "normal duty/clinic hours", 5:30PM MST, at times when there is no adult-medicine physician in the OPC, the on-call hospitalist physician shall be the point of contact for complicated adult medicine patients. After "normal duty/clinic hours", 4:30PM MST, the on-call pediatrician shall be the point of contact for complicated pediatric cases.

Production

The Contractor shall be expected to see and treat a sufficient number of daily patients as determined by the walk-in clinic mean and within a statistical standard deviation of that mean. When statistical analysis is not performed the expected number of patients to be seen and treated in a ten-twelve (10-12) hour clinic day will be 14-22 patients.

For a five (5) hour clinic day the expected number of patients to be seen and treated is 10-15. The Clinical Director, Outpatient Service Director, Medical Department Project Officer or Supervisor of the HIM Department will produce the supporting data to make such a decision. Any Contractor not seeing adequate number of patients will be notified; as will the company. An increase in production is expected. This Contractor shall be replaced if this Contractor's numbers do not increase as desired.

Additional Responsibilities

In cases where the Contractor must travel to a field clinic, authorization will be granted to operate a Government Owned Vehicle while in performance of the duties outlined in this SOW. The Contractor shall possess a valid driver's license in order to operate a Government vehicle. In addition, the Contractor shall complete “Drivers Overview and Fleet Card” training annually. Training can be found in the HHS Learning Portal/Learning Management System (LMS). Certificate of completion & copy of driver’s license shall be submitted to the Outpatient Services Director.

Billing for Travel Time to Pine Ridge Indian Health Service Field Clinics

Two different situations, one is not compensated, one is compensated:

Contractor is previously scheduled at a field clinic (for example, at least a day before, Contractor is told that the next work day they are expected to work at a field clinic at their regular start time). Travel time is NOT compensated.

Contractor shows up on time at Pine Ridge I.H.S. Hospital as previously scheduled, but at that time, is deployed to a field clinic (e.g., Martin, Kyle, or Wanblee). Their compensation begins at their arrival in Pine Ridge; if deployed elsewhere, their clock continues to run. This redeployment, including travel time, is compensated.

The Contractor will provide diagnostic, preventive, and therapeutic health services to eligible patients and family members in the walk-in outpatient clinics or field clinic.

The Contractor will:

• secure a health and development history from the patient or parent;

• record findings; make critical evaluations;

• perform or request special screening and developmental tests;

• order laboratory tests and interpret the results;

• discriminate between normal and abnormal findings;

• make decisions with physicians concerning medical care needs of patients;

• provide direct medical care in the presence of illness or disability in order to maintain life, provide comfort, reduce distress and enhance coping ability;

• provide surveillance over medical practices applied to stabilize chronically ill persons;

• adjust treatment within established standing orders recognizing when to refer the patient to a physician or other health team members;

• work collaboratively with physicians in management of selected complex medical problems;

• when clinically engaged with a medically complex patient present the case to the physician clinic consultant for the day for proper treatment and disposition;

• consult the clinic physician consultant or on-call hospitalist for patients assessed and deemed to require admission to the hospital;

• participate with other health professionals and agencies involved in providing health care and services required to include immunization and disease control, environmental health and health education;

• provide emergency or crisis intervention in order to stabilize a patient for transport to a higher-level facility;

• provide medical care and preventive services to healthy individuals,

• evaluate total health care needs of patients and develops plans to meet these needs;

• Maintain records and reports on patients, personal activities and other required information for use in program operation, quality control and other purposes (all medical record information generated in the performance of this contract will remain the property and subject to the exclusive control of the Indian Health Service);

• participate in certain medical staff committee meetings as required;

• comply with all IHS facility infection control and safety procedures, practices and standards;

• meet all applicable Joint Commission on Accreditation of Healthcare Organization

(JCAHO) and Centers for Medicare/Medicaid Services (CMS) standards during the performance of this contract, and must be in compliance with the Service Unit's Medical Staff Bylaws;

• be eligible for enrollment in the service unit's Medicare part B reassignment program;

• and respect the basic rights of patients, to include but not be limited to personal dignity. ·

Chronic pain patients presenting to the Contractor will be assessed for new specific chief complaints or general health evaluations and assessments. The Contractor will abide to the agreements of all signed and current (less than one year old) chronic pain contracts.

Knowledge Required

Skill and knowledge of established concepts, principles, and practices related to health care assignments requiring training equivalent to an educational program leading to a Bachelor’s

Degree and additional training or experience in assessing the conditions of patients, in providing medical care and in advising on health care needs, all with full consideration of mental, emotional, and physical factors. Extensive knowledge of disease entities.

Knowledge of diagnostic, preventive and therapeutic procedures related to a variety of medical and health care fields to include OB/GYN, ENT, pediatric, orthopedics, internal medicine, mental health, dental, emergency medicine, surgery (minor), and nutrition.

Ability to collect, organize, record and communicate, in a meaningful way, data relevant to primary health assessments including detailed family and medical history, physical examinations and selective laboratory tests.

Skill in making diagnoses and in choosing, initiating, and modifying selected therapies, and ability to provide emergency treatments. Skill in simple laceration repair, casting/splinting, and in other ER or urgent care- related procedures. Skill in the management of simple fractures.

Ability to assess the physical-psychosocial health status of patients and family based upon the knowledge of growth and development patterns and health conditions that require medical management.

Knowledge of interpreting radiographs for preliminary clinical decision making.

Knowledge of pharmaceuticals in order to recognize the desired effects, side effects and complications of their use.

Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in providing emergency/ urgent patient care.

Ability to provide individual and family counseling, guidance, and health instruction to help patients to understand how to prevent disease and maintain good physical and mental health.

Qualifications

The Contractor must hold an active, current, and unrestricted (unflagged) state nurse practitioner (NP), or physician assistant (PA) license from any of the Fifty-(50) United States or the Commonwealth of Puerto Rico.

The Contractor cannot be under any exclusions or sanctions from the Medicare/ Medicaid programs.

The Contractor must have received and will maintain national certification in Family Practice or Adult Medicine throughout the duration of this contracts period of performance.

The Contractor must fulfill all the requirements for appointment to the Pine Ridge IHS Medical Staff and for the granting of privileges, in accordance with IHS policies and with the Pine Ridge Service Unit Medical Staff By-Laws.

Required Credential Documentation

The Contractor shall have basic core privileges granted upon verification of all credentialing processes. The Contractor shall have the onus of supplying documentation supporting any requested privilege that is deemed outside the normal basic scope of a nurse practitioner or physician assistant. Requested privileges shall be denied by the Clinical Director or Outpatient Services Director if the Contractor is unable to prove sufficient training, and state law citing specific allowance to perform requested privileges.

Required credential and appointment documents needed to allow initial provisional and subsequent active privileges and appointment shall include but, not limited to the following items:

1) Photo of Individual that is recognizable.

2) Unrestricted active State license photocopied.

3) Proof of Family Practice or Adult Medicine National Certification Nurse

Practitioners, or National Certification for a Physician Assistant.

4) Complete Curriculum Vitae (CV) with complete and current medical provider work history listing months and years. All gaps of medical employment eight-(8) weeks or greater must include an explanation by the applicant to the reason of this prolonged period of unemployment.

5) Current and active Basic Life Support (BLS), Advance Life Support (ACLS) and Pediatric Advance Life Support (PALS) pediatric clinical privileged, which will remain active throughout the provider's tour while seeing patients in Pine Ridge IHS Outpatient Clinic.

6) Three-(3) letters of professional reference less than six-(6) months old from (1) supervisor and (2) from peers.

7) Active Drug Enforcement Administration (DEA) license including prescription privileges of Schedule 2 & 2N.

8) Current Liability Insurance of not less than $300,000/$1,000,000.

9) Purified Protein Derivative (PPD) skin test with results less than one-(1) year old.

*Require answering to type & date of treatment received.

*Require answering if applicant has current tuberculosis (TB) symptoms *Provide Chest X-Ray results if previously PPD positive and symptomatic.

10) Record of recent (< 3 years) of continuing education units (CEUs) or continuing medical education (CMEs). Must possess 60 CME/CEUs in three years or 20 CME/CEUs in past year to receive full permanent medical staff appointment and clinical privileges.

11) Pine Ridge Indian Health Service hospital policy requires all staff with direct patient contact, be able to provide proof of PPD, Tdap (Tetanus, Diphtheria, acellular Pertussis), MMR (Measles, Mumps, Rubella), Varicella, Influenza and Hep B (optional).

This includes all permanent employees, volunteers, and contractors (for all contractors in this category, acceptable proof can be in the form of an immunization record or written documentation from a physician). This proof must be provided as part of the application submission process prior to being accepted for a position.

Contractor personnel currently serving in a contract position can receive these immunizations from the facility. In addition, all contractors must have a current Basic Life Support (BLS), Advance Life Support (ACLS) and Pediatric Advance Life Support (PALS) pediatric clinical privileged, certificates prior to arrival at Pine Ridge hospital.

Contractors not furnishing adequate number of CMEs before the expiration of their medical staff appointment will not have their credential file submitted for their next two-(2) year permanent medical staff appointment & clinical privileges.

New graduates are exempt from the CME/CEUs requirement if recently successfully completing their training. However, previously fully credentialed new graduates with active medical staff membership will be required to provide an adequate number of CME/CEUs before they can be re-credentialed in two-(2) years with active medical staff membership.

Steps to accept a presented locums contract medical provider

Step l: Review presented CV & ensure license and all certifications are current and unrestricted.

Step 2:Credential Coordinator to run databank & student clearing house verification as requested by CD, Outpatient Services Director or designee. Require provider's social security number and home address to run data bank queries. Require date of birth to run an American Medical Association (AMA) profile. Require date of birth for Student Clearing House queries. (Mid-levels)

Step 3: Hospital credential office questions regarding CV, databank, & above items to be answered by Locums company or presented provider.

Step 4: If answers to step #3 acceptable to CD, Outpatient Services Director or designee, then CD, Outpatient Services Director or designee will Email confirmation to the locum’s company that Pine Ridge is accepting provider and to initiate travel arrangements.

Quality Assurance/Supervisory Control

The Contractor is under the administrative and medical direction of the Outpatient Services Director of the Pine Ridge Service Unit or his/her designee. The Pine Ridge Hospital medical staff will perform peer reviews of the Contractor's work. The Contractor performs assignments under general supervision, and direction from the Outpatient Services Director or designated physician assigned by the Outpatient Services Director. In addition, the hospital medical administration will monitor the Contractor's work and provide feedback to the Contractor.

Guidelines

Guidelines include standing orders, protocols and agency procedures. Guidelines are not completely applicable. The Contractor will use judgment in interpreting guidelines.

Reporting Requirements

Contractor is required to report to work on time and will notify their contract company if he/she will be late for any reason. Contractor must wear the appropriate IHS badge at all time while working in the IHS facility.

Scope and Effect

The purpose of the work is to deliver health care to Native American individuals and families, and eligible members of the United States Public Health Services (USPHS) Uniformed Services. The work affects the physical well-being of persons in the community.

Logistical & Additional Information: IRS

Reporting Requirements:

Contractor is required to pay all Federal, State, and local taxes. The Indian Health Service will not withhold taxes of any kind.

Personal Contacts

The Contractor shall communicate with patients, families, and various staff members in all departments in the facility.

Purpose of Contact

To provide health care, and to collaborate with the Outpatient Services Director of the Pine Ridge Service Unit or his/her designee on review of work.

Physical Demands

Must be able to work at least ten-twelve (10 12) consecutive hour shifts for a period of five

(5) consecutive days. Prolonged standing and bending are required in treating patients.

Complexity

The work consists of providing a range of health services from assessment through intervention, counseling, teaching and treating illnesses. Health care services are being delivered to the patients of the Pine Ridge Native American reservation where a very rate of Diabetes Mellitus (DM) is prevalent along with the usual DM co-morbidities. Determines health services needed in the community, and assists the community in planning, developing, and evaluating their local health care delivery system.

There is a high rate of diabetes mellitus, hypertension, end stage renal disease, inflammatory disorders such rheumatoid arthritis and systemic lupus erythematosus. There is also a very high alcohol abuse rate with resultant hepatic, hemologic and encephalopathy abnormalities.

Additionally, there is a high suicide rate in the IHS Great Plains Area. Pine Ridge Reservation possesses the second lowest life longevity in the western hemisphere second only to Haiti. Shannon County South Dakota has consistently been the poorest county in the United States according to the US Government. Unemployment is very high in this patient population.

Closest higher level of care hospital is 35 minutes away by life flight and 1 hour and 30 minutes by ground ambulance. Transfer weather conditions at times can be in climate precluding air or even ground transfer.

1) Health Information Management (HIM)/Electronic Health Record (EHR)

The contractor shall use PRSU Electronic Health Record (EHR) system to maintain accurate and up-to-date information on clinical care provided to patients. Experience with EHR is highly recommended.

This includes completing all coding and purpose of visit diagnoses. All patient health record documentation initiated by the Contractor shall be completed per the PRSU policy. Medical Records Documentation Policy requires all health record entries in the health record should be completed as soon as possible after the care is rendered and not to exceed on business day from services.

Medical documentation shall be completed in accordance to PRSU policies and medical staff bylaws.

All medical record documentation shall meet or exceed established standards for PRSU to include, but not limited to: timeliness, legibility, accuracy, content and signature. All medical record information generated in the performance of this contract will remain the property of and subject to the exclusive control of PRSU.

The Contracting Officers Representatives Officer will sign not off Contractor’s on or approve the final time sheets unless the Contractor has successfully completed and obtained an HIM clearances form.

Health Information Management Clearance Form (HIMCF) shall be submitted with timesheet to ensure all required patient medical encounter has been documented (medical records). This will ensure medical records are complete with no deficiencies and turned in with each timesheet at the end of each rotation. The Contract Officer (CO) and Contract Officer Representative (COR) shall be notified within two business days by supervisor, should the HIMCF indicate deficiency or refusal to work to remedy deficiency.

Health Information Management (H.I.M) Department Point of Contacts (PoC):

1. Flora “Ellie” Bettelyoun

Office: 605 867 3208 Email: Flora.Bettelyoun@ihs.gov

2. Angela Swallow

Office: 605 867 3156 Email: Angela Swallow@ihs.gov

No invoices or timesheets will be processed unless the Health Information Management Clearance form is approved, indicating zero (0) deficiency. It the individual contractor’s duty to ensure they are working with HIM to fix any deficiencies and obtaining a zero deficiency HIM clearance form.

Work Environment

Exposure to contagious diseases is possible in the OPC, field clinic, and ER setting. Also, possible exposure to bodily fluids may occur in the course of caring for trauma patients.

Pine Ridge, South Dakota is a geographic area with wide temperature span. The winters can be very cold and windy. Contractors should expect to drive in weather conditions they may not be accustomed. The sole authority to close the hospital or clinics rests with the Chief Executive Officer (CEO). If the hospital remains open the Contractor will be expected to report to work on time as all other hospital employees will be required.

Housing

Housing is not provided on the Pine Ridge Hospital housing compound due to a shortage reserved for essential personnel who have on-call duties or have special command functions. There are area hotels/motels available within a 38-minute drive.

Prairie Winds Casino - On Pine Ridge Reservation 38–40-minute drive 605-867-2683 Restaurant, internet and casino

Jefco Inn - Gordon, NE 35-minute drive 308-282-2935 Internet and restaurants nearby

Nebraska Land - Rushville, NE 25-minute drive

(308) 327-2487 Restaurants in town

Antlers Motel - Rushville, NE 25-minute drive Restaurants in town; some breakfast food & coffee made available every morning.

A more definitive list is below.

Crossroads Inn Highway 18 & 73, Martin, SD 605-685-1070

Famco Inc PO Box 251, Martin, SD 605-685-6156

Hacienda Motel 605 W US Highway 20, Gordon, NE 308- 282-0075

Western Sands Motel 107 W US Highway 20, Gordon, NE

(308) 282-1795

Best Western 1100 W 10th St, Chadron, NE

(308) 432-3305

Super 8 5840 W Highway 20, Chadron, NE

(308) 432-4471

Motel 6 755 Microtel Dr, Chadron, NE

(308) 432-3000

Westerner Motel 300 Oak St, Chadron, NE

(308) 432-5577

Bunk House Motel 901 E 3rd St, Chadron, NE

(308) 432-5591

Economy 9 Motel 1201 W Highway 20, Chadron, NE

(308) 432-3119

Grand Westerner Motel 1050 W Highway 20, Chadron, NE

(308) 432-5595

Olde Main Street Inn 115 Main St, Chadron, NE

(308) 432-3380

Super 8 800 Mamoth St. Hot Springs, SD

(605) 745-3888

Braun Historic Hotel 902 N River St, Hot Springs, SD

(605) 745-3187

Skyline Motel 1145 Sherman St, Hot Springs, SD

(605) 745-6980

Historic Log Cabin Motel 1246 Sherman St, Hot Springs, SD

(605) 745-5166

Holiday Inn Express Hotel & Suites 1401 Highway 18 Byp, Hot Springs, SD

(605) 745-4411 (800) 718-8466

Best Western 737 S 6th St, Hot Springs, SD

(605) 745-7378

Gordon NE 34mi., Chadron NE 54mi., Rushville NE 24mi., Martin SD 45mi., Hot Springs SD 64mi.