RFP-75H70624R00001-GreatPlainsAreaIHS-ER_Dept_Services_12292023.pdf

Section A Indian Health Service Request for Proposal

Great Plains Area Indian Health Service (GPAIHS) Emergency Department and Management

Services

RFP 75H70624R00001

You are invited to submit a proposal in accordance with the requirements of the following Solicitation.

Proposals must be received by the Government no later than the local time on the Due Date stated in the table below.

Issue Date: 12/29/2023

Due Date: 2/1/2024

Time: 10:00 a.m., CST

Points of Contact:

Wenda Wright

(605) 226-7724 wenda.wright@ihs.gov

4. TYPE OF SOLICITATION

3. SOLICITATION NUMBER

RATING 1. THIS CONTRACT IS A RATED

ORDER UNDER DPAS (15 CFR 700)

5. DATE ISSUED

SOLICITATION, OFFER AND AWARD

2. CONTRACT NUMBER

PAGE OF PAGES

1 1

6. REQUISITION/PURCHASE NUMBER

7. ISSUED BY CODE

Aberdeen Area Indian Health Service Federal Building 115 Fourth Ave, SE Aberdeen SD 57401

8. ADDRESS OFFER TO (If other than Item 7)

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the depository located in until local time (Hour)

(Date)

CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10. FOR

INFORMATION

CALL:

A. NAME

WENDA L WRIGHT

B. TELEPHONE (NO COLLECT CALLS) C. E-MAIL ADDRESS

wenda.wright@ihs.gov AREA CODE

NUMBER

226-7724

EXT.

11. TABLE OF CONTENTS

(X) SEC. DESCRIPTION PAGE(S) (X) SEC. DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1-2 X I CONTRACT CLAUSES 62-79

X B SUPPLIES OR SERVICES AND PRICES/COSTS 3-9 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

X C DESCRIPTION/SPECS./WORK STATEMENT 10-39 X J LIST OF ATTACHMENTS 80

D PACKAGING AND MARKING

PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 40-49 X K REPRESENTATIONS, CERTIFICATIONS AND

OTHER STATEMENTS OF OFFERORS

81-96

X F DELIVERIES OR PERFORMANCE 50-51

X G CONTRACT ADMINISTRATION DATA 52-58 X L INSTRS., CONDS., AND NOTICES TO OFFERORS 97-101

X H SPECIAL CONTRACT REQUIREMENTS 59-61 X M EVALUATION FACTORS FOR AWARD 102-104

OFFER (Must be fully completed by offeror)

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within 90 calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

AWARD (To be completed by government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

10 U.S.C. 2304 (c) ( ) 41 U.S.C. 253 (c) ( )

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTERED BY (If other than Item 7) CODE 25. PAYMENT WILL BE MADE BY CODE

26. NAME OF CONTRACTING OFFICER (Type or print) 27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 33 (Rev. 9-97) Prescribed by GSA - FAR (48 CFR) 53.214(c)

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232.8)

10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%)

14. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

AMENDMENT NO. DATE AMENDMENT NO. DATE

15A. NAME

AND

ADDRESS

OF

OFFEROR

CODE FACILITY

16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

15B. TELEPHONE NUMBER

NUMBER

15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AREA CODE EXT.

Section B Solicitation No. RFP-75H70624R00001 Emergency Department and Management Services, GPAIHS

SECTION B – SERVICES AND PRICES/COSTS

B.1. OVERVIEW

The Great Plains Area – Indian Health Service (GPAIHS) is requesting proposals in accordance with this Request for Proposals (RFP) 75H70624R00001 to provide Emergency Department and Management Services for five

(5) Indian Health Service (IHS) locations within the GPAIHS: Pine Ridge, SD; Rosebud, SD; Eagle Butte, SD; Belcourt, ND; and Ft. Yates, ND. This procurement is being conducted as full and open competition with a partial small business set-aside, pursuant to Federal Acquisition Regulation (FAR) Part 12 and Subpart 16.5. North American Classification Industry Classification System (NAICS) code 621111, Offices of Physicians (Except Mental Health Specialists), applies to this procurement. Schedule A (Unrestricted) is limited to large businesses under NAICS code 621111. Schedule B (Small Business Set-Aside) is limited to businesses that qualify as small under the size standards applicable to NAICS code 621111. Contractors shall provide the commercial services described in Section C, Description/Specifications/Performance Work Statement (PWS). Except as otherwise specified in the contract, the Contractor shall furnish the necessary personnel, equipment, materials, services, and otherwise provide all necessary resources for the performance of the work set forth herein.

B.2. CONTRACT TYPE

This is a Non-Personal Healthcare Service, Indefinite-Delivery-Indefinite-Quantity (IDIQ) Labor Hour contract with fixed, fully loaded (all-inclusive) hourly rates. The Government anticipates the award of up to two (2) IDIQ contracts under Schedule A (Unrestricted) and up to two (2) IDIQ contracts under Schedule B (Small Business Set- Aside). However, the Government reserves the right, in its sole discretion, to award more or fewer IDIQ contracts under each Schedule if it is determined to be in the Government’s best interest. The guaranteed minimum amount for each IDIQ contract is $250,000. The total potential maximum amount for all of the IDIQ contract(s) awarded under this solicitation for all five years is $300 million. The ordering period for the base IDIQ contract is up to one year with four one-year options. GPAIHS reserves the unilateral right to exercise any option periods. Be advised that the quantities of labor hours within are estimates only, and GPAIHS is not obligated to order the maximum estimated quantities. The period of performance, labor hour requirements, and obligated funding will be specified in individual task orders issued under the IDIQ.

B.3. CONTRACT PRICING

Offerors are invited to submit a written proposal per the instructions in Section L, Instructions for Proposal Preparation. The fixed, fully loaded (all-inclusive) hourly rate shall include travel, lodging, per diem, fringe benefits (e.g., life insurance), social security, federal, state, and local taxes, plus all other costs pertinent to the performance of this IDIQ Contract.

B.4. SCHEDULE OF PRICES

Schedule A (Unrestricted) – Rosebud, Pine Ridge, and Eagle Butte, South Dakota facilities Schedule B (Small Business Set-Aside) – Fort Yates and Belcourt, North Dakota facilities

If awarded an IDIQ contract, contractors will be required to provide services at any facility included in the Schedule under which a task order is issued. Accordingly, offerors must propose pricing for each facility included in the Schedule under which it is submitting a proposal.

Base Ordering Period

CLINs Labor Category Estimated Hours

Hourly Rate Total Price

Rosebud Hospital (RBH), Rosebud, SD

0001 Emergency Department Director 1040 $ - 0002 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0003 Internal Medicine Physician (With ED Experience) 438 $ - 0004 Family Practice Physician (With ED Experience) 438 $ - 0005 Advanced Practice Provider (APN/PA) 8760 $ - 0006 Emergency Department Nurse Lead 2080 $ - 0007 Registered Nurses (RN) 36384 $ - 0008 Medical Support Assistants (MSA) 18192 $ - 0009 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Pine Ridge Hospital (PRH), Pine Ridge, SD 0010 Emergency Department Director 1040 $ - 0011 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 7008 $ -

0012 Internal Medicine Physician (With ED Experience) 876 $ - 0013 Family Practice Physician (With ED Experience) 876 $ - 0014 Advanced Practice Provider (APN/PA) 13140 $ - 0015 Emergency Department Nurse Lead 2080 $ - 0016 Registered Nurses (RN) 45480 $ - 0017 Medical Support Assistants (MSA) 18192 $ - 0018 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Cheyenne River Service Health Center, Eagle Butte, SD 0019 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0020 Internal Medicine Physician (With ED Experience) 438 $ - 0021 Family Practice Physician (With ED Experience) 438 $ - 0022 Advanced Practice Provider (APN/PA) 8760 $ - 0023 Emergency Department Nurse Lead 2080 $ - 0024 Registered Nurses (RN) 26928 $ - Total Price $ - Fort Yates Hospital (FYH), Fort Yates, ND 0025 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 4672 $ -

0026 Internal Medicine Physician (With ED Experience) 584 $ - 0027 Family Practice Physician (With ED Experience) 584 $ - 0028 Emergency Department Nurse Lead 2080 $ - 0029 Registered Nurses (RN) 35904 $ - 0030 Medical Support Assistants (MSA) 8760 $ - Total Price $ - Quentin Burdick Memorial Health Care Facility, Belcourt, ND 0031 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0032 Internal Medicine Physician (With ED Experience) 438 $ - 0033 Family Practice Physician (With ED Experience) 438 $ - 0034 Emergency Department Nurse Lead 520 $ - 0035 Registered Nurses (RN) 8976 $ - 0036 Medical Support Assistants (MSA) 4380 $ -

Total Price $ - Total Estimated Price for Base Ordering Period $ -

Optional Ordering Period One

CLINs Labor Category Estimated

Hours Hourly Rate Total Price

Rosebud Hospital (RBH), Rosebud, SD 0037 Emergency Department Director 1040 $ - 0038 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0039 Internal Medicine Physician (With ED Experience) 438 $ - 0040 Family Practice Physician (With ED Experience) 438 $ - 0041 Advanced Practice Provider (APN/PA) 8760 $ - 0042 Emergency Department Nurse Lead 2080 $ - 0043 Registered Nurses (RN) 36384 $ - 0044 Medical Support Assistants (MSA) 18192 $ - 0045 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Pine Ridge Hospital (PRH), Pine Ridge, SD 0046 Emergency Department Director 1040 $ - 0047 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 7008 $ -

0048 Internal Medicine Physician (With ED Experience) 876 $ - 0049 Family Practice Physician (With ED Experience) 876 $ - 0050 Advanced Practice Provider (APN/PA) 13140 $ - 0051 Emergency Department Nurse Lead 2080 $ - 0052 Registered Nurses (RN) 45480 $ - 0053 Medical Support Assistants (MSA) 18192 $ - 0054 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Cheyenne River Service Health Center, Eagle Butte, SD 0055 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0056 Internal Medicine Physician (With ED Experience) 438 $ - 0057 Family Practice Physician (With ED Experience) 438 $ - 0058 Advanced Practice Provider (APN/PA) 8760 $ - 0059 Emergency Department Nurse Lead 2080 $ - 0060 Registered Nurses (RN) 26928 $ - Total Price $ - Fort Yates Hospital (FYH), Fort Yates, ND 0061 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 4672 $ -

0062 Internal Medicine Physician (With ED Experience) 584 $ - 0063 Family Practice Physician (With ED Experience) 584 $ - 0064 Emergency Department Nurse Lead 2080 $ - 0065 Registered Nurses (RN) 35904 $ - 0066 Medical Support Assistants (MSA) 8760 $ -

Quentin Burdick Memorial Health Care Facility, Belcourt, ND 0067 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0068 Internal Medicine Physician (With ED Experience) 438 $ - 0069 Family Practice Physician (With ED Experience) 438 $ - 0070 Emergency Department Nurse Lead 520 $ - 0071 Registered Nurses (RN) 8976 $ - 0072 Medical Support Assistants (MSA) 4380 $ -

Total Estimated Price for Optional Ordering Period One $ -

Optional Ordering Period Two

Hourly Rate Total Price

Rosebud Hospital (RBH), Rosebud, SD 0073 Emergency Department Director 1040 $ - 0074 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0075 Internal Medicine Physician (With ED Experience) 438 $ - 0076 Family Practice Physician (With ED Experience) 438 $ - 0077 Advanced Practice Provider (APN/PA) 8760 $ - 0078 Emergency Department Nurse Lead 2080 $ - 0079 Registered Nurses (RN) 36384 $ - 0080 Medical Support Assistants (MSA) 18192 $ - 0081 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Pine Ridge Hospital (PRH), Pine Ridge, SD 0082 Emergency Department Director 1040 $ - 0083 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 7008 $ -

0084 Internal Medicine Physician (With ED Experience) 876 $ - 0085 Family Practice Physician (With ED Experience) 876 $ - 0086 Advanced Practice Provider (APN/PA) 13140 $ - 0087 Emergency Department Nurse Lead 2080 $ - 0088 Registered Nurses (RN) 45480 $ - 0089 Medical Support Assistants (MSA) 18192 $ - 0090 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Cheyenne River Service Health Center, Eagle Butte, SD 0091 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0092 Internal Medicine Physician (With ED Experience) 438 $ - 0093 Family Practice Physician (With ED Experience) 438 $ - 0094 Advanced Practice Provider (APN/PA) 8760 $ - 0095 Emergency Department Nurse Lead 2080 $ - 0096 Registered Nurses (RN) 26928 $ -

Fort Yates Hospital (FYH), Fort Yates, ND

0097 Emergency Department Physician (ABEM/AOBEM Board Eligible)

4672 $ -

0098 Internal Medicine Physician (With ED Experience) 584 $ - 00099 Family Practice Physician (With ED Experience) 584 $ - 0100 Emergency Department Nurse Lead 2080 $ - 0101 Registered Nurses (RN) 35904 $ - 0102 Medical Support Assistants (MSA) 8760 $ - Total Price $ - Quentin Burdick Memorial Health Care Facility, Belcourt, ND 0103 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0104 Internal Medicine Physician (With ED Experience) 438 $ - 0105 Family Practice Physician (With ED Experience) 438 $ - 0106 Emergency Department Nurse Lead 520 $ - 0107 Registered Nurses (RN) 8976 $ - 0108 Medical Support Assistants (MSA) 4380 $ -

Total Estimated Price for Optional Ordering Period Two $ -

Optional Ordering Period Three

CLINs Labor Category Hours Hourly Rate Total Price Rosebud Hospital (RBH), Rosebud, SD 0109 Emergency Department Director 1040 $ - 0110 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0111 Internal Medicine Physician (With ED Experience) 438 $ - 0112 Family Practice Physician (With ED Experience) 438 $ - 0113 Advanced Practice Provider (APN/PA) 8760 $ - 0114 Emergency Department Nurse Lead 2080 $ - 0115 Registered Nurses (RN) 36384 $ - 0116 Medical Support Assistants (MSA) 18192 $ - 0117 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Pine Ridge Hospital (PRH), Pine Ridge, SD 0118 Emergency Department Director 1040 $ - 0119 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 7008 $ -

0120 Internal Medicine Physician (With ED Experience) 876 $ - 0121 Family Practice Physician (With ED Experience) 876 $ - 0122 Advanced Practice Provider (APN/PA) 13140 $ - 0123 Emergency Department Nurse Lead 2080 $ - 0124 Registered Nurses (RN) 45480 $ - 0125 Medical Support Assistants (MSA) 18192 $ - 0126 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Cheyenne River Service Health Center, Eagle Butte, SD 0127 Emergency Department Physician 3504 $ - 0128 Internal Medicine Physician (With ED Experience) 438 $ -

0129 Family Practice Physician (With ED Experience) 438 $ - 0130 Advanced Practice Provider (APN/PA) 8760 $ - 0131 Emergency Department Nurse Lead 2080 $ - 0132 Registered Nurses (RN) 26928 $ - Total Price $ - Fort Yates Hospital (FYH), Fort Yates, ND 0133 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 4672 $ -

0134 Internal Medicine Physician (With ED Experience) 584 $ - 0135 Family Practice Physician (With ED Experience) 584 $ - 0136 Emergency Department Nurse Lead 2080 $ - 0137 Registered Nurses (RN) 35904 $ - 0138 Medical Support Assistants (MSA) 8760 $ - Total Price $ - Quentin Burdick Memorial Health Care Facility, Belcourt, ND 0139 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0140 Internal Medicine Physician (With ED Experience) 438 $ - 0141 Family Practice Physician (With ED Experience) 438 $ - 0142 Emergency Department Nurse Lead 520 $ - 0143 Registered Nurses (RN) 8976 $ - 0144 Medical Support Assistants (MSA) 4380 $ - Total Price $ - Total Estimated Price for Optional Ordering Period

Three

Optional Ordering Period Four

Hourly Rate Total Price

Rosebud Hospital (RBH), Rosebud, SD 0145 Emergency Department Director 1040 $ - 0146 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0147 Internal Medicine Physician (With ED Experience) 438 $ - 0148 Family Practice Physician (With ED Experience) 438 $ - 0149 Advanced Practice Provider (APN/PA) 8760 $ - 0150 Emergency Department Nurse Lead 2080 $ - 0151 Registered Nurses (RN) 36384 $ - 0152 Medical Support Assistants (MSA) 18192 $ - 0153 Emergency Department Physician (ABEM/AOBEM) 8760 $ - Total Price $ - Pine Ridge Hospital (PRH), Pine Ridge, SD 0154 Emergency Department Director 1040 $ - 0155 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 7008 $ -

0156 Internal Medicine Physician (With ED Experience) 876 $ - 0157 Family Practice Physician (With ED Experience) 876 $ - 0158 Advanced Practice Provider (APN/PA) 13140 $ -

0159 Emergency Department Nurse Lead 2080 $ - 0160 Registered Nurses (RN) 45480 $ - 0161 Medical Support Assistants (MSA) 18192 $ - 0162 Emergency Department Physician (ABEM/AOBEM) 8760 $ -

Total Price $ - Cheyenne River Service Health Center, Eagle Butte, SD 0163 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0164 Internal Medicine Physician (With ED Experience) 438 $ - 0165 Family Practice Physician (With ED Experience) 438 $ - 0166 Advanced Practice Provider (APN/PA) 8760 $ - 0167 Emergency Department Nurse Lead 2080 $ - 0168 Registered Nurses (RN) 26928 $ -

Total Price $ - Fort Yates Hospital (FYH), Fort Yates, ND 0169 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 4672 $ -

0170 Internal Medicine Physician (With ED Experience) 584 $ - 0171 Family Practice Physician (With ED Experience) 584 $ - 0172 Emergency Department Nurse Lead 2080 $ - 0173 Registered Nurses (RN) 35904 $ - 0174 Medical Support Assistants (MSA) 8760 $ -

Total Price $ - Quentin Burdick Memorial Health Care Facility, Belcourt, ND 0175 Emergency Department Physician (ABEM/AOBEM Board

Eligible) 3504 $ -

0176 Internal Medicine Physician (With ED Experience) 438 $ - 0177 Family Practice Physician (With ED Experience) 438 $ - 0178 Emergency Department Nurse Lead 520 $ - 0179 Registered Nurses (RN) 8976 $ - 0180 Medical Support Assistants (MSA) 4380 $ -

Total Price $ - Total Estimated Price for Optional Ordering Period Four $ -

Schedule A - Rosebud, Pine Ridge, Eagle Butte, SD Total Estimated Contract Price for the Base + Four (4) Optional Ordering Periods

Schedule B - Fort Yates and Belcourt, ND Total Estimated Contract Price for the Base + Four (4) Optional Ordering Periods

B.5. OPTION PERIODS

a. Unless the Government exercises its option pursuant to the applicable option clause referenced in the Contract Clauses section, this contract consists only of the Base Ordering Period specified.

b. Pursuant to FAR Clause 52.217-8, Option to Extend Services and FAR Clause 52.217-9, Option to Extend the Term of the Contract, set forth in Contract Clauses of this contract, the Government may, by unilateral contract modification, require the Contractor to perform the Option Period(s) of this contract.

Section C Solicitation No.: RFP-75H70624R00001

Section C – Description/Specifications/Performance Work Statement

1. GENERAL:

1.1. Agency: The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The mission of IHS is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level and ensure that comprehensive, culturally acceptable personal and public health services are available and accessible to members of the 567 federally recognized Tribes across the United States.

1.2. The Great Plains Area: The Great Plains Area Office (GPAO) in Aberdeen, South

Dakota, works in conjunction with its 19 IHS Service Units and Tribal Managed Service Units to provide health care to approximately 130,000 Native Americans located in North Dakota, South Dakota, Nebraska, and Iowa. The GPAO's Service Units include seven hospitals, eight health centers, and several smaller health stations and satellite clinics. Each facility incorporates a comprehensive health care delivery system. The hospitals, health centers, and satellite clinics provide inpatient and outpatient care and conduct preventive and curative clinics.

1.3. Purpose:

1.3.1. The purpose of this contract is to acquire twenty-four hours per day, seven days per week, three hundred sixty-five days per year (24/7/365) Emergency Department (ED) Management and Staffing Services for the Emergency Departments in GPA facilities. The contractor shall provide qualified ED Directors, ED Physicians, Advanced Practice Providers (APP), ED Nurse Leads, Registered Nurses (RNs), and Medical Support Assistants (MSAs) to provide c o m p r e h e n s i v e medical and related services for patients as required by this PWS and in accordance with the terms and conditions in this agreement. Contractor health care providers shall provide services to eligible beneficiaries of the IHS who present themselves for treatment. Contracted services encompass the provision of medical services that are emergent and non-emergent.

1.3.2. The Contractor shall perform the services required under this contract in accordance with applicable statutes and regulations; standards (including, but not limited to, CMS Conditions of Participation (CoP) and Joint Commission (TJC) accreditation standards); and each hospital’s bylaws, policies, and procedures. IHS will notify the Contractor of changes to bylaws, policies, and procedures.

1.3.3. The Contractor shall work within the existing medical directives, policies, and procedures of the hospital’s current processes and structures.

1.3.4. All contractors selected to perform services shall undergo and pass the IHS mandated security clearances (including orientation) prior to entry to facilities or providing the required services.

2. Requirement One – Contract Administration

2.1. The Contractor shall convene a contract kick-off meeting with the contracting officer’s representative (COR) and necessary IHS officials no later than five (5) business days from the effective date of this contract. The Government will notify the contractor of the kick-off meeting location, but it is anticipated that it will be held in a government facility located in South Dakota. During the kick-off meeting, the Contractor shall identify immediate actions necessary to implement the PWS, identify key personnel responsible for accomplishing each task, a timeline for completion, and identify challenges that may impede success. The Contractor shall identify and provide no later than five

(5) business days from the effective date of the contract a primary point of contact and alternate point of contact for:

2.1.1. Coordination of credentialing and privileging application review and submission.

2.1.2. Coordination of weekly timecard verification and approvals (to be made only after completion of medical record deficiency review by Health Information Management staff).

2.1.3. Reviewing and approving invoices and supporting documentation and other payment questions.

2.1.4. Providing management and oversight of ED Directors, ED physicians, ED APPs, ED nurse leads, ED RNs, and MSAs.

2.1.5. Quality Assessment and Performance Improvement Monitoring.

2.1.5.1. Schedules shall be submitted to COR, CEO(s), ED Physician and Nurse Lead, Clinical Director(s) and Director(s) of Nursing a minimum of 30 calendar days in advance.

2.1.5.2. POC shall coordinate with federal staff for scheduling of federal and Contractor healthcare providers.

2.2. The Contractor shall participate in weekly status update calls with IHS and other meetings as needed to discuss contract implementation issues and challenges.

The Contractor shall submit agenda items in advance of the calls when requested, and meeting minutes within two (2) business days of the status update call or meeting. The Contractor shall maintain an ongoing Action Item list with updated status on each Action Item. The Action Item list shall identify all completed and ongoing Action Items with related completion target dates and statuses. The Action Item list shall be submitted with the meeting minutes each week.

2.3. The Contractor shall submit monthly status reports that identify the

Contractor’s progress in meeting the tasks outlined in the PWS, identify leads responsible for completing tasks, and how challenges or delays are being mitigated. The monthly status reports shall be submitted electronically to the COR no later than the 5th calendar day of the month, following the end of the month that is the subject of the monthly status report, beginning one month after award and continuing through the life of the contract.

2.4. The Contractor shall submit an ED Management and Staffing Plan outline for the overall management of the Service Units under the appropriate Schedule f o r t h e b a s e o r d e r i n g p e r i o d . The outline shall be due no later than five (5) calendar days from effective date of this contract in order to be discussed at the contract kick-off meeting. (NOTE: The Emergency Department Management and Staffing Plan outline is submitted post-award and will not be considered as part of the technical evaluation for the award of the IDIQ contract.) The Contractor shall submit a Final ED Management and Staffing Plan no later than thirty (30) calendar days from the effective date of contract award. The ED Management and Staffing Plan outline and the Final ED Management and Staffing Plan shall include the following:

2.4.1. The Contractor shall describe the overall plan for adequately staffing, organizing, and managing the contract, including all key personnel working on the contract, subcontractors, a timeline for completion of tasks, and how the Contractor will monitor progress.

2.4.2. The Contractor shall indicate how organizational roles and responsibilities will be addressed, decisions made, work monitored, and quality and timeliness of products/services ensured.

2.4.3. The management and staffing plan shall describe the use of any consultants or subcontractors hired to carry out elements within the PWS under this contract. The management and staffing plan shall specify how the Contractor, consultants, or subcontractors will work together, how the tasks will be coordinated, and how quality assessment will be accomplished. The Contractor shall notify the COR in writing within five (5) business days of any new subcontractors or consultants retained to perform services required under this contract.

2.4.4. The ED Management and Staffing Plan shall detail the Contractor’s plan to provide full staffing coverage at all times, including suitable short-term coverage in the event of a vacancy. The Contractor shall maximize the length of assignments to minimize turnover in accordance with the Quality Assurance Surveillance Plan (QASP). The ED Management and Staffing Plan shall include an estimated turn-around time for filling vacancies for each labor category, which must not to exceed fourteen

(14) calendar days for providers and seven (7) calendar days for support staff. The ED Management and Staffing Plan shall also describe specific activities planned to meet the requirements of this contract to recruit and retain qualified providers and support staff.

2.4.5. The ED Management and Staffing Plan shall detail the Contractor’s plan to provide coverage during periods of vacancies of the Contractor’s personnel due to illness and emergent vacancies. In the event that a shift is unable to be filled by the scheduled personnel, the Contractor shall provide a replacement within 2 hours and notify the COR, Service Unit Chief Executive Officer (CEO), Clinical Director (CD), and ED Nurse lead immediately of the requested schedule change.

2.4.6. The ED Management and Staffing Plan shall describe the overall plan for adequately staffing, organizing, and managing the Emergency Departments. The Plan shall describe the Contractor’s plan to monitor and track individual provider and overall, ED operational performance.

2.4.7. The ED Management and Staffing Plan shall discuss who will prepare and review the reports, frequency of the reports, and measures to be monitored in order for the Contractor to ensure their providers and support staff are in compliance with CMS Conditions of Participation

(CoP) and Joint Commission (TJC) accreditation standards.

2.4.8. The ED Management and Staffing Plan shall fully describe how the Contractor will work within each hospital’s Quality Assessment Performance Improvement Program (QAPIP), including discussion of the peer review process for conducting chart reviews in accordance with the hospital’s bylaws and processes for quality of care and completeness of documentation.

2.5. The Contractor shall designate a point of contact at each hospital for the review and approval of provider and support staff timecards on a weekly basis.

Timecards must be submitted with each invoice and must show the number of hours worked per person by labor category during the time period invoiced.

Providers who are required to perform medical record documentation shall obtain a signed Health Information Management (HIM) Provider Clearance Form from their lead each week to verify that proper documentation in the Electronic Health Record (EHR) has been completed. The Contractor shall submit copies of approved timecards and supporting documentation (including, but not limited to, signed HIM Provider Clearance Forms), or a weekly report if timecard approval is done electronically, as part of the supporting documentation for IHS invoice review and approval. Timecards shall be due to the designated IHS official 10:00 AM local time Mondays following the applicable pay period.

2.6. The Contractor shall submit an ED Management and Staffing Plan outline annually at the start of each optional ordering period. The Contractor shall submit a Final ED Management and Staffing Plan annually no later than thirty

(30) calendar days from the date the optional ordering period commences. The annual ED Management and Staffing Plan outlines and Final ED Management and Staffing Plans shall conform to the requirements of section 2.4.

3. Requirement Two – 24/7/365 Emergency Department Management and Staffing

3.1.1. The Contractor shall provide non-personal healthcare services using highly skilled ED Directors, ED Physicians, APPs, ED Nurse Leads, RNs, and MSAs to provide ED services on site in accordance with the specifications contained herein to all patients presenting for care in the Emergency Department or elsewhere on the hospital campus with an emergency medical condition. Contract staff may also be designated to act as observers for patients in the ED and during off-campus transport of patients requiring mental health or other services not available at the facility. Contractor employees shall not be considered Government employees for any purpose under this contract. The Contractor’s services are monitored by the Federal Clinical Director (CD), Chief

Executive Officer (CEO), and Contracting Officer’s Representative (COR) with the Governing Body having ultimate responsibility for safe, quality care and operational performance of the ED. The COR appointed by the CO takes necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract to protect the interest of the government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

3.1.2. The contractor shall provide an ABEM/AOBEM certified physician to serve as the full-time Contractor Director of the Emergency Department and a Contractor Lead Nurse for the locations specified in the Schedule. The Contractor ED Director will be responsible for ensuring Emergency Department provider coverage on a 24/7 basis.

The Contractor ED Director shall provide medical leadership for case reviews, quality of care monitors, ongoing and focused professional practice evaluation, codes, patient transfers, and patient complaint investigations. The Contractor ED Director and Contractor Lead Nurse shall maintain an effective, ongoing, data-driven quality assessment and performance improvement program (QAPI) for Emergency Medicine and report the results through the hospital-wide QAPI process. The Contractor ED Director and Contractor lead Nurse shall serve on medical committees as requested.

3.2. Places of Performance for the Emergency Department Management and Staffing

Services: Contractors must propose to provide services on site for all of the places of performance under each Schedule and provide pricing for all CLINs for each GPA facility under the Schedule. The following estimated annual patient volumes for each facility are included for informational purposes only:

3.2.1. Rosebud Hospital (RBH), Rosebud, South Dakota – Estimated Annual

ED Patient Volume: 14,800

3.2.2. Pine Ridge Hospital (PRH), Pine Ridge, South Dakota – Estimated Annual

ED Patient Volume: 18,500

3.2.3. Fort Yates Hospital (FYH), Fort Yates, North Dakota – Estimated Annual

ED Patient Volume: 5,500

3.2.4. Cheyenne River Service Unit, Eagle Butte, South Dakota – Estimated Annual

ED Patient Volume: 11,900

3.2.5. Quentin N. Burdick Memorial Health Care Facility, Belcourt, North Dakota –

Estimated Annual ED Patient Volume: 14,000

3.3 Current Staffing Plan/Staffing Composition – Current staffing plans/staffing composition for each place of performance will likely vary by time of award and during the contract performance periods based on the options described in Paragraphs 3.3 and 3.4 of the PSW. Current staffing plans/staffing composition are listed below for informational purposes only.

3.2.6. Rosebud Hospital

Staff Day Shift

Night Shift

Mid-Shift Shift Time

ED Director 1 0 0 Days ED Physician 1 1 7-7

APP 1 1 1 7-7/MID 12-12

Nurse Lead 1 Days

Nurses 4 4 1 7-7/MID 12-12

MSA 1 2 1 7-7/MID 12-12

3.2.7. Pine Ridge Hospital

Night Shift

Mid-Shift Shift Time

ED Director 1 Days ED Physician 2 2 7-7

APP 1 1 1 7-7/MID 11-11

Nurse Lead 1 Days

Nurses 4 4 2 7-7 / MID 1-1 and 3-3

MSA 3 2 1 7-7/MID 1-1

3.2.8. Fort Yates Hospital

Night Shift Mid-Shift Shift Time

ED Director 1 Days ED Physician 1 1 7-7

APP

Nurse Lead 1 Days Nurses 3 3 7-7

MSA 1 1 7-7

3.2.9. Cheyenne River Service Unit

Shift

Night Shift Mid-Shift Shift Time

ED Physician 1 1 8-12

APP 1 1 6-6

Nurses 4 4 1 7-7 & 11-11

3.2.10. Quentin N. Burdick Memorial Health Care Facility (Belcourt)

Shift

Night Shift Mid-Shift Shift Time

ED Director 1 7-7 ED Physician 1 1 7-7

APP 1 1 9-12

Nurses 4 4 7-7

4. Health Care Provider (HCP) Standards:

4.1. The Contractor shall provide technically competent HCPs and shall ensure that all services provided are in accordance with established standards, principles and ethics of the profession, applicable professional specialty organizations, TJC standards, applicable CMS and agency specific regulations, directives, and policies, and facility-specific policies, procedures, and job descriptions. See also Section 7 for additional HCP-related standards.

4.2. HCPs shall give the highest regard for patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor shall ensure quality services are provided; provide appropriate management of task orders awarded; conduct thorough and timely pre-performance screening;

provide complete and timely credential/privileges, and security packages; and manage recruitment and retention of HCPs.

4.3. The Contractor shall ensure that HCP services meet the required standard of the specialty provided as defined by the applicable professional governing bodies, and state and federal statutes and regulations. The Contractor shall recruit/retain, privilege/credential, train, and manage, quality health care professionals and ensure that a full spectrum of health care services are provided to beneficiaries which meet the standards of governing bodies, laws and regulations of each facility. The Contractor shall ensure that HCPs perform functions within the scope of acceptable practice for the specific specialty or position.

4.4. Policy/Handbooks: At a minimum, the contractor shall be subject to the following policies, including any subsequent updates/revisions during the period of performance:

4.4.1. IHS Manual

4.4.2. Hospital Policies & Procedures

4.4.3. Medical Staff Bylaws

4.4.4. HIPAA Privacy Rule

4.4.5. Privacy Act of 1974, as amended, 5 USC 552a

4.5. Definitions/Acronyms - The following terms/acronyms apply to the requirements of this PWS:

4.5.1. ABIM: American Board of Internal Medicine (see http://www.abim.org/)

4.5.2. ABEM: American Board of Emergency Medicine

4.5.3. ACEP: American College of Emergency Physicians

4.5.4. ACLS: Advanced Cardiac Life Support

4.5.5. AOBEM: American Board of Osteopathic Emergency Medicine

4.5.6. Advanced Practice Provider (APP): APPs are Licensed Independent

Practitioners (LIPs), which means any individual permitted by law and by the organization to provide care and services, with little or no direction or supervision, within the scope of the individual’s license and consistent with individually granted clinical privileges. APPs include Advanced Practice Nurses (Nurse Practitioners) and Physician Assistants.

4.5.7. ATLS: Advanced Trauma Life Support

4.5.8. BLS: Basic Life Support

4.5.9. CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

4.5.10. CD: Clinical Director

4.5.11. CDC: Centers for Disease Control and Prevention

4.5.12. CDR: Contract Discrepancy Report

4.5.13. CEU: Certified Education Unit

4.5.14. CHBC: Criminal History Background Check

4.5.15. CNACI: Child Care National Agency Check

4.5.16. CME: Continuing Medical Education

4.5.17. CMS: Centers for Medicare and Medicaid Services

4.5.18. Contracting Officer (CO) – The agency official executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

4.5.19. Contract Specialist (CS) – The agency official who supports the CO in administering the contract.

4.5.20. Contracting Officer Representative (COR) – The agency official appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance so that appropriate action can be taken by the Government.

4.5.21. COS: Chief of Staff

4.5.22. CPARS: Contractor Performance Assessment Reporting System

4.5.23. Credentialing: Credentialing is IHS’ systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

4.5.24. DEA: Drug Enforcement Agency

4.5.25. ED: Emergency Department

4.5.26. EMTALA: Emergency Medical Treatment and Labor Act:

https://www.acep.org/news-media- top-banner/emtala/

4.5.27. FSMB: Federation of State Medical Boards

4.5.28. Focused Professional Practice Evaluation (FPPE): FPPE is an evaluation process that allows the organized medical staff to utilize a focused evaluation regarding a specific aspect of a practitioner’s performance.

4.5.29. Governing Body/Governing Board (GB): IHS GB is the final authority on granting, restricting, suspending, or revoking delineated clinical privileges.

4.5.30. HCP: Health care provider. A doctor of medicine or osteopathy who is authorized to practice medicine or surgery (as appropriate) by the any U.S. State or territory; or any other person determined by the licensure and scope of practice to be capable of providing health care services

4.5.31. HHS: Department of Health and Human Services

4.5.32. HIPAA: Health Insurance Portability and Accountability Act

4.5.33. HR: Human Resources

4.5.34. ISO: Information Security Officer

4.5.35. Medical Emergency - a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body organ or part.

4.5.36. Medical Executive Committee (MEC): MEC is the IHS facility committee of the medical staff empowered to direct the course of medical care in the organization.

4.5.37. Medical Staff (MS): MS is the body that has the overall responsibility for the quality of the professional services provided by individuals with clinical privileges and is accountable to the GB. Members have delineated clinical privileges that allow them to provide patient care services independently or collaboratively within the scope of their clinical privileges as permitted by law and the organization. MS members and other persons with clinical privileges are subject to the hospital Bylaws, Rules & Regulations, departmental rules and regulations, and performance improvement activities. Standards are applied to evaluate the quality of MS performance.

4.5.38. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA.

4.5.39. NLNAC: National League for Nursing Accrediting Commission.

www.nlnac.org

4.5.40. Non-Contract Provider - any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors

4.5.41. NP: Nurse Practitioner

4.5.42. NPPES: National Plan and Provider Enumeration System

4.5.43. NRP: Neonatal Resuscitation Program

4.5.44. OPPE – Ongoing Professional Practice Evaluation: Allows the Medical Staff to identify, on an ongoing basis, professional practice trends that impact on quality of care and patient safety.

4.5.45. PALS: Pediatric Advanced Life Support

4.5.46. Physician Assistant (PA): A trained health care professional who has completed an American Medical Association accredited PA program. The PA is qualified to practice medicine within the scope determined by State law or a health care organization by virtue of his/her educational, professional, and clinical experience. PAs employed by the IHS must be certified by the National Commission on Certification of Physician Assistants and must maintain that certification throughout their employment and must be licensed to practice in at least one U.S. jurisdiction.

4.5.47. Physician (MD, DO): A medical doctor (MD) or doctor of osteopathy (DO) who, by virtue of education and training, is qualified and licensed to practice medicine in at least one U.S. jurisdiction.

4.5.48. PALS: Pediatric Advanced Life Support

4.5.49. POP: Period of Performance

4.5.50. PPD: Purified Protein Derivative

4.5.51. Privileges: The authorization granted by the GB to a provider to provide specific care. Clinical privileges are delineated functions, procedures, treatments, surgeries and prerogatives of practice an individual may perform in the organization. Clinical privileges are dependent on provider qualifications, current competency, and the capacity of the institution to support the execution of requested privileges.

4.5.52. PWS: Performance Work Statement

4.5.53. Peer Review: The evaluation of an individual practitioner’s professional performance and includes the identification of opportunities to improve care

4.5.54. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice( e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.) is permitted by law and the facility to practice independently to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training, and licensure. Clinical privileges must be facility-specific and provider-specific.

4.5.55. QA/QI: Quality Assurance / Quality Improvement

4.5.56. QASP: Quality Assurance Surveillance Plan

4.5.57. QM/PI: Quality Management / Project Improvement

4.5.51. VISTA (Veterans Integrated Systems Technology Architecture): A computer-based system that captures and stores clinical imagery, scanned documents, and other non-textual data files and integrates them into patient’s IHS medical record and with the hospital information system.

5. Provider Minimum Qualifications

5.1. License - Health care providers used in the performance of the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Health care providers who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action, or denied upon application shall not be used in performance of this contract. All licenses and/or certifications must be unencumbered and remain in effect during the period of performance of the issued task orders.

5.2. Physician Board Certification Requirements

5.2.1. Current American Board of Emergency Medicine (ABEM) or American

Osteopathic Board of Emergency Medicine (AOBEM) certification and documented Emergency Department experience within the last 24 months of hire. These physicians shall also have a minimum of 3 years’ experience in the management of pediatric and obstetric patients, including obstetrical emergencies, such as precipitous deliveries.

5.2.1.1. In lieu of an ABEM or AOBEM certified physician, the contractor may staff all EDs with at least one physician that is currently ABEM or AOBEM Board-Eligible, or Board-Certified or Board-Eligible in Internal Medicine or Family Practice. The physician shall have a minimum of 3 years’ experience in the management of pediatric and obstetric patients, including obstetrical emergencies, such as precipitous deliveries AND meet one of the following criteria: 3000 hours or more of clinical experience within the last 24 months of hire in an Emergency Department with an annual volume of at least 18,000 and a combined admission/transfer rate of at least 10%; or 5000 hours or more of clinical experience within the previous 60 months of hire, and 1000 hours or more within the last 12 months in an Emergency Department with an annual volume of at least 18,000 and a combined admission/transfer rate of at least 10%.

5.3. Contractor ED Director – ABEM/AOBEM certified physician. A minimum of 3 years of Emergency Medicine administrative experience is required. Emergency Department experience within the last 24 months of hire. Shall also have a minimum of 3 years’ experience in the management of pediatric and obstetric patients, including obstetrical emergencies, such as precipitous deliveries.

5.4. Contractor ED Nurse Lead - A minimum of 3 years of Emergency Medicine experience is required in addition to the requirements of the Clinical Nurse specified in Section 5.6 and 5.6.1.

5.5. Nurse Practitioners/Advanced Practice Nurse (Advanced Practice Provider) – Nurse Practitioners (NPs) shall have passed the National Council Licensure Examination (NCLEX); hold a current license for the advanced practice level in accordance with the requirements of the U.S. jurisdiction of licensure; and have twenty-four (24) months experience within the last thirty-six (36) months of hire working in an emergency department setting.

5.5.1. APPs working on the contract must have a physician collaborator assigned by the contractor if such physician collaboration is required by the APP’s state licensing board.

5.6. Clinical Nurse Minimum Requirements - Clinical Nurses shall have a nationally accredited associate’s degree or baccalaureate degree in nursing; hold current licensure and certification as a registered nurse (RN); and s h a l l have passed the NCLEX.

5.6.1. ED RN nurse roles must be fulfilled by a nurse with at least 24 months of experience within the last 48 months of hire in the same specialty outlined in the issued task order(s).

5.6.2. The contractor may staff the contract with RNs with less than the minimum 24 months of experience, provided there is onsite oversight by at least one (1) RN with the required level of experience during all co-scheduled shifts. The labor rates for RNs with less than the minimum 24 months of experience shall be commensurate with the RN’s extent of actual experience and shall not exceed the labor rates charged for RNs having the required minimum experience.

5.7 Physician Assistants (Advanced Practice Provider) – Physician Assistants (PAs) shall have a current National Commission on Certification of Physician Assistants (NCCPA)…