Atch D- SOW Multi Work UANDO 2023 BOTH REV2.pdf

SCOPE OF WORK:

The Contractor is requested to provide a variety of non-personal medical professional services for (20) different specialties for a 12 month base period and four (4) 12-month option periods. The intent of this contract is to establish a method whereby the Uintah and Ouray Health Center (U&O) can minimize disruptions in clinical service because of staff changes and shortages over the next 5 years. The specific need for each of these specialties is difficult to predict and therefore it is likely that U&O may not use all the specialties each year, however having them available when the need arises will minimize service disruptions. Also, even when the best plans are laid to hire and retain staff, our remote location makes this difficult and we can have staff shortages despite trying to hire a full-time employee. Requests for contractor coverage will be based on the consistently changing needs of the clinic.

LOCATION:

All services shall be performed at the following location:

Uintah and Ouray Health Center

6822 E. 1000 S.

Ft. Duchesne, UT 84026

SHIFTS:

Contractors will be expected to abide by the Caregiver Identification Policy that specifies uniform requirements for staff and shift hour assigned, modalities of charting and care delivery and other rules and regulations of the facility.

Contractor(s) who accept full-time assignments shall attend assigned meetings.

Work week is Sunday 12:00 AM to Saturday 11:59 PM.

Full Time Shift Schedules: 8 hour shifts:

Monday 0800 – 1700 *

Tuesday 0800 – 1700 *

Wednesday 0800 – 1700 *

Thursday 0800 – 1700 *

Friday 0800 – 1700 *

Anything less than full time shifts could be anywhere between 4 hours once weekly or 8 hours every other week up to 4 full days a week**

Part Time Shift Schedule: 4 hour shifts:

Monday 0800 – 1200 or 1300 – 1700 *

Tuesday 0800 – 1200 or 1300 – 1700 *

Wednesday 0800 – 1200 or 1300 – 1700 *

Thursday 1300 – 1700 *

Friday 0800 – 1200 or 1300 – 1700 *

For part-time shifts U&O will either request half days (4 hour shifts) or full- days (8 hour shifts) as coordinated with the Contractor and the needs of U&O. Invoicing will be by hours.

8 hour shifts – part time – see “8 hour shifts” under the routine section above

*1 hour lunch breaks are not included (8 hour shifts) and Government does not pay time taken for lunch.

Total shifts worked annually shall be in accordance to the total number of work hours allocated for the year by U&O.

Unless exempt, medical professionals covered by the Fair Labor Standards Act must receive overtime pay for hours worked over 40 in a workweek.

RATE SCHEDULE:

The unit price paid to the Contractor shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any

IHS patient, or from any alternate resource for which the patient may be eligible.

Contractor shall provide an hourly fixed rate and hourly overtime fixed rate for “As Needed Basis” estimated hours. Overtime fixed rate shall be a separate rate for all non-physician services. However, it is not expected that contractors will be asked to work overtime as a general rule and will be limited as much as possible for those who are working under this contract. Overtime would only be requested when the need to finish patient care precludes the contractor leaving on time or in an emergency situation. The

Government will pay hourly fixed rate and a rate for overtime. The Contractor shall be paid only for actual time services are performed under the terms of the contract at the hourly fixed rate and if needed overtime rate. Contractors will not be asked to work nights, weekends, or holidays.

QUALIFICATION/CERTIFICATION – PROFESSIONAL AND RELATED SERVICES:

Contractor shall provide medical and related professionals with experience in these areas.

1. Registered Nurse:

a. Years of Experience: minimum of (2) years of experience as a registered nurse, with (2) years of experience within the respective specialty.

b. Minimum Education: A.S. Degree from an Accredited Nursing School Program, Bachelor of

Science in Nursing (BSN) degree, preferred

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the

United States.

2. Licensed Practical Nurse:

a. Years of Experience: minimum of (2) years of experience as a licensed practical nurse

b. Minimum Education: A.S. Degree from an Accredited Nursing School Program

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a licensed practical nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

3. Medical Assistant:

a. Years of Experience: minimum of (6) months of experience as a medical assistant. The training during the medical assistant program can count as the (6) months of experience.

b. Minimum Education: completion of a medical assistant program, certified/licensed medical assistant certificate, preferred

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action certificate/license as a medical assistant in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

4. Nurse Assistant:

a. Years of Experience: minimum of (2) years of experience as a registered nurse

b. Minimum Education: completion of a nursing assistant program and hold a nurse assistant certificate

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action certificate/license as a nurse assistant in a State, District of Columbia, the Commonwealth of Puerto Rico, or a

Territory of the United States.

5. Pharmacist:

a. Years of Experience: minimum of (2) years of experience as a Pharmacist

b. Minimum Education: Bachelor or Doctor of Pharmacy Degree from an Accredited Pharmacy

School Program

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Pharmacist in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

6. Pharmacy Tech:

a. Years of Experience: minimum of (2) years of experience as a pharmacy technician

b. Minimum Education: Certified Pharmacy Technician

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Pharmacy Technician in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

7. Dental Assistant:

a. Years of Experience: minimum of (2) years of experience as a dental assistant with (2) years of experience within the respective specialty.

b. Minimum Education: A.S. Degree from an Accredited Dental Assistant School Program, Bachelor of Science in Nursing (BSN) degree, preferred

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a dental assistant in a State, District of Columbia, the Commonwealth of Puerto Rico, or a

Territory of the United States.

8. Dental Hygienist:

a. Years of Experience: minimum of (2) years of experience within the respective specialty.

b. Minimum Education: A.S. Degree from an Accredited Dental Assistant School Program or, Bachelor of Science in Nursing (BSN) degree, preferred

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a dental hygienist in a State, District of Columbia, the Commonwealth of Puerto Rico, or a

Territory of the United States.

9. Radiology Technician:

a. Years of Experience: minimum of (2) years of experience as Radiology Technician with (2) years of experience within the respective specialty.

b. Minimum Education: Certificate, Associate or bachelor’s degree from an accredited program on radiology technological sciences.

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Radiology Technician in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

10. Certified Phlebotomy Technician:

a. Years of Experience: Minimum of (6) months of experience

b. Minimum Education: Graduate from an accredited phlebotomy program or technical school.

c. Current certification in BLS (Basic Life Support)

11. Laboratory Technician:

a. Years of Experience: minimum of (6) months experience as a laboratory technician or

Phlebotomist with (6) months of experience within the respective specialty. The training program may count toward the (6) months of experience.

b. Minimum Education: High School Diploma; A.S. Degree from an Accredited laboratory technician school, Bachelor of Science in Laboratory Technical Sciences degree (preferred) or a Phlebotomy Certificate.

c. Current certification in BLS (Basic Life Support)

12. Medical Technologist:

a. Years of Experience: minimum of (2) years of experience as a laboratory technician with

(2) years of experience within the respective specialty.

b. Minimum Education: A.S. Degree from an Accredited laboratory technician school, Bachelor of Science in Laboratory Technical Sciences degree is preferred

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Medical Technologist in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

13. Physician (Family Practice):

a. Years of Experience: Completion of a (3) year residency program in a primary care specialty such as Family Practice, Pediatrics or Internal Medicine.

b. Board certification is required.

c. Minimum Education: Doctorate degree of Osteopathic or Allopathic medicine

d. Current certification in BLS (Basic Life Support)

e. Applicants must have an active, unrestricted, and free of disciplinary action license as a physician in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

14. Optometrist:

a. Years of Experience: minimum of (2) years of experience as a clinical optometrist.

b. Minimum Education: Doctor of Optometry (O.D.)

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as an optometrist in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

15. Nurse Practitioner:

a. Years of Experience: Minimum of (6) months experience.

b. Minimum Education: Completion of a minimum of a Master’s degree in Nurse Practitioner, preferably in Family Nurse Practitioner or Women’s Health

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a Nurse

Practitioner in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

16. Dentist:

a. Years of Experience: Minimum of (1) year of experience as a dentist after dental school. (1) year of fellowship can count as this experience.

b. Minimum Education: DDS or DMD Degree from an Accredited Dental School Program, doctorate is required

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Dentist in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

17. Physician Assistant:

a. Years of Experience: Minimum of (6) months of experience

b. Minimum Education: Completion of a Master’s Degree in Physician Assistant

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Physician Assistant in a State, District of Columbia, the Commonwealth of Puerto Rico, or a

Territory of the United States.

18. Podiatrist:

a. Years of Experience: Completion of at least (2) years of Podiatry Residency in primary or surgical care.

b. Minimum Education: Doctorate degree in Podiatric Medicine

c. Current certification in BLS (Basic Life Support)

d. Applicants must have an active, unrestricted, and free of disciplinary action license as a

Podiatrist in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

19. Physician (OB/GYN):

a. Years of Experience: Minimum of (2) years of experience as a OB/GYN.

b. Board certification is preferred

c. Minimum Education: Completion of OB/GYN in Obstetrics and Gynecology; Doctorate degree of Osteopathic or Allopathic medicine

d. Current certification in BLS (Basic Life Support)

e. Applicants must have an active, unrestricted, and free of disciplinary action license as a physician in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

20. Physician (Rheumatology):

a. Years of Experience: Minimum of (2) years of experience as Rheumatology.

b. Completion an internal medicine residency program

c. Fellowship in Rheumatology.

d. Board certification is Preferred.

e. Minimum Education: Doctorate degree of Osteopathic or Allopathic medicine

f. Current certification in BLS (Basic Life Support)

g. Applicants must have an active, unrestricted, and free of disciplinary action license as a physician in a State, District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States.

STATEMENT OF WORK:

The overall scope of this contract is to provide qualified and experienced healthcare and medical care providers under a Government service contract. The Contractor(s) will be expected to have the necessary education, training, licensing, previous work experience and competence in being able to provide the services within the department(s). Work performance shall be performed according to the requirements and conditions contained in this Statement of Work. The contract resulting from this solicitation includes:

The Contractors(s) shall be expected to assist and provide services and duties as may be requested for the normal operational requirements for the respective department and personnel. The contractor shall provide work that is consistent with the guidelines and procedures of the IHS. Failure of the contractor to meet these standards can result in cancellation of this contract or at a minimum a request that the

Contractor(s) be dismissed and a new Contractor(s) be dispatched. The contractor’s performance and abilities shall be evaluated based upon performance standards that are contained in this statement of work

The Contractor(s) shall prepare and complete in a timely manner the required documents, in accordance with the U&O Medical By-Laws and/or Clinic Policy. Chart notes (where applicable) are to be completed on the day services are rendered and specifically, with rare exception, immediately after finishing with the patient. During the performance of their duties, the contractor shall provide for the consistent performance of patient care processes according to the standards for AAAHC accreditation within IHS. The

Contractor(s) shall:

1. Be proficient in writing, typing and have a basic working knowledge and understanding of computer hardware and software applications.

2. Have sufficient knowledge, competence and experience in providing these services on a regular schedule at U&O.

3. Possess sufficient initiative, interpersonal relationship skills, social sensitivity and appropriate professional behavior such that he/she can relate constructively to IHS employees, contractors, vendors and individuals from the Native American community.

4. Have a valid state driver’s license from any of the 50 United States or the Commonwealth of

Puerto Rico.

5. Not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services.

6. Maintain acceptable standards of personal hygiene, grooming and professional attire such that their image as a Federal contractor is compatible with the expectations of the IHS staff.

7. Be required to utilize the electronic health record for chart documentation (where applicable) after receiving training.

8. Be sensitive to the unique culture factors of the people they serve, which may include use of an interpreter as necessary in communication of services being rendered. Unique cultural factors that may contribute to the patient’s treatment include: use of their language communications;

village and tribal customs; use of traditional healers; isolation; housing conditions and lack of resources.

9. Have tact and diplomacy while working in stressful situations.

The Contractor(s) may be required to work beyond normal duty hours, on an as needed basis for emergencies.

CONDITIONS FOR REMOVAL/REPLACEMENT OF MEDICAL PERSONNEL:

As mutually agreed between the Contracting Officer and the Contractor there may be grounds for removal and/or replacement of a medical personnel.

The Contractor(s) shall be removed from an IHS facility if services are not performed in accordance with terms and conditions of this award.

The Contractor shall relieve contracted staff within 24 hours of notice and, if a replacement is needed, the replacement should be available within one week of the removal.

CONTRACTOR REQUIREMENTS:

Upon award, the selected medical professional(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site at U&O. The security pre-clearance requirement must be adhered to;

the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/ and www.sam.gov (best checked through www.verifycomply.com as this checks all exclusion lists).

http://exclusions.oig.hhs.gov/ http://www.sam.gov/ http://www.verifycomply.com/

MAJOR DUTIES REQUIRED BY POSITION:

Physician (Family Practice)

As a qualified specialist in Family Practice, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of patients. Typical, but not all inclusive assignments include the following:

1. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Provides definitive management and full spectrum family ambulatory practice in all medical categories for cases.

2. Conducts outpatient clinics making observations appropriate to the outpatient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medications, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

3. Refers patients to appropriate contracted medical facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at the Uintah and

Ouray Service Unit.

4. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides clinical reports and correspondence concerning patients under his/her care to physicians, hospitals, and other individuals and facilities.

5. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients medical, psychological and social problems.

6. Provides prenatal care to expectant patients in the first and second trimester.

7. Provides pediatric care from newborn to adulthood and is familiar with growth, development, disease states and the unique status of pediatric patients.

8. Is active in pre-visit planning of the clinic, coordination of care and participates in clinic improvement activities.

9. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

10. Evaluates and treats approximately 12-20 patients during an 8-hour work day. Performs Peer

Review and attends assigned committee meetings.

11. Performs diagnostic and therapeutic procedures normally performed by family practice such as but not limited to:

A. Performs minor surgery including but not limited to laceration repair and excision of skin lesions.

B. Supervises other health care providers including physicians, physicians' assistants, nurse practitioners, nurses, pharmacists and medical clerks.

C. Performs orthopedic procedures such as joint injections, joint aspirations, aspiration of cysts, trigger point injections and other procedures normally performed by an outpatient family physician.

Optometrist

Incumbent will be responsible for full-scope primary eye care, delivered independently without assistance from techs or nurses. This will include obtaining and documenting in the EHR an ophthalmic and medical history (and reviewing that which is contained in the EHR), a comprehensive ophthalmic exam, accurate and complete diagnoses, and effective treatment plans.

Treatment plans will include (as clinically indicated) the prescription of eyewear, contact lenses, oral and ophthalmic medications, and ordering ancillary testing as needed. Ancillary testing may include but not be limited to ophthalmic imaging studies (ultrasound, photos, OCT, pachymetry, etc), visual field testing, laboratory studies, and radiographic imaging (plane films, CT, and

MRI). Minor surgical procedures, such as foreign body removal and papilloma excision, and pre-operative and post-operative care of various ophthalmic surgeries, is also expected. In all cases, documenting, performing, and arranging follow-up and referrals as needed is required as well.

Nurse Practitioner

As a qualified specialist in Family Practice Nurse Practitioner, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of patients. Typical, but not all inclusive assignments include the following:

1. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Provides definitive management and full spectrum family ambulatory practice in all medical categories for cases.

2. Conducts outpatient clinics making observations appropriate to the outpatient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medications, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

3. Refers patients to appropriate contracted medical facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at the Uintah and

Ouray Service Unit.

4. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides clinical reports and correspondence concerning patients under his/her care to physicians, hospitals, and other individuals and facilities.

5. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients medical, psychological and social problems.

6. Provides prenatal care to expectant patients in the first and second trimester.

7. Provides pediatric care from newborn to adulthood and is familiar with growth, development, disease states and the unique status of pediatric patients.

8. Is active in pre-visit planning of the clinic, coordination of care and participates in clinic improvement activities.

9. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

10. Evaluates and treats approximately 12-20 patients during an 8-hour work day. Performs Peer

Review and attends assigned committee meetings.

11. Performs diagnostic and therapeutic procedures normally performed by family practice nurse practitioner such as but not limited to:

A. Performs minor surgery including but not limited to laceration repair and excision of skin lesions.

B. Performs orthopedic procedures such as joint injections, joint aspirations, aspiration outpatient family nurse practitioner.

Dentist The work includes, but not limited to the following:

1. Perform dental cleanings, tooth extractions, tooth preservation and any other basic dental procedures commonly performed in an outpatient setting and commiserate with the dental providers training and State license.

2. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

3. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Prescribes medications as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

4. Refers patients to appropriate contracted medical facilities, providing pertinent clinical information for dental care and diagnostic dental procedures that cannot be adequately provided at the Uintah and Ouray Service Unit.

5. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides dental clinical reports and correspondence concerning patients under his/her care to dentists, physicians, hospitals, and other individuals and facilities as needed.

6. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients dental problems.

7. Provides minor dental office surgery such as drainage of a tooth abscess.

8. Provides office based dental care from childhood to adulthood.

Physician Assistant As a qualified specialist in Family Practice Physician Assistant, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of patients. Typical, but not all inclusive assignments include the following:

1. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Provides definitive management and full spectrum family ambulatory practice in all medical categories for cases.

2. Conducts outpatient clinics making observations appropriate to the outpatient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medications, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

3. Refers patients to appropriate contracted medical facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at the Uintah and

Ouray Service Unit.

4. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides clinical reports and correspondence concerning patients under his/her care to physicians, hospitals, and other individuals and facilities.

5. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients medical, psychological and social problems.

6. Provides prenatal care to expectant patients in the first and second trimester.

7. Provides pediatric care from newborn to adulthood and is familiar with growth, development, disease states and the unique status of pediatric patients.

8. Is active in pre-visit planning of the clinic, coordination of care and participates in clinic improvement activities.

9. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

10. Evaluates and treats approximately 12-20 patients during an 8-hour work day. Performs Peer

Review and attends assigned committee meetings.

11. Performs diagnostic and therapeutic procedures normally performed by family practice nurse practitioner such as but not limited to:

A. Performs minor surgery including but not limited to laceration repair and excision of skin lesions.

B. Performs orthopedic procedures such as joint injections, joint aspirations, aspiration outpatient family nurse practitioner.

Podiatrist

As a qualified specialist in Podiatry, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of patients in regards to diseases of the foot, ankle and lower extremity as permitted by the State license of the podiatrist. Typical, but not all inclusive assignments include the following in regards to Podiatric medicine:

1. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Provides definitive management and full spectrum podiatric ambulatory practice.

2. Conducts outpatient clinics making observations appropriate to the outpatient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medications, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

3. Refers patients to appropriate contracted medical facilities, providing pertinent clinical information for care and diagnostic procedures that cannot be adequately provided at the

Uintah and Ouray Service Unit.

4. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides podiatric clinical reports and correspondence concerning patients under his/her care to physicians, hospitals, and other individuals and facilities.

5. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients podiatric problems.

6. Provides minor podiatric office surgery such as toenail trepanations, skin biopsies, callus trimmings, wound debridement’s and foot injections.

7. Provides office based podiatric care from childhood to adulthood.

8. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

Physician Obstetrics and Gynecology (OB/GYN)

As a qualified specialist in Obstetrics and Gynecology, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of patients. This also included prenatal, postnatal, pre-op and post-operative patients. Typical, but not all inclusive assignments include the following:

1. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Provides definitive management and full spectrum

OB/GYN outpatient practice within the limitations of the clinic.

2. Conducts outpatient clinics making observations appropriate to the outpatient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medications, diet, therapy course, adherence to management plan and patient observations.

Modifies regimen as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

3. Refers patients to appropriate contracted medical facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at the

Uintah and Ouray Service Unit.

4. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides clinical reports and correspondence concerning patients under his/her care to physicians, hospitals, and other individuals and facilities.

5. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients medical, psychological and social problems.

6. Provides prenatal care to expectant patients.

7. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

8. Evaluates and treats approximately 12-20 patients during an 8-hour work day.

9. Performs diagnostic and therapeutic procedures normally performed by OB/GYN such as but not limited to:

A. Performs minor surgery including but not limited to laceration repair and excision of skin lesions.

B. Supervises other health care providers including physicians, physicians' assistants, nurse practitioners, nurses, pharmacists and medical clerks.

C. Performs OB/GYN Exams, long term contraceptive management and triages, treats and ambulatory patients and refers emergency patients as appropriate.

Physician Rheumatology

As a qualified specialist in Rheumatology, assumes responsibility for the diagnosis, prevention, therapy, maintenance and rehabilitation of patients. Typical, but not all inclusive assignments include the following:

1. Interviews and examines patients, reviews past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Provides definitive management for Rheumatologic outpatient practice within the limitations of the clinic.

2. Conducts outpatient clinics making observations appropriate to the outpatient's underlying disease and treatment plan, including current symptoms. Reviews the patient's medications, diet, therapy course, adherence to management plan and patient observations. Modifies regimen as indicated. Instructs and counsels patients and family members as required and does so in a culturally sensitive manner.

3. Refers patients to appropriate contracted medical facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at the Uintah and Ouray Service Unit.

4. Assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Provides clinical reports and correspondence concerning patients under his/her care to physicians, hospitals, and other individuals and facilities.

5. Works closely with allied health professionals (i.e., clinical nurses, social workers, health educators, etc.) to utilize and coordinate the services of other health care professionals in the management of the patients medical, psychological and social problems.

6. Provides prenatal care to expectant patients.

7. Efficiently navigates via electronic medical record for a-prescribing, documentation, and orders including referrals in compliance with Meaningful Use and ICD-10 requirements.

8. Evaluates and treats approximately 6 to 10 patients during an 8-hour work day.

9. Performs diagnostic and therapeutic procedures and diagnostics normally performed by a Rheumatologist.

Registered Nurse

Nursing services by the contractor will include: Practicing within the limits of their nursing job title professional qualification and within the standards of the State of Utah. In providing these services, the Contractor shall assume and provide guidance and quality of treatment to patients under the terms of this contract, as is provided to the general public.

The work to be performed includes, but not limited to the following:

1. Provide patient education.

2. Carry out physician orders; administer medications, oxygen, and a variety of treatments.

3. Manage therapeutic devices such as respiratory and electrocardiograph machines and other medical equipment and supplies.

4. Measure and assess vital signs, height, weight, and neurological status, visual acuity and hearing.

5. Screen patients for alcohol dependence, depression, etc.

6. Collaborate and coordinate patient care with other health care providers.

7. Assign and direct the patient care provided by ancillary nursing staff.

8. Perform quality control for capillary blood glucose monitoring checks, fridge temperature checks etc.

9. Collect or assist in collection of lab specimens where applicable.

10. Recognize life-threatening emergencies, initiate and maintain resuscitation measures and other emergency procedures as appropriate to the situation.

11. Recognize adverse reactions to medications, treatments, and procedures and initiate interventions as appropriate to the situation.

12. Answer and screen telephone calls, take off and initiate medical orders.

Licensed Practical Nurse title professional qualification and within the standards of the State of Utah. In providing these

2. Carry out physician orders; administer medications, oxygen, and a variety of treatments.

3. Manage therapeutic devices such as respiratory and electrocardiograph machines and other medical equipment and supplies.

4. Measure and assess vital signs, height, weight, and neurological status, visual acuity and hearing.

5. Screen patients for alcohol dependence, depression, etc.

6. Collaborate and coordinate patient care with other health care providers.

7. Perform quality control for capillary blood glucose monitoring checks, fridge temperature checks etc.

8. Collect or assist in collection of lab specimens where applicable.

9. Recognize life-threatening emergencies, initiate and maintain resuscitation measures and other emergency procedures as appropriate to the situation.

10. Recognize adverse reactions to medications, treatments, and procedures and initiate

11. Answer and screen telephone calls, take off and initiate medical orders.

Medical Assistant

Medical Assistant services by the contractor will include: Practicing within the limits of their job title professional qualification and within the standards of the State of Utah. In providing these

2. Carry out physician orders; administer medications, oxygen, and a variety of treatments.

3. Manage therapeutic devices such as respiratory and electrocardiograph machines and other medical equipment and supplies.

4. Measure and assess vital signs, height, weight, and neurological status, visual acuity and hearing.

5. Screen patients for alcohol dependence, depression, etc.

6. Collaborate and coordinate patient care with other health care providers.

7. Perform quality control for capillary blood glucose monitoring checks, fridge temperature checks etc.

8. Collect or assist in collection of lab specimens where applicable.

9. Recognize life-threatening emergencies, initiate and maintain resuscitation measures and other emergency procedures as appropriate to the situation.

10. Recognize adverse reactions to medications, treatments, and procedures and initiate

11. Answer and screen telephone calls, take off and initiate medical orders.

Nurse Assistant title professional qualification and within the standards of the State of Utah. In providing these

2. Manage medical equipment and supplies.

3. Measure and assess vital signs, height, weight, and neurological status, visual acuity and hearing.

4. Screen patients for alcohol dependence, depression, etc.

5. Collaborate and coordinate patient care with other health care providers.

6. Perform quality control for capillary blood glucose monitoring checks, fridge temperature checks etc.

7. Recognize life-threatening emergencies, initiate and maintain resuscitation measures and other emergency procedures as appropriate to the situation.

8. Answer and screen telephone calls.

Pharmacist

Pharmacy services by the contractor will include: Practicing within the limits of their pharmacy job title professional qualification and within the standards of the State of Utah. In providing these services, the Contractor shall assume and provide guidance and quality of treatment to patients under the terms of this contract, as is provided to the general public.

1. Screen patient charts to ensure medication orders are aligned with the chart note as well as lab work, vitals, allergies, etc.

2. Process new medication orders.

3. Fill prescription orders when needed.

4. Check filled prescription orders for accuracy.

5. Educate patients on medication therapy.

6. Provide patient education.

7. Work in a collaborative fashion with the pharmacy team and providers to ensure timely and accurate pharmaceutical services.

8. Answer provider questions regarding drug therapy and question providers when appropriate to ensure the proper medication, in the proper dose and dosage form is dispensed to the patient.

9. Recognize life-threatening emergencies, initiate and maintain resuscitation measures and other emergency procedures as appropriate to the situation.

10. Recognize adverse reactions to medications, treatments, and procedures and initiate interventions as appropriate to the situation.

11. Answer and screen telephone calls, take refill requests, and input outside prescriptions into the system.

12. Participate in the service unit Functional Improvement, Pain Reduction Committee.

13. Participate in the service unit Pharmacy and Therapeutics Committee.

14. Perform controlled substance audits as/if directed

15. Help put away order as needed.

16. Call patients for pill counts and perform those pill counts when patient presents to the pharmacy window.

Pharmacy Technician

Pharmacy technician services by the contractor will include: Practicing within the limits of their nursing job title professional qualification and within the standards of the State of Utah. In providing these services, the Contractor shall assume and provide guidance and quality of treatment to patients under the terms of this contract, as is provided to the general public.

1. Take phone calls and send refill requests to pharmacists for screening.

2. Create medication order and manage inventory.

3. Fill medication orders.

4. Help patients at window.

5. Counsel on OTC products where applicable.

6. Refill medication tackle boxes for providers.

7. Check and log fridge temperatures.

8. Clean pharmacy work areas.

9. Prepack items as needed to create better workflow.

10. Refill and clean ScriptPro Robot or other robotic equipment

11. Check SAM.gov and OIG monthly

12. Work on point of sale rejections and call insurance companies to fix rejected claims.

Dental Assistant

The work to be performed included but not limited to the following:

1. Work closely with dentist to perform dental screening exams, assist with dental procedures and instrumentation.

2. Perform sterilization procedures in regards to dental and clinic instruments

3. Provide patient education

Dental Hygienist

The work to be performed included but not limited to the following:

1. Work closely with dentist to perform dental screening exams, assist with dental procedures and instrumentation.

2. Perform sterilization procedures in regards to dental and clinic instruments

3. Provide patient education

4. Perform dental cleanings and any other procedure authorized by the dental hygienist’s State license and training.

Radiology Technician

1. Provide patient education on radiology services.

2. Carry out physician orders to take plain X-ray film images. These images are of the foot and ankle, lower extremity, abdomen, extremities, skull and facial bones as per the provider’s request.

3. Be proficient in the use of radiology equipment to send the radiographic images to an outside facility so they can be read by a radiologist.

Certified Phlebotomy Technician

1. Perform phlebotomy services to all ages of clinic patients in a clean, safe and effective manner.

Laboratory Technician

1. Perform phlebotomy services to all ages of clinic patients in a clean, safe and effective manner

2. Perform laboratory tests at the Uintah and Ouray Lab and use the available technology to enter the results into the electronic health records.

3. Maintain the proper quality controls, documentation and other clerical duties needed to run the laboratory.

4. Ensure the equipment and lab reagents are purchased and running per the appropriate government processes.

Medical Technologist

1. Perform phlebotomy services to all ages of clinic patients in a clean, safe and effective manner

2. Perform laboratory tests at the Uintah and Ouray Lab and use the available technology to enter the results into the electronic health records.

3. Maintain the proper quality controls, documentation and other clerical duties needed to run the laboratory.

4. Ensure the equipment and lab reagents are purchased and running per the appropriate government processes

Work which involves out-of-the-ordinary diagnostic decisions or treatment is discussed with Supervisor or designee who keeps aware of the condition of such patients and all aspects of treatment regimen. Work performance is reviewed for conformance to IHS policy, procedures and accepted professional practices.

Within established guidelines, contractor(s) may exercise latitude in planning and carrying out health care assignments and in undertaking new procedures, practices and approaches to extend both services provided and increase individual proficiency. Overall work performance is reviewed by the Supervisor for effectiveness in meeting requirements for healthcare services.

DELIVERABLES:

The Contractor is required to provide a copy of each Contractor’s employee profile to the Contracting

Officer Representative (or service unit representative(s)) prior to providing services at U&O.

Timesheet shall be submitted to the supervisor of the respective department to which the Contractor’s employee(s) is assigned to work or his/her designee. The timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment, then forwarded to the receiving official for further processing of receipt of services through UFMS/PRISM.

CONTRACTING OFFICER REPRESENTATIVE (COR) RESPONSIBILITIES:

The Contracting Officer will designate in writing a COR who shall be responsible for:

1. Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and recommending to the Contracting Officer, changes in requirements

2. Interpreting scope of work

3. Performing technical evaluations required

4. Performing technical inspections and acceptances required by this contract

5. Monitoring funds available for obligation under this contract

6. The resolution of technical problems encountered during performance of this contract

In no event is the COR empowered to change any of the terms and conditions of the contract. Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the

Contracting Officer by a properly exercised modification.

The designation of a COR does not authorize or provide a legal right to change any kind of contractual terms regardless of the Contractor’s apparent difficulties in fulfilling contract requirements.

CONTRACTING OFFICER (CO) RESPONSIBILITIES:

The Contracting Officer is the only person delegated the authority to negotiate changes in terms, conditions, or amounts cited in this contract.

PERFORMANCE CONDITIONS:

The COR (or service unit representative(s)) will submit schedules of required coverage a minimum of 15 calendar days prior to the first day of coverage requested.

In the event the Contractor’s employee is unable to render service on a previously agreed schedule, the

Contractor shall provide a minimum seventy-two (72) hour notification to the COR and service unit representative(s). The Contractor shall then make a full, good-faith effort to provide coverage with a replacement.

Both parties recognize that on occasion there shall be a need to fill coverage requests with less than a 15-day notice. In such an emergency scheduling situation, the Contractor shall make a full, good-faith effort to accommodate the emergency request. If the Contractor is unable to meet the emergency scheduling request, they shall immediately notify the COR and service unit representative(s).

3. Service Unit Representatives: Dwight.Humpherys@ihs.gov, Johnathan.Flitton@ihs.gov and

Shawn.Gant@ihs.gov.

POLICIES:

1. Pro-Children Act of 1994

The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-

Children Act of 1994 which imposes restrictions on smoking where federally funded children’s services are provided.