RFQ- MEDICAL ASSISTANTS (ASU).docx

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MEDICAL ASSISTANT NON-PERSONAL HEALTHCARE SERVICES - ALBUQUERQUE SERVICE UNIT
Solicitation number
75H70722Q00035
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This is a request for quotation (RFQ) from the Indian Health Service seeking proposals for medical assistant non-personal healthcare services at the Albuquerque Service Unit. The IHS requires one to four medical assistants to provide services including intake procedures, specimen collection, wound care, medication administration, and emergency response. The contract term is one base year with four optional one-year extensions. Pricing must be fixed for the base year and option years using the schedule of charges template included. Proposals are due by March 25, 2022 to be eligible for award. The selected contractor must comply with standard commercial items terms and conditions including System for Award Management registration and electronic invoicing through the Invoice Processing Platform.

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SECTION 1 - SERVICES AND PRICES/COSTS

1.1SERVICES
1.1.1The Indian Health Service (IHS)/Albuquerque Area Office, Albuquerque Service Unit has a requirement for four (4) Medical Assistant Non-Personal Healthcare Providers located in Albuquerque, New Mexico.
1.1.2The Government contemplates to award at least one award resulting from this solicitation.
1.2PRICE OR COST
This solicitation will result in a Firm-Fixed-Price (FFP) Task Order acquisition, which will last for one year, with four option years.
1.3GENERAL CONTRACT INFORMATION
1.3.1This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contract must maintain medical liability insurance. Coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty. The contract is required to ensure that its subcontract for provisions of health care services contain the requirement of the Clause 52.237-7, including the maintenance of medical liability insurance.
1.3.2As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes is the burden of the Contractor, this includes the New Mexico Gross Receipt Taxes (NMGRT) for services provided in any county of the State of New Mexico.
1.3.3The Contractor's price/cost for services under this contract should include all applicable taxes for Internal Revenue Service (IRS), State of New Mexico Taxation and Revenue agency and/or other revenue agencies . The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.
1.3.4FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:
"Prior to start of services specified by the contract scope of work, the Contractor must contact Warren Cheromiah, at Telephone No. (505) 256-6749, AAO, Division of Contracts and Grants, to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations."
1.4CONTRACT PRICE
1.4.1This solicitation will result in an FFP Task Order. The price for this contract is TBD.
1.4.2Upon delivery and acceptance of the item(s) specified in the DELIVERY Article in SECTION F of this contract, the Government shall pay to the Contractor resulting from the awarded contract price.
1.4.3Upon delivery and acceptance the services described in the Performance Work Statement (PWS) and identified in the schedule of charges below, the Government shall pay to the Contractor the total prices set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly:

SCHEDULE OF CHARGES

Item #
Contract Period
Description of Services
Total Amount
CLIN 1
Base Year: 05/01/22 – 06/30/23
___ Medical Assistants (1-4) x $______/hour x _______hours/year (NTE 2,080 hours) =
$__________/year
CLIN 2
First Option Year: 05/01/23 – 06/30/24
___ Medical Assistants (1-4) x $______/hour x _______hours/year (NTE 2,080 hours) =
$_________/year
CLIN 3
Second Option Year: 05/30/24 – 06/01/25
___ Medical Assistants (1-4) x $______/hour x _______hours/year (NTE 2,080 hours) =
$_________/year
CLIN 4
Third Option Year 05/01/25 – 06/01/26
___ Medical Assistants (1-4) x $______/hour x _______hours/year (NTE 2,080 hours) =
$_________/year
CLIN 5
Fourth Option Year: 05/01/26 – 06/01/27
___ Medical Assistants (1-4) x $______/hour x _______hours/year (NTE 2,080 hours) =
$_________/year
GRAND TOTAL:
$___________/year
(NTE = Not to Exceed)
1.4.4The Contractor shall be paid upon submission of an invoice and completion and acceptance (if deliverable) or verification (if service) by the Contracting Officer's Representative (COR), of the deliverables and/or services indicated below. Submit invoices in accordance with the instructions contained in FAR clause 52.232-25, Prompt Payment, and Section G.2 of this contract.
1.5OPTION PRICES
1.5.1Unless the Government exercises its option, pursuant to the option clause referenced in the Contract Clauses section, this contract consists only of the Base Period specified in this contract.
1.5.2Pursuant to either the FAR Clause 52.217-8, Option to Extend Services or the FAR Clause 52.217-9, Option to Extend the Term of the Contract, set forth in Section I, Contract Clauses, of this contract, the Government may, a unilateral contract modification, require the Contractor to perform the Option Period(s) as defined in the PWS of this contract. A notice that the Government intends to exercise any of the options will happen prior to the contract’s expiration date. Specific information regarding the timeframe for this notice is set forth in the OPTION PROVISION of this order. When exercising an option period, the fixed price rate of this contract is set forth below.
1.5.3Upon the delivery and acceptance of the Option Services described in the Performance Work Statement of the contract and identified in the schedule of charges below, the Government shall pay the Contractor the rate(s) set forth below and will be paid from the following Contract Line Item Numbers (CLINs) accordingly;
1.5.4If the Government exercises its option pursuant to the OPTION PROVISION of this contract, the Government's total estimated contract amount, represented by the sum of the price of base plus option periods and the period of performance will be TBD.
1.5.5Note: Unit price shall be an all-inclusive rate of all other fees including travel expenses, per diem, lodging all cities, state, federal, local taxes and miscellaneous cost associated with the above services.
1.5.6A lunch break of thirty minutes (30) permitted (as non-paid) under the contract; the contractor cannot invoice time as worked if its’ employee chooses not to take a lunch break. The Contractor also cannot invoice travel times to/from the facility site as time worked.

SECTION 2 – DEFINITIONS:

2.1Acceptance: As stated in FAR, subpart 46.5, Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements and subject to other terms and conditions of the contract.
2.2Approval: Acknowledgment by the designated Government official that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.
2.3Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.
2.4Blanket Purchase Agreement (BPA): is a simplified method of filling anticipated repetitive needs for supplies or services.
2.5Business Associate (BA): Any company or person that shown to, handles, or works with the data or medical records of the medical entity.
2.6Business Associate Agreement (BAA): A BAA is a contract between a HIPAA-covered entity and a HIPAA BA. The contract protects personal health information (PHI) in accordance with HIPAA guidelines.
2.7Code of Ethics: - The American Association of Medical Assistants (AAMA) Code of Ethics for Medical Assistants, published 1999, establishes sets forth principles of ethical and moral conduct as they relate to the medical profession and the particular practice of medical assisting.
2.8Contract: This is a legal binding document between the Government and the Contractor.
2.9Contractor: The individual award a legal binding contract to provide supplies and services.
2.10Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.
2.11Contracting Officer's Representative (COR): A federal employee who assists the CO in the administration of this contract. The COR is primarily responsible for the technical assistance and day-to-day program management.
2.12Customer: Patients, staff and visitors of an IHS service unit and health center.
2.13Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor's performance.
2.14Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.
2.15Health Clinics/Center: A facility physically separated from a hospital, with a full range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray, which are available at least 40 hours a week for outpatient care.
2.16Indefinite Delivery/Indefinite Quantity: No set delivery time and not set quantity amount (used for recurring purchases with no set delivery time or quantity).
2.17Non-Personal Services: A contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.401
2.18Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.
2.19Orientation: An activity designed to provide basic familiarization of the facility and transition into the IHS Service Unit and/or Health Center.
2.20Past Performance Information: Relevant information regarding a contractor's actions under previously awarded contracts.
2.21Patient Outcome: End result of nursing care.
2.22Performance Based Matrix: Lists the services and the standards to be applied.
2.23Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.
2.24Point of Contact: Person other than the COR or the Alternate COR
2.25Quality Assurance Surveillance Plan (QASP): A written document prepared and used by the government for Quality Assurance surveillance of the contractor's performance.
2.26Service Unit: The local administrative unit of IHS.
2.27Standards of Practice and Standards of Care: Authoritative statements by which it describes the responsibilities for which its practitioners are accountable.
2.28Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items; shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.
2.29Task Order: An order issued in accordance with the terms of a contract (GSA or VA, etc.) that details any specific requirements.
2.30Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.
2.31Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

SECTION 3 – GOVERNMENT-FURNISHED PROPERTY AND SERVICES:

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor.

SECTION 4 - CONTRACTOR FURNISHED ITEMS

4.1 Except for the property specified in Section G, Contractor will all other items as required to carry out the services.

SECTION 5 - PERFORMANCE WORK STATEMENT

5.1Medical Assistant
The contractor will provide Medical Assistant Services for the Albuquerque Service Unit. For the following:
5.1.1Provides comprehensive, skilled, competent care specific to the age of the patients (neonate, infant, school age, adolescent, adult, and geriatric) based on knowledge, skills, scope of practice and the provider’s plan of care.
5.1.2Assists providers with COVID-related duties such as patient screening, testing and vaccinating
5.1.3Participates in pre-visit planning for scheduled patients. Communicates the patient needs and recommended treatment to the patient’s healthcare team.
5.1.4Performs intake procedures by obtaining chief complaint/purpose of visit; vital signs - temperature, pulse, respirations, blood pressure, oxygen saturation, height, weight, and pain assessment. Also performs hearing and vision screen when applicable.

5.1.5 Operates specialized equipment: EKGs, fetal monitors, pulse oximeters, respiratory equipment, digital and manual scales, thermometers, manual and electronic blood pressure cuffs, etc.).

5.1.6 Incorporates and applies protocols in health promotion for well populations, as well as treatment interventions for chronic conditions.

5.1.7 Administers therapeutic measures in collaboration with the medical plan of care and within scope of practice; informs the patient of prescribed procedures, prepares the patient, assists during procedures as needed.

5.1.8 Administers a pre-defined and pre-approved list of medications via intramuscular, intradermal, subcutaneous and/or oral/nasal route as ordered by medical staff or according to standing orders.

5.1.9 Applies various orthopedic soft goods and splints necessary for the treatment of various orthopedic injuries.

5.1.10 Assists health providers in examination of patients by explaining procedures; positioning the patient; assembling, arranging, and draping instruments; and gathering supplies.

5.1.11 Assists provider by collecting needed specimens (urine, stool, wound, sputum, occult blood, nose, throat, etc.), accurately labeling specimens, and preparing requisition; enters lab into the Electronic Health Record (EHR); explains to the patient the correct collection method for various specimens.

5.1.12 Recognize urgent, emergent patient and clinical situations; promptly reporting subtle changes in the patient’s condition including reported critical lab values to License Practical Nurse, Clinical Nurse, Nurse Practitioner, Medical Officer and/or Physician Assistant. Responsible for providing communication (report) to the responsible accepting License Practical Nurse, Clinical Nurse.

5.1.13 Initiates emergency measures/cardiopulmonary resuscitation; appropriate to skill level, assist with retrieving emergency medical equipment.

5.1.14 Reinforces patient teaching given by the professional nurse, licensed practical nurse and medical staff in a collaborative effort to help patient’s achieve self-management health goals, negotiating a brief action plan regarding diet, exercise, taking medication, or other domains of the patient’s life.

5.1.15 Participates and integrates standard regulatory requirements but not limited to quality/infection control, laboratory standards, safety in the clinical setting. Shares in the responsibility toward achievement of objectives.

5.1.16 Performs less complex dressing and treatments without assistance. Assist with cleaning, irrigating, and dressing complex wounds; documents and informs clinical nurse of non-healing wounds. Performs skin care measures.

5.1.17 Performs phlebotomy within the Health Technician scope of practice.

5.1.18 Performs blood glucose testing and records results using a glucometer. Performs other point of care tests as indicated by laboratory policy. Complies with laboratory requirements for glucometer accuracy and record keeping. Reports abnormal, out of range results to the Clinical Nurse, Nurse Practitioner, Medical Officer and/or Physician Assistant.

5.1.19 Participates in performance improvement activities.

5.1.20 Participates in meetings and all in-services.

5.1.21 Collaborates with other healthcare members.

5.1.22 Answers phone calls, including scheduling patient appointments, cancelling and/or reminding patients of appointment time.

5.1.23 On occasion, check-in and check-out patients by asking for patient registration information and verifying 3rd party insurance.

5.1.24 Maintain National or State certification.

5.1.25 Current Basic Life Support (BLS) required.

5.2Work Schedule
5.2.1Work Shift: To be defined by Service Unit, according to necessity. Typically, this will be determined by the hours of the clinic that the Medical Assistant is working at.
5.2.3Scheduling of Shifts: The COR or POC at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours.
5.2.4Work Flexibility: - As directed by the COR, the Contractor's employee must rotate into other duty sections as needed to support patient care.
5.2.5Work Absence: The Contractor will perform and obtain approval of the COR and Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.
5.2.6The Contractor must perform and maintain documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:
5.2.6.1The cause of the current illness or incapacitation AND
5.2.6.2Indicating the Contractor as contagious or non-contagious.
5.2.6.3The Government reserves the right to examine and or re-examine any Contractor who meets the criteria.
5.3Performance Evaluation: The Contractor's performance will be evaluated in accordance with the standards set forth in the contract and Performance Work Statement Matrix (Section 6).
5.3.1The Contractor will be responsible for making sure patients’ needs are being handled in a timely manner.
5.3.2The Contractor will be responsible that standard Medical Assistant practices are being met during routine care as well as during emergencies.
5.3.3The Contractor will be responsible to make sure Heart Association BLS requirements are being met as required.
5.3.4The Contractor will be responsible for making sure all charting updates are submitted as required if necessary.
5.4The contractor will perform work with multicultural patients and interpreters as necessary for non-English speaking patients.
5.5Conduct: The Contractor must perform standards as listed in the Federal Code of Conduct.
5.6Conditions of Contract Services: – All MAs’ providing service under this contract must attend mandatory orientations specified by the IHS.
5.6.1The contractor must be subject to character investigation as required by Public Law 101-360, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system and this shall include all fingerprinting procedures and clearances. The contractor must provide all requested information necessary to perform Level I and Level II background checks. The contractor must comply with the requirement to obtain security investigations. The contractor must work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. The contractor will review all completed forms and forward onto the Government personnel. The contractor will be immediately removed from the position (at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known.
5.6.2Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 day’s PIV cards are issued at the Service Unit.
5.6.3Management of Medical Information: The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols. The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.
5.6.4IHS Information Technology Systems: In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems such as Electronic Health Records (EHR) or RPMS, which the IHS has deemed necessary for acceptable contractor performance. The IT policies and procedures are available to the Contractor at the Service Unit and the Contractor will adhere to the IHS Information Technology System Security Policies and procedures. The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.
5.7.CONTRACTOR QUALIFICATION REQUIREMENTS:
5.7.1Professional Development: Required Degree or Diploma from a professional registered Medical Assistant program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.
5.7.2Graduate: The contractor must have a registered license and be a graduate of an accredited school of Medical Assistants with the required degree.
5.7.3License/Registration: All Medical Assistants must possess a current, valid, unrestricted Medical Assistant license in a state, the District of Columbia, the Commonwealth of Puerto Rico, or a Territory of the United States, throughout the term of this contract if required.
5.7.4Experience: The Contractor must have the required amount of experience in the specialty required by the contract, unless otherwise approved by the Contracting Officer. The Contractor must have a resume that provides experience that equips the applicant with the particular knowledge, skills and abilities to perform successfully the duties of the position, and that is typically in or related to the work of the position to be filled.
5.7.5Motor Vehicle Operator's License: Contractors will not operate any Government-Owned vehicles. If required, they allowed only as passengers in the Government-Owned Vehicle driven by a Federal employee.
5.7.6Certifications: - Current Basic Life Support (BLS) and any other certification required by the Service Unit and/or specific clinic and is preferred for each appropriate duty section at the time of employment and throughout as applicable.
5.7.7Health Requirements of Contracted Healthcare Providers: Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine is not required to receive that vaccine with documented proof of contraindication to the vaccination. The following are additional requirements for specific vaccine preventable diseases.
•Measles:
-Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart,
-Laboratory evidence of immunity,
-Laboratory confirmation of disease, or
-Birth before 1957.
•Mumps:
-Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart,
-Laboratory evidence of immunity,
-Laboratory confirmation of disease, or
-Birth before 1957.
•Rubella:
-Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart,
-Laboratory evidence of immunity,
-Laboratory confirmation of disease, or
-Birth before 1957
•Hepatitis B:
-Vaccinations with three doses of Hepatitis B vaccines, or
-signed declination of Hepatitis B vaccination series.
•Varicella:
-Vaccinations with two doses of varicella at least 4 weeks apart,
-laboratory evidence of immunity or confirmation of disease,
-diagnosis or verification of history of varicella disease by a health care provider, or
-diagnosis or verification of a history of herpes zoster by a health care provider.
•Influenza:
-Vaccination with one dose of current annual influenza season vaccine.
-Documented proof of the contraindication to the influenza vaccination as outlined by Advisory Committee on Immunization Practices recommendations, or
-Written statement justifying religious exemption from influenza vaccination.
Note: unvaccinated contract staff with an approved medical or religious exemption must wear an IHS-provided surgical or similar mask when working in patient care areas or other areas frequented by patients in an IHS facility during the influenza season.
•Pertussis
-Vaccination with one dose of Tdap vaccine.
•Any additional immunization in accordance with IHS Immunization Policy that is available upon request.
The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:
-Provide chest x-ray report of “No active TB disease” following positive TB test.
-Annual sign and symptoms screen:
•If negative sign and symptom screen, follow up chest x-ray not indicated.
•If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.
For credentialed provider contract staff they must have documentation from the provider’s physician or chief of staff that confirms they do not have any health problems (including disability, emotional stability, drug, or alcohol dependency) that might impair his/her ability to care for patient at time of application.
5.7.8Criminal History Background Check:
Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. The minimum standards of character shall ensure that none of the individuals described in this order have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statue and will be evaluated the same under any Child Care “CNACI” investigation with IHS. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor‘s employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required, and upon clearance of this stage, a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detailed background application and the application is to be completed within 30 days once the contractor’s employee has been given physical and logical access. All Contractors’ employees are subject to criminal background check prior to performing services in accordance with Task Order terms and conditions. The contractor shall ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. See HHSAR Clauses 352.237-72 and 352.237-73
5.7.9Required Training: Protecting Children from Sexual Abuse as stated in IHM Circular 19-05: Contracting Training Plan for Implementation of Indian Health Manual Part 3, Chapter 20, Protecting Child from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 days from their start date at the service unit. Certificate should be provided to the COR.
5.7.10Subpoenas/Testimonies: Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.
5.8Challenges to Conflicts:
5.8.1First Priority:Contractor's Agency
5.8.2Second Priority:COR
5.8.3Third Priority:CO
5.9When the Contractor demonstrates impaired judgement, they cannot continue working on the Task Order No. 75H70721F80069. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.
6.1APPLICABLE DOCUMENTS
6.1.1Please see the web link listed below:
6.1.2List of Attachments:
6.1.3Exhibits:

Albuquerque Service Unit Solicitation No. 75H70722Q00035 Page 2 of 34

SECTION 6 0 QUALITY ASSURANCE SURVEILLANCE PLAN

Performance-Based Task
Indicator
Standard
Quality Assurance
Incentives
1. Manage patient needs for the Urgent Care and Outpatients Units.
All patients’ needs are being meet during each visit.
Outstanding – 100% of patient needs are being meet per visit.

Acceptable – 80 to 99% of patient needs are being meet per visit.

Satisfactory – 65 to 80% of patient needs are being meet per visit.

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.
Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

2. Provide Standard RN duties such as routine patient and emergency care.
Standard nursing duties are be used.
Outstanding – 100% of standard nurse duties are being meet per visit.

Acceptable – 80 to 99% of standard nurse duties are being meet per visit.

Satisfactory – 65 to 80% of standard nurse duties are being meet per visit.

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.
Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

3. Maintain the American Heart Association BLS certification.
Certifications are current.
Outstanding – 100% of certifications have been update as required.

Acceptable – 80 to 99% of certifications have been update as required.

Satisfactory – 65 to 80% of certifications have been update as required.

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.
Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

4. Complete all required documentation in the EHR.
All patients record are routinely update per visit.
Outstanding – 100% of all charting completed per visit.

Acceptable – 80 to 99% of all charting completed within 3 days after patient visits.

Satisfactory – 65 to 80% of all charting completed within 5 days after patient visits.

Monitored on a periodic basis when services occur. Final determination will happen when job is completed.
Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

SECTION 7 - PACKAGING AND MARKING

7.1PACKAGING
All deliverables shall be preserved, packaged, and packed in accordance with normal commercial practices to meet the packing requirements of the carrier including which is necessary to prevent deterioration and damages due to the hazards of shipping, handling, and storing.

SECTION 8 - INSPECTION AND ACCEPTANCE

8.1INSPECTION AND ACCEPTANCE: All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor's performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables and services called for by the contract.
8.2FEDERAL ACQUISITION REGULATION {48 CFR CHAPTER 1) CLAUSES
FAR Clause No.
Title
Date
52.246-4
Inspection of Services – Fixed Priced
(Aug 1996)

SECTION 9 - DELIVERIES OR PERFORMANCE

9.1PERIOD OF PERFORMANCE: The period of performance is a base year of 12 months with four option years if extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend the Term of the Contract (Oct 2014); upon written notification by the Contracting Officer within 30 days of contract expiration.
9.1.1Services under this contract shall commence NLT 10 days after all clearances occur.
Base: 05/01/2022 – 04/30/2023
9.1.2Performance must be for the period of 05/01/2022 to 04/30/2023 unless the period changed by written modification to the purchase order in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.
9.1.3Total contract award must not exceed five years. Based option year renewals on satisfactory services provided availability of funds for the appropriate fiscal year, and existing requirements.
9.2PLACE OF PERFORMANCE: The contractor must provide Medical Assistant non-personal healthcare services to the following Albuquerque Area Indian Health Service Facility:

Albuquerque Indian Health Center 801 Vassar Drive NE Albuquerque, NM 87106

Santa Ana Health Center Santa Ana Pueblo O2-C Dove Road Bernalillo, NM 87004

Zia Health Clinic 155 Capitol Square Drive Zia Pueblo, NM 87053

9.3Travel to and from the facility/office site are not included in the tour of duty. - The hours of business and clinic operation are Monday through Friday, from 8:00 AM to 4:30 PM, for outpatient clinics, and 8:00 AM to 8:00 PM, for Urgent Care clinics, or as specified by the individual locations. The actual hours scheduled in advance will typically come through the designated COR.
9.3GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)
New Year's DayMartin Luther King's Birthday
President's DayMemorial Day
Independence DayLabor Day
Columbus DayVeteran's Day
Thanksgiving DayChristmas Day
*Any other day specifically declared by the President of the United States to be a national holiday (see www .opm.gov/fedhol).

SECTION 10 - CONTRACT ADMINISTRATION

10.1AUTHORITIES OF GOVERNMENT PERSONNEL: Notwithstanding the Contractor's responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government's points of contact during the performance of this Contract.
10.2CONTRACTING OFFICER
The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this Contract is:
Shandiin DeWolfe, (CO)
Indian Health Service/Division of Contracts & Grants Management (DCGM)
4101 Indian School Road NE, Suite 225
Albuquerque, NM 87110
Phone: 505-256-6755
Email: Shandiin.DeWolfe@ihs.gov
Send all communications pertaining to contractual and/or administrative matters to the address above and to the Contract Specialist administering this Contract.
10.3CONTRACT ADMINISTRATOR
·All Contract administration performed by:
Shandiin R. DeWolfe, Contract Specialist (CS)
Indian Health Service/Division of Contracts & Grants Management (DCGM)
4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110
Phone: 505-256-6755
Email: Shandiin.DeWolfe@ihs.gov
10.4CONTRACTING OFFICER'S REPRESENTATIVE (COR)
10.4.1Harriet Yepa-Waquie, is hereby designated as COR for this service. The COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.
10.4.2The COR’s responsibilities will include ensuring contractor accountability. Monitoring the Contractor’s technical progress including the surveillance and assessment of performance and recommending to the CO changes in requirements. Interpreting the PWS. Performing technical evaluations as required. Perform technical inspection and acceptance as required. Assisting the Contractor in the resolution of technical problems encountered during performance. Perform receiving and processing invoices for payment.
10.5TECHNICAL MONITORING
(a)Performance of work under this contract must be subject to the technical direction of the COR identified above, or an Alternate COR designated in writing. The term "technical direction" includes, without limitation, direction to the Contractor that directs or redirects the labor effort. Shifts the work between work areas or locations, fills in details and otherwise serves to ensure that task areas outlined in the PWS accomplished satisfactorily.
(b)Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that
(1)Constitutes a change of assignment or additional work outside the specification(s)/ statement of work;
(2)Constitutes a change as defined in the clause entitled "Changes;"
(3)In any manner causes an increase or decrease in the contract price, or the time required for contract performance;
(4)Changes any of the terms, conditions, or specification(s)/work statement of the contract;
(5)Interferes with the Contractor's right to perform under the terms and conditions of the contract; or
(6)Directs, supervises or otherwise controls the actions of the Contractor's employees.
(c)Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five workdays, with a copy to the Contracting Officer.
(d)The Contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the Contractor, any direction of the COR, or his designee, falls within the limitations in (b), above, the Contractor shall immediately notify the CO no later than the beginning of the next Government work day.
(e)Failure of the Contractor and the CO to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes."
10.6INVOICE SUBMISSION
10.6.1The Contractor shall submit invoices once per month or as agreed upon. Electronically sent via e-mail complete invoice with all required documentation to:
10.6.1.1Contracting Officer's Representative (COR): Harriet Yepa-Waquie
10.6.1.2Albuquerque IHS Finance Office, ALB_AOAPTechs@ihs.gov
* Please do not sent to the CS or Finance Office any other invoice related documents such as deliverables, reports or balance statements). Failure to submit required documents directly to the offices listed above will delay prompt payment of your invoice.
10.6.2For invoices submitted by email, the subject line of your email invoice submission shall contain the Contractor's name, DUNS and TIN numbers, contract number, and invoice. The Contractor shall send one email per contract monthly. The email may have multiple invoices for the contract. Invoices accepted in one of these formats: PDF, TIFF, or Word only (no Excel formats). The electronic file cannot contain multiple invoices; example, 10 invoices requires 10 separate files (PDF, TIFF, or Word).
10.6.3Additionally, the Contractor is required to include its Data Universal Numbering System (DUNS) number on each invoice. For additional information about the Dun & Bradstreet (D&B) DUNS number, please visit http://fedgov.dnb.com/webform.
10.6.4Submit invoices in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.
10.6.5All information set forth in FAR Clause 52.212-4(g), Invoice, must be included in all invoices for it to constitute a proper invoice.
FAR 52.212-4(g) Invoice.
(1)The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—
(i)Name and address of the Contractor;
(ii)Invoice date and number;
(iii)Contract number, line item number and, if applicable, the order number;
(iv)Description, quantity, unit of measure, unit price and extended price of the items delivered;
(v)Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;
(vi)Terms of any discount for prompt payment offered;
(vii)Name and address of official to whom payment is to be sent;
(viii)Name, title, and phone number of person to notify in event of defective invoice; and
(ix)Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.
(x)Electronic funds transfer (EFT) banking information.
(A)The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.
(B)If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.
(C)EFT banking information is not required if the Government waived the requirement to pay by EFT.
(2)Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.
10.6.6In accordance with OMB Memorandum, M-11-32; Agencies shall make payments to small businesses as soon as practicable, with the goal of making payments within 15 days of receipt of a proper invoice. For a small business contractor not paid within this (15 day) accelerated period, the contractor will not be given a late-payment interest penalty. Interest penalties, as prescribed by the Prompt Payment Act, remain unchanged by means of this memorandum. All small businesses shall label all invoices as "Small Business."
10.6.7Additionally, in accordance with OMB Memorandum, M-12-16, fill prime contractors are encouraged to disburse funds received from the Federal Government to their small business subcontractors in a prompt manner. To assist prime contractors in expediting contractor payments to small business subcontractors, Agencies shall, to the full extent permitted by law, temporarily establish an earlier, accelerated date for making agency payments to all prime contractors. Consistent with OMS Memorandum M-11-32 above, Agencies shall have a goal of paying all prime contractors within 15 days of receiving proper documentation. In an effort to support small business growth, drive economic activity and job creation, the Contractor is encouraged to accelerate payments to their small business subcontractors.
10.6.8In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this contract will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer - Central Contractor Registration.
10.6.9Failure to submit directly to the offices listed above will delay prompt payment of your invoice.
10.7GOVERNMENT FURNISHED PROPERTY
10.7.1The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract. This property used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property (found in Section ##).
Item No
Property Description
Property Value
Qty.
Location
Date Available
1
Computer

Upon Arrival

2
Telephone

Upon Arrival

3
Desk/Chair

Upon Arrival

4
PIV Card

Upon Arrival

10.8Government Furnished Information / Property and Services
10.8.1Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor. The COR will be the point of contact for identification of any required information to be supplied by the Government.
10.8.2Joint Use by the Government and the Contractor: Except for the property and service listed in 10.7.1, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.
10.8.3Contractor Exclusive Use:
10.8.3.1Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.
10.8.3.2The Government will provide facility specific contractor identification badges for each contractor. For lost or destroyed badges, there is a minimum charge of $20.00.
10.8.3.3Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures. Training provided ONLY if the subject matter is necessary to improve or enhance the quality of services or includes mandates made by the IHS Service Units/Health Centers while the providers are working under this contract. Training not provided for the purpose of continuing education, career development or individual development.
10.9Contractor-Furnished Property
10.9.1Except for the property specified in paragraph 10.9.3 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:
10.9.2Uniforms and Lab Coats: Uniforms and Lab Coats must conform to the requirements of the Indian Health Service Manual, Part 3, and Chapter 4 and meet the approval of the Chief Nurse Executive at each IHS facility.
10.9.3Other personal medical instruments: "Other personal medical instruments" defined, as Contractor owned items include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor must not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

SECTION 11 - SPECIAL CONTRACT REQUIREMENTS

11.1CONTRACTOR PERFORMANCE EVALUATION REPORT
11.1.1During the life of this contract, the contractor's performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. Evaluation will become part of the contract file and will be used as past performance information in evaluating the Contractor's, and any significant subcontractors or affiliates, past performance on future contracts.
11.1.2Contractor Performance Assessment Report System (CPARS) is an on-line reporting system https://www.cpars.gov/. The Contractor Performance Report is completed by the COR electronically and sent to the Contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report. After review by the Contracting Officer, the report becomes a permanent record of the Contractor's past performance.
11.2SECURITY
a.To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The Government has determined the position sensitivity under this effort to be Level 1.
b.To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:
(i)HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/
(ii)HHS Office of Security and Drug Testing, personnel Security/Suitability Handbook, http://www.hhs.gov/ocio/policy/hhs-ocio-2011-0003.html
(iii)Reserved
(iv)HHS HSPD-12 Implementation Policy (draft)

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