RFQ-10-16-035-REL.Pharmacy_Services.docx

RFQ-10-16-035-REL

1. PRICE SCHEDULE – PHARMACY SERVICES

The Billings Area Indian Health Service (IHS) is requesting quotes in accordance with the requirements of Request for Quotation (RFQ)-10-16-035-REL to acquire Pharmacy Services for the Fort Peck Service Unit, PHS Indian Health Center, Poplar, Montana. The procurement is conducted pursuant to the authority of Federal Acquisition Regulation (FAR) Part13, Simplified Acquisition Procedures; and FAR 37.104, Personal Services Contracts (Public Law 103-332, Department of the Interior and Related Agencies Appropriation Act, Title II, September 30, 1994, 108 Stat. 2530 as implemented by 25 U.S.C. 1638c).

The solicitation is restricted to 100% Small Business concerns. Offerors are requested to propose an allinclusive hourly rate when submitting an offer.

1. Pharmacist 880 HR $ $

The pharmacist must report for duty within 3 days after the Government notifies the Contractor.

2. PERIOD OF PERFORMANCE

Performance of this purchase order shall be from May 1, 2016, through April 30, 2017.

3. PERFORMANCE LOCATION

The contract pharmacist will be carrying out their duties at the following health care facility location:

Verne E. Gibbs Health Center, 107 H Street E, Poplar, Montana 59255, 406-768-3491

4. STATEMENT OF WORK

The purpose of this acquisition is to acquire pharmacy coverage during the absence of a staff pharmacist. The coverage will be two weeks a month or as needed. This will be determined by the Chief of Pharmacy.

WORK SCHEDULE: Monday through Friday from 8:00 a.m. to 5:00 p.m., excluding federal holidays. The contract pharmacist will work up to 40 hours per week in the pharmacy. The contract pharmacist will take a one hour lunch break, which will usually occur from 12:00 pm to 1:00 pm.

The Fort Peck Service Unit is located on the Fort Peck Indian Reservation and consists of two outpatient health centers in neighboring towns 22 miles apart; Verne E. Gibbs Health Center, 107 H Street East, Poplar, Montana and Chief Redstone Health Center, 550 6th Avenue North, Wolf Point, Montana.

The Fort Peck Service Unit has fingerprinting and security requirements the contractor must comply with prior to performing services. The contractor will be provided with necessary paperwork prior to starting work. The security packages must be completed and returned to the Pharmacy Supervisor at least one week prior to the start date to give sufficient time for processing. The Pharmacy Supervisor can be reached by calling 406-768-2171. As this is a Federal Facility, the contract pharmacist must possess and maintain a permanent, full, and unrestricted license in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

The Fort Peck Service Unit has implemented the EHR (electronic health record) system and also utilizes the Indian Health Service’s RPMS computer system. Because of electronic health record requirements, the contract pharmacist must be thoroughly familiar with the use of computers. A preference may be given to a pharmacist who has experience with the Indian Health Service’s EHR system. The EHR is a way to enter and track all patient information into a computerized database. The contract pharmacist will be provided with hands on training by the EHR Clinical Applications Coordinator (CAC) and further assistance if needed. For questions concerning the EHR system please contact our Clinical Applications Coordinator, Lana Engelke at 406-768-2149.

Government housing is sometimes available in Poplar, Montana; however, daily rates change each year depending on apartment availability. The houses are approximately one block from the Verne E. Gibbs Health Center. The closest hotels are located in Wolf Point (approx. 23 miles away from Poplar) and in Culbertson (approx. 32 miles away from Poplar). There are no hotels within walking distance of the health center. No GSA vehicle will be made available.

The contract pharmacist shall advise the pharmacy supervisor or their designated representative of any problems encountered, or which may be encountered, in connection with meeting the needs of the contract pharmacist's duties. The contract pharmacist shall maintain acceptable standards of personal hygiene and grooming. The attire worn is casual professional.

The contract pharmacist must pass a background investigation to obtain the privileges and clearances necessary to perform the services.

Major Duties include, but are not limited to the following: Entering medication orders, checking/verifying medications prior to dispensing, patient counseling, providing drug information to patient/staff, medication dose checking, allergy/adverse reaction verification, processing prescription refills, assisting in the operation of pharmacy robotics systems, records patient-provider transactions in the Electronic Health Record (EHR), as well as other duties as assigned. Displays appropriate professional conduct with patients, staff and community at all times according to the Indian Health Service Standards of Conduct. Also participates willingly in the team approach in improving processes throughout the clinic and healthcare community.

5. KNOWLEDGE REQUIRED BY THE POSITION

Bachelors of Science in Pharmacy or Doctor of Pharmacy is required. Required to possess an active unrestricted license in one of the 50 states.

The contract pharmacist must have the ability to work with people from a variety of backgrounds and different cultures. The contract pharmacist may participate in one or more committee activities or functions which assure compliance with CMS standards. Skill in oral and written communication is required.

Knowledge of the physical/chemical properties/characteristics of pharmaceutical substances; therapeutic action of drugs; and principles of chemical, biological, pharmacological, and biopharmaceutical science.

Skill in planning, monitoring, and evaluation of drug therapy in a clinical setting. Ability to manage pharmaceutical patients with exceedingly complex medical pharmacy histories, including patients on multiple drugs, managing severe side effects and extremely adverse drug reactions.

Current knowledge of diagnostic, preventative and therapeutic approached related to the chronic disease states associated with specialized pharmacy clinics is required. Skill in Pharmacokinetics, pharmacoeconomics, drug-food, drug-disease interactions to advise physicians and other health professionals on the appropriate drug therapy. Skill in researching and evaluating, complex medical pharmaceutical information.

Ability to collect, properly record and communicate relevant primary health care assessments, secure medical history, evaluate physical findings and interpret selective laboratory tests.

Skill in reviewing medication profiles and outpatient charts to identify potential adverse drug and therapy outcomes, and recommend/initiate cost effective clinical drug therapy.

Ability to monitor and manage the major chronic diseases of hypertension, diabetes, cardiovascular disease, hyperlipidemia, anticoagulation, and hyper-alimentation.

Ability to communicate with patients regarding the disease state, desired outcomes, laboratory tests, proper administration, use, actions, precautions and storage of their medications. Must be skilled to work with difficult patients to overcome communication problems, denial of life-style diseases to present drug therapy and desired outcomes at “lay” person comprehensive level. Ability to identify and develop educational activities related to patient care for all Health Professionals and health Professional Students.

Ability to follow pharmacy primary care acute and chronic care protocols recording all information in the patient’s medical record.

6. SUPERVISION

The supervisor or designee is available for consultation. Because of the contract pharmacist’s recognized technical expertise in her/his area of education and practice, the work accomplished is considered technically authoritative and almost always accepted without review. Work which involves out of the ordinary drug utilization or compliance issues is discussed with supervisor who keeps aware of the condition of such patients. Work performance is reviewed for conformance to Indian Health Service and updated policies, procedures and accepted professional practices relating to direct patient care. Technical guidance is provided by contract consultants in the special areas of medicine. The work is evaluated through the Quality Assurance Program of the Fort Peck Service Unit.

SUPERVISOR: Bradley Moran, Chief Pharmacist

ALTERNATE SUPERVISOR(s): Cole Dysinger, Staff Pharmacist; Sally Wilhelm, Staff Pharmacist, Regina Blevins, Staff Pharmacist, Brianne Hagan-Moran, Staff Pharmacist

7. GUIDELINES

Guidelines available include DHHS, PHS, Indian Health Service, Billings Area, Service Unit, and Pharmacy regulations, policies, procedures, and Governing Body by-laws.

8. COMPLEXITY

The work consists of a broad general practice of pharmacy, most similar to a retail environment. The work is often fast paced and further complicated by the fear and skepticism of patients.

9. SCOPE AND EFFECT

The work affects the health and well-being of individuals on an immediate basis; and impacts the health status of the community on a broad base.

10. PERSONAL CONTACTS

Personal contacts of the contract pharmacist are with patients, providers, other employees, representatives of other federal, state, tribal health organizations, and administrators and physicians from the private sector. These contacts are made with individuals and occasionally groups in moderately unstructured settings.

11. PURPOSE OF CONTACTS

The purpose of the contacts are to exchange information, resolve problems, educating, influencing and motivating individuals and groups to understand and accept recommended medical information, treatment, and therapies.

12. PHYSICAL DEMANDS

The work requires some physical exertion and stamina, and extensive walking, standing, sitting, bending, and similar activities. The contract pharmacist may be driving to and from accommodations.

13. WORK ENVIRONMENT

Work is performed in a clinic setting, with continual exposure to patients having a variety of illnesses and communicable diseases. Occasionally, the contract pharmacist may be subjected to adverse weather and hostile patients and/or the families. Work on a regularly assigned schedule. Winter weather may produce hazardous conditions.

14. GOVERNMENT FURNISHED PROPERTY

The IHS shall provide all medical equipment and supplies The Fort Peck Service Unit will be responsible for getting the Contractor access and clearance to all pertinent computer systems necessary to carry out his/her duties.

15. COMPUTER SECURITY

Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contract pharmacist will be required to complete a course in Computer Security Awareness Training. This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The contract pharmacist will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, “Personal Identity Verification of Federal Employees and Contractors” and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel.

Access/clearance to all pertinent computer systems, including completing the Rules of Behavior form, Security training; and if necessary, a Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Site Manager.

16. CONTRACTING OFFICER AUTHORITY

Authority to negotiate changes in terms, conditions, or amounts cited in this purchase order is reserved to the Contracting Officer.

17. CONTRACTING OFFICER’S REPRESENTATIVE (COR)

The COR for this purchase order will be Jackie Hippe, Health System Specialist, Fort Peck Service Unit. The COR shall be responsible for:

(1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes;

(2) Interpreting the Statement of Work;

(3) Technical evaluation as required;

(4) Technical inspections and acceptance; and

(5) Assisting the Contractor in the resolution of technical problems encountered.

18. INVOICE SUBMISSION AND PAYMENT

The Contractor shall submit its invoice to the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107, with a courtesy copy to:

The Contractor agrees to include the following information on each invoice:

(1) Contractor’s name and address;

(2) Contact name, title, and telephone number;

(3) Purchase Order Number;

(4) Invoice number and date;

(5) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed;

(6) Remit to Address;

(7) Taxpayer Identification Number (Employer Identification Number or Social Security Number); and

(8) Data Universal Numbering System (DUNS) number (to ensure payment is made to the correct bank account) and vendor mailing address, as provided in the System for Award Management (SAM), formerly known as the Central Contractor Registration (CCR) database.

Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107.

19. SPECIAL CONTRACT REQUIREMENTS

Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation; therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences.

20. FEDERAL TORTS CLAIMS ACT COVERAGE

The Federal Tort Claims Act coverage for medical related claims is extended to the individual providing pharmacy services. However, the services must have been performed within the scope of the personal services contract.

21. PRO-CHILDREN ACT

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.

22. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI)

A CNACI must be completed for all Indian Health Service (IHS) contract personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act, requires the IHS to conduct a criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Fort Peck Service Unit.

In addition, fingerprints must be taken as part of the pre-employment process and must be completed before the contract pharmacist is allowed to work. The fingerprints should be coordinated with the Service Unit.

23. PURCHASE ORDER TERMS AND CONDITIONS

52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these addresses:

https://www.acquisition.gov/

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

52.204-4 Printed or Copied Double-Sided on Postconsumer May 2011 Fiber Content Paper

Certifications 52.209-10 Prohibition on Contracting with Inverted Domestic Nov 2015 Corporations (Applies to contracts over $25,000)

(Other Than Commercial Items)

in Service and Construction Contracts

52.223-18 Encouraging Contractor Policies to Ban Text Messaging Aug 2011 While Driving

Vegetation

DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION

(HHSAR) (48 CFR Chapter 3) Clauses

Opportunity Investigations

Checks

24. AWARD DECISION

The Government will award a purchase order, resulting from this solicitation, to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

1. Pharmacy License = 35 POINTS. Potential contractors must submit a copy of state pharmacy license with the price quote.

2. Resume = 35 POINTS. Potential contractors must submit resume with price quote. Resumes must include information relating to: (a) Professional Education; (b) Certifications; and (c) Previous jobs.

3. Company Past Performance = 30 POINTS. The Company must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable.

Technical and past performance, when combined, are considered approximately equal to cost or price.