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SECTION B - CONTINUATION B L O C K

B. l PRICE SCHEDULE

This procurement is conducted pui'suant to the authority of Federal Acquisition (FAR) Pait 13, Simplified Acquisition Procedures 41 U.S.C. 3304(a)(2), Personal Services Contracts (Public Law 103-332), Department of the Interior and Related Agencies Appropriation Act, Title I I , September 30, 1994,108 Stat. 2530 as unplanted by 25 U.S.C. 1638c).

Item Description Quantity Unit of Issue Unit Price Total Price

1. Nurse Informaticist 100 Days (all inclusive pricing)

B.2 Period Of Performance The performance of this purchase order shall be from date of award thi-ough September 30, 2017.

B.3 Work Schedule 2 weeks/ month (December 2016 through September 2017) 8 hours per day, Monday through Friday, from 8:00 A M to 5:00 PM.

B.4 Statement of Work The purpose of this acquisition is to contract for an Medical Home Model/ Informaticist services for the Blackfeet Service Unit, 760 Hospital Circle, Browmng, MT. 59417.

1. The sei-vices provided by the contractor shall be as comprehensive as the Indian Health Service supplied facilities, equipment and support services permit. The contactor shall provide the necessary skills, experience and competence to provide Medical Home Model/Clinical/ Informaticist services to the Blackfeet Service Unit.

2. Provides expert guidance and consultation to the Blackfeet Service Unit staff in the areas of open access/advanced access model, medical home model, case management and integration of system of care for the purpose of increasing access to care, continuity of care and decreasing waits and delays and chronic care management of patients to improve clinical outcomes and patient self-responsibility. Provides expert consultation/ guidance/ support to Care Teams such as development and implementation of team profile, roles and responsibilities skill competencies, and performance measures to successfully manage a populations health. Provides expert guidance in the education and application of performance measures that define and measure patient cycle time, patient empanelment, continuity of care, third next available appointment, supply and demand, customer satisfaction and other system measure that improve care system performance.

Provides expert guidance in the extraction of data from the IHS RPMS system that meets open access and medical home model requirements to measure system and clinical performance/outcomes.

For example, use database or spreadsheet software to enter, revise, sort or calculate and retrieve data for standard reports. May be requhed to transmit and receive documents and messages electronically using computers or workstations through a central processing unit. Responsible for proper spelling, grammar, foimat and arrangement of material.

Position does not require knowledge of specialized terminology.

Section B

B.5 KNOWLEDGE REQUIRED BY THE POSITION

1. Knowledge of coirespondence, grammar, syllabication, spelling, etc.

2. Must have skill in operating an Computer terminal, using keyboard with additional keys, to produce work accurately and efficiently. Also skill in operating related equipment, such as printers or modems, i f required

3. Must have a level of knowledge of software needed to produce a wide range of documents requiring use of advanced software functions to enhance productivity or meet needs of complex formats.

B.6 SUPERVISORY CONTROLS

The employee performs daily assignments with close supervision. Completed work is checked frequently for conformity.

Duties are performed largely on employee's own initiatives and resourcefulness.

Supervisor is available for guidance in resolving unusual problems or interpretation of policy and regulations. Work is judged by promptness and results obtained..

In addition to regular workload, the supervisor will designate new or one-time assignments accompanied by recommended work methods or source materials. Confers with supervisor for clarification of new assignments.

B.7 GUIDELINES

Department of Health and Human Services, software and personal computer guidelines are available for the incumbent to utilize. The Contractor will use agency regulations £ind directives.

Regulations regarding procedures and formats are directly applicable.

B.8 C O M P L E X I T Y

While there are a large number of various duties to be performed and steps to be followed, the tasks are standardized and of a recurring nature.

B.9 SCOPE AND E F F E C T

The work performed is essential, and frequently instrumental, in keeping the immediate Service Unit and Departments, IHS support counterparts and other outside the immediate unit regularly provided with current and necessary information, ensuring that actions are updated and completed.

B.IO PERSONAL CONTACTS

Personal contacts are with employees in various organizational elements of the activity, employee's at higher headquarters performing similar services, employees at supporting installations.

B . l l PURPOSE OF CONTRACTS

The purpose of conti-act are made to secure supporting documentation or relay / verify information regarding the existence of an discrepancies; obtain information to process actions and / or information from other sources with reference to unusual problems.

B.12 PHYSICAL DEMANDS

Sedentary work; occasional lifting, physical demands.

B 13 WORK ENVIRONMENT

Work is performed in an office setting, warehouse duties which involves minimal risks.

B.14 GOVERNMENT FURNISHED P R O P E R T Y

The IHS shall provide the Contractor with the following:

1. Office space including a computer, supplies and telephone;

2. When authorized, travel, costs and any other transportation expenses, in accordance with the

Federal Travel Regulations (41 C.F.R. Chapter 300 through 304); and

3. I f necessary, authority to use a General Services Administration (GSA) vehicle, for official purpose only. The Contractor will be required to provide evidence of motor vehicle liability insurance covering bodily injury and property damage to protect the Contractor and the Government against third party claims arising from the operation off all GSA vehicle used In cormection with the contract. The Contractor shall provide coverage of at least $200,000 per Person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property Damage. The Contractor shall comply with the requirements of FAR subpart 51.2, 41 CFRlOl-39, CFR 102-34, and the operator's packet furnished with each vehicle.

B.15 COMPUTER S E C U R I T Y

Pursuant to the Federal information Security Management Act of 2002 (FISMA), the contractor wil l be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer extems. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identification of Federal Employees and Contractors" and the associated Office Management and Budget (0MB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel.

B.16 REPORTING REQUIREMENTS

Tiie Contractor siiall provide the Contracting OlTicer with evidence that payment of employment tax has been made 15 days at the end of the contract term.

B.17 CONTRACTING O F F I C E R AUTHORITY

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

B.18 P R O J E C T O F F I C E R The Project Officer 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 ad required;

4. Technical inspections and acceptance; and

5. Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

B.19 INVOICE SUBMISSION AND PAYMENT

The contractor shall submit its invoice to the Supervisor/Project Officer.

Name: Margaret Yellowkidney Title: OPD Supervisor Address: Blackfeet Service Unit

P.O. Box 760 Browning, Montana 59417

Telephone: (406) 338-6295

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

1. Contractor name, address;

2. Purchase Order Number;

3. Invoice number and date;

4. Cost or Price;

5. Dates of Service and number of hours worked; and

6. Remit to address.

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

B.20 PRO-CHILD A C T OF 1994

The Conti-actor certifies that it will comply with the provision of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children's services are provided.

B.21 C H I L D C A R E NATIONAL A G E N C Y C H E C K AND INVESTIGATION (CNACI)

A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, required the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigation wil l be conducted by the Billings Area IHS Human Resources Office. Moreover, fingerprint checks must occur as part of the pre-employment process and must be completed before the contract providers are allowed to work.

The fingerprint checks will be conducted by the Billings Area Office, Human Resources for any personal services at the Billings Area Office. Personal Service for IHS Facilities should be coordinated with the Service Unit. Please contact the Administrative Officer at the Service Unit to complete the process.

B.22 PURCHASE O R D E R 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 i f 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:

http://www.amet. gov/

FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES

52.204-7 System for Award Management (JUL 2013) 52.204-9 Personal Identity Verification of Contractor Personnel (JAN 2011) 52.213-4 Terms and Conditions - Simplified Acquisitions (Other Than Commercial Items)

(OCT 2015)

52.217-6 Option for Increased Quantity (MAR 1989) 52.217-8 Option to Extend Services (NOV 1999) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.222- 50 Combating Trafficking in Persons (MAR 2015) 52.223- 5 Pollution Prevention and Right-to-Know Information (MAY 2011) 52.223- 6 Drug-Free Workplace (MAY 2001) 52.224- 1 Privacy Act Notification (APR 1984) 52.224- 2 Privacy Act (APR 1984) 52.225- 13 Restrictions on Certain Foreign Purchases (JUN 2008) 52.227-17 Rights in Data—Special Works (DEC 2007) 52.229-3 Federal, State, and Local Taxes (FEB 2013) 52.232-1 Payments (APR 1984) 52.232-3 Payments under Personal Services Contracts (APR 1984) 52.232-8 Discounts for Prompt Payment (FEB 2002) 52.232-11 Extras (APR 1984) 52.232-18 Availability of Funds (APR 1984) 52.232-25 Prompt Payment (JUL 2013) 52.232- 33 Payment by Electronic Funds Transfer - System of award management (JUL

2013) 52.233- 1 Disputes (MAY 2014) Alternate I (DEC 1991) 52.233-3 Protest after Award (AUG 1996) 52.233-4 Applicable Law for Breach of Contract Claim (OCT 2004) 52.237-2 Protection o f Government Buildings, Equipment and Vegetation (APR 1984) 52.237-3 Continuity of Service (JAN 1991) 52.242-15 Stop-Work Order (AUG 1989) 52.242- 17 Government Delay of Work (APR 1984) 52.243- 1 Changes - Fixed-Price (AUG 1987) Alternate I (APR 1984) 52.244- 6 Subcontracts for Commercial Items (OCT 2015) 52.245- 1 Government Property (APR 2012) 52.246- 4 hispection of Services - Fixed-Price (AUG 1996) 52.249-4 Termination for Convenience of the Government (Services)

(Short Form) (APR 1984) 52.249-8 Default (Fixed-Price Supply and Service) (APR 1984) 52.249-12 Termination (Personal Service) (APR 1984)

DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION

(HHSAR)(48 CFR CHAPTER 3) CLAUSES

352.202-1 Definitions (JAN 2006) 352.223- 70 Safety and Health (JAN 2006) 352.224- 70 Confidentiality of hiformation (JAN 2006) 352.232-9 Withholding of Contract Payments (JAN 2006) 352.270-2 Indian Preference (APR 1984) 352.270-3 Indian Preference Program (JAN 2006) 352.270-4 Pricing of Adjustments (JAN 2001) 352.270-6 Publications and Publicity (JAN 2006) 352.270-7 Paperwork Reduction Act (JAN 2006) 352.270-11 Privacy Act (JAN 2006) 352.270-12 Pro-Children Act of 1994 (JAN 2006) 352.270-13 Tobacco-Free Facilities (JAN 2006) 352.270-16 Native American Graves Protection and Repatriation Act (JAN 2006) 352.270-17 Crime Control Act of 1990—Reporting of Child Abuse (JAN 2006) 352.270-18 Crime Control Act of 1990—Requirement for Background Checks

(JAN 2006)

352.270-19 ElecU-onic and Information Technology Accessibility (JAN 2006)

Note—If desired, this order (or a copy thereof) may be used by the Contractor as the Contractor's invoice, instead of a separate invoice, provided the following statement, (signed and dated) is on (or attached to) the order: "Payment is requested in the amount of $ . No other invoice will be submitted." However, i f the Contractor wishes to submit an invoice, the following information must be provided: contract number (if any), order number, item number(s), description of supplies or services, sizes, quantities, unit prices, and extended totals. Prepaid shipping costs will be indicated as a separate item on the invoice. Where shipping costs exceed $10 (except for parcel post), the billing must be supported by a bill of lading or receipt. When several orders are invoiced to an ordering activity dui'ing the same billing period, consolidated periodic billings are encouraged.