RFQ-10-17-033-REL.Pharmacy_Services.doc

RFQ-10-17-033-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)-10-17-033-REL to acquire Pharmacy Services for the Fort Peck Service Unit, Verne E. Gibbs Health Center, Poplar, Montana. The procurement is conducted pursuant to the authority of Federal Acquisition Regulation (FAR) Part 13, Simplified Acquisition Procedures; and FAR 37.101, Non‑Personal Services Contract.

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

Unit of

Item Description Quantity Issue Unit Price Total Amount 1.

Pharmacist

HR

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

2.

PERIOD OF PERFORMANCE

Performance of the purchase order shall be from June 1, 2017, through May 31, 2018.

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 East, Poplar, Montana 59255

(406) 768-3491 – Phone 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, which 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 1 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 the Clinical Applications Coordinator, Lana Engelke at (406) 768-2149.

The Fort Peck Service Unit does not have housing available for contract personnel therefore the contractor is responsible for providing their own accommodations at their own expense. 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.

Federal contract employees do not accrue any form of retirement, social security, insurance or any other form of benefits. The federal government does not withhold from the contract pharmacist any local, State or Federal taxes. It is the Contractor's sole responsibility to pay the taxes and any other personal obligations for the contract pharmacist.

5.

KNOWLEDGE REQUIRED BY THE POSITION

Bachelor of Science in Pharmacy or Doctor of Pharmacy degree is required. The contract pharmacist is 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 approach 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.

EVALUATION AND OVERSIGHT

The contract pharmacist works under the administrative direction of the Chief Pharmacist. 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 performance is reviewed for conformance to Indian Health Service policies, procedures and accepted professional practices. Technical guidance is provided by the Chief Pharmacist.

CHIEF PHARMACIST: Bradley Moran, Pharm.D.

DESIGNEES: Cole Dysinger, Staff Pharmacist; Tony Totoraitis, 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 Associate Agreement and/or 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:

Name:

Jackie Hippe Title:

Health System Specialist Address:

Verne E. Gibbs Health Center

107 H Street East

Poplar, Montana 59255 Telephone:

(406) 768-2106 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.

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.

21.

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

52.204-7 System for Award Management

Oct 2016 52.204-8 Annual Representations and Certifications

Jan 2017 52.204-9 Personal Identity Verification of Contractor Personnel Jan 2011

52.204-13 System for Award Management Maintenance

Oct 2016 52.204-16 Commercial and Government Entity Code Reporting Jul 2016

52.204-17 Ownership or Control of Offeror

Jul 2016

52.204-18 Commercial and Government Entity Code Maintenance Jul 2016 52.204-19 Incorporation by Reference of Representations and

Dec 2014

Certifications

52.209-10 Prohibition on Contracting with Inverted Domestic

Nov 2015

Corporations (Applies to contracts over $25,000)

52.211-16 Variation in Quantity (10% permissible variation)

Apr 1984 52.213-4 Terms and Conditions—Simplified Acquisitions

Jan 2017 (Other Than Commercial Items)

52.217-8 Option to Extend Services

Nov 1999 52.219-6 Notice of Total Small Business Set-Aside

Nov 2011 52.219-8 Utilization of Small Business Concerns

Nov 2016 52.219-28 Post-Award Small Business Program Rerepresentation Jul 2013

52.223-5 Pollution Prevention and Right-to-Know Information May 2011 52.223-6 Drug-Free Workplace

May 2001

52.223-10 Waste Reduction Program

May 2011

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

While Driving

52.224-1 Privacy Act Notification

Apr 1984

52.224-2 Privacy Act

52.227-14 Rights in Data—General

May 2014 52.227-17 Rights in Data—Special Works

Dec 2007

52.228-5 Insurance—Work on a Government Installation

Jan 1997 52.229-3 Federal, State, and Local Taxes

Feb 2013

52.232-18 Availability of Funds

52.237-2 Protection of Government Buildings, Equipment and Apr 1984

Vegetation

52.237-3 Continuity of Service

Jan 1991

52.242-15 Stop Work Order

Aug 1989

52.242-17 Government Delay of Work

52.243-1 Changes – Fixed Price Alternate I (Apr 1984)

Aug 1987

52.245-1 Government Property

Jan 2017 52.245-9 Use and Charges

Apr 2012

DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITION REGULATION

(HHSAR) (48 CFR Chapter 3) Clauses

315.215-70 Late Proposals and Revisions

Dec 18, 2015

352.222-70 Contractor Cooperation in Equal Employment

Dec 18, 2015

Opportunity Investigations

352.223-70 Safety and Health

352.224-70 Privacy Act

352.224-71 Confidential Information

352.226-3 Native American Graves Protection and Repatriation Act Dec 18, 2015

352.237-70 Pro-Children Act

352.237-71 Crime Control Act – Reporting of Child Abuse

Dec 18, 2015

352.237-72 Crime Control Act – Requirement for Background

Dec 18, 2015

Checks

352.237-73 Indian Child Protection and Family Violence Act

Dec 18, 2015 352.237-74 Non-Discrimination in Service Delivery

352.239-73 Electronic Information and Technology Accessibility

Notice 352.239-74 Electronic and Information Technology Accessibility Dec 18, 2015 22.

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.

4. Cost/Price. Price is not assigned an adjectival rating or scored. It will be evaluated to determine whether it is reasonable and if the quotation reflects an understanding of the requirement. This factor will be evaluated utilizing price analysis techniques identified in FAR Part 15.404-1. Analysis will include review of price reasonableness and balanced pricing. Offerors are cautioned that "materially unbalanced" prices and/or unreasonably high or low prices may cause your quotation to be deemed unacceptable and rejected. Technical and past performance, when combined, are considered approximately equal to cost or price.

A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

EVALUATION APPROACH: The content of the written quotations, as well as information derived from discussions/negotiations, if discussions are held, will be evaluated to determine the degree and extent to which the requirements and objectives set forth in the solicitation are satisfied. No assumption will be made by Government evaluators regarding areas not defined in the offeror’s written material/information provided to the Government for evaluation.

EVAULATION METHODOLOGY: A team of Government personnel will evaluate the quotations. The quotations will be evaluated in accordance with the aforementioned factors. Any quotation that is unrealistic, in terms of technical approach, schedule commitments, and or costs (high or low) will be deemed unacceptable.

BASIS FOR AWARD: Selection of the successful offeror will be made based on a tradeoff process. The quotations will be evaluated and a contract awarded under the Best Value Continuum approach to permit tradeoffs among cost or price and non-cost factors. This will allow the Government to consider award to other than the lowest priced offeror or other than the highest technically rated offeror who meets or exceeds the technical acceptability standards established in the factors referenced above.