RFQ_10-17-045-RDJ_Pediatrician_services.pdf

RFQ‐10‐17‐045‐RDJ PEDIATRICIAN SERVICES

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6-Streamlined Procedures for Evaluation and Solicitation for Commercial Items, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.

This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items; FAR Part 12, Acquisition of Commercial Items; and FAR 37.4 - Nonpersonal Health Care Services, in which the contractor is an independent contractor.

The Billings Area Indian Health Service (IHS) intends to award a Firm Fixed Price Commercial Item contract in response to Request for Quotation (RFQ) 10-17-045-RDJ.

The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-94. This solicitation is restricted to 100% Small Business concerns. The associated North American Industry Classification System code is 621111 with a small business size standard of $11.0 million.

Quotations should be prepared in accordance with Federal Acquisition Regulation (FAR) 52.212-1, Instructions to Offerors – Commercial Items (Jan 2017);

PRICE SCHEDULE – PEDIATRICIAN SERVICES: 20 hours per week, or 40 hours per pay period; at the Fort Washakie Health Center, Fort Washakie, Wyoming. Proposals must be inclusive of transportation, meals, insurance, per diem and lodging.

BASE YEAR:

1044 hours per year @$_____________ per hour = $___________________________

OPTION YEAR ONE:

1044 hours per year @$_____________ per hour = $___________________________

OPTION YEAR TWO:

1044 hours per year @$_____________ per hour = $___________________________

OPTION YEAR THREE:

1044 hours per year @$_____________ per hour = $___________________________

OPTION YEAR FOUR:

1044 hours per year @$_____________ per hour = $___________________________

GRAND TOTAL: $________________________

PERIOD OF PERFORMANCE: October 1, 2017 to September 30, 2018, with four 12-month options. Option year dates of services will be determined upon contract award.

PURPOSE OF THE CONTRACT: The purpose of this acquisition is to contract for Pediatrician Services at the Wind River Service Unit, PHS Indian Health Center, Fort Washakie, Wyoming.

WORK SCHEDULE: The contractor shall provide services at the Fort Washakie Health Center, Fort Washakie, Wyoming, Contract will be for 20 hours per week, or 40 hours per pay period.

Schedule may be 8:00 am to 4:45 pm (8 hours) or 9:00 am to 5:45 pm (8 hours). Hours and days to be scheduled with clinical staff and contractor. Any rescheduling of clinic days or times shall involve consultation with the Contractor by the Government, but shall be at the convenience of the Government. Notification of change must be given at least two (2) weeks prior to the date of change.

HOLIDAYS: Federal holidays are observed under this contract. Holidays falling on a weekend will be observed the next or preceding day. If the contractors scheduled clinical day falls on a Federal holiday, the clinical day will be rescheduled to either the day prior or the day after, the Federal Holiday.

NON-PERSONAL SERVICES CONTRACT: This procurement is a nonpersonal health care service contract, as defined in FAR 37.101, 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 and professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The Contractor shall indemnify the Government for any liability producing acts or omissions by the Contractor, its employees and agents occurring during contract performance. The Contractor shall maintain medical liability insurance, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontracts for provisions of health care services contain the requirements of the clause at 52.237-7, Indemnification and Medical Liability Insurance (Jan 1997).

STATEMENT OF WORK (MAJOR DUTIES):

Serves as a Medical Officer (Pediatrics), the work involves performance of related health and medical care services to patient at the Fort Washakie Health Center or other designated health care facilities.

Within the specialty area, assumes responsibility for the diagnosis, care and treatment of pediatric ambulatory care patients and emergency cases in the capacity of a senior specialist or expert. Typical, but not all inclusive assignments include the following:

Interviewing and examining pediatric patient in the ambulatory settings, review past medical history, and requests and/or performs diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Makes preliminary diagnosis, directs, prescribes or provides treatment, or arranges for specialized care of pediatric patient referral as required. Bases decision upon information obtained, professional medical knowledge and skills, and prescribed policies and procedures. Makes notes of observation to be incorporated into clinical records. Provides emergency care as required. Provides definitive management in all medical categories for cases that do not require referral. Gives total patient care including prevention, health maintenance, early diagnosis, treatment and follow-up services to pediatric patients under his/her care. Instructs and counsels patients and families as required. Performs or assists other physicians in the performance of minor surgery.

Refers pediatric patients to appropriate contracted or private medical or other government facilities, providing full clinical information for care and diagnostic procedures that cannot be adequately provided at local Indian Health Service Facilities. Coordinates and integrates information obtained into the ongoing health care program at the Service Unit and assures the provision of timely follow-up care as required.

Provides consultation on pediatric patients by telephone and in person as requested by other health care providers at hospital and other health care facilities within the organization.

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

Works closely with allied health professionals (i.e., Community Health Nurse, Social Workers, Health Educator, etc.) in the provision of health services.

Routine duties shall include providing medical care and public health service to individuals eligible for services provided by the IHS in homes, schools, clinics, job sites, and other community locations within the Service Unit.

ADDITIONAL REQUIREMENTS: Incumbent must possess the following for the specialty:

A doctorate in allopathic or osteopathic medicine, i.e. M.D. or D.O. from an approved and accredited medical school, and Must possess and maintain a current and unrestricted license in any state. Must be eligible to apply for an maintain membership on the active medical staff, and

Incumbent must be board eligible or board certified in the medical practice of Pediatrics, and

Completion of an American Board of Pediatrics approved 3-4 year pediatric residency or other accredited training in pediatrics or a combination of such training with appropriate experiences, plus minimum of 1-2 years’ experience beyond residency training (total minimum of 5 years combined residency and experience) or Certification by an American Pediatric Specialty Board, or 5 year approved pediatric residency and pediatric subspecialty or other accredited training, or a combination of such training with appropriate experience.

Current PALS certification is required

Current NALS certification is required

Skill in tact and diplomacy while working in stressful situations. Skill in working with people form a wide variety of backgrounds and different cultures.

SUPERVISORY CONTROLS.

The incumbent receives primarily administrative supervision since the incumbent is regarded as an expert and functions independently in the specialty. Recommendations for changes in service, scope or practice, and equipment are discussed with and approved by the supervisor.

Work performance is reviewed for conformance to policies, procedures and practices relating to pediatrics.

GUIDELINES:

Guidelines available include Department of Health and Human Service, Public Health Service, Billings Area, Service Unit and Medical Staff regulations, policies, procedures and by-laws. In addition, traditional and currently accepted medical practices are available in the form of specialty consultation, medical journals, and textbooks. In nearly all cases, however, the physicians’ judgment in the key factor in determining whether guidelines are to be adhered to or deviated from, or whether new guides need to be developed to protect the interests of the patient.

This contractor will be required to abide by all the rules and regulations that govern the Privacy Act, the Indian Health Service, and the Department of Health and Human Services. All new employees are required to take HIPAA, ISSA Computer Security, and Compliance within a few days after receiving their award letter, notice-to-proceed, access and annually thereafter. All new contractors will be required to write SOAP notes, orders (lab, x-ray, and medications) and Purchased Referred Care (PRC) referrals in the Electronic Health Record. Training will be scheduled during specialty clinic hours. This contractor will complete all required DHHS/IHS trainings yearly.

The primary agent/official responsible for supervising this procurement in a project officer capacity and who will be verifying that all supplies and/or services have been received and delivered will be JoLynn Davis, R.N., D.O.N., Clinical Nursing, and Wind River Service Unit.

Indian Child Protection and Family Violence Prevention Act: No performance under this contract will be allowed without full compliance with Indian Child Protection and Family Violence Prevention Act, Public Law 101-630 and the Indian Health Service memorandum dated February 3, 1997, Investigations on Child Care Workers. Contractors shall ensure that he/she cooperates with and assists the Government in the conduction of any necessary background checks

COMPLEXITY: The work consists of a broad general practice of medicine, involving diagnosis and treatment of outpatients with an extremely wide variety of physical and emotional health problems and includes the broad functions of medicine: education, prevention, cure and rehabilitation, in addition to the practice within the specialty. Assignments are characterized by breadth and intensity of effort and generally involve the simultaneous application of multiple distinct skills, knowledge’s and abilities in the care of one or more patients. The work is often difficult and further complicated by the fear and skepticism of patients, undefined or ill-defined problems presented in advance stages, and conflicting health data. The work requires continued efforts to establish health promotion – disease prevention programs to resolve chronic, community wide medical problems.

Assignments in addition to the full range of cases, includes the very difficult in the General Practice specialty, with very little or no technical guidance. The incumbent serves as a consultant on the most difficult cases in the specialty, and performs the most advanced diagnostic and treatment procedures without professional direction. Recognizes rare and difficult - to - identify symptoms or signs, and responsibility for developing a full treatment regimen involving knowledge of new techniques or the use or prolonged or complicated procedures or advanced delicate skills. Cases are often critical and require immediate decisions or are complicated because patients fail to respond to previously tried treatment regimens.

Considerable weight is given to the medical officer’s recommendations in their technical specialties, by their supervisor and colleagues.

SCOPE AND EFFECT: The purpose of this position affects the health and wellbeing of individuals on immediate basis; and impacts the health status of the community on a broad basis.

PERSONAL CONTACTS: Personal contacts of the incumbent are with patients, families of patients, other medical officers, other health professionals, other ancillary employees, administrators, and physicians from the private sector, representatives of tribal health, state and federal organizations. These contacts are made with individuals and occasionally groups in moderately unstructured settings.

PURPOSE OF CONTACTS: The purpose of contacts are to exchange health information, resolve problems, educating, influencing, and motivating individuals and groups to understand and accept recommended medical information, diagnosis, treatment, and therapies..

PHYSICAL DEMANDS: The work requires moderate physical exertion and stamina, extensive walking, standing, bending, and similar activities. May be required to move or lift patients from time to time. Will be required to work extended hours with brief rest intervals.

WORK ENVIRONMENT: The work requires moderate physical exertion and stamina, extensive walking, standing, bending, and similar activities. May be required to move or lift patients from time to time. Will be required to work extended hours with brief rest intervals. .

GOVERNMENT FURNISHED PROPERTY: The IHS shall provide all necessary equipment and supplies. The Service Unit will be responsible for getting the Contractor access and clearance to all computer services necessary to carry out his/her duties.

COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including contractors, volunteers, students, and summer externs. The Contractor 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 Service Unit.

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

CONTRACTING OFFICER REPRESENTATIVE (COR): 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 during performance of this contract. The primary agent/official responsible for monitoring this procurement in a project officer capacity and who will be verifying that all services have been received and delivered will be JoLynn Davis, R.N., D.O.N., Clinical Nursing, Wind River Service Unit.

INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Billings Area Financial Management Office with a courtesy copy to the Service Unit. 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) Contract 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.

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.

CHILD CARE NATIONAL AGENCY CHECK 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, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities.

The character and background investigations will be conducted by the Wind River Service Unit.

The Service Unit will conduct the character and background investigations. Fingerprints must also be taken as part of the pre-employment process and must be completed before the physician is allowed to work.

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. The Privacy Act of 1974 mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. IHS shall provide training on the Freedom of Information Act and the Privacy Act. All IHS regulations and policies applicable to these Acts shall be enforced. During the performance of the contract, the Contractor shall provide for the consistent performance of patient care processes according to the standards of the Accreditation Association for Ambulatory Health Care (AAAHC), who supplies accreditation to the Wind River Service Unit. The contractor shall comply with I.HS facility infection control and safety procedures, practices, and standards.

PROVISIONS AND CLAUSES: The following FAR provisions and clauses apply to this acquisition.

52.212-1 Instructions to Offerors Commercial Items, 52.212-3 Offeror Representations and Certifications-Commercial Items, are incorporated by reference.

52.212-4 Contract Term and Conditions-Commercial Items.

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items.

52.203-6 Alt. 1, 52.204-4, 52.204-7, 52.204-9, 52.204-10, 52.204-13, 52.204-16, 52.204-17, 52.204-18, 52.204-19, 52.209-6, 52.209-10, 52.215-5, 52.217-8, 52.217-9, 52.219-6, 52.219-8, 52.219-28, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-50, 52,222-54, 52.223-5, 52.223-6, 52.223-10, 52.223-18, 52.224-1, 52.224-2, 52.225-13, 52.225-25, 52.227-14, 52.227-17, 52.228-5, 52.232-1, 52.232-11, 52.232-18, 52.232-25, 52.232- 33, 52.232-39, 52.233-1, 52.233-2, 52.233-3, 52.233-4, 52.237-2, 52.237-3, 52.237-7, 52.242-13, 52.242-15, 52.242-17, 52.245-1, 52.245-9, 352.201-70, 352.215-70, 352.222-70, 352.223-70, 352.224-70, 352.226-1, 352.226-3, 352.227-70, 352.237-70, 352.237-71, 352.237-72, 352.237- 73, 352.237-75. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at https://www.acquisition.gov

FAR 52.212-2 EVALUATION - COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract 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 CONTRACTOR SHALL PROVIDE EVIDENCE OF, OR SUBMIT A WRITTEN

RESPONSE TO, THE FOLLOWING TECHNICAL EVALUATION FACTORS: The following factors shall be used to evaluate offers:

1. Must possess and maintain a current and unrestricted license in any state, must submit a copy of State license with the price quote = 35 points

2. Completion of an American Board of Pediatrics approved 3-4 year pediatric residency or other accredited training in pediatrics or a combination of such training with appropriate experiences, plus minimum of 1-2 years’ experience beyond residency training (total minimum of 5 years combined residency and experience) or

Certification by an American Pediatric Specialty Board, or 5 year approved pediatric residency and pediatric subspecialty or other accredited training, or a combination of such training with appropriate experience. = 35 points

3. Potential contractors must submit resume including past performance with references

= 30 points

The offeror 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. Offerors shall provide, at a minimum, three (3) references for their most recently performed contract in which similar or the same services were performed by the offeror within the last two (2) years from the date of proposal submission. Please list contracts that your firm has held with Government and/or commercial accounts. The offeror shall provide the following information in an attachment:

Agency or Customer Name/Address

Contract number (if applicable)

Contract Performance Period

Contract description of services (location, and description of services)

Type (type and quantity of personnel provided)

Dollar Value of contract

Point of Contact name phone facsimile

Internet/E-Mail address For each contract identified the offeror shall also provide a discussion of problems encountered and their correction, as well as their accomplishments during the performance of the contract.

In evaluating past performance the Government may also use information from its own files, information provided by the offeror, or from any other sources it deems appropriate.

Offerors will be given the opportunity to clarify information concerning the relevancy of an offeror’s past performance information, and any adverse past performance information to which the offeror has not previously had an opportunity to respond.

If the offeror has no relative past performance they shall affirmatively state so.

NOTE: The Government reserves the right to contact any reference provided by the offeror in evaluating the offeror’s past performance. Furthermore, the Government reserves the right to use any information that comes to the attention of the Government in evaluating the offeror.

Total = 100 points.

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

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) 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.

PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2.

In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer.

Contractors intending to conduct business with the Federal Government must register with the System for Award Management (SAM). SAM replaces the Department of Defense’s Central Contractor Registration (CCR) database. SAM is now the primary Government repository, which retains information on Government contractors. You may register via the Internet at www.sam.gov.

All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 404, Billings, Montana 59101, no later than 2:00 p.m. MST, on September 05, 2017. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your company's name and address. Offers will also be accepted by e-mail at Ron.Juneau@ihs.gov or by fax at (406) 247-7108.

ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.

TYPE OF CONTRACT: FAR 52.216-1, the Government contemplates award of a fixed-price commercial item contract resulting from this solicitation.