Updtd_SOW_for_Wagner_OB_Gyn.pdf

STATEMENT OF WORK FOR "

ONSITE OBSTETRICAL & GYNECOLOGICAL SERVICES /.

FOR THE PERIOD OF July 1, 2019 THROUGH June 30, 2022 BASE ,.

YEAR, PLUS 2 OPTION YEARS FOR THE i'.

BACKGROUND:

WAGNER IHS HEALTH CENTER (}

WAGNER, SOUTH DAKOTA

The obstetrical and gynecological (OB/GYN) clinic at the Wagner IHS Healthcare Facility is staffed by one part-time contract obstetrician whose mission is to provide full-scope, quality

OB/GYN services to patients of the Yankton Sioux Tribe.

Patients requiring OB/GYN services may be seen first by a physician in the outpatient department who then submits a referral to the onsite OB/GYN clinic. The Wagner IHS

Healthcare Facility staff and obstetrician shall work in close cooperation in order to meet the needs of the patient.

PURPOSE:

The primary purpose of this contract is for the provision of onsite OB/GYN services to be provided at the Wagner IHS Healthcare Facility by a currently licensed Obstetrician. The

Contractor shall provide consultative, diagnostic OB/GYN care and treatment and non-invasive procedures for eligible patients of all ages.

TASKS:

OB/GYN services shall be provided in the Wagner IHS Healthcare Facility. The services will include consultative, diagnostic, routine and minor surgical care. In performance of this procurement the Contractor shall specifically carry out the tasks listed below:

l. Provide examination, diagnosis, prognosis, treatment plan, follow-up and consultation for all patients examined. All surgeries and/or services which cannot be provided at the

Wagner IHS Healthcare Facility require prior approval from the Contract Health Services office. The Clinical Director will assist the Contractor in the approval process by submitting required documents to the Contract Health office.

2. The Contractor shall provide one on-site clinic day per week. The Contractor shall provide their own OB/GYN nurse for continuity of care. Clinic days shall be on

Wednesday of each week. In the case of a conflict, clinic days will be rescheduled at a mutually agreed upon date between the Contractor and the Clinical Director.

3. The Contractor shall agree to evaluate a block of patients for diagnostic or minor surgical procedures or for follow-up or second opinions. Two patients will be scheduled every fifteen (15) minutes and cJinic will run from 9:00AM to 2:00PM. A typical clinic day will involve examining 25 patients (range of 20-30).

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PERIOD OF PERFORMANCE

This contract shall be from July 1, 2019 to June 30, 2020 base year; plus 2 option years with performance dates of:

Option Year #1 - July 1, 2020 through June 30, 2021;

Option Year #2 - July I, 2021 through June 30, 2022;

GOVERNMENT-PROVIDED EQUIPMENT

The Service Unit shall provide office space including a desk, chair and office supplies. The contractor will be authorized to use all areas of the medical treatment facility available to civil service and commissioned corps personnel in similar positions. The same restrictions apply to the contractor as any other Indian Health Service personnel to use these areas for official business activities only.

The contractor will be authorized to use all administrative and professional support available to

Indian Health Service personnel and include all necessary 0B/GYN equipment necessary for the Contractor to conduct his duties. This will include but not be limited to copy machines, telefax machines and telephone service. The same restrictions to use these items for official Indian Health Service business apply.

The contractor shall be provided with an orientation to the Indian Health Service. The initial orientation and continuing orientation shall be provided by service unit personnel.

The service unit shall provide all medical and nonmedical equipment and supplies used by the Wagner IHS Healthcare Facility for the care and management of patients.

The service unit shall provide an ongoing method of monitoring and evaluation of the quality and appropriateness of patient care and identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

The service unit will not provide transcription services. Electronic Health Record (EHR) must be utilized for the Wagner IHS Healthcare Facility.

CONTRACTOR-PROVIDED EQUIPMENT

The Contractor will provide an ultrasound machine for the use in providing services to patients.

The machine will be maintained by the Contractor and stored on-site at the Wagner Indian Health Service facility at no cost to the Government.

Page 3 , QUALITY OF CARE

The Contractor shall comply with the following quality of care protocol:

1. It shall be understood that eligible patients under treatment will be rendered services that provide the best medical care within the Contractor's professional training and experience. All services rendered shall be in accordance with current standard medical practices to assure quality of care.

2. The Contractor shall be familiar and adhere to the policy and procedures of the Bylaws of Medical/Dental Staff of the Indian Health Service, Wagner, South Dakota.

The credentials of the Contractor shall comply with the Medical Staff By-laws of the service unit for all services provided in Public Health Service clinics. The Contractor shall agree to abide by the AAAHC and HIPAA standards.

3. The quality of work performed by the Contractor will be subject to review by chart audits and site visits by the Project Officer or designee.

4. The quality of work perfonned by the Contractor will also be subject to review by the

Medical Staff of this facility.

5. A list of the current formulary for O8/GYN use will be available to the Contractor and he/she shall prescribe medications found on it as much ns possible although exceptions are allowed with proper justification.

6. The Obstetrician will provide documentation of current Board Certification, Licensure, Diplomas/Specialty Certificates, Drug Enforcement Administration (DEA) Licensure, Recent Health Examination, three (3) current professional references, Liability Insurance/Liability Claims/Adverse Actions, Continuing Education, and will also support the ongoing Continuous Quality Improvement at the Service Unit. The obstetricians's application and clinical privileges will be reviewed in accordance with the Wagner IHS credentialing process.

7. The obstetrician will evaluate and treat conditions as referred to him/her as specified in his/her clinical privileges: To include direct consultation to the Wagner IHS Medical Staff and Non-invasive procedures and appropriate referral out for quality management of care that cannot be provided at the Wagner IHS Health Care Facility.

8. Individuals providing services under this contract, which involve regular contact with, or control over, Indian children, are subject to a character investigation in accordance with the "Indian Child Protection and Family Violence Prevention Act" P.L. 101-630. The Indian Health Service Personnel Office will conduct these investigations following award ofa contract unless in the judgment of the

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Contracting Officer, in consultation with the Personnel Officer, investigation may be waived based on prior investigations on file. Until the character investigation has been completed and the Contracting Officer notified, such individual shall not have unsupervised contact with Indian children.

The Contracting Officer has the authority to temporarily waive the character investigation of a contractor. The ''Agreement to a Temporary Waiver of Character Investigation" authorizes an agency to hire a contractor prior to the completion of a background check provided that at all times the contractor is within the sight and under the supervision of a government employee who has successfully completed the National Agency Check with written Inquiries (NACI).

9. The Contractor understands that the IHS will not pay or withhold on behalf of the

Contractor any sums for federal or state income tax, any other federal or state tax, unemployment insurance, social security, worker's compensation, or any other withholding pursuant to any law or requirement. All such payments and withholdings are the sole responsibility of the Contractor.

l 0. "In accordance with 45 Code of Federal Regulations (CFR) I64.530(b)(I) and Indian

Health Service regulations, the Contractor shall complete an appropriate level of training in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), within 30 days from the beginning of the period of performance. Training provided to the Contractor will be documented and maintained in writing or electronically for six years

The Wagner IHS Healthcare Facility will bill all third party resources (Medicare, Medicaid, Private Insurance, etc.) carried by the patient, for all services performed by the contractor for the Wagner IHS Healthcare Facility.

SECURITY CLEARANCE

Performance of this purchase order will require routine access by employees of the Contractor or subcontractors to facilities or systems controlled by the Indian Health Service (1.1·1.S.). Before starting work requiring routine access to 1.1-l.S. facilities or systems, each person must complete a FBI National Crime History Check (Fingerprint Check) adjudicated by an I.H.S. employee using the Office of Personnel Management Personnel Investigations Processing System.

Contractors shall allow five business days for I.H.S. processing of fingerprints taken electronically at an 1.H.S. site and thirty business days for non-electronic processing of fingerprints using FBI Form FD-258. A list of I.H.S. sites with electronic fingerprint capacity is available from the Contracting Otlicer.

The Indian Health Service utilizes the eQIP (Electronic Questionnaire Investigations Processing) system to process background investigations. Contractors are required to work with the Service Unit Background Coordinator or other dcsignee to properly complete their eQIP entry without error. Proper submission of the eQIP entry to the i, ,L.

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Office of Personnel Management (OPM) is required prior to the individual that is being allowed to begin their performance under this purchase order. Computers have been provided to the service unit for this purpose.

In addition, no Contractor or subcontractor shall be permitted to perform work under this purchase order if listed on the HHS Office of Inspector General List of Excluded Individuals/Entities (LEJE), http://exclusions.oig.hhs.gov. As soon as practicable, prior to the start of work, the performance of the work the Contractor shall provide to the Contracting Officer the names of all individuals to be used in performance of work for screening against the LEIE. During the performance of the purchase order, the Contractor shall provide the Contracting Officer the names of any additional or substitute employees for screening before they begin work.

The Contractor is responsible for conducting security preclearance investigations sufficient depth to ensure that each Contractor or subcontractor employee referred to

1.H.S. is not on the LEIE and can obtain a favorable fingerprint clearance. Each security preclearance shall be conducted sufficiently in advance of the start of performance to avoid delays caused by denial of access. If this is a Time and Materials, Labor-Hour or Cost Reimbursement purchase order, the Contractor shall not charge for or be reimbursed for labor hours or other costs incurred for employees who are unable to perform due to denial of the excess time required to resolve and clear unfavorable security clearance findings. If this is a Fixed Price purchase order, denial of access due to security clearance findings shall not be a basis for excusable delay or an increase to the purchase order amount.

Government will pay for the cost to process the Contractor's suitability clearances.

However, multiple investigations for the same position may, at the Contracting Officer's discretion, lead to reduction(s) in the purchase order price of no more than the cost of the extra investigation(s).

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I http://exclusions.oig.hhs.gov/