RFQCRHC23-74-RN.pdf

(i) a. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulations (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; bids are being requested and a written solicitation will not be issued.

b. The Indian Health Service/Cheyenne River Health Center intends to award multiply Firm Fixed-Price, Non-Personal Services, Performance Based contract, to provide Registered Nurse Services for the

Emergency Room, Inpatient & Outpatient Departments at the Cheyenne River Health Center located in

Eagle Butte, South Dakota. All orders may be submitted electronically, facsimile, or hard copy.

(ii) This solicitation is being issued under solicitation number CRHC23-74.

(iii) The solicitation document and incorporated provisions and clauses are those in effect through

Federal Acquisition Circular 2023-01, dated 06/02/2023.

(iv) This is a 100% Indian Small Business Economic Enterprise Set-Aside (ISBEE) in accordance with

25 U.S.C 47, the Buy Indian Act. The associated NAICS code is 621399 Office of All Other

Miscellaneous Health Practitioners, with a Small business Size Standard of $10.0 Million, Product

Service Code is Q401 – Medical-Nursing.

(v) Services purchased through this contract will be Registered Nurse Services for patient care. A list of line items, quantities/units of measure at attached. The “Unit Price” is an all-inclusive cost. All

“inclusive cost” is defined to include, but not limited to travel, lodging, per diem, benefits, fuel, freight etc., plus all other costs pertinent to the performance of this contract.

See Attached Pricing Schedule.

(vi) Description of Services: Include, but not limited to, continuous Emergency Room, Inpatient &

Outpatient, Registered Nurse (RN) Services, required by the attached Performance Work Statement, for the Cheyenne River Health Center, Eagle Butte, South Dakota.

(vii) The period of performance will be one year: 11/01/2023 – 10/31/2024.

(viii) The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial

Services (Nov 2021), applies to this acquisition. Quotes shall be submitted on company letterhead stationary, signed and dated; it shall include, at a minimum;

1. Solicitation number CRHC23-74

2. Closing Date: August 24, 2023 at 1:00pm MST

3. Name, address, telephone number of the offeror and email address of the contact person

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements in the solicitation.

5. Terms of any express warranty

6. Price and any discount terms

7. “Remit to” address, if different than mailing address

8. A completed copy of the representations and certifications at FAR 52.212-3

9. Acknowledgement of Solicitation Amendments, if issued

10. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offers that fail to furnish required representation or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1579_222340

Quotes shall also include the following to be considered acceptable.

1. Signed SF1449.

2. Price/Cost Scheduled.

3. At least 2 Past Performance Questionnaire’s filled out and submitted.

4. Proof of Malpractice Insurance Coverage.

5. Certify they understand and can meet all requirements listed in this Solicitation, Performance Work

Statement and Attachments.

6. Candidate Resume, showing they meet the candidate requirements of the PWS (i.e. experience, up-to-date license, employee health requirements).

7. Completed/Signed Indian Health Service Buy Indian Act Indian Firm Representation Form.

(ix) The clause at 52.212-2, Evaluation-Commercial Products and Commercial Services (Nov 2021) applies to this acquisition. The Government will award a contract resulting from this solicitation to the responsible offerors whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered.

The basis for award will be based on “Lowest Price Technically Acceptable” along with credential able candidates. Therefore, in addition to price the government will consider past performance. IHS reserves the right to make multiple awards, which is most advantages to the Government. This is a competitive solicitation and the offer your firm submits will be used by IHS to determine, which of the quantities listed within are, “estimate only” and it is not the intent of IHS to be obligated to order the “quantities”

(x) Offerors must include a completed copy of the provision at 52.212-3, Offeror Representations and

Certifications – Commercial Products and Commercial Services (Dec 2020), with its offer. The offeror shall complete only paragraphs (b) of the provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at http://www.sam.gov

(xi) The clause at 52.212-4, Contract Terms and Conditions -- Commercial Items (Oct 2018), applies to this acquisition.

(xii) The clause at 52.212-5, Contract Terms and Conditions Required To Implement Statutes or Executive

Orders -- Commercial Items (Aug 2019) – See attachment for full text.

(xiii) Any additional contract requirement(s) or terms and conditions are determined by the contracting officer to be necessary for this acquisition and consistent with customary commercial practices (i.e.

warranty requirements, HHSAR, etc..) are attached.

(xiv) N/A

(xv) Offerors are due on August 24, 2023 by 1:00 PM MST, and can be mailed, e-mailed or fax to:

Cheyenne River Health Center

Attn: Stephanie Red Elk, Acting Purchasing Agent

24276 166th Street, Airport Rd

PO Box 1012

Eagle Butte, South Dakota 57625 https://www.acquisition.gov/content/part-52-solicitation-provisions-and-contract-clauses#i1060530 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1657_236576 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1974_281919 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P2174_322700

Fax: 605/964-7737

Email: Stephanie.RedElk@ihs.gov

Questions in reference to this solicitation shall be submitted to the email address listed above. The last day to submit questions is August 8, 2023 at 1:00pm MST. No questions will be answered after this date/time.

Please be advised that the Government reserves the right to transmit those questions and answers of a common interest to all prospective vendors through a solicitation amendment.

(xvi) Points Of Contacts: Danielle Chasing Hawk, Supervisory Contract Specialist, Danielle.ChasingHawk@ihg.gov, 605/964-0605 or Stephanie Red Elk, COR, Stephanie.RedElk@ihs.gov, 605/964-0507,

(xvii) Contractor will need a UIE number, TIN number, and be active & registered in SAM at www.sam.gov.

mailto:Stephanie.RedElk@ihs.gov mailto:Danielle.ChasingHawk@ihg.gov mailto:Stephanie.RedElk@ihs.gov http://www.sam.gov/

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NUMBER

manual 393

PAGE 1 OF

1 of

2. CONTRACT NO.

7. FOR SOLICITATION

INFORMATION CALL:

3. AWARD/EFFECTIVE

DATE

a. NAME

4. ORDER NUMBER 5. SOLICITATION NUMBER

CRHC23-74

b. TELEPHONE NUMBER (No collect calls)

6. SOLICITATION ISSUE

DATE

07/24/2023

8. OFFER DUE DATE/

LOCAL TIME

08/24/2023 Stephanie Red Elk, COR 605/964-0507 1:00 PM MST

9. ISSUED BY CODE 173 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: 100 % FOR:

IHS/Cheyenne River Health Center SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

24276 166th St. Airport Rd.

Eagle Butte, SD 57625

11. DELIVERY FOR FOB DESTINA-

12. DISCOUNT TERMS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

SMALL BUSINESS PROGRAM

EDWOSB

8 (A)

13b. RATING

NAICS:

621399

SIZE STANDARD:

$10.0M

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO

IHS/Cheyenne River Health Center

24276 166th St. Airport Rd.

Eagle Butte, SD 57625

CODE 173 16. ADMINISTERED BY CODE

IHS/Cheyenne River Health Center

24276 166th St. Airport Rd.

Eagle Butte, SD 57625

17a. CONTRACTOR/

OFFEROR

CODE FACILITY

CODE

18a. PAYMENT WILL BE MADE BY CODE

IPP.GOV

US Treasuery

TELEPHONE NO.

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

OFFER BELOW IS CHECKED

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

100% Indian Small Business Economic Enterprise set-aside. Firm Fixed-Price, Non-Personal Healthcare Service, Commercial Item, Performance Based, Contract for

Registered Nurse (RN) Services, for the Emergency Room

Inpatient and Outpatient Departments, at the Cheyenne

River Health Center, Eagle Butte, South Dakota

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

Period of Performance: 11/01/2023 - 10/31/2024

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE

ARE NOT ATTACHED

ARE NOT ATTACHED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

29. AWARD OF CONTRACT: REF. OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

Craig Wells, CCO, IHS/GPA

31c. DATE SIGNED

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

23 RN's x 2,080 hrs a year

001 RN - ER/Inpatient Regular Hours 47,840 HR

002 RN - ER/Inpatient Overtime Hours 2,392 HR

003 RN - ER/Inpatient On-Call Hours 2,392 HR 2 RN's x 2,080 hrs a year

004 RN - Outpatient Regular Hours 4,160 HR

005 RN - Outpatient Overtime Hours 208 HR

006 RN - Outpatient On-Call Hours 208 HR

If multiply awards are made, the number of hours will be distributed among the awardees

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORZED GOVERNMENT REPRESENTATIVE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT

COMPLETE PARTIAL FINAL

37. CHECK NUMBER

PARTIAL FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Performance Work Statement

Registered Nurse Services

Emergency Room/Inpatient/Outpatient

Section

1.0 General

2.0 Definitions

3.0 Government Furnished Information, Property and Service

4.0 Contractor Furnished Property and Responsibilities

5.0 Performance Based Requirements

6.0 Contractor Qualification Requirements

7.0 Challenges to Conflict

8.0 Performance Based Matrix

9.0 List of Attachments and Exhibits

10.0 Invoice Submission

11.0 Mandatory Background/Clearance Requirements

12.0 Mandatory Employee Health/Immunization Requirements

Performance Based Statement of Work

Registered Nurse(RN) Services

Emergency Room/Inpatient/Outpatient

1.0 General: This performance work statement describes the requirements for Emergency

Room/Inpatient/Outpatient Registered Nurse Services to support the mission of the Indian Health

Service (IHS) Cheyenne River Health Center(CHC), and; to aid in the efforts to contain, suppress, and mitigate the spread of COVID 19.

1.1 Background: The Cheyenne River Health Center is located on the Cheyenne River Sioux Reservation.

The Emergency Department has 11 beds with Sub-Acute(Inpatient) having 8 beds and Outpatient with 16 exam rooms. The Cheyenne River Health Center serves the reservation of approximately

1,615,000 acres (similar to the size of Connecticut). Services available are Inpatient, Outpatient, Emergency Room, Ancillary (i.e. Radiology, Pharmacy, Lab, Optometry, etc.) Departments. The

Cheyenne River Health Center is an Indian Health Service facility under the DHHS/IHS/Great Plains

Area Office. The Mission of the Cheyenne River Health Center is to provide unsurpassed excellence in healthcare.

1.2 Objectives: The contracted RN will provide all necessary covered services within the Registered

Nurses’ scope of practice, under the direction of the Clinical Nurse Supervisor or designee within the

Emergency Room, Inpatient and Outpatient Departments.

• The contracted RN shall provide a full scope of service to include newborn, child, adolescent, adult and geriatric patients within their designated department at the

Cheyenne River Heath Center.

1.3 Scope: The Contractor shall provide nursing services in accordance with section 5.0, performance based requirement.

1.3.1 Duties and responsibilities: May encompass the Emergency, Inpatient or Outpatient

Departments.

1.3.2 The contract resulting from this solicitation shall:

a. be a non-personal services contract under which the contractor is an independent contractor;

b. Require the contractor to promptly provide all requested information to allow for the proper certification and licensure, with 5-7 days of request;

c. Allow the government to evaluate the quality of professional and quality of care services provided;

d. Require the contractor to indemnify the government for any liability producing act of omission by the contractor, its employees and agents occurring during the contract performance;

e. Require the contractor to maintain nursing liability insurance, in the coverage amount acceptable to the contracting officer which is not less than the amount normally prevailing with the local community for the nursing specialty concerned; and

f. Candidates with prior Nursing Licensure actions, unless adjudicated, are not eligible for employment with this agency.

1.3.3 Period of Performance: 11/01/2023 – 10/31/2024

1.4 Applicable Documents: Please see the web link listed unless document is listed as an attachment.

1.4.1 The Joint Commission (TJC) (The Joint Commission) http://jointcommission.org

1.4.2 Centers for Medicare and Medicaid Services (CMS) Standards http://www.cms.hhs.gov

1.4.3 Inspector General Exclusion List http://oig.gov/exclusions

1.4.4 Section 4087 of Public Law 101-630, the Indian Child and Family Violence Act.

http://nicwa.org/policy/law/protection/index.asp

1.4.5 Health Insurance Portability and Accountability Act (HIPAA) of 1996 http://www.cms.hhs.gov/hipaa

1.4.6 Privacy Act of 1974. http://www.usdoj.gov/oip/privstat/index.asp

1.4.7 Federal Code of Conduct http://ihs.gov

1.4.8 IHS Service Unit and Health Center Policies, Procedures, and Protocols. (See section 11.0 for a list of attachments and exhibits)

1.4.9 Information Systems Security Awareness (ISSA) https://www.ihs.gov/issa

1.5.1 Quality Control: The contractor shall develop and maintain an effective quality control program (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract.

1.5.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.5.3 Recognized Holidays: The contractor will be required to work on Federal Government Recognized Holidays, weeknights and weekends, as depicted in schedules provided upon issuance of a Task Order.

These hours are considered regular hours unless meet the determination of overtime.

1.5.4 Hours of Operation: The contractor is responsible for conducting business 24/7 as depicted by the department schedules, with the exception of non-essential departments during administrative closures, local or national emergencies, or similar Government directed facility closings. For other than firm fixed http://jointcommission.org/ http://www.cms.hhs.gov/ http://oig.gov/exclusions http://nicwa.org/policy/law/protection/index.asp http://www.cms.hhs.gov/hipaa http://www.usdoj.gov/oip/privstat/index.asp http://ihs.gov/ https://www.ihs.gov/issa price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons.

The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce is essential. Contractors are assigned to essential departments only.

1.5.5 On Call Hours:

Emergency Room and Inpatient Departments

Start End

Monday thru Friday 4:00 PM 7:00 AM

Saturday & Sunday 7:00 PM 7:00 AM

Outpatient Department

Start End

Monday thru Friday 7:00 AM 7:00 PM

Sunday 7:00 AM 7:00 PM

When called, the contractor is to report to duty within 45 minutes. The contractor will perform nursing care to patients in the Emergency Room, Inpatient Department, or Outpatient Department; the role of the contract nurse when called in will be staff nurse duties; charge nurse duties are assigned to those contractors who are called into their designated department; includes weekends and holidays.

1.5.6 Charge Duties as assigned: The contract nurse will perform charge duties as assigned by department supervisor as needed. Duties may include but are not limited to making daily assignments, daily checks, shift reports, equipment checks, assigning meal breaks and coverage for the meal break coverage, chart reviews, and problem-solving day to day occurrences. When necessary, outside of normal business hours, communicates high risk situations to the nursing supervisor and/or administrator on call. The contract nurse has no supervision over government employees.

1.5.7 Place of Performance: The work to be performed under this contract will be performed on site, at the Cheyenne River Health Center, 24276 166th Street, Eagle Butte, South Dakota.

1.6.1 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured. The contracted RN shall generate and maintain proper medical record information on beneficiaries to whom treatment is provided, in accordance with

Indian Health Service regulations. The contracted nurse shall prepare all medical records documentation and other required documentation to meet or exceed the established standards of the

I.H.S. facility to include, but not be limited to: timeliness, legibility, accuracy, content, and signature. All medical record and other documentation generated in the performance of the contract will be subject to the exclusive control of the Indian Health Service.

1.6.2 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control.

Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.3 Special Qualifications: It is a condition of this contract that all required certifications remain current through The American Heart Association during the life of this contract.

• Emergency Department RN:

o Possess current (BLS) Basic Life Support certification. (ACLS) Advanced Cardiac

Life Support and PALS (Pediatric Advanced Life Support) is mandatory, Trauma Nurse Core Course (TNCC) is encouraged.

• Inpatient Department RN:

o Possess current (BLS) Basic Life Support certification. (ACLS) Advanced Cardiac

Life Support and PALS (Pediatric Advanced Life Support)

• Outpatient Department RN:

o Possess current (BLS) Basic Life Support certification. (ACLS) Advanced Cardiac

Life Support is preferred. (PALS) Pediatric Advanced Life Support is preferred.

The contractor is responsible for ensuring the contracted RN shall:

a. Be free of any work or health restrictions which interfere with the performance of the required work.

b. Have skill and knowledge in providing nursing care with full consideration of the mental, emotional, physical, and cultural factors involved, such that he/she can relate constructively to patients from the Native American community.

c. Ability to work with patients and their family members, the public, hospital staff and professional staff.

1.6.4 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers

Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.6.5 Contracting Officer Representative (COR): The (COR) will be identified by a designation letter issued to the COR. A copy of the letter will be sent to the Contractor, stating the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

The Contracting Officer Representative (COR) designated for this Project is:

Stephanie Red Elk

Cheyenne River Health Center

24276 166th Street, Airport Road

Eagle Butte, SD 57625

Stephanie.RedElk@ihs.gov

605-964-0507

1.6.6 Key Personnel: The following personnel are considered key personnel by the government:

• Director of Nursing: Donna Huber, Donna.Huber@ihs.gov, 605/964-0565

• ER Nurse Supervisor: Toni Anders, Toni.Anders@ihs.gov, 605/964-0574

• Inpatient Nurse Supervisor: Eunice Hollow Horn, Eunice.HollowHorn@ihs.gov, 605/964-0505.

• Outpatient Nurse Supervisor: Donna Huber, Donna.Huber@ihs.gov, 605/964-0565, interim.

• Background Clearance Coordinator: Chelsie Veit, Chelsie.Veit@ihs.gov, 605/964-0573

• Employee Health: AnnMarie Ducheneaux, AnnMarie.Ducheneaux@ihg.gov, 605/964-0643

The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 8:00 a.m. to 4:30p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.6.7 Identification of Contractor Employees: All contract personnel attending meetings, answering

Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or mailto:Stephanie.RedElk@ihs.gov mailto:Donna.Huber@ihs.gov mailto:Toni.Anders@ihs.gov mailto:Eunice.HollowHorn@ihs.gov mailto:Donna.Huber@ihs.gov mailto:Chelsie.Veit@ihs.gov mailto:AnnMarie.Ducheneaux@ihg.gov reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.6.8 Face Masks/Badges: The contractor personnel will be required to obtain and wear badges and masks, in the performance of this service at all times.

1.6.9 Contractor Travel: The Contractor shall be responsible for arranging travel and all associated travel costs related to the performance of this contract.

1.6.10 Other Direct Costs: The Contractor shall be responsible for arranging per diem, labor, fringe benefits, and plus any other costs pertinent to the performance of this contract.

1.6.11 Lodging: The Contractor shall be responsible for arranging lodging for their employees that work under this contract. Government Housing is available on a limited basis. Please check with the

Cheyenne River Housing Manager for availability and rates at least two weeks before arrival is expected. The CRHC does offer furnished units for contract employees. Depending on the needs of the

CRHC and the contract employee, there are unfurnished units available for extended periods of employment. The contract employee is responsible for executing the rental agreement and prompt payment. The Government does not guarantee government housing availability and will be on a first come first serve basis.

There are local hotels and rentals in the surrounding area. Please do an internet web search for contact information.

1.6.12 Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting

Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.6.13 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.6.14 Emergency Health Care. HIS/Cheyenne River Health Center will provide emergency healthcare of the contract providers for injuries incurred while on duty in the facility. These services will be billed to the Contractor at the current full reimbursement rate.

2.0 Definitions

2.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to the applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of contract.

2.2 Approval: Acknowledgement by the designated Government official that submittals, deliverables, or administrative documents conform to the contractual requirements.

Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

2.3 Area: A defined geographical region for Indian Health Service administrative purposes.

Each Area Office may administer several Service Units.

2.4 Code of Ethics: The Revised American Nurses Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association which makes explicit primary goals, values and obligations of the nursing profession.

2.5 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.6 Contractor: The individual awarded a legal binding contract to provide supplies and services.

2.7 Cooperative Attitude: Behavior that is positive and displays willingness to perform assigned patient care tasks and to be a team player.

2.8 Cultural Awareness: Realization and respect for American Indians and Alaska Native practices.

2.9 Customer: Patients, staff, and visitors.

2.10 Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractors performance. This is one of the criteria used to evaluate the

Contractor’s performance.

2.11 Dependability: Qualities of being trusted and being able to repeat the same task to yield the same result.

2.12 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all

Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

2.13 Gaps in Service: a break in continuity of services due to absence of contracted nurse; a break in work force.

2.14 Non-personal Services: A contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.

2.15 On-Call: The contractor is off duty, but remains available by telephone for the purpose of being contacted when unanticipated situations arise, and remains within a reasonable call-back radius, and reports for duty within 45 minutes of contact.

2.16 Ordering Activity: An authorized user of IHS that may issue a task order to obtain required services under this contract.

2.17 Ordering Activity Contracting Officer: A Government employee of IHS authorized and warranted to issue task orders and to make subsequent task order modification(s) under this contract. The Ordering Activity Contracting Officer has the authority to make initial determinations on all matters of dispute regarding task orders.

2.18 Orientation: An activity designed to provide basic familiarization of the facility and transition the nurse into the facility and/or unit where services will be provided.

2.19 Overtime Hours: Any hours worked over 80 hours in a two week period.

2.20 Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance to specifications and to standards of good workmanship; the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business like concern for interest of the customer.

2.21 Patient Outcome: End result of nursing care.

2.22 Performance based Matrix: Lists the services to be monitored and the standards to be applied.

2.23 Personal Protective Equipment: The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.24 Regular Hours: Working rotating 8-12 hours shifts, during a two week period and equal

80 hours in a two week period.

2.25 Standards of Practice and Standards of Care: Authoritative statements by which the nursing profession describes the responsibilities for which its practitioners are accountable. The standards provide direction for professional nursing practice and a framework for the evaluation of practice. The standards of professional nursing practice may pertain to general or specialty practice.

2.26 Supervisor: Government employee authorized to provide verbal and written performance direction to the Contractor that the Contractor must follow without exception.

2.27 Tour of Duty:

The contractor is paid for work during the designated tour of duty beginning and ending at the designated time. Early departure at the end of the work shift will not be compensated. An unpaid meal period of not less than thirty (30) but not more than sixty

(60) minutes, with the length to be determined consistent with the needs of the work unit, will be permitted and is to be taken as close as possible to the mid-point of the

Employee’s work shift.

On Call Schedule:

Schedule Changes:

The schedule is posted a minimum of two weeks in advance. Once posted, changes to the schedule are made by the department supervisor based upon the needs of the department and patient care.

2.28 Valid Patient Complaint/Valid Patient Grievance: Justifiable accusation made by a patient and/or visitor and supported by investigation.

DAYS SCHEDULED START END SHIFT DURATION (HOURS) MEAL BREAK DURATION (HOURS)

Sunday to Saturday 7:00 AM 7:30 PM 12 0.5

Sunday to Saturday 7:00 PM 7:30 AM 12 0.5

Sunday to Saturday 11:30 AM 12:00 AM 12 0.5

Sunday Clinic 10:00 AM 6:00 PM 8 0.0

Monday to Friday 8:00 AM 5:00 PM 8 1.0

Monday to Thursday 10:00 AM 7:00 PM 8 1.0

Sunday to Saturday 7:00 AM 7:30 PM 12 0.5

Sunday to Saturday 7:00 PM 7:30 AM 12 0.5

Sunday to Saturday 11:30 AM 12:00 AM 12 0.5

Monday through Friday 7:00 AM 4:00 PM 8 0.5

CASE MANAGEMENT

Evening Clinic

EMERGENCY DEPARTMENT

OUTPATIENT DEPARTMENT

INPATIENT DEPARTMENT

DAYS SCHEDULED START END

Monday to Friday 4:00 PM 7:00 AM

Saturday to Sunday 7:00 PM 7:00 AM

Holidays 7:00 PM 7:00 AM

Saturday and Sunday 7:00 AM 7:00 PM

Holidays 7:00 AM 7:00 PM

OUTPATIENT DEPARTMENT

EMERGENCY AND INPATIENT DEPARTMENT

2.29 Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

3.0 Government Furnished Information, Property and Services

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, will be made available to the Contractor. The

Contracting Officer or designee will be the point of contact for identification of any required information to be supplied by the government.

3.2 Joint Use by the Government and Contractor: Except for property and services listed in 3.3 and 4.0, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and space to perform the services under this contract.

3.2.1 Facilities: The Government will provide the necessary workspace for the contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment for the nursing services

3.2.2 Utilities: The Government will provide all utilities in the facility will be available for the contractor’s use in performance of tasks outlined in this PWS. If utilities are furnished, the following is required: The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.2.3 Equipment: The Government will provide equipment and/or what the contractor will have access to, i.e., computer, phone, scanners, fax machines, printers, shipping crates, lighting and sound, etc.

3.5 Materials: The Government will provide materials, i.e., Standard Operating

Procedures and Policies.

3.3 Contractor Exclusive Use:

3.3.1 Personal Protective Equipment (PPE): The Government will furnish the

Contractor with the appropriate PPE. This does not include any type of uniform or laboratory coat.

3.3.2 The Government will provide a specific identification badge for each

Contractor.

3.4 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures. Training will be provided only if the subject matter is necessary to improve or enhance the quality of nursing services or includes mandates made by IHS while the nurse is working under this contract. Training will not be provided for the purpose of continuing education, career development or individual development.

4.0 Contractor Furnished Property and Responsibilities:

4.1 The Contractor shall provide all uniforms and other personal medical instruments subject to the following:

4.1.1 Uniforms and Lab Coats: Uniforms and lab coats shall conform to the requirements of the Indian Health Service Manual, Part 3 Chapter 4 and meet the approval of the Chief Nurse Executive.

4.1.2 Other personal medical instruments: “Other personal medical

Instruments” are defined as Contractor owned items may include but not limited to stethoscope, scissors, as appropriate to the work unit.

The Contractor shall not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the

Government and must be approved by the COR prior to use by the

Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

4.2 Verification of Licensure

To ensure that nurses providing services under this contract are properly licensed and that the

I.H.S. is made aware of all disciplinary actions taken against such nurses, the contractor will:

1. Verify through the National Nursing Boards database all active, inactive, and lapsed licenses that are held, or have been held, by nurses who would provide services in I.H.S.

hospitals and clinics under this contract.

2. The contractor is responsible for ensuring the contracted RN possesses a current, active, full, and unrestricted license or registration as a professional nurse from a State, the

District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United

States. Licensure must have been obtained through passing the National Council

Licensure Examination (NCLEX).

2. Inform I.H.S. of the status of all licenses for each nurse who would provide services under this contract in I.H.S. hospitals and clinics, including all reasons for each inactive or lapsed license.

3. Obtain at least three letters of reference from health care providers whom have knowledge of the applicant’s clinical practice skills within the past six months. One letter must be from the previous supervisor, at the hospital where the nurse holds or last provided nursing care.

4. Provide all information regarding performance and disciplinary actions that is collected on nurses who would be placed under this contract to the receiving I.H.S. facility Clinical Nurse Supervisor. This includes all information that is collected and compiled on such nurses at the time of initial hire by the Contractor, and/or information that is reported during periods that the Contractor is an agent of such nurses for placement under this contract.

5. Certify that all information obtained on nurses whom they would assign to I.H.S.

hospitals and clinics has been reviewed and verified by the Contractor. This certification must include a statement that the Contractor has found no reason to reject the nurse’s application. The names of the contacts, their titles, telephone numbers, and dates of representative collecting and reviewing such information must be recorded in writing and made available to the I.H.S. by the Contractor.

The Contractor must provide all of the information required above to the Clinical Nurse Supervisor, for the assigned department, fourteen days, before the nurses actual report date. When the requirements or the I.H.S. do not allow for hard copies of information to be received at least ten days before a nurses placement, the Contractor may provide such assurances to the I.H.S. facility Clinical Nurse Supervisor within five days after nurse’s placement. Such instances shall be kept to a minimum and the reasons for each instance must be documented and well justified by the Clinical Nurse Supervisor at the receiving

I.H.S. facility.

5.0 Performance-Based Requirements: The Contractor shall provide nursing services in the delivery of patient care to the Indian Health Service. Specific tasks include the following:

5.1 Nursing Duties:

5.1.1 The Contractor shall perform nursing duties and manage patient’s needs as described in the Position Description, identified by the facility and as directed by the Department Supervisor.

5.1.2 The Contractor shall perform in accordance with the competency standards.

5.1.3 The contractor shall perform other related nursing duties as assigned including daily assignments.

5.1.4 The contracted RN shall:

a. Participate in a continual process of quality of health care evaluation to assure the provision of quality service.

b. Strive for excellence in providing emergency medical services.

c. Comply with all I.H.S. facility infection control and safety procedures, practices, and standards.

d. Meet all applicable Centers for Medicare and Medicaid Services (CMS) regulatory standards, The Joint Commission (TJC) standards and standards as established by regularly agencies during the performance of this contract.

e. Respect and maintain the basic right of patients, to include but not be limited to personal dignity.

f. The contracted RN shall generate and maintain proper medical record information on beneficiaries to whom treatment is provided, in accordance with Indian Health Service regulations. The contracted nurse shall prepare all medical records documentation to meet or exceed the established standards of the I.H.S. facility to include, but not be limited to: timeliness, legibility, accuracy, content, and signature. All medical record information generated in the performance of the contract will be subject to the exclusive control of the Indian Health Service.

5.2 Work Schedule:

5.2.1 The Supervisor at the facility shall determine the specific tour of duty. The

Contractor shall work 100% of the contracted hours.

5.2.2 Work flexibility. The contractor shall rotate into other duty sections as needed to support patient care as directed or assigned.

5.2.3 Gaps in service due to extended leave requests by contractors is discouraged.

All planned gaps in service are to be agreed upon between the departmental supervisor and the contract company prior to entering into a contract.

5.2.X Gaps in service due to emergencies are managed by the contractor and the departmental supervisor on a case-by-case bases. The contract company will need to ensure there is no disruption to services.

5.2.5 The Contractor shall provide written documentation from a qualified health care provider for absences of three or more consecutive days.

5.3 Conduct: The Contractor shall meet the standards as listed in the Federal Code of

Conduct.

5.4 Performance Evaluation:

5.4.1 The Contractor’s performance will be evaluated on a quarterly basis.

5.4.2 Substantiated reports written by any customer dealing with patient safety, infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

5.5 Management of Medical Information: The Contractor shall manage all patient information in accordance with HIPAA standards, Privacy Act, and The Cheyenne River

Health Center specific policies and protocols.

5.5.1 The Contractor shall ensure adherence to DHHS IT system security policies and procedures. The IT policies and procedures will be made available to the Contractor.

5.5.2 The Contractor shall immediately report to the Contracting Officer or

COR any information or circumstances that may violate any statute, policy, or procedure.

5.6 IHS Information Technology Systems:

5.6.1 In performance of this contract, the Contractor shall adapt to and successfully utilize IHS information technology systems that are deemed by the Supervisor as necessary for acceptable contractor performance.

5.6.2 The Contractor shall ensure that IHS information technology system security policies and procedures are adhered to. The IT policies and procedures will be available to the Contractor.

5.7 Continuity of Care: Contractor shall be able to provide continuous coverage for services. If continuous coverage is not able to be met during the term of this contract, Contractor must notify the Department Nurse Supervisory and the Contracting Officer Representative as soon as the Contractor is aware they will not be able to provide continuous coverage. If a provider, working under this contract, is scheduled to leave before the period of performance ends, an acceptable replacement candidate will be presented at least 2 weeks before the provider is scheduled to leave. After acceptance of a replacement candidate, the Contractor must have the replacement candidates Security Clearance/Onboarding documentation (i.e. fingerprint cards, forms, etc.) submitted to the Cheyenne River Health Center, at least 10 days before the departure of the current provider working under this contract. This will allow for Clearance/Onboarding to be completed and approved with 2-5 days. The replacement candidate should report at least 5 working days before the current provider is scheduled to leave, to allow for training before the exiting provider leaves.

This contract will allow for up to 10 days of overlapping of replacement contract nurses, for training and orientation purposes. The goal is to have the incoming contract nurse trained and able to work independently, before the exiting contract nurse leaves. In some situations, this may result in a 14-week assignment. The Government reserves the right to fill this need through other means and/or terminate the contract if the Government elects to do so.

6.0 Contractor Qualification Requirements:

6.1 Experience: The Contractor shall have no less than 12 months experience within the last two years in the nursing area which they are assigned.

6.2 License/Registration: The contractor is responsible for ensuring the contracted

RN possesses a current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto

Rico, or a territory of the United States. Licensure must have been obtained through passing the National Council Licensure Examination (NCLEX).

6.3 Certifications: All certification must be through an American Heart Association

(AHA) certified training center. Current basic life support (BLS), Advanced Cardiac Life

Support (ACLS) and Pediatric Advanced Life Support (PALS) is mandatory for Inpatient and Emergency Department. Trauma Nurse Core Course (TNCC) is preferred for ED.

Basic life support (BLS) is mandatory for Outpatient Clinic. Possess current (BLS) Basic

Life Support certification. (ACLS) Advanced Cardiac Life Support is mandatory. (PALS)

Pediatric Advanced Life Support is mandatory

6.4 Health Requirements/Conditions of Employment:

Cheyenne River Health Center requires contract RNs onboarding health information for all job applicants to whom conditional offers of employment have been made in order to evaluate the applicant’s health,…