STATEMENT_OF_WORK_Diagnostic_Imaging_3.docx

ATTACHMENT 1: STATEMENT OF WORK

Background

The Federal Correctional Complex (hereinafter referred to as the Institution) located in Bruceton Mills, WV intends to make multiple awards to responsible entities for the provision of on-site diagnostic imaging services as set forth in this solicitation. On-site need requirement will be met by the use of mobile diagnostic imaging equipment, technicians, physicians, and/or diagnostic interpretations as needed. The Institution is a male United States Penitentiary (USP), a male Federal Correctional Institution (FCI), a Secure Female Facility (SFF) and a Federal Satellite Prison Camp (SPC). The Contractor shall include the name and current medical license of the Specialty Care providers who will provide the services to the Institution in this proposal. The contract period will run from the date of award through the end of fiscal year 2015.

On-Site Diagnostic Services

The contractor shall provide diagnostic imaging services from the following list:

· MRI

· CT

· Mammography which conform to community standards and all local, state, and Federal laws and regulations applicable to the delivery of health care to members of the general public. The Contractor shall provide the service of professional medical staff who have appropriate educational qualification, experience, licensure, and board certification (where required) to satisfy the requirement. The contract physician must be licensed for practice in a state or providence of the United States in the identified specialty areas. All equipment shall meet or exceed JCAHO standards.

The Contractor shall be required to document primary source verification of the credentials for each provider including: education from professional schools or universities, evidence of completion of internships and/or residences as appropriate.

Whenever possible, appointments for diagnostic imaging should be available within 45 calendar days from the date of referral to the specialty provider. This practice promotes the safety and security for the federal prisoner, the escorting correctional staff, and the general public. The medical urgency of any referral must receive consideration in the scheduling and delivery of physician services.

Institution-Based Services

Diagnostic Imaging services in the identified specialties shall be performed within the confines of the Institution. The BOP reserves the right to determine the manner of an inmate’s referral, i.e., via on-site clinic, via community-based referral, or any other method the Institution determines to be reasonable and appropriate.

Contract services shall be provided on-site within the confines of the USP, FCI, SFF, and SPC. Ideally, equipment utilized will fit into the institution SallyPort with an opening 11’7” wide x 14’ height. Imaging services shall be limited to the chief complaint on the BOP consultation form. Scheduling of inmates for on-site clinics shall be performed by the Institution. Scheduling of procedure dates and times will be by mutual agreement between the institution and contracting company.

Physicians performing these services shall apply for clinical privileges at the Institution. All clinical privileges shall be appropriate to the qualifications of the provider and the resources of the facility here care is provided. Any clinical privileges granted due to the award of this contract shall be contingent upon the continuation of this contract and upon the physician’s continued affiliation with the Contractor. Continuation of privileges at the Institution shall be at the sole discretion of the Institution.

In the event it becomes necessary for the Government to cancel a scheduled visit, the Institution will provide the contract company with a 14 calendar day written or verbal notice prior to canceling a visit. The government is not liable for services cancelled outside of the 2 week notification period. However, certain circumstances beyond the control of the Institution (e.g., fog or other Acts of God, institution disturbances, etc.) may dictate the cancellation of a scheduled visit with less than 48 hours written or verbal notice. In the event it becomes necessary for the contract physician to cancel a scheduled visit, the Contractor may re-schedule a mutually agreed upon replacement session. In the case of unavailability of service provision at a specific site, attempts will be made to reschedule within the Complex at another facility, i.e. USP lockdown may result in reschedule to the FCI.

All contract personnel providing services within the confines of the Institution shall have a complete background investigation conducted in accordance with BOP Program

Statement 3000.02, “Personnel Manual.” See also section of this solicitation “Contract Security/Investigative Requirements.” All contract physicians and other applicable staff who will enter the Institution to perform services on a recurring basis, greater than 5 calendar days per year, shall be required to attend a four hour institution orientation course held at the Institution or mutually acceptable site. A “refresher” orientation must be completed annually. The Contractor’s costs for contract staff to attend this training shall be the responsibility of the Contractor. The Contracting Officer or CM will be responsible for scheduling training for all applicable contract staff.

Submit properly priced invoices for services rendered.

Upon completion of a treatment encounter, the contractor shall submit to the Institution a proper invoice for services rendered. A proper invoice shall include the information specified in FAR clause 52.212-4, Contract Terms and Conditions-Commercial Items, paragraph (g). Invoices shall be accompanied by a properly-coded CMS-1500 form for all treatment encounters under the contract. The contractor’s invoice shall be billed in accordance with the rate structure identified in the resulting contract. Invoices shall be submitted to the Institution within 14 calendar days of the services. Invoices which are submitted beyond the 14-day requirement shall constitute a performance deficiency and shall be documented in the contractor’s performance evaluations. Invoices which are submitted within the acceptable time period, but are found to contain errors or require further justification, will be rejected and shall be resubmitted by the contractor within 15 calendar days from the date of rejection. Failure to resubmit beyond 15 calendar days will result in performance deficiency on the contractors performance evaluation.

Combined billing shall be utilized for all services rendered on the same date. Single patient invoices detailing charges shall be batched with a cover sheet notating the final total due for the date of service. Failure to batch bills for the same date of service will result in their rejection and return to the contractor for resubmission. Combined bill shall be submitted in a monthly batch.

Manage medical record information in a manner which promotes continuity of care while observing restriction on the release of information.

Upon request, authorized BOP staff shall have access to and obtain copies of all inmate medical records and evaluation and treatment reports prepared and maintained by the contract facility and/or contract physicians. Inmate medical records will be subject to review by the Institution for validation of payment and verification of services rendered. Release of information shall only be made in accordance with community standards, JCAHO regulations, and the Privacy Act of 1974. Any request(s) for copies of an inmate’s medical records, for reasons unrelated to the continuity of care, by the inmate or third party shall be directed to the CM for processing.

Notwithstanding the above restrictions on the release of information, medical record information shall be provided to the Institution in order to enhance inmate recovery as well as continuity of care. At the completion of treatment, the Contractor shall provide the Institution with documented imaging interpretations, as provided by the attending physician. A written report by the attending physician which documents the circumstances of the inpatient treatment, outpatient treatment, outpatient procedure, or other consultation shall be provided to the CM within ten (10) business days of the inpatient discharge, outpatient procedure, or other consultation.

Maintain open avenues of communication, facilitating the exchange of information between the contract physician, contract facility, and the Government regarding the contract services.

The Contractor shall provide a Point of Contact (POC) who shall communicate scheduling and problem resolution to the FCC Hazelton Health Services Department. The POC shall have sufficient clinical knowledge to enable preliminary technical consultation, with referral to a specialist if necessary.

The contractor shall designate this individual in writing to the Contracting Officer prior to the start date of the contract. Alternate POC’s may be designated; however, the Contractor must identify those times when an alternate shall be the primary POC (i.e., after-hours and weekend referrals).

There shall be an open line of communication between the Contractor, its representatives, and the Institution to ensure that only those services ordered by the Institution are provided, unless required for intervention in a life-threatening emergency. In the event of a life-threatening emergency, the Contractor shall contact the CM within a 24-hour time period or the next normal working day. All Institution referrals shall be the sole responsibility and decision of the Government. No inmate may be transferred to another medical facility, with exception of emergency cases, without advanced approval by authorized medical staff.

CONTRACT PRICING/SDB PARTICIPATION

Overview

On-site diagnostic imaging procedures are required to be provided in accordance with the Statement of Work of this solicitation.

Pricing Methodology

Pricing shall include the amount of fees for set-up and individual exams provided in accordance with the statement of work. Pricing shall be presented in a total cost per scan. Both parties reserve the right to reschedule the visit, no payment shall be invoiced by the Contractor and no payment shall be made by the institution for services rescheduled or cancelled greater than fourteen (14) calendar days of the scheduled visit. For cancellation of services by the contractor under fourteen (14) calendar days shall be reflected in past performance by the CM and communicated to the Contracting Officer. Payment shall be made via electronic funds transfer.

Estimated Quantities

Session is defined as one (1) business day. The number of established visits to the institution will vary based on quantity of exams to be completed per business day. Estimated quantities are over the life of the contract. All needs are approximate and there will be no set minimum or maximum visit quantity established.

· MRI: 5

· Mammography: 3

· CT: 2

The number of exams included in each session will be as follows:

· MRI: up to and including 12 exams/session

· CT: up to and including 15 exams/session

· Mammography: up to and including 35 exams/session