Optometrist_SOW_Revised.doc

OPTOMETRY SERVICES

STATEMENT OF WORK

Subject

The Federal Bureau of Prisons, Field Acquisition Office, intends to award a Blanket Purchase Agreement (BPA) for the provision of Optometry Services as prescribed in the description of duties listed below.

Place of Performance Services will be performed in the Health Services Department at the Federal Medical Center, 2110 East Center Street, Rochester, Minnesota.

Point of Contact The Contractor shall provide a Point of Contact (POC) who shall be responsible for the delivery of services under this BPA. The POC shall have the full authority to act on behalf of the Contractor in all matters relating to the daily operation of the contracted services. The Contractor shall designate this individual in writing to the Contracting Officer prior to the start date of the BPA. An alternate POC may be designated, however, the Contractor must identify those times when the alternate shall be the primary POC.

Schedule The schedule will consist of an estimated eight (8) sessions per week with each session being one hour in length. The services may be provided on an as needed basis with the contractor subject to a call for services from the Federal Medical Center.

A mutually agreed upon schedule will be determined following award of the contract. Upon agreement, any changes to the schedule must be coordinated with the Contracting Officer’s Representative (COR) assigned under the contract. The COR will be responsible for defining each weekly schedule. The schedule is subject to change based on the variable needs of the institution and the unpredictable nature of the correctional environment. The Contractor may be subject to schedule changes and must be flexible.

Due to the nature of the correctional setting, delays in performance of work may be expected. Such delays may include, but are not limited to inclement weather, electrical or mechanical problems, or other security matters. When contract employees report to the institution but are unable to perform services due to such delays, the Contractor will be paid for one (1) session. Normally, any remaining sessions for that day will be suspended, the Contractor will be free to leave, and the Contractor will not be paid for remaining incomplete sessions. However, if the institution requests that the Contractor remain at the institution for eventual performance, the Contractor will be paid for such sessions. In the event of any absence, the Contractor will generally be expected to provide replacement coverage, unless prior arrangements have been made between the Contractor and the COR. If the Contractor fails to provide coverage, the Government may seek contractual remedy.

Education and Experience The Contractor will be a graduate of an accredited school of optometry. The Contractor must possess an expanded optometry license that permits the prescription of legend ophthalmologic medications. The Contractor must possess a valid and current license to practice optometry in any one of the states or territories in the United States of America. The Optometrist must possess a minimum of 5 years of experience in optometry. The Optometrist cannot have had a negative employment termination within 36 months prior to initiating the vouchering process. The Contractor shall ensure submitted prospective employee(s) meet the requirements of the vouchering process as described in the Civilian Personnel Manual 3000.02. The Contractor must have the ability to work with a high degree of independence. They must be able to understand treatment plans and possess the teaching skills necessary to design and implement individual education plans for the patients they serve. The Contractor must possess good oral and written communication skills to work effectively with inmates as well as medical, mental health, and correctional staff. The Contractor must maintain flexibility to accommodate changes in policies, procedures, and student needs.

The Contractor will submit a resume and photocopies of documentation evidencing education, training, and experience with their quote. The qualified individual selected to perform these services on behalf of the Contractor must be identified at the time the quotation is submitted. The Contractor will submit all necessary information required for the FMC to maintain a complete credential file as outlined in Program Statement 6027.01, Health Care Provider Credential Verification, Privileges, & Practice Agreement Program.

The Contractor shall provide and maintain adequate medical liability insurance coverage consistent with the risks associated with the performance of this contract. The specific dollar amount shall be in accordance with Federal Acquisition Regulation clause 52.237-7, “Indemnification and Medical Liability Insurance” and requirements as defined in the solicitation/contract.

Health Requirements

The Contractor will be current with all immunizations required to work in a healthcare setting and proof of documentation will be available for the FMC prior to the first day of work. These immunizations include a complete hepatitis B series, MMR or proof of immunity if born prior to 1957 and varicella immunization or history of illness. An annual tuberculin skin test record, a two-step tuberculosis skin test, or chest x-ray prior to contract work will be required for TB screening. Annual TB screening and annual influenza is required during contract employment. Contractors with a positive TB or tuberculin skin test history will have documentation of no active disease by an outside physician prior to contract start. If the Contractor subsequently develops a medical condition which might be reasonably expected to place other workers, patients, or the public at risk, he/she will immediately be removed from all patient care activities.

Description of Duties

The contractor will possess an expanded optometry license that permits the prescription of legend ophthalmologic medications and will diagnose and treat glaucoma. Therapeutic uses of topical medications may be utilized in the ongoing treatment of chronic clinical conditions. The contractor will evaluate and follow a variety of ocular diseases including diabetes, glaucoma, and HIV infection. The contractor is responsible for assessing vision and establishing whether glasses or, for certain inmates, contact lenses are needed to correct any visual defect. The contractor's scope of services is commensurate with the statue of Minnesota's regulations for licensure of optometrists.

The contractor's services will include, but are not limited to, performing eye examinations and refractions, providing eye prescriptions, fitting and adjustment of eyeglasses, or in certain cases, contact lenses. In an emergency situation, the contractor may be required to provide eyeglasses and/or the repair of eyeglasses.

The services, being professional in nature, will be provided in the method as considered appropriate in the local community. These services will be reviewed by a physician on staff at the Federal Medical Center. The performance of these services will also be verified by the designated contract monitor.

The contractor is responsible for providing appropriate documentation of services performed on inmates. The contractor may request that copies of certain portions of the inmate’s medical record be provided for inclusion in the contractor's records. Upon request, the contractor will have access to the Bureau of Prisons medical records for inmates whom he/she has provided service. The contractor is to be aware of the Local Governing Body’s decisions and policies regarding the delivery of health care to inmate patients, ensuring compliance with all applicable American Correctional Association, Bureau of Prisons, and Joint Commission practices and standards.

In accordance with FAR 52.224-1 and 52.224-2, the Contractor will use, disseminate, and/or handle inmates’ records that contain confidential information. The Contractor will have access to the BOP correctional, medical, and psychology records of inmates for whom the Contractor is providing service, as necessary to provide said services. All inmate records will be handled in accordance with Bureau of Prisons Policy. Direct entries into the inmate’s medical record will be done in accordance with the Bureau of Prisons Program Statement 6090.01, Health Information Management, and FMC Rochester Patient Care Manual Section 600, Medical Records and Documentation.

The Government reserves the right to inspect and evaluate all services provided during the performance of this contract. The Government may conduct surveillance of any task at any time during the performance of this contract. All surveillance observations will be documented by the Contracting Officers Representative (COR).

When an observation indicates defective performance, the Contracting Officer may issue a Discrepancy Report to the Contractor. The Contractor shall address any Discrepancy Report in writing to the Contracting Officer within ten (10) calendar days of notification, indicating any corrective action taken to rectify the deficiency.

The services provided are for non-personal healthcare services, as defined in Federal Acquisitions Regulation (FAR) Part 37.101, under which a Contractor is not an employee, but a Contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the professional aspects of services rendered. The Contractor is required to indemnify the Government for any liability producing act or omission by the Contractor, its employees, and agents occurring during contract performance.

The Contractor shall be unescorted. Administrative supervision will be provided by the Health Services Administrator (HSA) or designee.

Attire Contractors are required to wear appropriate professional attire at all times. Jeans (of any color), T-shirts, sandals (of any type), tank tops, and sweat pants/shirts are not considered appropriate professional attire.

Inmate Management The provisions of services under this contract will require frequent and unsupervised contact with inmates. The Contractor will not be responsible for the management of inmates other than to ensure that those inmates involved in activities within the Contractor’s scope of work shall abide by all rules in effect to ensure their safety and the well-being of all participants. The Contractor agrees to adhere to all regulations prescribed by the institution for safety, custody, and conduct of the inmates. The Contractor will report any infractions of rules and regulations by any inmate to the Health Services Administrator or their designee.

Institution Security

The Contractor agrees to adhere to all regulations prescribed by the institution for the safety, custody, and conduct of staff, contract workers and inmates. The Contractor will be required to undergo a thorough background investigation and complete a urinalysis test for the detection of illegal substance use. The Contractor will attend an initial institution correctional orientation program (generally 4 hours) prior to assuming professional duties and refresher training annually thereafter. Additionally, the Contractor will complete a Health Services Core orientation. Reimbursement to the Contractor for time spent in institution orientation, training or other required activities will be allowed at the pro-rated session rate. Contractor staff shall adhere to all institution regulations regarding conduct and performance. Any individual performing under this contract may be removed if it becomes apparent that his/her conduct does not reflect the conduct prescribed for those performing under a non-personal services contract. Items brought into the institution will be searched and scanned prior to entering the institution.

Supplies All necessary equipment and supplies needed to perform the services covered under this contract will be furnished by the Federal Government. If specific examination equipment is necessary for the Contractor to provide the required services, he/she shall forward the request to the HSA for consideration. The Contractor will be expected to account for all equipment and supplies placed under his/her supervision. All records maintained by the Contractor under this contract will remain the property of the FMC Rochester, MN.

Restrictions on Contract Workers

The Contractor will not:

1. Supervise BOP staff.

2. Participate in inmate accountability.

3. Requisition, sign for, or pick up supplies.

4. Formulate policies or procedures.

5. Attend recalls or staff functions.

6. Be a member of the Employee’s Club.

Record Keeping

The FMC Rochester will establish and maintain a record keeping system that will record the hours worked by the Contractor. Contractors will report to Health Services Outpatient upon arrival to sign-in on the “Contract Worker Time Log.” The Contractor will record the date of service, time of arrival, departure time, and note services provided. Documentation of hours worked and services performed shall be reviewed by the HSA or designee prior to certification of payments. The FMC Rochester will only pay for services actually performed. Record keeping procedures will be sufficient to ensure proper payment and allow audit verification that services were provided.

Payment Terms

The Contractor must provide a means for electronic payment to include bank routing and account number. Payment terms are specified in FAR 52.212-4(g). The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations specified in 5 CFR Part 1315. The Contractor can offer discount payment terms for prompt payments as specified in block 12 on the SF 1449 form of this solicitation. Quarter, full or half sessions will be authorized for payment.

The Contractor will invoice FMC on the first of each month and will be paid in 15 workdays. Upon receipt of invoice, the FMC will verify work hours with what is recorded on the “Contract Worker Time Log.”

Non-Personal Services This service shall be a contractual arrangement and not a personnel appointment. Payment is based on the provision of an end product or the accomplishment of a specific result. The service does not constitute an employer/employee relationship. The Contractor will not be subject to Government supervision, except for security related matters. However, Contractor performance shall be monitored.