RFQPackage-CRHC23-22-MT-Lab.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, Indefinite Delivery/Indefinite Quality (IDIQ) contract, to provide Medical

Technologist, Medical Technician and Phlebotomist Services for the Lab Department at the Cheyenne

River Health Center located in Eagle Butte, South Dakota. The contract resulting from this solicitation will not obligate funds; funds must be obligated prior to ordering through the issuance of a task order.

All orders may be submitted electronically, facsimile, or hard copy.

(ii) This solicitation is being issued under solicitation number CRHC23-22.

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

Federal Acquisition Circular 2023-01, dated 12/30/2022.

(iv) This is a 100% Indian Small Business Economic Enterprise (IEE) Set-Aside and the associated

NAICS code is 561320 Temporary Help Services, with a Small business Size Standard of $34.0

Million, Product Service Code is Q999 Medical -Other .

(v) Services purchased through this contract will be Medical Technologist, Medical Technician and

Phlebotomist 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. The period of performance will be a base year, plus the option to exercise, Four-One(1) year option terms.

See Attached Pricing/Cost Schedule.

(vi) Description of Services: Include, but not limited to, continuous Medical Technologist, Medical

Technician and Phlebotomist Services, required by the attached Performance Work Statement, for the

Cheyenne River Health Center, Eagle Butte, South Dakota.

(vii) The period of performance will include one base year, plus the option to exercise four-1 year option years. Delivery and acceptance terms for this order are with the PWS. POP: Base Yr: 4/18/2023 –

4/17/2024, OY1: 4/18/2024 – 4/17/2025, OY2: 4/18/2025 – 4/17/2026, OY3: 4/18/2026 – 4/17/2027 &

OY4: 4/18/2027 – 4/17/2028.

(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 CRHC23-22

2. Closing Date: April 3, 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 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/52_000.htm#P1579_222340

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.

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 information, to include: Resume, current/up-to-date licenses & certifications as requested in the PWS, completed Background clearance forms attached to this solicitation, proof of Mandatory

Employee Health Records Requirements as spelled out in the PWS, and guarantee report date.\

7. Buy Indian Representation Form

(ix) The clause at 52.212-2, Evaluation-Commercial Products and Commercial Services (Nov 2021) applies to this acquisition. (a) 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. Past performance is always an evaluation factor and will be considered.

Technical and past performance, when combined are equal to costs 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.

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 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 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 April 3, 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

PO Box 1012

Eagle Butte, South Dakota 57625

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 March 20, 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, Acting Purchasing Agent, 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.

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

5 SOLICITATION NUMBER

ORHC23-22

calls)

605/964-0507

12 DISCOUNTTERMS

l-l rs" lHrs coNrucr rs n

RATED ORDER UNDER

DPAS 0s CFR 700)

SCHEDULE OF SUPPLIES,/SERVICES

Firm Fixed-Price, Non-Personal Healthcare Service, Commercial ltem, Indefi nite Delivery/lndefi nite Quantity Contract, for Medical Technologist, Medical Technician and Phlebotomrst Services, for the Lab Department, at the

Cheyenne River Health Cente(CRHC), Eagle Butte, South Dakota.

The Period of Performance will be a one(1) year base period, with fou(4) - one(1) year option periods.

Reve6e and/or Aftach Add,l,on€l Shg€ls as

SOLICITATION/CONTRACT'OROER FOR

OFFEROR TO COMPLETE BLOCKS 12. 17, 24, A 30

2 CONTRACT NO

I rssuEo 8Y

IHS/Cheyenne River Health Center 24276 166th St. Airport Rd.

Eagle Butte, SD 57625

11 DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

! see scxeoule

15 DELIVER TO

IHS/Cheyenne River Health Center 24276 1661h St. Airoort Rd.

sD 57625 17a CONTRACTOFY COOE

OFFEROR

TELEPHONE NO,

AND PUT SUCH ADDRESS IN 18b, SUBMIT

LOCAL TIME

04t03t2023

1:00 PM MST

UNRESTRTCTEDOR LISETASTDEi 100 o/o FoR:

ITEMS PAGE 1 OF

1of

6 SOLTCTTATTON |SSUE

DATE

03t02t2023

10 TH|S ACOUtStTtON tS

I sumr ausrruess

T-IHUSZONE SMALL

r--J gustNEss

T-l SERVICE'DISABLED

I.J VETER]AN.OVVNED

SMALL BUSINESS

! EDU/osB

8 (A)

561320

SIZE STANDARD:

$35.0M

AI\,IOUNT

_ WOMEN-OWNED SI'ALL BUSINESS

I l(V1/OSB) ELIGIBLE UNDER THE WOITEN.O\r1 ED

- SMALL BUSINESS PROGMM NATCS

13b RATING

14 METHOD OF SOLICITATION

IFB

16 ADMINISTEREO SY

IHS/Cheyenne River Health Center 24276 166th St, Airport Rd.

Butte. SD 57625 18e PAYMENT \MLL BE MADE BY

IPP.GOV

US Treasuery

BELOW IS CHECKEO

_ 17b CHECT(

LI OFFER

ITEM NO

25 ACCOUNTING AND APPROPRIATION DATA 26 TOTAL AWARD AMOUNT (FoT Govt Use OnIy)

! ene ! me rcr anecreo lane ! eae nornnecreo E E

27a SOLfCITATfON INCORPORAIES BYREFERENCE F,R52212-1,522124 FAA 52212'3 AND 52212'5 ARE ATT CHEO ADDENoA

27b CONTRACT/PUFCHASE ORDER INCORPOMTES BY REFERENCE FAR 52 212.4 FAR 52 212-5 IS ATTACHEO AOOENDA

28 CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1

COPIES TO ISSUING OFFICE CONTMCTOR AGREES TO FURNISH AND

30a SIGNATURE OF OFFEROFyCONTMCTOR

3Ob NAI,IE AND TITLE OF SIGNER (IYPE OT P',NI)

OELIVER ALL ITEMS SET FORTH OR OTHERWSE IOENTIFIED ABOVE AND ON ANY

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONOITIONS SPECIFIED

(BLOCK 5), TNCLUDTNG ANY ADDIIONS OR CHANGES ViiFllCH ARE

SET FORTH HEREIN, ISACCEPTED AS TO ITEMS:

STANDARD FORM 14,49 ,ne'! 22012) Presc bed by GSA - FAR ll48 CFR) 53 212

29 AWARD OF CONTRACT: REF

DATEO YOUR OFFER ON SOLICITATION

a UNITED STATES OF AMERICA /S/GNATURE OF CONTRACTING OFFICER)

3lc DATE SIGNED31b NAME OF CONTRACIING OFFTCER (Type ot pnnt)

Craig Wells, CCO, IHS/GPA

PREVIOUS EDITION IS NOT USABLE

ITEI' NO

SCHEDULE OF SUPPLIES/SERVICES QUANT TY

22.

UNIT

UNIT PRICE

AMOUNT

Period of Performance:

Base Year: 0411812023 - 0411712024

Ootion Year 1.0411812024 - 0411712025

Ootion Year 2: 0411812025 - 0411712026

Option Year 3: 0411812026 - 0411712027

Ootion Year 4: 0411812027 - 0411712028

Fill Out Attached Price/Cost Schedule to submit pricing.

This lDlQ contract does not obligate any funds

Funds will be obligated on an individual basis as

Task Orders and will be issued electronically, sent by email. For details, please refer to the attached clauses FAR 52.216-18 Ordering, FAR 52.216-19 Ordering Lrmitations and

FAR 52.216-22 Indefinite Quantitv.

This is a 100% Indian Small Business Economic

Enterprise set-aside. Multiply awards will be made

32a OUANTITY lN COLUMN 21 HAS BEEN

!necerveo !nseecreo fJ rcceereo, nHo coNFoRMs ro rHEcoNrucr, EXCEPTAs NorED:

32b SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32d PRINTEO NAME AND TITLE OF ATJTHORIZED GOVERNMENT

REPRESENTATIVE

32e MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32i TELPHONE NUMBER OF AUTHORZED GOVERNI\,IENT REPRESENTATIVE

AUTHORIZED REPRESENTATIVE

40 PAID BY

41a I CERTIFY THIS ACCOUNT lS CORRECTAND PROPER FOR PAYMENT

! cor.lPtErE ! PARTIAL lrtrar

41c OATE41b SIGNATURE ANO TITLE OF CERTIFYING OFFICER

42a RECEIVED gY (Prinl)

STANDARD FORM lrl49 (REV 2/2012) BACK

Request for Proposal: CRHC 23-22

MT/Phlebotomist Services

SERVICES AND PRICES/COSTS

(Fixed-Price, Services, Commercial Items)

Firm Fixed Price, Non-Personal Services, IDIQ contract, to provide Medical Technologist, Medical

Technician and Phlebotomist Services, for the Lab Department, Cheyenne River Health Center, located in

Eagle Butte, South Dakota. The Period of Performance will be a base year and four 1-year option years.

BASE YEAR: 04/18/2023 – 04/17/2024.

CLIN001. Medical Technologist Regular Hours

Item

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical

Technologist Regular

Hours

6,240 HRS

(x)

_____ (x)

Total: $

CLIN002. Medical Technologist Overtime Hours

Item

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

Overtime Hours

624 HRS

CLIN003. Medical Technologist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

On-Call Hours

CLIN004. Medical Technician Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Regular Hours

4,160 HRS

CLIN005. Medical Technician Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Overtime Hours

416 HRS

CLIN006. Medical Technician On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

On-Call Hours

CLIN007. Phlebotomist Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist Regular

Hours

CLIN008. Phlebotomist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist

Overtime Hours

CLIN009. Phlebotomist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist On-Call

Hours

OPTION YEAR ONE (1): 04/18/2024 – 04/17/2025.

CLIN101. Medical Technologist Regular Hours

Item

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical

Technologist Regular

Hours

CLIN102. Medical Technologist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

Overtime Hours

CLIN103. Medical Technologist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

On-Call Hours

CLIN104. Medical Technician Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Regular Hours

CLIN105. Medical Technician Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Overtime Hours

CLIN106. Medical Technician On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

On-Call Hours

CLIN107. Phlebotomist Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist Regular

Hours

CLIN108. Phlebotomist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist

Overtime Hours

CLIN109. Phlebotomist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist On-Call

Hours

OPTION YEAR TWO (2): 04/18/2025 – 04/17/2026.

CLIN201. Medical Technologist Regular Hours

Item

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical

Technologist Regular

Hours

CLIN202. Medical Technologist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

Overtime Hours

CLIN203. Medical Technologist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

On-Call Hours

CLIN204. Medical Technician Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Regular Hours

CLIN205. Medical Technician Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Overtime Hours

CLIN206. Medical Technician On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

On-Call Hours

CLIN207. Phlebotomist Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist Regular

Hours

CLIN208. Phlebotomist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist

Overtime Hours

CLIN209. Phlebotomist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist On-Call

Hours

OPTION YEAR THREE (3): 04/18/2026 – 04/17/2027.

CLIN301. Medical Technologist Regular Hours

Item

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical

Technologist Regular

Hours

CLIN302. Medical Technologist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

Overtime Hours

CLIN303. Medical Technologist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

On-Call Hours

CLIN304. Medical Technician Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Regular Hours

CLIN305. Medical Technician Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Overtime Hours

CLIN306. Medical Technician On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

On-Call Hours

CLIN307. Phlebotomist Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist Regular

Hours

CLIN308. Phlebotomist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist

Overtime Hours

CLIN309. Phlebotomist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist On-Call

Hours

OPTION YEAR FOUR (4): 04/18/2027 – 04/17/2028.

CLIN401. Medical Technologist Regular Hours

Item

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical

Technologist Regular

Hours

CLIN402. Medical Technologist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

Overtime Hours

CLIN403. Medical Technologist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technologist

On-Call Hours

CLIN404. Medical Technician Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Regular Hours

CLIN405. Medical Technician Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

Overtime Hours

CLIN406. Medical Technician On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Medical Technician

On-Call Hours

CLIN407. Phlebotomist Regular Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist Regular

Hours

CLIN408. Phlebotomist Overtime Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist

Overtime Hours

CLIN409. Phlebotomist On-Call Hours

No Descript of Service Estimated

Qty

Unit No. of

Candidates submitted

(up to 4)

Unit Price Total

Amount

1. Phlebotomist On-Call

Hours

AGGREGRATED TOTALS

TOTALS

1. Base Year $

2. Option Year One (1) $

3. Option Year Two (2) $

4. Option Year Three (3) $

5. Option Year Four (4) $

AGGREGRATED TOTAL: $

-Page 1 of 15

Performance Work Statement

Non-Personal Services

MEDICAL TECHNOLOGIST & PHLEBOTOMY SERVICES

General

This performance based work statement describes the requirements for non-personal services for the recruitment, credentialing and placement of Medical Technologist, Medical Technicians and

Phlebotomists Services, to support the mission of the Indian Health Service (IHS)/Cheyenne

River Health Center (CRHC).

Background

The Indian Health Service (IHS) an agency within the Department of Health & Human Services is responsible for providing federal health services to American Indians and Alaska Natives. The

Indian Health Service provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaska Natives who belong to 567 federally recognized tribes, in 35 states. The Indian Health Service Headquarters is located in Rockville, MD and then divided into twelve physical areas: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland and Tucson.

Our facility, the Cheyenne River Health Center (CRHC), falls under the GPAO. Cheyenne River

Health Center (CRHC) provides medical care for approximately 9,000 tribal members living on the CRST Reservation. Serving a rural area, many of our patients travel 100 miles round trip to receive care. The CRHC was built in 2011 to provide an expanded level of health care services specifically designed to meet the needs of the CRHC population. The Cheyenne River Sioux

Tribe through a 638 contract with IHS, operates four satellite health stations which offer basic ambulatory services at Cherry Creek, Red Scaffold, Swiftbird, and Whitehorse communities.

Services include: Emergency Room Department, Pharmacy, Physical Therapy, Public Health

Nursing, Radiology Services, Inpatient Care, Laboratory, MRI, Dental, Community Health, Contract Health Services, Dietitians, Audiology, Eye Care, Inpatient, Pain Management, and

Specialist Clinics: OB/GYN, ENT, Podiatry & Neurology.

Objective

To provide uninterrupted Medical Technologist, Medical Technician and Phlebotomist services, in the delivery of patient care, for the Laboratory Department, Cheyenne River Health Center.

-Page 2 of 15

Period of Performance

Base Year: 04/18/2023 – 04/17/2024

Option Year One (1): 04/18/2024 – 04/17/2025

Option Year Two (2): 04/18/2025 – 04/17/2026

Option Year Three (3): 04/18/2026 – 04/17/2027

Option Year Four (4): 04/18/2027 – 04/17/2028

Work Schedule

Assignments shall require shifts of no less than eight (8) hours and no more than twelve (12) hours in a 24 hour period. Shifts shall rotate any time during the twenty-four (24) hour period for a total of 80 hours in a two-week period. Holidays and weekends shall be included as part of the 80 hour work period and considered regular hours. Regular, and/or Overtime shall be determined by the Laboratory Department Supervisor.

Regular Hours: Working rotating 8-12 hours shifts, during a two-week period and equal 80 hours in a two-week period.

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

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, or if live on campus, within 30 minutes of contact.

Work Flexibility: Because we are a health facility and there are compliance issues where coverage is mandatory, work schedules shall occasionally change. As directed by the departmental supervisor, the contractor shall rotate into other duty sections as needed to support patient care.

A 30minute unpaid meal break will be included with each shift. Lunch breaks will be taken at the approximate midpoint of the shift, and will not be saved in order to leave 30 minutes early. Rest periods, not to exceed 15 minutes every four hours of scheduled duty, if not on a call at that time.

Rest periods will not be used for a continuation of lunch/dinner period or taken at the beginning or end of the workday.

Hours worked do not include travel time to reach the CRHC or other place of performance.

Compensation: The contractor shall be paid a fixed flat rate of per hour. No differential pay for government holidays, compensation time, and night differential. Holidays and weekends shall be included as part of the 80-hour work period and considered regular hours. Regular, and/or

Overtime shall be determined by the Laboratory Department Supervisor.

-Page 3 of 15

Place of Performance

Laboratory Department

24276 166th Street Airport Road

Eagle Butte, South Dakota 57625

Scope

The Contractor shall provide Medical Technology, Medical Technician and Phlebotomist

Services in accordance with the policy, rules and standards of the Cheyenne River Health Center.

CRHC has an ER, Inpatient, and Outpatient services. A large percentage of the work will involve phlebotomy; therefore, the contractor should be able to demonstrate the knowledge and ability to assess and collect blood specimens 24hrs a day 7 days/week from various age groups, neonates, pediatric, adolescents, adults and geriatric patients. It is highly recommended that the contractor be quite proficient in phlebotomy and very familiar with working in a high paced hospital laboratory setting and be able to perform lab testing in said environment.

Duties shall encompass:

Bacteriology

a. Obtains, preserves, and handles bacteriological specimens.

b. Advises physicians, nurses, aides, assistants and patients in this to assure maximum recovery of bacteria assuring better diagnosis, resulting in better patient care.

c. Prepares specimens (wound cultures, sputum’s, gastric samples, spinal fluids, urines, bronchial washings) for shipment.

d. Knows aseptic handling techniques both for the protection of self and contamination of specimen for Blood Cultures by venipuncture, following correct procedure and method as stated in department procedure manual.

e. Operates both binocular microscope and centrifuges without assistance.

f. Reads wet mount preparations under microscope.

Phlebotomy

a. Collect blood samples from patients with efficiency.

b. Practice proper patient identification, especially when working on hospital floors.

c. Label vials with patient information and dates.

d. Decipher the best method for drawing blood depending on the specific patient.

e. Transport all specimen samples to laboratory.

f. Centrifuge blood samples.

g. Expect to work with a large number of patients varying in age and health status.

h. Be friendly, courteous and sympathetic when it comes to working with patients.

i. Keep your phlebotomy cart or station well-organized at all times.

j. Practice infection control standards at all times when working with patients and equipment.

k. Verifies test requisitions by comparing information with nursing station log; bringing discrepancies to the attention of unit personnel.

-Page 4 of 15

l. Verifies patient by reading patient identification.

m. Obtains blood specimens by performing venipunctures and finger-sticks.

n. Maintains specimen integrity by using aseptic technique, following department procedures;

observing isolation procedures.

o. Maintains quality results by following department procedures and testing schedule; recording results in the quality-control log; identifying and reporting needed changes.

p. Maintains safe, secure, and healthy work environment by following standards and procedures; complying with legal regulations.

q. Resolves unusual test orders by contacting the physician, pathologist, nursing station, or reference laboratory; referring unresolved orders back to the originator for further clarification; notifying supervisor of unresolved orders.

r. Serves and protects the hospital community by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements.

Chemistry

a. Performs routine & special chemistry testing on the Dimension EXL 200 analyzer; performs arterial or venous blood gasses (ABGs&VBG’s ) on the I Stat Meter; performs BNP and D-dimer tests on Alere Triage analyzer.

Hematology

a. Does venipuncture and capillary punctures for various hematological procedures.

b. Maintains Quality control and Calibration records as prescribed in the procedure manual. Has the knowledge to operate automatic SYSMEX XN-450 Hematology Analyzer for WBC, RBC, Hemoglobin, HCT, MCV, MCH, MCHC, and platelet procedures.

c. Does Sedimentation (ESR) rates.

d. Does coagulation tests which includes prothrombin time (PT) and partial thromboplastin time, (PTT).

Urinalysis

a. Instructs patients in proper collection, handling and preservation of urine specimens.

b. Performs routine analysis on the Clinitek Status analyzer and follows UA critiera for ordering and performing microscopic exams; exams sediment microscopically and reports findings; orders urine cultures based on the microscopic findings and following culture criteria.

c. Perform UDS’s on urine specimens utilizing the MED TOX Profile V testing system.

Serology

a. Performs qualitative screening tests such as Monotests, RSV, Influenza A& B, and urine

HCG (pregnancy test), using both positive and/or negative controls where applicable.

b. Performs COVID and RSV testing utilizing the Abott ID Now methodology.

Cytology & Histology

a. Accepts specimens which are correctly preserved and properly prepared for shipment to reference laboratories.

b. Knowledgeable about the correct preservatives and levels of concentration.

-Page 5 of 15

Computer Data Entry

a. Contractor will perform data entry into Resource and Patient Management System (RPMS) during work hours. Supervisor will provide initial training on how data entry will be done.

b. Contractor is able to perform basic calculations and interpretations of policy and procedures, identifying and categorizing each patient’s age-specific grouping needs, i.e., infant, adolescent, or geriatric patients.

c. The service unit will provide all equipment needed to fulfill all work-related aspects of this contract.

d. Duties require long periods of standing (all day), bending, walking and good manual dexterity. Contractor must be able to lift up to 50 lbs. on an in-frequent basis.

e. Performs other technical duties as assigned by Laboratory Supervisor.

f. The Contractor shall provide coverage at a fixed hourly rate based on hours to be scheduled by supervisor with contractor.

g. Computer experience is critical, and the familiarization with medical terminology essential.

Contractor shall uses Quality Control Procedures and recheck questionable results. Perform general instruments/equipment checks and in case of malfunctions, in accordance with manufacturer’s directives and established departmental procedures.

Specimen recording and preparations, both in house and to outside laboratory(s).

Monthly GPAO and CMS counts for reporting and departmental records.

Contractor shall be subject to peer review per Joint Commission standards.

Contractor shall meet the Safety management reporting requirements in accordance with the

CRHC Safety Measure Policy.

Although contractor is expected to perform independently and utilize standard procedural guidelines, technical knowledge and experience to recognize discrepancies in procedure and test results; supervisory guidance and technical assistance is available if needed.

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 medical practices to assure quality of care

2.) The contractor shall be familiar and adhere to the policy and procedures of the Bylaws of the

Medical/Dental Staff of the Cheyenne River Health Center, Eagle Butte, South Dakota.

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 performed by the Contractor will also be subject to review by the

Medical Staff of this facility.

5.) The Contractor will support and assist with the ongoing Continuous Quality Improvement at the facility.

-Page 6 of 15

Minimum Qualifications

Contractor shall have a Medical Technologist or Medical Technician degree or equivalent, including certification by ASCP or equivalent board certification and references.

To receive full credit for your qualification, be sure to describe experience, training, awards, self-developments and achievements, which demonstrate the level of knowledge, skills and abilities that you have. You may write down your qualifications on this sheet or if you prefer to, you may write them down on a separate piece of paper.

1.) Must be registered with the American Society of Clinical Pathologists or equivalent board accrediting agency.

2.) Knowledge and ability to operate a hematology analyzer, coagulation analyzer, chemistry analyzer, and urinalysis analyzer.

3.) Knowledge and skills required to assess quality control issues in all areas of the laboratory and document corrective actions.

4.) Previous knowledge of and computer skills required to work with the Resource and Patient

Management System (RPMS) computer system and Electronic Health Records (EHR).

5.) Knowledge and skills required to perform phlebotomy procedures on all ages of patients.

6.) Must be able to work all shifts independently with short turn-around times.

7.) Must be able to respond to trauma situations at a moment’s notice when working alone.

Government Responsibility

1.) The CRHC will provide the instruments, equipment, supplies need to perform the requirements of this scope of work.

2.) The Government will provide proper in-service to the contractor so to become familiar with the Privacy Act and HIPAA requirements. All necessary documents pertinent to the

Privacy Act, HIPAA Privacy rule and HIPAA Security Rule. Security clearances will be on file with the CRHC and other offices that require such documentation.

3.) Work space will be made available for the Contractor.

4.) The CRHC will provide proper in-service to the contractor to become familiar with the facility, Privacy Act, and other IHS requirements.

-Page 7 of 15

5.) The CRHC shall perform random reviews in accordance with the Standards as stated in the Performance Standard section of this Statement of Work.

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.

Travel & Lodging: The Contractor shall be responsible for arranging travel and lodging for their employees that work under this contract. There are a limited number of government housing available and on a first come first serve 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.

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

Lab Coat: Contractor personnel shall present a neat appearance and provide their own Lab coat and/or uniform.

Performance-Based Service Delivery Summary

The contractor’s performance will be measured based on the following Performance

Requirements. The Performance Requirements will be measured against Government

Performance Standards and monitored in accordance with the following Methods of Government

Surveillance or what is known as a Quality Assurance Surveillance Plan (QASP) to determine compliance. A 5% deduction will be assigned to each Performance Requirements. Deductions shall be assessed against individual invoices when services are not performed or do not meet contract requirements. Deductions will be done by the category that was deficient.

Performance Standards/Requirements

REQUIRED SERVICE PERFORMANCE

INDICATOR

ACCEPTABLE

QUALITY LEVEL

(AQL)

METHOD OF

SURVEILLANCE

INCENTIVE

(POSITIVE OR

NEGATIVE)

Laboratory interface system utilization

Understand and utilize Resource and Patient Management System (RPMS) within a week’s time from following facility orientation and a two-day orientation to the local laboratory processes

Understand and utilize RPMS by the end of a two week time frame beginning from the end of the facility orientation

Random observation, peer review, and customer complaint

5% deduction from weekly invoice.

Deductions will increase by 1% in subsequent months.

-Page 8 of 15

Completion of documentation/rep orting of patient results

All patient results must be reported/recorded accurately, correctly, and completely

There shall be no more than one oversight within a week’s time frame, from Sunday through Saturday

Random observation, peer review, and customer complaint

5% deduction from weekly invoice.

Deductions will increase by 1% in subsequent months.

Turn-around time Must collect, analyze, and report ER patient results within a 45 minute time frame.

Acceptable time frame from collection/receiving ER patient specimens will be 1 hour and 15 minutes.

Random observation, peer review, and customer complaint

5% deduction from weekly invoice.

Deductions will increase by 1% in subsequent months.

Prompt and continuous coverage

Agency must provide a competent tech or replacement tech within a 7 day period.

Upon award of contract, agency must have tech arriving within 14 days. Replacement tech, if needed, will be supplied within 14 days.

Daily emails documenting and updating progress of search for competent tech

5% deduction from weekly invoice.

Deductions will increase by 1% in subsequent months.

Phlebotomy Perform 100% of phlebotomy attempted

Perform 95% of phlebotomy attempted

Random observation, peer review, and customer complaint

5% deduction from weekly invoice.

Deductions will increase by 1% in subsequent months.

Performance Evaluation: If the contractor fails to perform required services at the acceptable quality level, payment may be withheld until the contractor makes corrections. In the event that the contractor is failing to perform any required services, the COR will provide written notice of such to the Contracting Specialist and CCO and the contractor. The Contracting Office will issue the contractor a Contract Discrepancy Report (CDR). The contractor shall have seven (7) calendar days to provide the Contracting Office with their response to the CDR. Upon evaluation of the contractor’s response to the CDR for tasks surveilled, the contractor’s payment for the month in which the performance is question occurred will be calculated as outlined below.

Contractor Payment: If the contractor fails to perform required services at the acceptable quality level, payment may be withheld until contractor makes corrections.

Contracting Officer’s Representative Designation

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

Stephanie Red Elk

605-964-0507

Cheyenne River Health Center

24276 166th Street, Airport Road

Eagle Butte, SD 57625

-Page 9 of 15

The COR is responsible for:

a. Monitoring the Contractor’s technical progress;

b. Interpreting the statement of work;

c. Technical evaluation as required;

d. Technical inspections and acceptance required by this contract; and,

e. Assisting the Contractor in the resolution of technical problems encountered during performance of this contract.

Quality Assurance Surveillance Plan (QASP)

The purpose of this QASP is to provide a government developed system to assure the use of quality assurance methods in the administration of the performance based acquisition standards.

The intent is to ensure that the Contractor perform services for the Cheyenne River Health

Center that are provided in accordance with performance requirements set forth in the contract documents, that the government receives the quality of services called for in the contract and that the government only pays for the acceptable level of services received.

The plan provides the basis for the COR to evaluate the quality of the contractor’s performance.

The oversight provided for in the contract and in this plan will help ensure that service levels reach and maintain the required levels throughout the contract term. Further, this plan provides the COR with a proactive way to avoid unacceptable or deficient performance and provides verifiable input for the required past performance evaluations.

Contractor Performance Evaluation Report

During the life of this contract, contractor performance will be evaluated on a quarterly basis and final basis pursuant to FAR requirements. These evaluations shall become a part of the contract file and shall be used as past performance information in evaluating the contractor’s, and any subcontractor’s, or affiliates, past performance on future contracts. Contractor Performance

Assessment Report System (CPARS) is an on-line reporting system https:://www.cpars.gov/.

The Contractor Performance Report is completed by the COR electronically and sent to the

Contractor for review and approval at the end of each performance period, as an interim report, and at the end of the contract performance as a final report.

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 Contracting

Officer Representative, Stephanie Charger at Stephanie.redelk@ihs.gov, as soon as the

Contractor is aware they will not be able to provide continuous coverage. If a contractor, 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 contractor 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 mailto:Stephanie.redelk@ihs.gov

-Page 10 of 15 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 contractor is scheduled to leave, to allow for training before the exiting contractor leaves. This contract will allow for up to 10 days of overlapping of contractors, for training purposes. The goal is to have the incoming candidate trained and able to work independently, before the exiting contractor leaves. The Government reserves the right to fill this need through other means and/or terminate the contract if the

Government elects to do so.

Security/Background Investigation

To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The

Government has determined the position sensitivity under this effort to be Level I.

To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a

Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

-HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/

-HHS Office of Security and Drug Testing, personnel Security Suitability Handbook, http:://www.hs.gov/ocio/policy/hhs-ocio-2011-0003.html

-HHS HSPD-12 Implementation Policy (draft)

The minimum Government investigation for a non-critical sensitive position is a National

Agency Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person’s background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

This security applies to all sub-contracts and/or sub-contractors associated and/or created from this contract.

Required Security Clearance Forms for credentialing and security clearance will be provided to the contractor after award.

References

Statutes, Acts, Laws, and/or Regulations generally applicable to IHS security and functions, include, but are not limited to:

• Health Information Technology for Economic and Clinical Health Act

• Federal Information Security Management Act (FISMA), part of the E-Government Act of 2002 (Public Law 107-347, Title II) http://www.hhs.gov/ocio/securityprivacy/

-Page 11 of 15

• OMB Circular A-130 and Appendix III, Security of Federal Automated Information

Resources

• OMB Circular A-11, Preparing, Submitting, and Executing the Budget

• Presidential Decision Directive 63 (PDD 63)

• NIST Special Publications – 800 Series

• Health Insurance Portability and Accountability Act (HIPAA)

• Indian Healthcare Improvement Act (HCIA) – Public Law 94-437

• Crime Control Act 1990 – Public Law 101-647

• Indian Child Protection and Family Violence Prevention Ace Public Law 101-630

• Privacy Act of 1974

• Section 508 of the Rehabilitation Act of 1973

• Courtesy and Respect in the Workplace Policy

Business Agreement

Pursuant to 45 C.F.R. 164.502(e), the Indian Health Service, as a covered entity, is required to enter into an agreement with a “business associate”, as defined in 45 C.F.R. 160.103, under which the business associate must agree to appropriately safeguard Protected Health Information

(PHI) that is will use and disclose when performing function, activities or services pursuant to its contract with IHS. Therefore, a business associate agreement shall be attached to this contract and executed upon award of this contract. See attached Business Associate Agreement.

Invoice Submission:

Invoices shall be submitted through Invoice Processing Platform (IPP).

The IPP website address is: https://www.ipp.gov

In compliance with the Office of Management and Budget (OMB) M-15-19 memorandum

“Improving Government Efficiency and Saving Taxpayer Dollars Through Electronic Invoicing” directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors. Invoices submitted under any award will be required to utilize the Invoice

Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and

Processing of Payment Requests” IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the Treasury’s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St. Louis (FRSTL).

Contractors are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register-however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date. It will be the responsibility of the contractor to keep active and maintain there SAM.gov account, in order to keep there IPP account active. Payment is sent via E.F.T., through the account registered in SAM.gov.

https://www.ipp.gov/

-Page 12 of 15

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at

(866) 973-3131 (M-F 8AM to 6PM ET), or IPPCustomerSupport@fiscal.treasury.gov or ihse-invoicingteam@ihs.gov

Should the contractor feel that use of the IPP would be unduly burdensome, their response to the solicitation should include an explanation of this position, for a determination by the contracting officer to allow non-IPP invoicing.

The contractor shall submit a signed and approved invoice to request payment through IPP, at least bi-weekly. If services are billed at an hourly rate, invoices will include timesheets, signed off by the department supervisor.

The Contractor shall include the following information on each invoice in accordance with the

Prompt Payment Act (5 CFR Part 1315.9(b):

1. Contractor's name;

2. Invoice number and date;

3. Entire award number/Contract number or other authorization number for delivery of goods or services;

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. UEI number and Taxpayer Identifying Number (TIN); and

7. Contact name (where practicable), title and telephone number.

Only actual hours…