Scope of Work 22 Dec 2025.pdf

Point-of-Care Web-based Software System

SCOPE OF WORK

1. DESCRIPTION OF REQUIREMENT:

The mission of the Phoenix Area Indian Health Service (PAIHS) is to raise the physical, mental, social, and spiritual health of the Native American population served at PAIHS to the highest level, on the Reservations located in the Phoenix Area, and throughout the states of Arizona, Nevada and Utah. In order to achieve this mission, the Government “Organization” wishes to obtain a clinical decision support resource software system for clinicians to assist them in making the right point-of-care decisions to improve patient care and quality.

2. BACKGROUND INFORMATION

The Phoenix Area Indian Health Service serves forty-three Tribal nations in the States of Arizona, Nevada and Utah. The user populations are approximately 850,000 patient visits fourteen ambulatory care hospitals and health centers located on/or around the reservations and fifteen Tribally-operated ambulatory care hospitals and health centers. This contract is to obtain a clinical decision support resource software system, either UpToDate or another quality web-based point-of-care clinical reference and decision support software system that is equivlent to UpToDate, for clinicians to assist them in making the right point-of-care decisions to improve patient care and quality. These services have been obtained, in the past, via non-personal service contract with UpToDate, Inc.

3. PURPOSE OF CONTRACT:

The primary purpose of this contract is to hire a contractor, either UpToDate or another web-based point-of-care clinical reference and decision support software system, to provide a clinical reference and decision support software system for providers throughout the Phoenix Area Indian Health Service. This will provide access to current and timely peer-reviewed summaries and extractions of clinical diagnostic, treatment and patient education information. This resource is used directly by clinical providers to deliver high quality, evidence based, current medical care for our patients. The services will be provided under the Statutory Authority as implemented by Public Law 103-332; 10 USC.2304 and 41 USC.253, FAR 37 – Service Contracting and (for Medical Positions – FAR Part 37.4 – Non-personal Health Care Services); HHSAR Part 337. The applicant whose proposal is most advantageous and cost effective to the Government in terms of price-related factors; and complies with the requirements of the solicitation, will be selected. The contractor must be able to fully meet the requirements of the Statement of Work.

4. MAJOR DUTIES:

The contractor shall provide a point-of-care clinical reference and decision support software system database for use by providers throughout the Phoenix Area Indian Health Service. This will allow them to gain immediate access to current peer-reviewed recent extractions of medical information.

This clinical decision support resource for clinicians will assist them in making the right point-of-care decisions which will improve patient care and quality, while avoiding patient harms. The point-of-care resource software system shall be an evidence-based, physician-authored clinical reference and decision support resource which clinicians trust to make the right point-of-care decisions. The resource shall use a rigorous editorial process to synthesize the most recent medical information into trusted, evidence-based recommendations that are proven to improve patient care and quality. The resource shall allow access to answers to clinical questions quickly and easily. The resource should be written, reviewed and continuously updated to ensure that the content remains current. Expert monitoring of information should be done on an ongoing basis to insure that information provided delivers specific, practical recommendations for diagnosis and treatment. The resource shall provide information on a wide variety of medical specialties to include adult primary care, subspecialty internal medicine, OB/GYN, general surgery and pediatrics, etc.

5. MINIMUM QUALIFICATIONS:

A proven online medical resource database, either UpToDate or another quality web-based point-of-care clinical reference and decision support software system that is equivlent to UpToDate, that allows for the access of a large on-line medical textbook that contains short, well-written discussions of medical topics in all medical specialties to include internal medicine, pediatrics, OB/GYN and family medicine. Each review article should be written or edited by an expert in the field being discussed, and should be designed to provide a quick way to get up to speed on all areas of medicine. The database shall be updated frequently to insure the most current medical recommendations in patient care. The reference will include current information in areas of diagnosis, testing, evaluation, monitoring, treatment planning and patient education.

6. PERIOD OF PERFORMANCE:

Base year plus 4 option years.

7. DELIVERABLES:

The deliverables for this project are access for all Phoenix Area physician and medical provider staff at the Phoenix Indian Medical Center, Camp Verde Clinic, Fort McDowell Clinic, Whiteriver PHS Indian Hospital, Cibeque Health Center, Parker PHS Indian Hospital, Peach Springs Health Center, Havasupai Health Station, Hopi Health Care Center, Desert Visions Youth Wellness Center, Nevada Skies Youth Wellness Center, Elko Southern Bands Clinic, Unitah-Ouray Service Unit, and Fort Yuma PHS Indian Hospital, to an online medical resource database, either UpToDate or another quality web-based point-of-care clinical reference and decision support software system that is equivlent to UpToDate, that includes a large on-line medical textbook of data that contains accurate, short, well-written discussions of medical topics in all medical specialties to include internal medicine, pediatrics, OB/GYN and family medicine. See attachment for break down by facilities.

8. SUPERVISION:

N/A, Contractor is considered an expert in this field. Services are not supervised. Either UpToDate or another quality web-based point-of-care clinical reference and decision support software system that is equivlent to UpToDate, does not reside or place any software within your infrastructure.

Their solutions are only being utilized at an application layer level that does not install any software on government hardware.

9. PAYMENT:

Payment shall be made by electronic funds transfer (EFT) method under this contract. The contractor shall submit an invoice for the annual subscription for the specified number of subscriptions requested by Phoenix Area Indian Health Service. The invoice will then be paid once signed off by the receiving official and sent to Finance for payment.

10. PAYMENT OF TAXES:

The contractor shall be responsible for paying his/her own income taxes and self-employment tax (Self- Employment Contributions Act). The Government does not withhold taxes from the Contractor's payment and Form 1099 Miscellaneous Income should be filed as appropriate.