Scope of Work - SPECIALTY SERVICES.docx

Scope of Work

Health Care Professional will provide on-site direct patient care, consultation services and follow up of medical subspecialty patients, in his or her designated field within the health care professionals field of expertise at the Albuquerque Indian Health Service clinic located at 801 Vassar DR NE Albuquerque, NM 87106.

· Rheumatology

· Nephrology

· Colposcopy services to be included in the OBGYN clinic

· Dermatology

Work schedule is for specialty clinic hours excluding Federal holidays, or as otherwise coordinated with the Contracting Officer Representative (COR) or his/her designee based on staffing and facility needs.

Estimated but not limited to work days/hours:

· Rheumatology services 12Hrs per week 624Hrs per Yr

· Colposcopy services, LEEP procedures to be included in the OBGYN clinic services 96 Clinic Days (4 hours per day)

· Nephrology services 48 Clinic Days {8 hours per day)

· Dermatology Services 24 Clinic Days (4 hours per day)

Professional on-site services to be provided shall include, but are not limited to:

· Collection of pertinent health data/history from patient,

· Evaluation/assessment of patient condition, documented in a legible manner,

· Record all patient contacts in the Electronic Health Record (EHR) and charting in

· accordance with policy and procedures,

· Institution of patient treatment plans,

· Provision/assurance of necessary patient follow-up,

· Review of patient medication(s),

· Collaborate and consult with other clinical providers and IHS support staff,

· Contractor maintains health record in accordance with established Policy and Protocols in compliance with Privacy Act, HIPAA and other IHS Standards.

· All contractors shall abide to IHS Policy and Procedures.

· Institution of patient treatment plans,

· Provision/assurance of necessary patient follow-up,

· All physicians will work within their privileges at all times unless otherwise necessitated by an emergency.

· The Contractor shall provide written patient care consultation, written patient care instructions addressed to the appropriate Service Unit Clinical Director of the referring Service Unit.

· The Contractor shall consult with an IHS representative (clinical director, social worker, etc.) upon request about the patient's condition and progress, and provide copies of medical record information as necessary and as authorized by the patient.

· Quality of care will meet professional standards at all times.

· The Contractor shall notify the IHS of positive findings that require further urgent procedures or admission on the same day the findings are made.

· Access to a personal computer, appropriate software, and to other routine office equipment and local/long distance phone services will be provided at the clinic site.

· Documentation of all patient contacts using the electronic health record (EHR) system must be completed on the date of service. - Notifications of incomplete chart entries must be completed within 24 hours of receipt.

· Contractor shall complete electronic health record entries in compliance with the quality management standards for the Albuquerque Service Unit.

· The contractor will call in to the Clinical Director if unable to work due to illness or unanticipated events, as soon as possible to in order to make necessary changes in the schedule.

Work Absence:

The Contractor will notify and obtain approval from their agency and IHS clinical director who will inform the COR and/or Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request approval at least fifteen (15) days, (the exception is verifiable emergencies and or illness) in advance of the desired absence.►

The Contractor must perform and maintain documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

The cause of the current illness or incapacitation and Indicating the Contractor as contagious or non-contagious

Client Background It is possible some of the IHS patients receiving services under this contract may only speak a native language and/or reside on a federally recognized Indian Reservation. The Contractor is expected to demonstrate sensitivity to cross-cultural and language difference and have the ability to work through interpreters as necessary for non-English speaking patients. Consideration must be given to elderly patients, potentially limited transportation and home environment facilities.

Qualifications

a. Certification and State Licensure: Must have an active and unrestricted license, certification or registration, as applicable to practice independently in their professional field.

b. Required Specialty Training: Provide evidence of certification for the specialty in which the physician will perform services.

c. Required Clinical Practice Experience: Full time employment within the past 12 months; no less than 50% of time of physician's clinical experience must have been in the specialty.

MINIMUM QUALIFICATIONS

a. All work shall be performed by licensed professional of his/her professional training and experience in order to perform the required tasks.

b. The contractors must possess a degree and be a graduate of an accredited medical school.

c. The Contractor shall provide all licensed professional physician, medical malpractice Insurance and all other incidentals required in the delivery of services.

d. The Contractor shall provide a copy of his/her work experience (resume, C.V.).

e. The contractor is responsible for ensuring the following health requirements are met prior to performance of service of a medical provider. Evidence of current immunization for tetanus, rubella, and hepatitis B (0 positive titer and evidence of negative PPD or chest x-ray if history of positive PPO must be provided within one (1) month of assignment.

f. The contractor shall comply with Federal drug-free workplace and work force requirements LAW the Federal Acquisition Regulations. The Indian Health Service is a tobacco free place. No smoking or tobacco products are allowed on any campuses.

g. The contractor will comply with the controlled substances act (CSA), Under the Controlled Substances Act (CSA), any practitioner prescribing, dispensing or administering CDS must have a valid DEA number.

Contractors shall submit the following to the service unit medical staff office: medical staff application with request/or clinical privileges, copies of active unrestricted professional licensure, professional degree, residency and board certification in specialty, current curriculum vitae, proof of professional liability coverage, and DEA certificate.