signed_SOWn for Pulmonologist.pdf

Department of Health and Human Services

Indian Health Service Statement of Work (SOW)

Pulmonologist to Read and Interpret Adult Pulmonary Function Test

1. PURPOSE OF THE PROJECT

The Claremore Indian Hospital (CIH), Indian Health Services (IHS) has a requirement for a licensed Pulmonologist qualified in reading and interpreting Adult Pulmonary Function Test (PFT) done in-house by the Respiratory Department (RT).

Evaluation of pulmonary function is important in many clinical situations, both when the patient has a history or symptoms suggestive of lung disease and when risk factors for lung disease are present, such as occupational exposure to agents with known lung toxicity [1]. The major types of pulmonary function tests (PFTs) are spirometry, spirometry before and after a bronchodilator, and lung volumes.

2. DETAILED DESCRIPTION OF THE TECHNICAL REQUIREMENTS

The contractor shall provide a service for a licensed, Pulmonologist qualified in reading and interrupting Adult PFT’s by using the Virtual Private Network (VPN) access that CIH is currently using. The CIH needs this service to evaluate and treat eligible patients. The Department schedules up to 15 test a day, the test will need to be read and interpreted within 72 hours after the test are completed unless there is an emergent need for reading the test prior to surgery or other procedures.

3. PERIOD OF PERFORMANCE

Select One:

12 months from date of award

4. LEVEL OF EFFORT

The contractor shall assure that all personnel are appropriately licensed and trained to provide services reading and interpreting Adult PFTs. Contract is contingent on the Pulmonologist being contracted, credentialed and privileged by the Claremore Service Unit medical staff through the Claremore Service Unit medical staff bylaws.

Training: N/A

5. SPECIAL REQUIREMENTS

In accordance with HHSAR 304.1300(b) non-routine contractor employees shall comply with OPDIV DHHS/SE Region – Human Resources, Security Clearance Guidance – Visitors (3/29/12) policy for contract performance period. Contractor employees will be required to obtain a visitor’s pass upon arrival for services from Facilities Management. - (Security Clearance for on-site human services) The US PHS Claremore Indian Hospital is a tobacco/smoke free environment (buildings and grounds).

No tobacco/smoking use will be tolerated during service.

Security Requirements: Contractor personnel will be required to contact the government designated point of contact upon arrival when reporting for service calls or delivery supplies. The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by Claremore Indian Hospital official, presenting valid identification, smoking restriction and any safety procedures.

The contractor shall not disclose or cause to disseminate any information concerning operations of Claremore Indian Hospital. Such action(s) could result in violation of the contract and possible legal actions.

All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

6. DELIVERABLES AND REPORTING REQUIREMENTS

Delivery: The contractor will coordinate the delivery, installation and training date with the designated government employee. The government will provide the contractor with dock access and building access for this sole purpose. The designated government employee will work with the pertinent government agency(ies) to secure the needed dock access. No deliveries can be made after 4:15pm.

Driver needs a valid ID.

Contractor Point of Contact: The contractor shall furnish one designated point of contact (POC) to the government’s designated representative for coordination of supplies, delivery, and/or maintenance. The POC will be empowered to make daily decisions to ensure that the contract implementation and day-to-day maintenance meets the terms and conditions of this contract.

Contractor’s Phone Numbers: The contractor shall provide a toll-free telephone number for service calls, which must be answered during at least eight working hours, between 8:00 am and 4:30 pm, Monday through Friday.

Personnel Qualifications: Contractor shall maintain the security of patient data and comply with the Privacy Act of 1974. The contractor shall have a permanent, current, full and unrestricted license to practice medicine in a state, District of Columbia, the Commonwealth of Puerto Rico or territory of the United States. The contractor shall have a plan of course of action, should the contractor be unable to carry out the duties outlined within the contract.

7. GOVERNMENT FURNISHED PROPERTY, FACILITIES AND SERVICES

The Government shall provide the facilities, supplies and equipment of the hospital and support staff. A person to provide orientation to contract physicians. Use of government furnished facility space, equipment, supplies and personnel are for the provision of care and services set forth in this contract only.

Murray -S

8. CONTRACTOR FURNISHED PROPERTY, FACILITIES AND SERVICES

Required personnel, materials, supplies and equipment: The contractor shall furnish all personnel, materials, supplies and equipment required to perform work under the contract.

9. CHANGES TO THE STATEMENT OF WORK (SOW)

Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

10. DELIVERABLES/PERFORMANCE MATRIX

10.1. Is the contractor reading and interrupting PFTs in a timely manner: Yes No

10.2. Provided Pulmonologist: Yes No

10.3 Pulmonologist met professional qualifications: 10.4. Met the terms Yes No of the SOW: Yes No

10.5. Any issues were addressed in a timely manner: Yes No

Department Supervisor Signature:

Edie A. Carey - S

Digitally signed by Edie A.

Carey -S Date: 2024.02.27 08:28:17 -06'00'

Carl A. Murray - Digitally signed by Carl A.

Administrative Officer Signature: S Date: 2024.03.07 09:56:56 -06'00'