Solicitation 75H71021R00007 Chinle MRI.pdf

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Highway 191 Hospital Drive PO Drawer PH Acquisition Department Chinle Comprehensive Hlth Care Fac

IHSCHINLE CODE 16. ADMINISTERED BYCODE

X

X

X

621512

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RFPIFB

10. THIS ACQUISITION ISCODE

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06/15/2021 1700 MS

05/25/2021

928-674-7635TANYA JOHNSON

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INFORMATION CALL:

FOR SOLICITATION 8. OFFER DUE DATE/LOCAL TIMEb. TELEPHONE NUMBERa. NAME

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71021R00007

5. SOLICITATION NUMBER

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 1. REQUISITION NUMBER PAGE OF

1 49 OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

Chinle AZ 86503

TELEPHONE NO.

17a. CONTRACTOR/

Chinle AZ 86503

HIGHWAY 191 HOSPITAL DRIVE

PO Drawer PH

IHSCHINLE

15. DELIVER TO

Chinle AZ 86503 Highway 191 Hospital Drive PO Drawer PH Acquisition Department

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VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Chinle Comprehensive Hlth Care Fac

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

The Contractor shall provide On-Site Mobile Magnetic Resonance Imaging (MRI) Services to the Chinle Comprehensive Health Care Facility (CCHCF) in accordance with the Performance Work Statement.

Delivery: 06/30/2024 Period of Performance: 07/01/2021 to 06/30/2022

1 Base Period: July 1, 2021 through June 30, 2022

Continued ...

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HEREIN, IS ACCEPTED AS TO ITEMS:

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27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

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OFFER

STANDARD FORM 1449 (REV. 2/2012)

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REF.

To be shown on individual task orders.

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ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

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41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

STANDARD FORM 1449 (REV. 2/2012) BACK

24.

AMOUNT

23.

UNIT PRICE

22.

UNIT

21.

QUANTITY

20.

SCHEDULE OF SUPPLIES/SERVICES

19.

ITEM NO.

2 First Option Period: July 1, 2022 through June

30, 2023

(Option Line Item)

04/30/2023

Period of Performance: 07/01/2022 to 06/30/2023

3 Second Option Period: July 1, 2023 through June

30, 2024

(Option Line Item)

04/30/2024

Period of Performance: 07/01/2023 to 06/30/2024

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49 2 of

Chinle On‐Site Mobile MRI Services Solicitation Number: 75H71021R00007

TABLE OF CONTENTS

SECTION A STANDARD FORM 1449/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B CONTINUATION OF SF‐1449

B.1 General/Purpose of Contract

B.2 Fee Schedule/Pricing

B.3 Definitions

B.4 Performance Work Statement

B.5 Billing

B.6 Films/Data

B.7 Government Furnished Property/Information/Materials

B.8 MRI Unit Maintenance

B.9 Qualifications and Staffing

B.10 Equipment Specifications

B.11 Quality Control and Performance Requirements

B.12 Performance Based Matrix

B.13 Physical Security

B.14 Reporting Requirements

B.15 Task Orders

B.16 Invoice Submission

B.17 Period of Performance

B.18 Contracting Officer’s Responsibility

B.19 Contracting Officer’s Representative (COR)

B.20 Contractor’s Point of Contact

B.21 Client Background

B.22 Non‐Discrimination in Services, Benefits and Facilities

B.22 Quality of Patient Care

SECTION C CONTRACT CLAUSES

C.1 52.212‐5 Contract Terms and Conditions Required to Implement Statues or Executive Orders – Commercial Items (JAN 2021)

C.2 52.217‐8 Option to Extend Services (NOV 1999)

C.3 52.217‐9 Option to Extend the Term of the Contract (MAR 2000)

C.4 52.232‐18 Availability of Funds (Apr 1984)

C.5 52.232‐19 Availability of Funds for the Next Fiscal Year (Apr 1984)

C.6 52.237‐7 Indemnification and Medical Liability Insurance (Jan 1997)

C.7 52.252‐2 Clauses Incorporated By Reference (FEB 1998)

C.8 52.237‐2 Protection of Government Buildings, Equipment and Vegetation (APR 1984)

C.9 Health Insurance Portability and Accountability Act (HIPAA)

C.10 Department of Health and Human Services Acquisition Regulation (HHSAR) (48 CFR Chapter 3) Clauses

C.11 352.237‐70 Pro‐Children Act (DEC 2015)

C.12 352.237‐71 Crime Control Act of 1990‐Reporting of Child Abuse(DEC 2015)

SECTION D CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E SOLICITATION PROVISIONS

SECTION B – CONTINUATION OF SF1449

B.1 General/Purpose of Contract:

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal healthcare services to American Indians and Alaska Natives. The provision of healthcare services to members of federally‐recognized tribes grew out of the special government‐to‐government relationship between the federal government and Indian tribes. The Indian

Health Service (IHS) is the principal federal health care provider and health advocate for Indian people and its goal is to raise their health status to the highest possible level. The IHS provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaska Natives who belong to 564 federally recognized tribes in 35 states. The Chinle Comprehensive Health Care Facility

(CCHCF) is a Navajo Area IHS facility.

CCHCF currently lacks Magnetic Resonance Imaging (MRI) service, prompting frequent referrals outside the service unit. For emergent indications, such as suspected stroke or spinal compression, the lack of

MRI necessitates referrals via air transportation (fly outs). Over the last several years, MRI has become more accessible to rural and community hospitals utilizing on‐site mobile MRI services. Providers are historically reluctant to refer for MRI service due to concerns over travel burden for patients and the cost to the service unit. Despite these concerns, last year, we referred out 406 MRI studies. Rather than referring out, CCHCF will be able to offer on‐site mobile MRI services.

This Nonpersonal Service Contract is for a contractor to provide on‐site MRI services provided in a

Contractor‐owned mobile unit. The mobile unit shall be brought on‐site to CCHCF in Chinle, AZ for services

(2 days/week) for the term of the contract.

B.2 Fee Schedule/Pricing:

The Contractor shall be compensated at an all‐inclusive fixed monthly amount to provide on‐site Mobile

MRI Services, Part Time Mobile Service 2 days/week in accordance to Performance Work Statement

(PWS). On‐site Mobile MRI services shall be provided for one (1) Base Period with two (2) option periods.

If the Contractor is unable to fulfill 100% of the services, then the contractor shall address the interruption in service in the following two ways: 1) The Contractor shall provide a make‐up day of service to occur during one of the days not normally scheduled, OR 2) The Contractor shall provide a credit for services that were not delivered hourly and daily rate to be negotiated.

2.1 Base Period: July 1, 2021 through June 30, 2022

Service Description Quantity

Unit Price/Month

Total Price

2.1.1 On‐site Mobile MRI Services, Mobile Service 2 days/week, average volume 10 studies/day.

12 months $ $

TOTAL = $

2.2 First Option Period: July 1, 2022 through June 30, 2023

Price/Month

Total Price

2.2.1 On‐site Mobile MRI Services, Mobile Service 2 days/week, average volume 10 studies/day.

2.3 Second Option Period: July 1, 2023 through June 30, 2024

Price/Month

Total Price

2.3.1 On‐site Mobile MRI Services, Mobile Service 2 days/week, average volume 10 studies/day.

B.3 Definitions

1. Acceptance: An authorized representative of the Government has inspected and agreed that the work meets all requirements of this contract, to include documentation requirements.

2. Acquisition term for MRI Scans: The process of measuring and storing image data.

3. Approval: The Government has reviewed submittals, deliverables, or administrative documents

(e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) and has determined the documents conform to contract or contract requirements. Government Approval shall not relieve the Contractor from responsibility for complying with contract requirements.

4. Authorized Ordering Official: A Government employee with the authority to order/issue and sign individual task orders for MRI services for the CCHCF medical facility.

5. Contracting Officer (CO): A Government employee with warranted delegated authority to enter into, administer, and/or terminate contracts.

6. Contracting Officer’s Representative (COR): A Government individual responsible for administration of this contract. The COR closely monitors the contract for contractor compliance and provides feed back to the Contracting Officer.

7. Contractor: The individual or firm awarded a legal binding contract to provide supplies and/or services.

8. Customer Input: A criticism against the Contractor submitted to the Contracting Officer. This is one of the criteria used to monitor the Contractor’s performance.

9. Cultural Awareness: The realizaton and respect for American Indian and Alaskan Native practices.

10. DICOM: Acronym for Diagnostic Imaging Communication in Medicine

11. Enhancement Studies: The use of contrast media to improve the visibility of internal body structures in magnetic resonance imaging (MRI).

12. Federal Acquisition Regulations (FAR): The FAR is the primary set of regulations for use by all

Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

13. Holiday: A day marked by the government for general suspension of work in commemoration of an event.

14. MRI Scan: Magnetic resonance imaging (MRI) is a technique that uses a magnetic field and radio waves to create detailed images of the organs and tissues within a body.

15. Ordering Activity: An authorized user of IHS that may issue a task or delivery order to obtain required services under this contract.

16. Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. It includes the contractor’s record of conforming to specifications and to standards of good workmanship; the contractor’s record of containing and forecasting costs on any previously performed cost reimbursable contracts; the contractor’s adherence to contract schedules, including the administrative aspects of performance; the contractor’s history for reasonable and cooperative behavior and commitment to customer satisfaction; and generally, the contractor’s business‐ like concern for the interest of the customer.

17. Quality Assurance Surveillance Plan (QASP): An organized written document prepared and used by the Government for Quality Assurance surveillance of the contractor’s performance.

18. Root Cause: A situation where performance does not meet expectations. Cause suggests responsibility or a factor to blame for a problem.

19. Task Order: An order issued by the government in accordance with the terms of the contract that details an ordering activity’s specific requirements. An authorized ordering official’s written order to obtain service, at a minimum will include the following where applicable: description of services, skill categories, hours, price period of performance, contract number, and the ordering activity’s task order number.

20. Service Unit (SU): A facility that houses Service Unit administrative staff and is responsible for the administration, coordination, and implementation of the Indian Health program/s in a designated geographic portion of the Area. The Navajo Area IHS covers approximately 25,000 square miles across North Arizona, Southern Utah, Western New Mexico and Colorado. The IHS medical facilities range from small ambulatory care clinics (health centers) to full service hospitals. Most of the medical facilities are located on Indian reservations.

B.4 Performance Work Statement

1. The Contractor shall provide all supervision, personnel, labor, parts, materials, tools, supplies, equipment, and free standing unit necessary to provide On‐site Mobile Magnetic Resonance

Imaging (MRI) services to include qualified technical staff to operate the MRI scanners and equipment 2 days per week. CCHCF will be responsible for providing adequate site for placement, including the requisite power and data connections per the mobile MRI units’ specifications. The

Contractor shall be responsible for performing a variety of MRI examinations for IHS beneficiaries seeking care at CCHCF or who have been referred to CCHCF.

2. The Contractor shall obtain and maintain all required Federal, State, and Local licenses associated with the operation/transportation of the equipment and performance of the services being requested. The Contractor shall maintain all Federal and State licenses required for possession and operation of equipment for the term of the contract.

3. The Contractor shall provide on‐site mobile MRI services two (2) days per week for eight (8) hours per days Contractor is on site. If a scheduled day falls on a federally recognized holiday, then

CCHCF will not pay, rather the Contractor may opt to make up the day or credit the monthly invoice.

4. The Contractor shall maintain a patient exam register which includes the patient’s chart number, type of exam, date of birth and length of time for each exam.

5. The Contractor shall provide on‐site diagnostic MRI services in both inpatient and outpatient settings as follows:

a. Outpatient: Patient scheduled for MRI scan services will report to the mobile unit. For emergency scans, CCHCF medical staff will escort the patient to the mobile unit for MRI scans.

b. Inpatient: The patient will be escorted to the mobile unit by a member of the CCHCF nursing or medical staff. CCHCF will be responsible for determining which patients need to be monitored. The MRI technician shall immediately notify the covering radiologist of any emergency or changes in a previously stable patient. CCHCF will be responsible for managing all patient related emergencies.

6. MRI services will not be available for emergency purposes, except on the days when the mobile

MRI unit is scheduled to be on‐site.

7. The Contractor shall assume liability of all I.H.S. patients while in the MRI mobile unit.

8. The Contractor shall store all records of MRI studies on a magnetic disc or equivalent device.

CCHCF will provide the storage media and storage space.

9. The MRI technologist shall be responsible for ensuring completion of MRI safety screening forms, which will be provided by CCHCF prior to each patient’s exam.

10. Disruption of MRI Services: The Contractor shall communicate to the COR any possible and actual disruptions of MRI services. Upon becoming aware of possible or actual disruption of MRI service, the Contractor shall communicate such service‐disruption information to the COR as soon as possible (ASAP). The Contractor shall inform the COR in a timely manner so the patient and service schedule can be appropriately modified with as little inconvenience as possible to patients and services.

11. Services shall conform with and, if applicable, certified by:

a. The Accreditation Association for Ambulatory Health Care (AAAHC)

b. Health Insurance Portability and Accountability Act (HIPPA)

c. Infection Control, National Fire Protection Association (NFPA)

d. Health Service Inspection (HSI)

e. Centers for Medicaid and Medicare Services (CMS)

f. The Joint Commission (TJC)

g. Indian Health Service (IHS) Standards

h. The American College of Radiology (ACR)

12. The Contractor shall be solely responsible for all driver‐staffing issues related to set‐up and operation of the systems.

a. The Contractor shall perform arrival, set‐up, take‐down, and departure of mobile systems in a manner that causes limited or no disruption to normal CCHCF operations. The

Contractor shall perform arrival and departure such that the MRI unit operates full days on days schedule. Appropriate arrival and departure schedules shall be developed such that the MRI unit is fairly accommodated regarding its operation.

B.5 Billing

The Contractor shall sign authorization giving CCHCF permission to bill for all patient and 3rd party billing.

CCHCF reserves the right to bill for and collect all applicable reimbursement monies associated with the contracted service from all third party resources. The Contractor shall provide CCHCF with the National

Practitioner Identification (NPI) number of the contracted providers. The Contractor shall be responsible to ensure their MRI technologist meet the qualifications to obtain and maintain credentials and privileges.

B.6 Films/Data

The Contractor shall store all exams on Optical Compact Disc (CD) discs, which will be provided by

CCHCF. The discs will be stored in the Radiology Department at CCHCF. CCHCF will own all data studies performed.

B.7 Government Furnished Property/Information/Materials

1. CCHCF will be responsible for scheduling patients for exams.

2. CCHCF will provide the necessary space for the weekly set‐up of the Contractor’s mobile unit.

3. CCHCF will provide electrical power, data line connectivity, and a telephone line accessible to

CCHCF to meet code requirements.

4. CCHCF Radiology Department will provide all direct patient care medical supplies. These include contrast materials, syringes, IV tubing, oxygen mask and tubing, needles, emesis basins, gown, and other similar direct patient care items. The Contractor’s personnel shall submit a request to

CCHCF radiology department for dispensing of contrast media.

5. CCHCF staff can be contacted as necessary to provide linguistic services when interpretation is necessary for non‐English speaking IHS patients.

6. CCHCF staff radiologist will be responsible for reading/interpreting all MRI studies and dictation of all required study reports. CCHCF radiology will have the final responsibility for all aspects of the study including but not limited to: reviewing all indications for the scan, specifying the pulse sequences to be performed, specifying the use and dosage of the contract agents, interpreting the images and generating reports.

B.8 MRI Unit Maintenance

Contractor shall perform Preventative Maintenance (PM) as recommended by the original equipment manufacturer (OEM) and repairs for both the MRI System and the Mobile Unit. The Mobile Unit includes, but is not limited to, generator, MRI contrast injector, air conditioning/heating systems, and patient lift.

The service contract shall be maintained by an OEM and be comprehensive. Records of all maintenance activities shall be maintained for the life of the MRI equipment and these records shall be available to COR for review. Any unscheduled repairs and maintenance shall be done in a prompt fashion and to the extent possible, during hours when service is not scheduled in order to minimize the amount of time the mobile unit is unavailable for service.

1. The Contractor shall provide a service Point of Contact (POC) and phone number for hospital/clinic employees to call in the event of equipment failures.

2. The Contractor shall have phone response within 1 hour and onsite service within 24 hours for the MRI System and 24 hours for Mobile Unit.

3. The Contractor shall perform initial set‐up and annual Physicist review as required per TJC and the

ACR and provide copies of the review to the Government including, but not limited to:

a. Image uniformity for all coils

b. Signal‐to‐noise for all coils

c. Slice thickness accuracy

d. Slice position accuracy

e. Alignment light accuracy

f. High‐contrast resolution. Contrast‐to‐noise ratio

g. Geometric accuracy

h. Magnetic field homogeneity,

i. Artifact evaluation.

j. Proper function/performance of display monitors (luminance max/min, uniformity, resolution and spatial accuracy.) Service should be maintained by an OEM and comprehensive.

4. The Contractor shall be responsible for the overall housekeeping inside of the unit including, but not limited to, removal and proper disposal of all debris on a daily basis or as often as necessary to maintain a sanitized and neat environment. Contractor will dispose of waste in appropriate

Hospital receptacles.

B.9 Qualifications and Staffing

1. The Contractor shall maintain appropriate certification for each MRI technologist and qualified medical physicist providing services throughout the term of this contract and provide the documentation to the COR.

2. The Contractor shall be solely responsible for all MRI technologist staffing responsibilities, except patient scheduling related to operation of the mobile systems.

3. Each MRI technologist shall:

a. Be certified by the American Registry of Radiologic Technologist (ARRT) as an MRI technologist.

OR

b. Be certified by ARRT and/or have appropriate and current state license plus six (6) months of supervised clinical MRI scanning experience or American Registry of Magnetic Resonance

Imaging Technologist (ARMRIT).

c. Be licensed in the State in which the MRI technologist practices.

d. All MRI Technologists shall be Basic Life Support (BLS) certified and remain current in BLS training. Copies of certifications hall be kept on file.

e. Have current CPR certification.

f. Have training and experience in administering IV injections.

g. The Contractor shall comply with the provision of Public Law 101‐630:

Occupational/Classification – Indian Children Protection and Family Violence Protection Act.

h. Read, understand, speak, and write English fluently.

4. The Qualified Medical Physicist shall be appropriately certified with the American Board of

Radiology (ACR).

5. The Contractor’s mobile unit shall be appropriately State licensed and/or possess all necessary permits/accreditation, OSHA standards and meet National Life Safety Standard Codes.

6. The Contractor shall possess medical liability insurance in accordance with FAR 52.237‐7:

Indemnification and Medical Liability Insurance. The Contractor shall maintain medical liability insurance throughout the term of the contract and provide updated copies to the Contracting

Officer’s Representative upon renewal/s.

7. The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest.

8. The Contractor shall maintain all immunizations required of practicing medical professionals, and work in a professional manner at all times. Before start of work health care workers shall provide proof of immunizations for the following disease according the CDC guidelines: Hepatitis B, measles, mumps, rubella, varicella, and influenza. The Contractor shall also provide proof of a negative TB skin test within 12 months (if positive, proof of negative chest X‐ray within 12 months) prior to start of work.

9. The Contractor personnel shall present a clean, neat appearance and be easily recognized as contractor employees.

10. All MRI Technologist are required to attend Government orientation before providing direct patient care.

11. The Contractor and all personnel are not considered Government employees.

12. The Contractor is required to check the Health and Human Services‐Office of Inspector General

(HHS/OIG), list of Excluded Individuals/Entities on the OIG website: www.hhs.gov/oig for each person providing services under this contract to ensure that individuals providing services under the contract have not engaged in fraud or abuse of Section 1128/A of the Social Security Act regarding Federal health care programs. Contractor shall certify that persons listed in Contractor’s proposal have been checked against the HHS/OIG list and are not on the list. During the performance of this contract the contractor shall not use any individual or business listed on the list of Excluded Individuals/Entities.

13. The Contractor is required to maintain applicable insurance policies commensurate with normal business practices and as required by Federal/State/Local laws.

14. The Contractor personnel performing work under this contract must be fingerprinted, background checked, and cleared before performing on‐site direct patient care.

B.10 Equipment Specifications

1. Mobile MRI scanner shall include a ramp and/or a lifting device for non‐walking patients. The unit should be set up for 3 phase, 480volt/200 amperes service. The unit shall have a separate area included within the trailer for a patient changing area.

2. Equipment shall include, but not be limited to, a fully equipped MRI per minimum equipment requirements below. The MRI unit shall be Joint Commissioned certified and FDA approved:

3. Minimum equipment requirements:

a. GE 1.5 HDxt – with 23 level software (or equal)

b. WideOpen Short Bore Magnet with Dual Flared Enclosures

c. 10.3 Wide patient opening – 60 cm.

d. Patient Bore is (LxWxH) 70 cm x 60 cm x 60 cm

e. Patient table accommodates patient weight to a maximum 350 lbs.

f. High performance Gradient Subsystem

g. Gradient strength is 33 mT/m

h. Slew rate is 120 T/M/s

i. Variable FOV from 2 cm to 48 cm

j. Dicom 3.0 Compliant

k. 2D Spin Echo (SE), 2D Inversion Recovery (IR), Double IR, Triple IR, 2D and 3D Gradient

Echo (GRE), Fast Recovery Fast Spin Echo (FRFSE), Single Shot Fast Spin Echo (SSFSE), 3D

Fast Recovery Fast Spin Echo (3DFRFSE), 2D/3D Spoiled Gradient Recalled (SPGR), 2D/3D

Fast Spin Echo, Fast Spin Echo XL, 2D/3D Fast Gradient Echo (FGRE), 2D/3D Fast spoiled

Gradient Echo (FSPGR), Cine, Fast Flair, EPI, IVI, 3D Surface Rendering and ClairView, T1

Flair, T2 Flair

l. 2D/3D Time of Flight Angiography (TOF)

m. 2D/3D Phase Contrast MR Angiography

n. MRCP – SSFSE, Single Shot Fast Spin Echo Cholangiopancreatography

o. MRCP3 – Spin Echo Cholangiopancreatography

p. SmartPrep

q. Fluoro‐triggered MRA

r. Single Shot Diffusion Weighted Imaging ‐ EchoPlus

s. Perfusion Analysis (Imaging)

t. The following additional equipment should be included:

i. MRI pads and restraints

ii. MRI compatible nonferrous wheelchair and stretcher with IV pole (gurney)

iii. Nonferrous oxygen cylinder

iv. Capability to provide patient exam on CD

v. MRI license for PACS

vi. Interface between MRI scanner and PACS, Dicom print, store and worklist

vii. Optical disk archival device compatible with PACS

viii. Code kit and code call button

ix. MRI compatible 02 saturation monitor

x. Contrast media and warmer

xi. MRI compatible power injector

xii. Standard Head Coil, 8 Channel Brain Array coil, 4 Channel NV Array

xiii. 8 Channel CTL Array by GE, HD 12 Channel Body Array, T/R Knee/Foot Coil

xiv. HD Knee Array, 4 Channel Small Long Boane Flex Array, 4 Channel Should Array

(Large)

xv. 4 channel Should Array (Medium/Small), HD Wrist Array

xvi. Vibrant Software for breast imaging or equal.

B.11 Quality Control and Performance Requirements

1. The Contractor shall develop and maintain an effective Quality Control Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non‐recurrence of defective services. The contractor’s QCP is the means by which it assures that work will be in compliance with the contract requirements. This QCP is part of the evaluation of proposals.

2. The Contractor shall have documented proof of the following Quality Control tests as listed below:

a) The following Quality Control tests shall be performed quarterly:

1) Measurement of central frequency.

2) Measurement of system signal‐to‐noise ratio on a standard head or body coil.

3) Assessment of image quality and image artifacts.

b) The following Quality Control tests shall be performed and documented semi‐annually and after any major change on equipment by a qualified physicist.

1) Review of daily quality control testing records.

2) Measurement of image uniformity; spatial linearity, and high contrast spatial resolution.

3) Measurement of slice thickness, location, and separation.

c) All Quality Control testing shall be carried out in accordance with written procedures and methods. Preventive maintenance shall be scheduled, performed, and documented by a qualified service engineer on a regular basis. Service performed to correct system deficiencies shall also be documented and service records shall be maintained by the MRI contractor and available for the COR.

3. The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the

Government must do to ensure that the contractor performs in accordance with the contract performance standards. The QASP defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

4. The Contractor shall provide written emergency plans addressing emergencies such as patient coded, personal injury, fire and disruptive behavior. CCHCF will prove a crash cart for emergency use.

Additionally:

Performance Requirements Summary: The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

B.12 Performance Based Matrix

Performance‐

Based Task

Indicator Standard Quality Assurance Incentives

The Contractor shall provide on‐ site MRI scanner and technical support in the delivery of patient care to the Chinle

Comprehensive

Health Care

Facility.

Performance The scanner and technologist will be available for services 100% of the time. Monthly stats. % uptime is number of clinical hours performed divided by scheduled Clinical hours in the month.

Surveillance systems will include:

1. Random Sampling of Patient

Test Management Audits by

Radiology Supervisor and/or COR.

2. Validated Complaints received based on incident report received by Radiology Supervisor and/or

COR.

Payment for Satisfactory service.

No payment for incomplete work.

Contractor performance will be evaluated using the Contractor Performance Assessment Report

(CPAR).

The evaluation will be considered when future IHS contract selections are made.

Customer

Service

No more than one *Validated

Customer Complaint per 6 month time period.

Quality of

Exams

All MRI study/exams shall be high quality excluding factors not under technical control i.e. patient was noncompliant. No more than one **Validated Complaint from Radiologist or

Orthopedic Surgeon.

HIPPA

Requirements

Adhere to HIPPA requirements. Within acceptable standards. Zero deviation from standard

Completion of

Scans

Complete scheduled daily scans at a rate > 100%

* Validated Customer Complaint: Complaints must be validated. Complaints are validated if found to be reasonable and true after an administrative investigation.

**Validated Complaint from Radiologist or orthopedic surgeon: Complaints are validated if found to be reasonable and true after an administrative investigation. Defective or low quality MRI scans are limited to image quality issues under the technologists control such as proper sequencing protocols, positioning and demonstration of attempts to resolve poor quality studies. Complaints are validated if found to be reasonable and true after an administrative investigation.

B.13 Physical Security

The Contractor shall be responsible for safeguarding all Government equipment, information, and property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured.

1. KEY CONTROL: The Contractor shall establish and implement methods of ensuring all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized person (note: all references to keys includes key cards).

2. No keys issued to the Contractor by the Government shall be duplicated.

3. The Contractor shall develop procedures covering key control that shall be included in the QCP.

Such procedures shall include turn‐in of any issued keys by personnel who no longer require access to locked areas.

4. The Contractor shall immediately report any occurrences of lost or duplicate keys to the

Government COR/Project Manager (PM), and Contracting Officer (CO).

5. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re‐key or replace the affected lock or locks; however, the

Government, at its option, may replace the affected lock or locks or perform re‐keying. When the replacement of locks or re‐keying is performed by the Government, the total cost of re‐keying or the replacement of the lock or locks shall be deducted from the monthly payment due the

Contractor.

6. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

7. The Contractor shall prohibit the use of Government issued keys by any persons other than the

Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor’s employees to permit entrance of persons other than Contractor’s employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the

Contracting Officer.

8. Lock Combinations: The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s QCP.

B.14 Reporting Requirements

Report No.

Description No. of Copies Recipient Due Date

1 Quality Control 1 COR Quarterly

2 Equipment Maintenance Log 1 COR Quarterly

3 Personnel Licensure 1 COR 10 days prior to start date of Contractor’s new employee

4 Required Accreditations 1 COR Annually

5 Liability Insurance 1 COR Annually

B.15 Task Orders

1. Individual Task Orders under this contract will be issued by utilizing SF‐1449:

Solicitation/Contract/Order for Commercial Items. Each Task Order will establish an estimated patient workload and set forth the actual work performance dates.

2. The Acquisition staff at CCHCF are authorized to place task orders against this contract.

B.16 Invoice Submission

1. The Contractor shall submit an original invoice and three copies to the address designated in the contract to receive invoices. An invoice must include the following:

a) Name and address of the Contractor;

b) Invoice date and number;

c) Contract number, line item number and, if applicable, the order number;

d) Description, quantity, unit of measure, unit price and extended price of the items delivered;

e) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

f) Terms of any discount for prompt payment offered;

g) Name and address of official to whom payment is to be sent;

h) Name, title, and phone number of person to notify in event of defective invoice; and

i) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

j) Electronic funds transfer (EFT) banking information.

2. Payment: Payment will be made in accordance with the Prompt Payment procedures outlined in the 5 U.S.C CFR Part 13‐15.

3. Target Date For Payment: The target date for payment under this contract is thirty (30) calendar days after the date of receipt in the office designated herein of a correct and properly documented invoice.

B.17 Period of Performance

The effective date of this contract is from July 1, 2021 through June 30, 2022 one (1) base period and two

(2) option periods.

If the Government exercises its option pursuant to 52.217‐9 Option to Extend the term of the Contract, the period of performance will be extended in accordance with the following schedule.

YEAR OPTION PERIODS

FIRST YEAR OPTION: July 1, 2022 through June 30, 2023 SECOND YEAR OPTION: July 1, 2023 through June 30, 2024

B.18 Contracting Officer’s Responsibility

Authority to negotiate changes in terms, conditions, or amounts cited in this contract is reserved to the

Contracting Officer.

B.19 Contracting Officer’s Representative (COR)

The Contracting Officer's Representative (COR): Georgina Nez, Health System Specialist, who shall be responsible for:

1. Monitoring the Contractor's technical progress on individual task orders, including surveillance and assessment of performance and issuing technical changes to individual task orders;

2. Interpreting the Scope of Work on Individual Task Orders, with the assistance of the SU medical staff;

3. Technical inspections and acceptance required by this contract; and

4. Assisting the Contractor in the resolution of technical and administrative problems encountered during the performance of this contract.

B.20 Contractor’s Point of Contact

Designated Contractor’s Point of Contact (POC), whom we may contact for prompt Contract

Administration:

Name & Title:

Address:

Telephone No.:

Email Address:

The Contractor shall provide updated Point of Contact information within 30 days of newly appointed

Point/s of Contact for the term of this contract. POC shall be available via the telephone Monday through

Friday, 0700 to 1700, including Federal Recognized Holidays and scheduled down days. The POC shall have full authority to act for the Contractor on all matters relating to daily operations. An alternate may be designated, but the Contractor shall identify those times when the alternate will be the primary point of contact.

B.21 Client Background

Many 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 shall demonstrate sensitivity to cross‐ cultural and language difference and have the ability to work through interpreters as necessary for non‐

English speaking patients. Formal interpretation will be provided by CCHCF staff as necessary.

B.22 Non‐Discrimination in Services, Benefits and Facilities

1. The Contractor shall make no distinction among patients under this contract on the basis of race, color, creed, or national origin, including, but not limited to the following: denying a patient any service or benefit or availability of a facility; providing any service or benefit to a patient which is different, or is provided in a different manner or at a different time from that provided to other patients under this contract; subjecting a patient to segregation or separate treatment in any manner related to his/her receipt of any service, restricting a patient in any way in the enjoyment of any advantage or privilege enjoyed by others in determining whether he/she satisfies any admission, enrollment quota, eligibility, membership or other requirement or condition, which an individual must meet in order to be provided any service or benefits; and the assignment of times or places for the provisions of services on the basis of the race, color, creed, or national origin of the patients served.

2. The Government reserves the right to terminate this contract in whole or in part whenever the

Contractor fails to comply with the requirements of this clause.

B.23 Quality of Patient Care

As appropriate, the Contractor shall provide IHS patients under the terms of this contract, proper and adequate general health care services, which are the same or equal to those provided to non‐IHS patients.

1. Proper and adequate general health care shall include compliance with The Joint Commission

Standards or Medicare Certification. All patients hospitalized shall be in the facilities utilization and review program. Reason(s) for admission and length of stay determinations shall be documented and reviewed by appropriate members of the hospital's utilization review committee or local designated Peer Review Organization (PRO).

2. MRI Scan services shall be provided within accepted professional standards.

3. The Government may evaluate the quality of professional and administrative services provided, but retain no control over the medical, professional and administrative services rendered (e.g., professional judgments, diagnosis for specific medical treatment).

SECTION C – CONTRACT CLAUSES

C.1 52.212‐5 Contract Terms and Conditions Required to Implement Statues or Executive Orders – Commercial Items (JAN 2021)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203‐19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements

(Jan 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations

Act, 2015 (Pub. L. 113‐235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204‐23, Prohibition on Contracting for Hardware, Software, and Services Developed or

Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115‐91).

(3) 52.204‐25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance

Services or Equipment. (Aug 2020) (Section 889(a)(1)(A) of Pub. L. 115‐232).

(4) 52.209‐10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(5) 52.233‐3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233‐4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108‐77 and 108‐

78 ( 19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

X (1) 52.203‐6, Restrictions on Subcontractor Sales to the Government (June 2020), with Alternate

I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

__ (2) 52.203‐13, Contractor Code of Business Ethics and Conduct (Jun 2020) (41 U.S.C. 3509)).

__ (3) 52.203‐15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (Jun 2010) (Section 1553 of Pub. L. 111‐5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

__ (4) 52.204‐10, Reporting Executive Compensation and First‐Tier Subcontract Awards (Jun 2020)

(Pub. L. 109‐282) ( 31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204‐14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111‐117, section 743 of Div. C).

__ (7) 52.204‐15, Service Contract Reporting Requirements for Indefinite‐Delivery Contracts (Oct

2016) (Pub. L. 111‐117, section 743 of Div. C).

X (8) 52.209‐6, Protecting the Government’s Interest When Subcontracting with Contractors

Debarred, Suspended, or Proposed for Debarment. (Jun 2020) (31 U.S.C. 6101 note).

X (9) 52.209‐9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct

2018) (41 U.S.C. 2313).

__ (10) [Reserved].

__ (11) (i) 52.219‐3, Notice of HUBZone Set‐Aside or Sole‐Source Award (Mar 2020) (15 U.S.C. 657a).

__ (ii) Alternate I (Mar 2020) of 52.219‐3.

X (12) (i) 52.219‐4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (Mar

2020) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (ii) Alternate I (Mar 2020) of 52.219‐4.

__ (13) [Reserved]

X_ (14) (i) 52.219‐6, Notice of Total Small Business Set‐Aside ‐ Refer to Class Deviation from the FAR

Regarding Limitations on Subcontracting for Small Business Concerns dated April 3, 2019, https://www.acquisition.gov/sites/default/files/page_file_uploads/CAAC%20Letter%202019-01.pdf (15

U.S.C. 644).

__ (ii) Alternate I (Mar 2020) of 52.219‐6.

__ (15) (i) 52.219‐7, Notice of Partial Small Business Set‐Aside (Nov 2020) (15 U.S.C. 644).

__ (ii) Alternate I (Mar 2020) of 52.219‐7.

X_ (16) 52.219‐8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

__ (17) (i) 52.219‐9, Small Business Subcontracting Plan (Jun 2020) (15 U.S.C. 637(d)(4)).

__ (ii) Alternate I (Nov 2016) of 52.219‐9.

__ (iii) Alternate II (Nov 2016) of 52.219‐9.

__ (iv) Alternate III (Jun 2020) of 52.219‐9.

__ (v) Alternate IV (Jun 2020) of 52.219‐9

__ (18) (i) 52.219‐13, Notice of Set‐Aside of Orders (Mar 2020) (15 U.S.C. 644(r)).

__ (ii) Alternate I (Mar 2020) of 52.219‐13.

X_ (19) 52.219‐14, Limitations on Subcontracting ‐ Refer to Class Deviation from the FAR Regarding

Limitations on Subcontracting for Small Business Concerns dated April 3, 2019, https://www.acquisition.gov/sites/default/files/page_file_uploads/CAAC%20Letter%202019-01.pdf (15

U.S.C. 637(a)(14)).

__ (20) 52.219‐16, Liquidated Damages‐Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

__ (21) 52.219‐27, Notice of Service‐Disabled Veteran‐Owned Small Business Set‐Aside (Mar 2020)

(15 U.S.C. 657f).

__ (22) (i) 52.219‐28, Post Award Small Business Program Rerepresentation (Nov 2020) (15 U.S.C.

632(a)(2)).

__ (ii) Alternate I (MAR 2020) of 52.219‐28.

__ (23) 52.219‐29, Notice of Set‐Aside for, or Sole Source Award to, Economically Disadvantaged

Women‐Owned Small Business Concerns (Mar 2020) (15 U.S.C. 637(m)).

__ (24) 52.219‐30, Notice of Set‐Aside for, or Sole Source Award to, Women‐Owned Small Business

Concerns Eligible Under the Women‐Owned Small Business Program (Mar2020) (15 U.S.C. 637(m)).

__ (25) 52.219‐32, Orders Issued Directly Under Small Business Reserves (Mar 2020) (15 U.S.C.

644(r)).

__ (26) 52.219‐33, Nonmanufacturer Rule (Mar 2020) (15U.S.C. 637(a)(17)).

X (27) 52.222‐3, Convict Labor (Jun 2003) (E.O.11755).

__ (28) 52.222‐19, Child Labor‐Cooperation with Authorities and Remedies (Jan2020) (E.O.13126).

X (29) 52.222‐21, Prohibition of Segregated Facilities (Apr 2015).

X (30) (i) 52.222‐26, Equal Opportunity (Sep 2016) (E.O.11246).

__ (ii) Alternate I (Feb 1999) of 52.222‐26.

X (31) (i) 52.222‐35, Equal Opportunity for Veterans (Jun 2020) (38 U.S.C. 4212).

__ (ii) Alternate I (Jul 2014) of 52.222‐35.

X (32) (i) 52.222‐36, Equal Opportunity for Workers with Disabilities (Jun 2020) (29 U.S.C. 793).

__ (ii) Alternate I (Jul 2014) of 52.222‐36.

X (33) 52.222‐37, Employment Reports on Veterans (Jun 2020) (38 U.S.C. 4212).

X (34) 52.222‐40, Notification of Employee Rights Under the National Labor Relations Act (Dec

2010) (E.O. 13496).

X (35) (i) 52.222‐50, Combating Trafficking in Persons (Oct 2020) (22 U.S.C. chapter 78 and E.O.

13627).

__ (ii) Alternate I (Mar 2015) of 52.222‐50 (22 U.S.C. chapter 78 and E.O. 13627).

X (36) 52.222‐54, Employment Eligibility Verification (Oct 2015). (Executive Order 12989). (Not applicable to the acquisition of commercially available off‐the‐shelf items or certain other types of commercial items as prescribed in 22.1803.)

__ (37) (i) 52.223‐9, Estimate of Percentage of Recovered Material Content for EPA–Designated

Items (May 2008) ( 42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off‐the‐shelf items.)

__ (ii) Alternate I (May 2008) of 52.223‐9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off‐the‐shelf items.)

__ (38) 52.223‐11, Ozone‐Depleting Substances and High Global Warming Potential

Hydrofluorocarbons (Jun 2016) (E.O. 13693).

__ (39) 52.223‐12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air

Conditioners (Jun 2016) (E.O. 13693).

__ (40) (i) 52.223‐13, Acquisition of EPEAT®‐Registered Imaging Equipment (Jun 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223‐13.

__ (41) (i) 52.223‐14, Acquisition of EPEAT®‐Registered Televisions (Jun 2014) (E.O.s 13423 and

13514).

__ (ii) Alternate I (Jun2014) of 52.223‐14.

__ (42) 52.223‐15, Energy Efficiency in Energy‐Consuming Products (May 2020) (42 U.S.C. 8259b).

__ (43) (i) 52.223‐16, Acquisition of EPEAT®‐Registered Personal Computer Products (Oct 2015)

(E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223‐16.

X (44) 52.223‐18, Encouraging Contractor Policies to Ban Text Messaging While Driving (Jun 2020)

(E.O. 13513).

__ (45) 52.223‐20, Aerosols (Jun 2016) (E.O. 13693).

__ (46) 52.223‐21, Foams (Jun2016) (E.O. 13693).

X (47) (i) 52.224‐3 Privacy Training (Jan 2017) (5 U.S.C. 552 a).

__ (ii) Alternate I (Jan 2017) of 52.224‐3.

__ (48) 52.225‐1, Buy American‐Supplies (Jan2021) (41 U.S.C. chapter 83).

__ (49)…