Solicitation 75H71023R00004 NAIHS Teleradiology Services.pdf

Request for Proposal: 75H71023R00004 ISSUE DATE: November 1, 2023 DUE DATE: November 30, 2023

This office is soliciting proposals from interested offerors to provide Teleradiology Services to the Navajo Area Indian Health Service (NAIHS) medical facilities. NAIHS requests that you review the enclosed Request for Proposal (RFP) and proposal instructions and provide this office with a response, utilizing the information contained therein.

COMPLETION OF SOLICITATION REQUIREMENTS:

Ensure all forms and additional information is completed in their entirety and verify calculations before signing the proposal.

Your proposal shall be prepared and submitted in accordance with Section E‐1 Instructions to Offeror – Commercial Products and Commercial Services (pages 30) and Section E‐2 Addendum to 52.212-1 Instructions to Offerors – Commercial Products and Commercial Services (Page 32). This paragraph shall stipulate the submission of all required documents and certifications, to determine your responsibility of providing the required services. All proposals must be received in the Division of Acquisition Management & Contracts by offer due date listed on Standard Form 1449.

THIS IS 100% TOTAL SMALL BUSINESS SET ASIDE

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Health Services Administration

Navajo Area Indian Health Service

TELERADIOLOGY READ SERVICE - NAVAJO AREA INDIAN HEALTH SERVICE

SOLICITATION NO.: 75H71023R00004

TABLE OF CONTENTS

SECTION A - SF1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B – OVERVIEW

B-1 PURPOSE OF CONTRACT

B-2 FEE SCHEDULE

B-3 DEFINITIONS

B-4 PERFORMANCE WORK STATEMENT

B-5 PERIOD OF PERFORMANCE

B-6 CONTRACTING OFFICER’S RESPONSIBLITY

B-7 PRIVACY ACT NOTIFICATION

B-8 CONTRACTING OFFICER’S REPRESENTATIVE

B-9 OFFICIALS AUTHORIZED TO PLACE ORDERS AGAINST THIS CONTRACT

B-10 INVOICE SUBMISSION

B-11 CONTRACTOR’S REPRESENTATIVES

SECTION C – CONTRACT CLAUSES

C-1 52.252-5 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C-2 52.212-4 CONTRACT TERMS & CONDITIONS-COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2022)

C-3 52.212-5 CONTRACT TERMS & CONDITIONS IMPLEMENT STATUTES OR

EXECUTIVE ORDERS-COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(SEP 2023)

C-4 52.216-18 ORDERING (AUG 2020)

C-5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C-6 52.216-21 REQUIREMENTS (OCT 1995)

C-7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C-8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C-9 52.232-18 AVAILABIITY OF FUNDS (APR 1994)

C-10 52.232-19 AVAILBILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C-11 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997)

C-12 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)

C-13 DEPARTMENT OF HEALTH AND HUMAN SERVICES ACQUISITON REGULATIONS

(HHSAR) (48 CFR CHAPTER 3) CLAUSES

C-14 352.232-71 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (FEB 2022)

C-15 352.237-70 PRO-CHILDREN ACT (DEC 2015)

C-16 352.237-71 CRIME CONTROL ACT OF 1990-REPORTING OF CHILD ABUSE (DEC

2015)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS OR ATTACHMENTS

D-1 CONTRACTOR PERFORMANCE ASSESSMENT REPORT (CPAR) STANDARD

EVALUATION

D-2 BUSINESS PARTNER INTERCONNECTION SECURITY AGREEMENT (BPISA)

SECTION E - SOLICITATION PROVISIONS

E-1 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E-2 ADDENDUM TO 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E-3 52.212-2 EVALUATION-COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(NOV 2021)

E-4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS-COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (SEP 2023)

E-5 52.216-1 TYPE OF CONTRACT (APR 1984)

E-6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E-7 FAR PROVISIONS INCORPRATED BY REFERENCE

SEE ADDENDUMIS CHECKED

CODE 18a. PAYMENT WILL BE MADE BY

CODE

FACILITYCODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

OFFEROR

Window Rock AZ 86515 PO Box 9020 Navajo Area Office

CODE 16. ADMINISTERED BYCODE

X

X

X

621111

SIZE STANDARD:

100.00 % FOR:SET ASIDE:UNRESTRICTED OR29

RFPIFB

10. THIS ACQUISITION ISCODE

RFQ

14. METHOD OF SOLICITATION

13b. RATING

NAICS:

SMALL BUSINESS

11/30/2023 1700 MT

11/01/2023

928-674-7635TANYA JOHNSON

(No collect calls)

INFORMATION CALL:

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

4. ORDER NUMBER3. AWARD/ 6. SOLICITATION

75H71023R00004

5. SOLICITATION NUMBER

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

1 46OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

TELEPHONE NO.

17a. CONTRACTOR/

Address of Hospitals/Health Centers Issuing Delivery Task Orders NAIHS Hospitals/Health Centers

15. DELIVER TO

Window Rock AZ 86515 PO Box 9020

9. ISSUED BY

7.

2. CONTRACT NO.

EFFECTIVE DATE

$16

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW

ISSUE DATE

DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

11.

SEE SCHEDULEX

12. DISCOUNT TERMS

THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13a.

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

8(A)

Navajo Area Office

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 Off-site Teleradiology Services to the Navajo Area Indian Health Service (NAIHS) facilities in accordance with the Performance Work Statement.

1 BASE PERIOD: APRIL 01, 2024 THRU MARCH 31, 2025

Period of Performance: 04/01/2024 to 03/31/2025

2 FIRST OPTION PERIOD: APRIL 01, 2025 THRU MARCH

31, 2026 Continued ...

(Use Reverse and/or Attach Additional Sheets as Necessary)

HEREIN, IS ACCEPTED AS TO ITEMS:

XX

DATED

DEEANDRA SALABYE

. YOUR OFFER ON SOLICITATION (BLOCK 5),

INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER

ARE

ARE

31c. DATE SIGNED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print)

ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL

SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

OFFER

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA - FAR (48 CFR) 53.212

ARE NOT ATTACHED.

ARE NOT ATTACHED.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

30b. NAME AND TITLE OF SIGNER (Type or print)

30a. SIGNATURE OF OFFEROR/CONTRACTOR

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

25. ACCOUNTING AND APPROPRIATION DATA

29. AWARD OF CONTRACT:

REF.

To be shown on each individual task order.

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32c. DATE 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

40. PAID BY39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER

37. CHECK NUMBER

FINALPARTIAL

36. PAYMENT

FINALPARTIAL

35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER33. SHIP NUMBER

COMPLETE

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)

42b. RECEIVED AT (Location)

42a. RECEIVED BY (Print)

41c. DATE41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER

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.

(Option Line Item)

02/01/2025

Period of Performance: 04/01/2025 to 03/31/2026

3 SECOND OPTION PERIOD: APRIL 01, 2026 THRU MARCH

31, 2027

(Option Line Item)

02/01/2026

Period of Performance: 04/01/2026 to 03/31/2027

32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE

46 2 of

SECTION B – OVERVIEW

B-1 PURPOSE OF CONTRACT:

1.1 GENERAL: The purpose of the contract is to obtain interpretation of electronic medical images. The Contractor shall furnish all necessary personnel, supplies, materials, and equipment to perform under the terms of this contract. All services supplied by contractor under the terms of the contract shall be performed in compliance with all requirements and regulations of Food and Drug Administration (FDA), Mammography Quality Standards Act (MQSA, for mammography services), The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) and Health Insurance Portability and Accountability Act of 1996 and Privacy Act (HIPAA).

1.2 INTRODUCTION: The Indian Health Service (IHS) is an agency within the US Department of Health and Human Services (DHHS), and is responsible for providing federal health services to American Indians and Alaska Natives. The provision of health services to members of federally recognized tribes grew out of the special relationship between the federal government and Indian tribes. The IHS is the principal health care provider and health advocate for the Indian people. The IHS goal is to assure that accessible health care services are available to the American Indian and Alaska Natives. The IHS currently provides health services to approximately 1.5 million American Indians and Alaska Natives, who belong to 557 federally, recognized tribes in 34 states.

The Navajo Area Indian Health Service (NAIHS) includes five Federal Service Units located in the northern portions of the States of Arizona and New Mexico. The NAIHS administers health care to approximately 300,000 tribal members of the Navajo Nation, through various health centers and hospital facilities, and outpatient/outreach programs. The Navajo Nation is the largest Indian tribe in the Unites States and has the largest reservation that encompasses more than 25,000 square miles throughout northern Arizona, western New Mexico and southern Utah. NAIHS facilities offer a wide range of health care services with varying levels, types and hours of service, up to twenty-four hours per day and seven days per week, at the various Service Units. NAIHS facilities perform a variety of imaging examinations in support of their clinical activities with all images captured, stored and displayed in DICOM format.

NAIHS Service Units have a requirement for Teleradiology Services to assist Service Units with the interpretation of medical images. The NAIHS Service Units to be serviced are as follows:

1. Chinle Comprehensive Healthcare Facility

2. Kayenta Health Center

3. Inscription House Health Center

4. Northern Navajo Medical Center

5. Crownpoint Comprehensive Healthcare Facility

6. Gallup Indian Medical Center

B-2 FEE SCHEDULE: The Contractor shall be compensated at a fixed unit price listed for Teleradiology Services provided in accordance with the Performance Work Statement (PWS). NAIHS Service Units have a requirement for Teleradiology Services to assist Service Units with the interpretation of medical images:

X-ray (CR/DR), Computed Axial Tomography (CT), Computed Axial Tomography Angiography (CTA), Mammography (MM), Mammography digital breast Tomosynthesis 3D, Ultrasound (US), Magnetic Resonance Imaging (MRI), and Dual Energy x-ray (DEXA).

The facilities stated in Section B-1 may submit imaging examinations of varying numbers, types, severity, urgency, and days and hours of transmission for interpretation under the terms of the contract.

Workload may vary depending on the varying needs of the referring facilities including number of onsite radiologists, type and/or time of examination, and a number of other factors.

Imaging examinations may be sent to contractor for routine, urgent or stat interpretation twenty-four hours per day, seven days per week.

The following are annual volumes of different categories of imaging examinations. Cost estimates should be submitted per exam category. Additionally, contractor may estimate costs based on number of images per examination for cross sectional imaging exams (e.g., CT and MRI).

BASE PERIOD: APRIL 01, 2024 THRU MARCH 31, 2025

LINE

ITEM

DESCRIPTION

Chinle Comprehensiv e Healthcare

Facility

Kayenta Health Center

Inscription House Health Center

Northern Navajo Medical Center

Crownpoint Comprehensiv e Healthcare

Facility

Gallup Indian

Medical Center

Computed Axial Tomography (CT)

Estimated Volume 7,000 2,000 0 6,000 3,000 2,500 Price Per Volume Total Per Read

Computed Axial Tomography Angiography (CTA)

Estimated Volume 700 150 0 1,000 1,000 1,000

Total Per Read

3 Mammography (MM)

Estimated Volume 225 46 0 0 1,000 5,000

Price Per Volume

Total Per Read

Magnetic Resonance Imaging (MRI)

Estimated Volume 250 300 0 400 0 300

Total Per Read

5 Ultrasound (US)

Estimated Volume 400 500 50 50 500 10,000

Price Per Volume

Total Per Read 6 X-ray

Estimated Volume 8,000 500 500 1,000 5,000 15,000 Price Per Volume Total Per Read

Dual Energy x-ray

(DEXA)

Estimated Volume 0 123 100 100 0 0

Total Per Read 8 CT Ab/Pel Estimated Volume 3,000 1,500 0 3,000 1,500 3,500 Price Per Volume Total Per Read

9 XRAY Bilateral Estimated Volume 400 400 0 400 400 425 Price Per Volume

Total Per Facility

FIRST OPTION PERIOD: APRIL 01, 2025 THRU MARCH 31, 2026

ITEM

DESCRIPTION

Chinle Comprehensiv e Healthcare

Facility

Kayenta Health Center

Inscription House Health Center

Northern Navajo Medical Center

Crownpoint Comprehensiv e Healthcare

Facility

Gallup Indian

Medical Center

Total Per Read

Computed Axial

Total Per Read

3 Mammography (MM)

Estimated Volume 225 46 0 0 1,000 5,000

Price Per Volume

Total Per Read

Total Per Read

5 Ultrasound (US)

Estimated Volume 400 500 50 50 500 10,000

Price Per Volume

Total Per Read 6 X-ray Estimated Volume 8,000 500 500 1,000 5,000 15,000

Total Per Read

8 CT Ab/Pel Estimated Volume 3,000 1,500 0 3,000 1,500 3,500 Price Per Volume Total Per Read

9 XRAY Bilateral Estimated Volume 400 400 0 400 400 425 Price Per Volume

SECOND OPTION PERIOD: APRIL 01, 2026 THRU MARCH 31, 2027

ITEM

DESCRIPTION

Chinle Comprehensiv e Healthcare

Facility

Kayenta Health Center

Inscription House Health Center

Northern Navajo Medical Center

Crownpoint Comprehensiv e Healthcare

Facility

Gallup Indian

Medical Center

Total Per Read

Computed Axial

Total Per Read

3 Mammography (MM)

Estimated Volume 225 46 0 0 1,000 5,000

Price Per Volume

Total Per Read

5 Ultrasound (US)

Estimated Volume 400 500 50 50 500 10,000

Price Per Volume

Total Per Read 6 X-ray Estimated Volume 8,000 500 500 1,000 5,000 15,000 Price Per Volume Total Per Read

Total Per Read

8 CT Ab/Pel Estimated Volume 3,000 1,500 0 3,000 1,500 3,500 Price Per Volume Total Per Read

9 XRAY Bilateral Estimated Volume 400 400 0 400 400 425 Price Per Volume

B-3 DEFINITIONS:

3.1 Acceptance: Constitutes acknowledgement that the supplies or services conform to applicable contract quality and quantity requirements, except as provided in FAR subpart 46.5 and subject to other terms and conditions of the contract.

3.2 Approval: Acknowledgment by the designated Government employee that submittals, deliverables, or administrative documents (e.g., insurance certificates, installation schedules, planned utility interruptions, etc.) conform to the contractual requirements. Government approval does not relieve the Contractor from responsibility for compliance with contract requirements.

3.4 Area: A defined geographical region for Indian Health Service administrative purposes. Each Area Office may administer several Service Units.

3.5 Authorized Ordering Official: A Government employee with the authority to order/issue and sign individual task orders for a specific healthcare facility

3.6 Award Term Plan: plan of action to extend the contract per the Option Years for successful completion of the quality assurance plan.

3.6 Contracting Officer (CO): A Government employee with the authority to enter into, administer, and/or terminate a contract and make related determinations and findings.

3.7 Contracting Officer’s Representative (COR): A Government employee responsible for administration of this contract. The COR closely monitors the contract for Contractor compliance and reports to the Contracting Officer.

3.8 Contractor: The Entity awarded a legal binding contract to provide supplies and/or services.

3.9 Customer: Patients, staff and visitors of a NAIHS service unit and medical facility.

3.10 Customer Evaluation/Input: Written comments made to the Contracting Officer regarding the Contractor’s performance. This is one of the criteria used to evaluate the Contractor’s performance.

3.11 Facility Point of Contact: A Government employee designated by the facility receiving service, who assists the Authorized Ordering Official in the administration of task orders and payment of invoices issued under this contract. Has limited authority to contact Contractor regarding routine daily service issues and special requests within the scope of the contract. Assists the Contracting Officer’s Representative to monitor the Contractor for performance.

3.12 Federal Acquisition Regulation (FAR): The FAR is the primary regulation for use by all Federal Executive agencies in their acquisition of supplies and services with appropriated funds.

3.13 Holiday: A day marked by a general suspension of work in commemoration of an event.

3.14 Ordering Official: A Government employee with the authority to order/issue and sign individual task orders.

3.15 Past Performance Information: Relevant information regarding a contractor’s actions under previously awarded contracts. This includes the contractor’s record of conformance 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.

3.16 Performance-Based Acquisition: Structuring all aspects of an acquisition around the purpose of the work to be performed with the contract requirements set forth in clear, specific, and objective terms with measurable outcome as opposed to either the manner by which the work is to be performed or a broad and imprecise performance work statement.

3.17 Performance-Based Matrix: Lists the services to be monitored and the standards to be applied.

3.18 Quality Assurance Surveillance Plan (QASP): A written document prepared and used by the government for Quality Assurance surveillance of the contractor’s performance.

3.19 Quality Control: Those actions taken by the contractor to control quality of services provided.

3.20 Task Order (SF1449): An order issued 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 services, 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.

3.21 Acronyms:

A. ACR: American College of Radiology (ACR) B. CMS: Center for Medicaid and Medicare Services C. DICOM: Digital Imaging and Communications in Medicine, standard for the communication and management of medical information and related data D. FDA: Food and Drug Administration E. HIPAA: Health Insurance Portability and Accountability Act F. HL7: Health Level 7, Medical informatics standard that facilities communication among different digital systems.

G. MQSA: Mammography Quality Standard Act H. NAIHS: Navajo Area Indian Health Service I. NAO: Navajo Area Office J. OIG: Office of Inspector General K. PACS: Picture Archiving and Communications System L. TJC: The Joint Commission

B-4 PEFORMANCE WORK STATEMENT

4.1 Purpose: The Contractor shall provide teleradiology interpretation services to Navajo Area Indian Health

Service Facilities. The Contractor shall provide the following Teleradiology Services to assist Service Units with the interpretation of medical images to include: X-ray (CR/DR), Computed Axial Tomography (CT), Computed Axial Tomography Angiography (CTA), Mammography (MM), Mammography digital breast Tomosynthesis 3D, Ultrasound (US), Magnetic Resonance Imaging (MRI), and Dual Energy x-ray (DEXA).

The NAIHS Service Units to be serviced are as follows:

1. Chinle Comprehensive Healthcare Facility

2. Kayenta Health Center

3. Inscription House Health Center

4. Northern Navajo Medical Center

5. Crownpoint Comprehensive Healthcare Facility

6. Gallup Indian Medical Center

4.2 Contractor Requirements:

A. NAIHS Facility Data and Images: Except as necessary to provide services under the contract, Contractor shall not share, distribute or publish any NAIHS or NAIHS facility business data, patient data or information, or patient images without the express written consent of the originating facility and any such data, information or images shared, distributed or published with the express written consent of the originating facility shall be in accordance with all applicable regulations and requirements of Health Insurance Portability and Accountability Act (HIPAA), Privacy Act, The Joint Commission (TJC), Center for Medicaid and Medicare Service (CMS) and other applicable privacy standards.

B. The contractor shall be in compliance with CMS requirements §§482.12(a) (1) through (a) (7) and §482.12 (e) stated in the written agreement.

C. Contractor’s Equipment and Software: Hardware and software utilized by contractor to provide services under the contract shall be compliant with all regulations and requirements of Food and Drug Administration (FDA), TJC, CMS and HIPAA. Shall be able to receive DICOM images for interpretation of exams.

D. Contractor’s Professional Liability Insurance: Contractor shall maintain, at contractor’s sole expense, Professional Liability Insurance for each of contractor’s radiologists providing services under the contract in the amount of at least Two Million Dollars ($2,000,000) per claim and Six Million Dollars ($6,000,000) in the annual aggregate, AND General Liability Insurance in an amount at least commensurate with industry standards.

E. All interpretations provided to NAIHS facilities under the terms of the contract shall be performed by radiologists located in the United States of America.

F. Credentialing of Contractor’s Radiologists: Contractor shall maintain at all times during the contract period certification by TJC (MS 13.01.01 and MS 13.01.03) and CMS, §482.22 (a) (3) and §482.22

(a) (4) including credentialing of contractor’s radiologists providing services to NAIHS facilities under the terms of the contract. Contractor shall notify NAIHS immediately in writing of any limitations on contractor’s TJC and/or CMS certification or restrictions on credentials of any of contractor’s radiologists. Contractor shall provide to NAIHS Contracting Officer Representative (COR) and subsequently update a list of all radiologists that will be providing interpretations under the terms of the contract, said list including Provider Identification Number (PIN) and other identifying information required by government and private third party payers. Contractor shall provide each NAIHS facility with signed billing waivers for each interpreting radiologist as required to facilitate billing of government and private third-party payers by NAIHS facilities. Contractor shall provide NAIHS all documentation, information and permissions required by referring Service Units to properly complete their credentialing actions as required by TJC and CMS. Contractor shall provide NAIHS at least five working days (excluding weekends and Federal holidays) notice of any additions to contractor’s interpreting radiologist staff, said notice to be accompanied by all identification, billing, privileging and credentialing documentation specified above this paragraph.

G. Radiology Staff Quality Assurance (QA) Activities and Requirements: The contractor shall establish and maintain a QA program consistent with all TJC or CMS requirements including quarterly evaluations of interpretations by every interpreting radiologist. These requirements may be amended from time to time to maintain compliance with applicable laws, rules and regulations.

a. Said QA evaluations shall classify contractor’s radiologist’s imaging examination clinical report as:

1. No Discrepancy: Reviewer fully agreed with initial clinical interpretation.

2. Minimal Discrepancy: Reviewer noted or disagreed with one or more findings reported on the initial interpretation that would likely not alter NAIHS facility’s patient’s care or clinical course.

3. Significant Discrepancy: Reviewer noted or disagreed with one or more findings on the initial interpretation that would likely alter NAIHS facility’s patient’s care or clinical course. Note that Contractor shall take action within one (1) hour to communicate to NAIHS facility responsible provider notice of any significant discrepancies found in initial reads.

b. Said QA evaluations shall include a sufficient number of interpretations for each of contractor’s radiologists providing services under the contract to meet all TJC and CMS requirements for accredited QA programs.

c. Said QA evaluations shall be conducted by a Board Eligible/Board Certified (BC/BE) radiologist (not currently in residency training) at contractor’s sole expense.

d. Said QA evaluations must be reported to the NAIHS COR within thirty (30) calendar days of the end of the quarter or as required by TJC and CMS.

e. Performance Improvement Plans (PI Plans) must be included for any of contractor’s interpreting radiologists with a rate of clinically significant discrepancy greater than 1%.

H. The following are the required timelines for the reports sent as “Routine”, “Urgent”, “Stroke” and/or “Stat”

a. Routine: Interpretation should be available at the referring facility by noon the following day.

b. Stroke: Interpretations should be available at the referring facility within twenty (20) minutes.

c. Urgent or Stat: Interpretations should be transmitted to the referring facility within thirty (30) minutes. Contractor shall also keep a written or electronic log of telephone and/or fax urgent or stat reports and shall conduct review of data consistent with TJC and CMS requirements on a monthly basis, results of said review to be reported to NAIHS COR within twenty calendar days of the end of the report month.

d. Critical findings: Should be called within one (1) hour to the referring facility’s NAIHS clinicians.

e. In all cases, within one (1) hour the Contractor’s radiologists shall provide immediate telephone consultation with NAIHS clinicians to report any abnormal findings that might significantly alter the treatment and care of NAIHS patients or any errors discovered.

f. Accuracy of Reports: All reports shall maintain a 99% clinically significant accuracy rate. Any errors found in reports, must be communicated within 12 hours by telephone and fax to the responsible provider at the referring NAIHS facility.

g. NAIHS facilities reserve the right to alternatively utilize the services of another vendor if the contractor is not able for any reason meet the timelines and requirements in H (a)(b) and (c) of this section of the Performance Work Statement.

I. Preliminary and Final Interpretations: All interpretations will be final once BC/BE radiologist (not currently in residency training) complete the report and transfers the report into the referring facilities medical record. All interpretations will be final.

J. Digital Mammography Requirements: Contractor shall provide the following services related to NAIHS referring facility screening and diagnostic mammography programs including support for Mammography Quality Standards Act (MQSA) activities with FDA and ACR. Contractor may be required to provide the following services depending on the needs of the individual referring facility.

a. Lead Interpreting Physician, as defined by MQSA.

b. Medical Physicist Survey, as required by MQSA, with all required reporting to COR as required by MQSA. Contractor shall maintain full MQSA accreditation while performing mammography services under the terms of the contract.

c. Contractor’s Lead Interpreting Physician and Medical Physicist shall consult with and assist referring facilities with all clinical issues and MQSA accreditation issues as requested by the referring facilities and required by MQSA. Contractor shall be responsible for physician’s portions of MQSA accreditation and annual inspections.

d. Contractor’s Lead Interpreting Physician and staff: Mammographers shall be available to assist NAIHS referring facilities’ clinical providers with clinical consultations related to mammography services performed under the terms of the contract.

K. Contractor’s Customers’ Assistance: Contractor shall provide contacts for NAIHS and referring facilities for assistance for clinical, technical and business related issues as follows.

a. Contractor shall provide a customer representative to assist NAIHS and referring facilities staff with business questions during regular business hours Monday through Friday, 0800 – 1700 MT.

b. Contractor shall maintain an 800 numbers or equivalent telephone service to permit twenty-four hours per day and seven days per week immediate contact with contractor’s clinical staff by clinical providers at referring facilities.

c. Contractor shall maintain an 800 numbers or equivalent telephone service to permit twenty-four hours per day and seven days per week immediate contact with contractor’s technical staff by clinical providers or technical support personnel at referring facilities.

d. Contractor shall identify a Medical Director for its services. COR, NAIHS clinical providers and administrators may contact contractor’s Medical Director with clinical issues and concerns, and service requests.

L. Contractor’s Communications Network and Interface Requirements

a. Communications Interface: Contractor shall interface with Government furnished PACS (Picture

Archiving and Communication System) communications platform(s) at NAIHS referring facility sites.

b. Storage and Display of Imaging Examinations: All interpretations shall be performed on FDA, TJC, CMS and HIPAA compliant equipment operating FDA, TJC, CMS and HIPAA compliant software. All equipment and software shall be calibrated and maintained to FDA, TJC, CMS and HIPAA compliant standards.

c. Required Communications and Information Systems Agreements: Contractor shall work with NAIHS and facility Information Technology (IT) Departments to complete all IHS required Information Systems Agreements.

d. Contractor’s network must have established firewalls and procedures to ensure patient confidentiality and security consistent with HIPAA regulations and American College of Radiology (ACR) guidelines.

e. Contractor shall transmit reports to NAIHS facilities by electronic means in format acceptable to referring facility.

f. Contractor shall upon request work with NAIHS and referring facilities to develop: a) direct HL – 7 interface with IHS database to allow direct communications of patient demographic and clinical information, imaging examination information and work orders from NAIHS referring facilities’ database to contractor’s information system and b) direct HL – 7 interface for transmission of imaging examination reports from contractor’s information system back to NAIHS referring facilities’ database.

g. Contractor’s server and telecommunications network must have built in redundancy to allow for 100% receipt and processing of all NAIHS data.

M. Contractors providers shall not be mentioned or a party on the OIG (Office of Inspector General) Exclusions List and Excluded Party List.

N. Contractor shall perform quarterly Quality Assurance and Peer Review (QA) including review of all radiologists providing interpretive services under the terms of this contract as defined in B-4, 4.2, G of this document. Contractor shall report results of all QA performed as part of this Performance Work Statement (PWS) to the Contracting Officer Representative (COR), NAIHS as required by B-4, 4.2, G.

4.3 THIRD PARTY BILLING: NAIHS medical facilities will bill for all third-party insurance for all studies covered in the contract. The contractor shall not bill insurance for services rendered. The contractor shall be required to have all participating radiologist sign billing waivers.

4.4 PROFESSIONAL QUALIFICATIONS

The Contractor physicians shall:

A. Be Board Eligible or Board Certified (BE/BC) in Diagnostic Radiology by the American Board of

Radiology (ABR).

B. Possess an unrestricted license to practice medicine in the state where they will be providing professional services (the state where contractors’ radiologist will be located while interpreting and reporting exams). The states services to be provided are in the state of New Mexico and Arizona.

C. Be credentialed by Contractor under The Joint Commission (TJC) or Center for Medicaid/Medicare Services (CMS) accredited methods to provide diagnostic imaging professional services.

D. Provide under the contract only diagnostic imaging professional services within the scope of their credentials as granted by contractor under TJC or CMS accredited methods.

E. Meet the “Qualifications of Personnel” in the America College of Radiology (ACR) Technical Standard for Teleradiology, Section III, A. Physician (http://www.acr.org/Hidden/Economics/FeaturedCategories/useful_links/medicare_info/teleradiology/ ACRTechnicalStandardsDoc4.aspx).

4.5 Performance Based Matrix

PERFORMANCE

OBJECTIVES

INDICATOR

PERFORMANCE

STANDARD

SURVEILLANCE

PLAN

CONTRACTOR

INCENTIVE

The Contractor shall provide teleradiology interpretation services to Navajo Area Indian Health Service Facilities.

Competency Compliance

Patient Outcomes

Professionalism

Reports

Credentialing

Perform 100% required tasks at 100% of the required competencies.

100% compliance with IHS Service Units and/or Health Centers published Policies;

Procedures; Standards of Care; and hospital and Laboratory Protocols.

No reports of breached patient safety, infection control, and other procedures that might adversely affect patient outcome.

Performance characterized by continual cultural awareness and focus on customer service. 100% adherence to the Code of Ethics and Federal Code of Conduct.

100% percent of meeting requested timeline as stated in Section B-4.

See QASP and the reports submitted by the Contractor as stated in section B-4, Contractor Requirements, section M.

Positive performance review on Contractor Performance Assessment Report System (CPARS).

Payment for services performed in accordance with PWS.

Exercise of next Option Year Period.

B-5 PERIOD OF PERFORMANCE: The effective date of this contract is from April 01, 2024 through March 31, 2025 one (1) one-year Base Period and two (2) one-year 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.

PERIOD OPTION PERIODS

FIRST OPTION PERIOD: April 01, 2025 through March 31, 2026 SECOND OPTION PERIOD: April 01, 2026 through March 31, 2027

B-6 CONTRACTING OFFICER’S RESPONSIBILITY: Authority to negotiate changes in terms, conditions, or amounts cited in this contract is reserved for the Contracting Officer.

B-7 PRIVACY ACT NOTIFICATION: This contract requires the Contractor, on behalf of the Indian Health Service (IHS), to provide health care to American Indians and Alaskan Natives and report selected medical record as required. The Snyder Act (25 U.S.C. 2001) authorizes the collection of this information.

Disclosure of this information may be made by IHS to: other providers of health care for treatment of health maintenance of American Indian or Alaskan Native people; the Office of Worker’s Compensation Programs, Department of Labor; the Department of Justice or their representation of the United State; and for Congressional inquiry assessment; medical audit; or utilization review; analytical and evaluation studies; to Federal or State agencies as required by law; research purposes supports by IHS; and identification of handicapped children under 10 U.S.C. 1401 et, seq.

B-8 CONTRACTING OFFICER’S REPRESENTATIVE (COR):

Gary Williams, Radiology Supervisor, Northern Navajo Medical Center, is designated COR for this contract, and the COR shall be responsible for the following:

1. Monitoring the Contractor’s technical progress, including surveillance and assessment of performance and recommending to the Contracting Officer changes in requirement;

2. Performing technical evaluation as required;

3. Performing technical inspections and acceptance required by this contract; and

4. Assisting the Contractor in the resolution of problems encountered in performance.

B-9 OFFICIALS AUTHORIZED TO PLACE ORDERS AGAINST THIS CONTRACT

9.1 The authorized ordering officials, as listed below, shall represent the Government for the purpose of issuing and signing Individual Task Orders under this agreement.

Division of Acquisition Management & Contracts NAIHS-Window Rock, AZ 86515 Telephone No.: (928) 871-5863

DeeAndra Salabye, CS Margaret Shirley, CS Thomasina Willie, CS Janice Martinez

Unlimited Unlimited $500,000 $500,000

USPHS-Chinle Comprehensive Healthcare Facility Chinle, Arizona 86503 Telephone No.: (928) 674-7635

Tanya Begay, SCS Whitney Shorty, CS

$10,000,000 $500,000

USPHS-Crownpoint Healthcare Facility Crownpoint, NM 87313 Telephone No.: (505) 786-2527

Leona Cantu, SCS DeeAndra Salabye, CS Margaret Shirley, CS

$10,000,000 Unlimited Unlimited

USPHS-Gallup Indian Medical Center Gallup, New Mexico 87301 Telephone No.: (505) 722-1549

Jericho Lewis, SCS Misty Billy, CS Adrian Segay, CS Jerlyn Begay, CS

$20,000,000 $500,000 $500,000 $500,000

USPHS-Northern Navajo Medical Center Shiprock, New Mexico 87420 Telephone No.: (505) 368-6089

DeeAndra Salabye, CS Margaret Shirley, CS

Unlimited

USPHS-Kayenta Indian Health Center Kayenta, AZ 86033 Telephone No.: (928) 697-4023

Tanya Begay, SCS DeeAndra Salabye, CS Margaret Shirley, CS

$10,000,000

9.2 The authority to obligate the Government shall be in accordance with the acquisition delegation of his/her authority.

B-10 INVOICE SUBMISSION: The Contractor shall submit original invoice(s) in accordance with FAR 52.212- 4(g) by uploading into the Invoice Processing Platform (IPP) @ www.ipp.gov .

If assistance is needed with IPP, then the Contractor shall contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), IPPCustomerSupport@fiscal.treasury.gov .

Department of the Treasury’s IPP website that includes training materials: https://www.ipp.gov/vendors/training-vendors .

B-11 CONTRACTOR’S REPRESENTATIVES:

Designated Customer Point of Contact and Medical Director Point of Contact, whom the Government may contact for prompt Contract Administration:

CUSTOMER POINT OF CONTACT:

Name:

Title:

Phone Number:

Email:

MEDICAL DIRECTOR POINT OF CONTACT:

As stated in section B-3, Contractor Requirements, section J, d:

Name:

Title:

Phone Number:

Email:

PART C – CONTRACT CLAUSES

C-1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es): https://acquisition.gov/browsefar

FAR Clause No.

Title Date

52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper MAY 2011 52.204-13 System for Award Management Maintenance OCT 2018 52.204-16 Commercial and Government Entity Code Reporting AUG 2020 52.204-18 Commercial and Government Entity Code Maintenance AUG 2020 52.224-1 Privacy Act Notification APR 1984 52.224-2 Privacy Act APR 1984

C-2 52.212-4 CONTRACT TERMS & CONDITIONS-COMMERCIAL PRODUCTS AND COMMERICAL

SERVICES (DEC 2022)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services.

The Government must exercise its post-acceptance rights-

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act ( 31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include-

(i) Name and address of the Contractor;

(ii) Invoice date and number;

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

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

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

(vi) Terms of any discount for prompt payment offered;

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

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

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

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer- System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer-Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act ( 31 U.S.C.3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR Part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.-

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act ( 31 U.S.C.3903) and prompt payment regulations at 5 CFR Part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall-

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the-

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if–

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on-

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government’s convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work.