SOLICITATION RFQ_23_ASU_004.pdf

Psychiatric Nurse Practitioners Albuquerque Service Unit SOLICITATION ORDER NO. RFQ_23_ASU_004

SECTION 1 - SUPPLIES OR SERVICES AND PRICES/COSTS

1.1 SERVICES

1.1.1 The Indian Health Service (IHS)/Albuquerque Area Office (AAO), Albuquerque Service Unit (ASU) has a need for two (2) Psychiatric Nurse Practitioners to provide Non-Personal Healthcare Services at the Albuquerque Indian Health Clinic (AIHC) located in Albuquerque, NM, starting October 01, 2023 through September 30, 2024. This purchase order will consist of one base year with four option years.

1.2 PRICE OR COST

This will result in one or more Firm-Fixed-Price (FFP) purchase order(s).

1.3 GENERAL CONTRACT INFORMATION

1.3.1 This is a non-personal health care service contract, as defined in Federal Acquisition Regulation (FAR) 37.401, under which the contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The contractor indemnifies the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance. The contract must maintain medical liability insurance. Coverage amount acceptable to the Contracting Officer, which is not less than the amount normally prevailing within the local community for the medical specialty. The contract is required to ensure that its subcontract for provisions of health care services contain the requirement of the Clause 52.237-7, including the maintenance of medical liability insurance.

1.3.2 As an independent Contractor; billing and collecting for the federal, state and other local city/county taxes is the burden of the Contractor, this includes the New Mexico Gross Receipt Taxes (NMGRT) for services provided in any county of the State of New Mexico.

1.3.3 The Contractor's price/cost for services under this contract should include all applicable taxes for Internal Revenue Service (IRS), State of New Mexico Taxation and Revenue agency and/or other revenue agencies. The Indian Health Service will not withhold taxes nor will it issue a W-2 to the contractor.

1.3.4 FINGERPRINTING REQUIREMENTS FOR SECURITY AND SUITABILITY:

Prior to start of services specified by the contract scope of work, the Contractor must contact

Warren Cheromiah, at Telephone No. (505) 256-6749, AAO, Division of Contracts and Grants, to schedule an appointment to complete the fingerprinting process required by the IHS regulations pertinent to security and character background investigations.

1.4 CONTRACT PRICE

1.4.1 This will result in an FFP purchase order. The total price for this contract is $TBD.

1.4.3 The Contractor shall be paid upon submission of an invoice and completion and/or verification (if service) are completed by the Contracting Officer's Representative (COR), of the services indicated below.

SCHEDULE OF CHARGES

Item # Contract Period Pricing per Year Total Amount

CLIN 1

Base Year:

10/01/2023 – 09/30/2024

2 Psychiatric Nurse Practitioners x

$______/hour x 40 hours/week x 52 weeks/year =

$__________/year

CLIN 2 1st Option Year:

10/01/2024 – 09/30/2025

2 Psychiatric Nurse Practitioners x

$______/hour x 40 hours/week x 52 weeks/year =

$__________/year

CLIN 3 2nd Option Year:

10/01/2025 – 09/30/2026

2 Psychiatric Nurse Practitioners x

$______/hour x 40 hours/week x 52 weeks/year =

$__________/year

CLIN 4 3rd Option Year:

10/01/2026 – 09/30/2027

2 Psychiatric Nurse Practitioners x

$______/hour x 40 hours/week x 52 weeks/year =

$__________/year

CLIN 5 4th Option Year:

10/01/2027 – 09/30/2028

2 Psychiatric Nurse Practitioners x

$______/hour x 40 hours/week x 52 weeks/year =

$__________/year

GRAND TOTAL (base year + option years):

* - Please include travel, lodging, and per diem in the pricing, as necessary.

** - You may use the attached fillable table or a format of your own. Thank you!

SECTION 2 – DEFINITIONS:

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

2.2 Approval: Acknowledgment by the designated Government official 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.

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

2.4 Blanket Purchase Agreement (BPA): is a simplified method of filling anticipated repetitive needs for supplies or services.

2.5 Business Associate (BA): Any company or person that shown to, handles, or works with the data or medical records of the medical entity.

2.6 Business Associate Agreement (BAA): A BAA is a contract between a HIPAA-covered entity and a HIPAA BA. The contract protects personal health information (PHI) in accordance with HIPAA guidelines.

2.7 Code of Ethics: The Revised American Nurses Association Code of Ethics and Standards of Practice and Care, published in 1996 by the American Nurses Association, which makes explicit primary goals, values and obligations of the nursing profession.

2.8 Contract: This is a legal binding document between the Government and the Contractor.

2.9 Contractor: The individual award a legal binding contract to provide supplies and services.

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

2.11 Contracting Officer's Representative (COR): A federal employee who assists the CO in the administration of this contract. The COR is primarily responsible for the technical assistance and day-to-day program management.

2.12 Customer: Patients, staff and visitors of an IHS service unit and health center.

2.13 Customer Evaluation/Input: Written comments made to the COR regarding the Contractors performance. This is one of the criteria used to evaluate the Contractor's performance.

2.14 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.

2.15 Health Clinics/Center: A facility physically separated from a hospital, with a full range of ambulatory services including at least primary care providers, nursing, laboratory, and x-ray, which are available at least 40 hours a week for outpatient care.

2.16 Non-Personal Services: A contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees, as defined in FAR 37.401

2.17 Ordering Activity: An authorized user of IHS that may issue a purchase order to obtain required services under this contract.

2.18 Orientation: An activity designed to provide basic familiarization of the facility and transition into the IHS Service Unit and/or Health Center.

2.19 Past Performance Information: Relevant information regarding a contractor's actions under previously awarded contracts.

2.20 Patient Outcome: End result of pharmaceutical care.

2.21 Performance Based Matrix: Lists the services and the standards to be applied.

2.22 Personal Protective Equipment (PPE): The equipment used to protect medical personnel from exposure to biological, chemical, and radioactive hazards.

2.23 Point of Contact: Person other than the COR or the Alternate COR

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

2.25 Service Unit: The local administrative unit of IHS.

2.26 Standards of Practice and Standards of Care: Authoritative statements by which it describes the responsibilities for which its practitioners are accountable.

2.27 Technical Direction: A directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in details or otherwise completes the general description of work or documentation items; shifts emphasis among work areas or tasks; or furnishes similar instruction to the Contractor.

2.28 Valid Patient Complaint: Justifiable accusation made by a patient and supported by investigation.

2.29 Verifiable Emergency: An unexpected/unplanned absence by the contractor requiring valid documentation to confirm the occurrence.

SECTION 3 – GOVERNMENT-FURNISHED PROPERTY AND SERVICES:

3.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor.

SECTION 4 – CONTRACTOR-FURNISHED ITEMS

4.1 Except for the property specified in Section 10.6.1, Contractor will supply all other items as required to carry out the services.

SECTION 5 – SCOPE OF WORK (SOW)

5.1 PSYCHIATRIC NURSE PRACTITIONER

Purpose of Contract: To provide ongoing Psychiatric care and consultations to the patients of Albuquerque Indian Health Center.

1. The Psychiatric Nurse Practitioner provider(s) (hereafter referred to as the “contractor”) shall provide services in accordance with the following “Scope of Work” and terms and conditions as set forth below.

2. Psychiatric services in the Indian Health Service are an integral part of the comprehensive, community-based health care delivery system. These services are patient-centered and are directed toward optimal patient care outcomes, health promotion, restoration of function and disease prevention.

3. Contractor will be responsible for their own transportation, lodging, personal insurance and other personal benefits.

Major Duties and Responsibilities:

1. Clinical Duties

a. Evaluate, diagnose and manage outpatients with Psychiatric illnesses.

b. Provide consultation in the clinic on a daily basis for patients from other service units and related clinics.

c. Perform and assist with evaluation, diagnosis and treatment: If the patient has a mental health diagnosis requiring continued treatment, the provider/contractor must perform a full history and physical and present all treatment options to the patient. A careful explanation of risk and complications related to the treatment must be presented an informed consent must be obtained and documented by the provider if necessary.

d. Perform necessary staff administrative tasks: The provider will provide clear documentation of all patient visits and treatments and provide the bill office in providing accurate diagnostic and procedural codes for each patient’s chart.

e. Schedule of deliverables or reporting requirements: All medical records are to be completed in an appropriate amount of time.

2. General Work Environment

a. Contractor will order prescriptions according to Federal and US Public Health Service Laws and policies.

Contractor must assure that drug therapy is safe, efficient, and cost effective. Will follow the standards of care adopted by the medical staff of AIHC and these standards shall be the criteria for appropriateness of drug therapy. Contractor shall screen the patient health record to avoid inappropriate drug interactions and monitor patients for appropriateness of therapy.

b. Federal Tort Claim Act:

Federal Tort Claim Act coverage for medical-related claims is extended to personal service contractors only when an incident of negligence is alleged to have occurred during the delivery of services by a contracted health care provider in a facility owned, operated, or constructed under the jurisdiction of the I.H.S. The services provided must have been within the scope of the personal service contract.

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

• Contractors will work within their privileges at all times unless otherwise necessitated by an emergency.

• Contractors shall participate directly in the medical care of patients within their scope of practice, performing functions to the extent designated by medical staff privileging process.

• Contractors shall provide direct outpatient psychiatric care/services to pediatric, geriatric, adolescent and adult patients.

• Contractors shall provide comprehensive therapeutic and preventative health services to individual patients, family members and patient groups in an outpatient setting; assess and diagnoses needs and sets up a plan of action to meet identified needs by providing health services to individuals and families.

• Applies medical professional skills in all phases of health care services within their scope of practice. Makes decisions concerning medical needs of patients with physicians and designated consultants; these decisions as well reflect a focus and regard on nursing care needs. Identifies and manages specific illnesses, identifies and manages preventive aspects of these same illnesses.

• Participates in staff meetings, in-service education programs, and quality improvement studies/activities to enhance the overall delivery of patient care.

• Current Basic Life Support (BLS) certification required.

• Collection of pertinent health data/history from patient,

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

• Record all patient contacts in the Electronic Health Record (EHR) and charting in accordance with policy and procedures, Institution of patient treatment plans,

• Provision/assurance of necessary patient follow-up,

• Review of patient medication(s),

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

• Contractors maintain health record in accordance with established Policy and Protocols in compliance with Privacy Act, HIPAA and other IHS Standards.

• All contractors shall abide to IHS Policy and Procedures.

• Institution of patient treatment plans,

• Provision/assurance of necessary patient follow-up

• Contractors shall provide written patient care consultation, written patient care instructions addressed to the appropriate Service Unit Clinical Director of the referring Service Unit.

• Contractors shall consult with an IHS representative (clinical director, social worker, etc.)

upon request about the patient's condition and progress, and provide copies of medical record information as necessary and as authorized by the patient.

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

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

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

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

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

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

Client Background:

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

5.2 Work Schedule:

5.2.1 Work Shift: 8 hours – usually 8:00am – 4:30pm, Monday through Friday, except all Federal Holidays. Tour of Duty will take place within these hours, unless otherwise scheduled.

5.2.3 Scheduling of Shifts: The Clinical Director (or COR or POC) at the IHS facility will determine specific tour of duty. The contractor's employee must work 100% of the contracted hours for the clinics.

5.2.4 Work Flexibility: As directed by the COR, the Contractor's employee must rotate into other duty sections as needed to support patient care.

5.2.5 Work Absence: The Contractor will perform and obtain approval of the COR and Alternate COR prior to any absence from work. If the length of the absence exceeds working hours the Contractor must request from agency approval at least fifteen (15) days, (the exception is verifiable emergencies) in advance of the desired absence.

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

5.2.6.1 The cause of the current illness or incapacitation AND

5.2.6.2 Indicating the Contractor as contagious or non-contagious.

5.2.6.3 The Government reserves the right to examine and or re-examine any Contractor who meets the criteria.

5.3 Performance Evaluation:

5.3.1 The Contractor must possess and maintain a current, active, full, and unrestricted license or registration or certification as a Nurse Practitioner from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

a. Required Specialty Training: Provide evidence of certification for the specialty in which the Psychiatric Nurse Practitioner will perform services.

b. Required Clinical Practice Experience: Full time employment within the past 12 months;

no less than 50% of time of Nurse Practitioner’s clinical experience must have been in the specialty.

5.3.2 The Contractor will be responsible for make sure Heart Association BLS as required.

5.3.3 The Contractor will be responsible for making sure all charting is update as required.

5.4 The contractor will perform work with multicultural patients and interpreters as necessary for non-English speaking patients.

5.5 Conduct: The Contractor must perform standards as listed in the Federal Code of Conduct.

5.6 Conditions of Contract Services: All healthcare providers providing service under this contract must attend mandatory orientations specified by the IHS.

5.6.1 The contractor must be subject to character investigation as required by Public Law 101-360, the Indian Health Child Protection and Family Violence Prevention Act prior to performance of a contract by utilizing the US Office of Personnel Management (OPM), Electronic Questionnaire for Investigation Processing (eQIP) system and this shall include all fingerprinting procedures and clearances. The contractor must provide all requested information necessary to perform Level I and Level II background checks. The contractor must comply with the requirement to obtain security investigations. The contractor must work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed within 7 business day of receipt. Failure to abide by this 7 business day submission timeframe will result in termination of your contract under 52.249-1 Termination for Convenience of the Government (Fixed Price) Short Form (April 1983). The contractor will review all completed forms and forward onto the Government personnel. The contractor will be immediately removed from the position (at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known).

5.6.2 Identification of Contractor: The Contractor must wear a government issued contractor identification badge during performance of duty. After 120 day’s PIV cards are issued at the Service Unit.

5.6.3 Management of Medical Information: The Contractor must manage all patient information in accordance with HIPAA standards, Privacy Act, and IHS Service Unit and/or Health Center specific policies and protocols. The Contractor must immediately report to the Contracting Officer or COR any information or circumstances that may violate any statute, policy, or procedure.

5.6.4 IHS Information Technology Systems: In performance of this contract, the Contractor must adapt to and successfully utilize IHS information technology systems such as Electronic Health Records (EHR) or RPMS, which the IHS has deemed necessary for acceptable contractor performance. The IT policies and procedures are available to the Contractor at the Service Unit and the Contractor will adhere to the IHS Information Technology System Security Policies and procedures. The Contractor must follow all appropriate federal required information Technology security requirements and will be operating under Health Insurance Portability and Accountability (HIPAA) and Privacy Act regulations.

5.7. CONTRACTOR QUALIFICATION REQUIREMENTS:

5.7.1 Professional Development:

-The contractor will be providing patient care and will be subject to all IHS and ASU rules and regulations.

MINIMUM QUALIFICATIONS

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

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

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

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

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

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

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

Contractors shall submit the following to the Service Unit Medical Staff Office: Medical Staff application with request for Clinical Privileges; copies of unrestricted professional licensure; professional degree, residency, and board certification in specialty as necessary; current curriculum vitae; proof of professional liability coverage;

and DEA certificate, as necessary.

5.7.2 Motor Vehicle Operator's License: Contractors can operate a Government-owned or leased vehicle and must be on official Government business. Contractors can be approved to operate a Government-owned vehicle upon record/completion of the following:

1.) Valid Driver's license 2.) Temporary Waiver (required every 90 days) 3.) Driver's Overview and Fleet Card Use (000022239) Course Completion Certificate (required every two years) available on HHS Learning Portal 4.) Valid background check clearance

5.7.3 Health Requirements of Contracted Healthcare Providers: Furnish documentation that reflects immunity for the indicated vaccine preventable diseases through documented disease, vaccination history, serology results, and/or any documented episodes of adverse events after vaccination. Any contractor’s employee who is allergic to a component of a vaccine and/or have a history of a severe reaction to a vaccine is not required to receive that vaccine with documented proof of contraindication to the vaccination. The following are additional requirements for specific vaccine preventable diseases.

• Measles:

-Vaccinations with 2 doses of live measles or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Mumps:

-Vaccinations with 2 doses of live mumps or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957.

• Rubella:

-Vaccinations with 1 dose of live rubella or MMR vaccines administered at least 28 days apart, -Laboratory evidence of immunity, -Laboratory confirmation of disease, or -Birth before 1957

• Hepatitis B:

-Vaccinations with three doses of Hepatitis B vaccines, or -signed declination of Hepatitis B vaccination series.

• Varicella:

-Vaccinations with two doses of varicella at least 4 weeks apart, -laboratory evidence of immunity or confirmation of disease, -diagnosis or verification of history of varicella disease by a health care provider, or -diagnosis or verification of a history of herpes zoster by a health care provider.

• Influenza:

-Vaccination with one dose of current annual influenza season vaccine.

-Documented proof of the contraindication to the influenza vaccination as outlined by Advisory

Committee on Immunization Practices recommendations, or -Written statement justifying religious exemption from influenza vaccination.

Note: unvaccinated contract staff with an approved medical or religious exemption must wear an IHS-provided surgical or similar mask when working in patient care areas or other areas frequented by patients in an IHS facility during the influenza season.

• Pertussis -Vaccination with one dose of Tdap vaccine.

• Any additional immunization in accordance with IHS Immunization Policy that is available upon request.

The contract staff must have written documentation of TB test (TST or IGRA) within the last 12 months. If documented Positive TB test:

-Provide chest x-ray report of “No active TB disease” following positive TB test.

-Annual sign and symptoms screen:

• If negative sign and symptom screen, follow up chest x-ray not indicated.

• If signs and symptoms screen positive, contract staff must have written documentation of chest x-ray and health care provider evaluation.

For credentialed provider, contract staff must have documentation from the provider’s physician or chief of staff that confirms they do not have any health problems (including disability, emotional stability, drug, or alcohol dependency) that might impair his/her ability to care for patient at time of application.

5.7.4 Criminal History Background Check:

Contractor’s employees whose duties and responsibilities involve regular contact or control over children are subject to a character investigation as required by Public Law 101-630, The Indian Child Protection and Family Violence Act. The minimum standards of character shall ensure that none of the individuals described in this order have been found guilty of, or entered a plea of nolo contendere or guilty to, any felonious offense, or any of two or more misdemeanor offenses, under federal, state, or tribal law involving crimes of violence; sexual assault, molestation, exploitation, contact or prostitution; crimes against persons; or offenses committed against children. These crimes do not hold a time statue and will be evaluated the same under any Child Care “CNACI” investigation with IHS. IHS will conduct these investigations following award of a contract. Until the character investigation has been completed and the Contracting Officer notified of the results, the Contractor ‘s employees must not have unsupervised contact with Indian children. Contractor’s employees are not able to work a scheduled shift until the security check is performed and clearance has been obtained by the appropriate agency. At a minimum, fingerprints are required, and upon clearance of this stage, a contractor’s employee may work a scheduled shift. However, Contractor’s employees are required to complete the detailed background application and the application is to be completed within 30 days once the contractor’s employee has been given physical and logical access. All Contractors’ employees are subject to criminal background check prior to performing services in accordance with Purchase Order terms and conditions. The contractor shall ensure that each of their employees complete the Certification of Criminal History and Background Check Packet. The completed forms are to be returned to the COR. Additional Background Check packets can be obtained through the COR. See HHSAR Clauses 352.237-72 and 352.237-73

5.7.5 Required Training: Protecting Children from Sexual Abuse as stated in IHM Circular 19-05:

Contracting Training Plan for Implementation of Indian Health Manual Part 3, Chapter 20, Protecting Child from Sexual Abuse by Health Care Providers. Each provider must take this training within 30 days from their start date at the service unit. Certificate should be provided to the COR.

Information System Security Awareness (ISSA) Training: Contractors who utilize the IHS information system or accesses or connects to the IHS network must complete the ISSA training 24 hours of receiving access and annually thereafter. The online ISSA training is located at http://www.ihs.gov/issa. Contractor access will be revoked unless and until the training is completed. An exception can be made if the user has read and signed the IHS Quick Guide to Information Security, in which case the contractor will have 30 days to complete the training.

Course certifications must be provided to the COR upon completion and annually thereafter.

5.7.6 Subpoenas/Testimonies: Contractors are mandated to cooperate with the appropriate IHS managers when the contractors' employees are subpoenaed or requested by Tribal, State or Federal Parties to provide testimony as stated in Section 5-27.3(B)(9) of the Indian Health Manual.

5.9 When the Contractor demonstrates impaired judgement, they cannot continue working on the Purchase/Task Order No. 75H70723XXXXXX. The Government reserves the right to remove from the facility any Contractor employee who in the judgment of a licensed healthcare practitioner is impaired.

http://www.ihs.gov/issa

SECTION 6 0 QUALITY ASSURANCE SURVEILLANCE PLAN (example)

Performance-Based Task Indicator Standard Quality Assurance Incentives

1. Manage patient needs for clinic visits.

All patients’ needs are being meet during each visit.

Outstanding – 100% of patient needs are being meet per visit.

Acceptable – 80 to 99% of patient needs are being meet per visit.

Satisfactory – 65 to 80% of patient needs are being meet per visit.

Monitored on a periodic basis when services occur.

Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

2. Provide Psychiatric Nurse Practitioner duties.

Psychiatric Nurse Practitioner are to be used.

Outstanding – 100% of standard duties are being meet per visit.

Acceptable – 80 to 99% of standard duties are being meet per visit.

Satisfactory – 65 to 80% of standard duties are being meet per visit.

Monitored on a periodic basis when services occur.

Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

3. Maintain the American Heart Association BLS certification.

Certifications are current.

Outstanding – 100% of certifications have been update as required.

Acceptable – 80 to 99% of certifications have been update as required.

Satisfactory – 65 to 80% of certifications have been update as required.

Monitored on a periodic basis when services occur.

Final determination will happen when job is completed.

Outstanding. Means there are no issues so payments processed promptly.

Acceptable. Means there are some issues so payment are on hold until issues cleared.

Satisfactory – Means there are too many issues and payment not processed until they are at the level of either Satisfactory or Outstanding.

SECTION 7 - PACKAGING AND MARKING

7.1 PACKAGING

All deliverables shall be preserved, packaged, and packed in accordance with normal commercial practices to meet the packing requirements of the carrier including which is necessary to prevent deterioration and damages due to the hazards of shipping, handling, and storing.

7.2 MARKING

Each package/container delivered to the address shown in Section G.1.3 entitled "Contracting Officers' Representative Appointment and Authority" and shall be clearly marked as follows:

• Name of Contractor

• Contract Number

• Description of Items Contained Therein

• Consignee's Name and Address

7.3 DELIVERY

All deliverables delivered to the following addresses:

Albuquerque Indian Health Center 801 Vassar Drive NE Albuquerque, NM 87106

SECTION 8 - INSPECTION AND ACCEPTANCE

8.1 INSPECTION AND ACCEPTANCE: All work under this contract is subject to inspection and final acceptance by the Contracting Officer or the duly authorized representative of the government. The COR, as a duly authorized representative of the Contracting Officer, shall assume the responsibilities for monitoring the Contractor's performance, evaluating the quality of services provided by the Contractor and performing final inspection and acceptance of all deliverables and services called for by the contract.

8.2 FEDERAL ACQUISITION REGULATION {48 CFR CHAPTER 1) CLAUSES

FAR Clause No. Title Date 52.246-4 Inspection of Services – Fixed Priced (Aug 1996)

SECTION 9 - DELIVERIES OR PERFORMANCE

9.1 PERIOD OF PERFORMANCE: The period of performance is a base year with four option years, if extended by modification to this contract. The Government may exercise options to extend the period of performance in accordance with FAR Clause 52.217-9 - Option to Extend the Term of the Contract (Mar 2000); upon written notification by the Contracting Officer within 60 days of contract expiration.

9.1.1 Services under this contract shall commence as follows:

Base Year: 10/01/2023 – 09/30/2024 1st Option Year: 10/01/2024 – 09/30/2025 2nd Option Year: 10/01/2025 – 09/30/2026 3rd Option Year: 10/01/2026 – 09/30/2027 4th Option Year: 10/01/2027 – 09/30/2028

9.1.2 Performance will be for the period of 10/01/2023 to 09/30/2024 unless the period changed by written modification to the purchase order in accordance with FAR 52.217-9, Option to Extend the Term of the Contract.

9.1.3 Total contract award must not exceed one year, unless option year is exercised. Option period renewal is dependent on satisfactory services provided availability of funds for the appropriate fiscal year, and existing requirements.

9.2 PLACE OF PERFORMANCE: The contractor must provide Psychiatric Nurse Practitioner Non-Personal Healthcare Services to the following Albuquerque Service Unit Indian Health Service Facilities:

9.2.1 Albuquerque Service Unit, including:

Albuquerque Indian Health Center 801 Vassar Drive NE Albuquerque, NM 87106

And, if needed:

Santa Ana Health Center

Santa Ana Pueblo O2-C Dove Road Bernalillo, NM 87004

Zia Health and Dental Clinic 155 Capitol Square Drive Zia Pueblo, NM 87053

9.3 GOVERNMENT HOLIDAYS (https://www.federalpay.org/holidays)

New Year's Day Martin Luther King's Birthday President's Day Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veteran's Day Thanksgiving Day Christmas Day

*Any other day specifically declared by the President of the United States to be a national holiday (see www .opm.gov/fedhol).

SECTION 10 - CONTRACT ADMINISTRATION

10.1 AUTHORITIES OF GOVERNMENT PERSONNEL: Notwithstanding the Contractor's responsibility for total management during the performance of this Contract, the administration of the Contract will require maximum coordination between the Government and the Contractor. The following individuals will be the Government's points of contact during the performance of this Contract.

10.2 CONTRACTING OFFICER

The IHS Contracting Officer (CO) is the only individual authorized to modify this Contract. The CO responsible for administrative and contractual issues concerning this purchase order is:

Shandiin DeWolfe, (CO) Indian Health Service/Division of Contracts & Grants Management (DCGM) 4101 Indian School Road NE, Suite 225 Albuquerque, NM 87110 Phone: 505-256-6755 Email: Shandiin.DeWolfe@ihs.gov

Send all communications pertaining to contractual and/or administrative matters to the address above and to the Contract Specialist administering this Contract: Shandiin DeWolfe; (505) 256-6755;

Shandiin.DeWolfe@ihs.gov

10.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR)

10.3.1 Ernest Nakamura, (505) 248-4000, Ernest.Nakamura@ihs.gov, is hereby designated as COR for this service. The COR responsibilities will be to coordinate with the contractor the technical aspects of this service and the review of performance hereunder. The COR does not have the authority to change or alter the order amount, terms and conditions.

10.3.2 The COR’s responsibilities will include ensuring contractor accountability. Monitoring the Contractor’s technical progress including the surveillance and assessment of performance and recommending to the CO changes in requirements. Interpreting the SOW. Performing technical evaluations as required. Perform technical inspection and acceptance as required. Assisting the Contractor in the resolution of technical problems encountered during performance. Perform receiving and processing invoices for payment.

10.4 TECHNICAL MONITORING

(a) Performance of work under this contract must be subject to the technical direction of the COR identified above, or designated in writing. The term "technical direction" includes, without limitation, direction to the Contractor that directs or redirects the labor effort. Shifts the work between work areas or locations, fills in details and otherwise serves to ensure that task areas outlined in the SOW accomplished satisfactorily.

(b) Technical direction must be within the scope of the specification(s)/work statement. The COR does not have authority to issue technical direction that

(1) Constitutes a change of assignment or additional work outside the specification(s)/ scope of work;

(2) Constitutes a change as defined in the clause entitled "Changes;"

(3) In any manner causes an increase or decrease in the contract price, or the time required for contract performance;

(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;

(5) Interferes with the Contractor's right to perform under the terms and conditions of the contract; or

(6) Directs, supervises or otherwise controls the actions of the Contractor's employees.

(c) Technical direction may be oral or in writing. The COR shall confirm oral direction in writing within five workdays, with a copy to the Contracting Officer.

(d) The Contractor shall proceed promptly with performance resulting from the technical direction issued by the COR. If, in the opinion of the Contractor, any direction of the COR, or his designee, falls within the limitations in (b), above, the Contractor shall immediately notify the CO no later than the beginning of the next Government work day.

(e) Failure of the Contractor and the CO to agree that technical direction is within the scope of the contract shall be subject to the terms of the clause entitled "Disputes."

10.5 INVOICE SUBMISSION

PROPER INVOICE:

The Contractor shall submit invoice per month. Advance payments will not be issued by Finance unless stated herein. Electronically sent via email complete invoice with all required documentation to:

Invoices shall be submitted in accordance with the contract terms, i.e., payment schedule, progress payments, partial payments, deliverables, etc. All information set forth in FAR 32.905(b), Content of Invoices, must be included in all invoices for it to constitute a proper invoice.

Additionally, the Contractor is required to include its UEI number.

A complete invoice with all required back-up documentation shall be sent electronically*:

a. Albuquerque Finance: https://www.ipp.gov

*Do not send to the CS or Finance Office any other invoices related documents (i.e. deliverables, reports, and balance statements) to the Buyer or Albuquerque Finance. Failure to submit required documents directly to the website as listed above will delay prompt payment of your invoice.

Submit invoices in accordance with the contract terms, i.e. payment schedule, progress payments, partial payments, deliverables, etc.

All information set forth in FAR 32.905(b), Content of Invoices, must be included in all invoices for it to constitute a proper invoice.

FAR 32.905(b), Content of Invoices:

(b) Content of invoices.

(1) A proper invoice must include the following items (except for interim payments on cost reimbursement contracts for services):

(i) Name and address of the contractor.

(ii) Invoice date and invoice number. (Contractors should date invoices as close as possible to the date of mailing or transmission.)

(iii) Contract number or other authorization for supplies delivered or services performed (including order number and line item number).

(iv) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed.

(v) Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of landing number and weight of shipment will be shown for shipments on Government bills of landing.

(vi) Name and address of contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

https://www.ipp.gov/

(vii) Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice.

(viii) Taxpayer Identification Number (TIN). The contractor must include its TIN on the invoice only if required by agency procedures. (See 4.9 TIN requirements.)

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

(A) The contractor must include EFT banking information on the invoice only if required by agency procedures.

(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 must have submitted correct EFT banking information in accordance with the applicable solicitation provision (e.g., 52.232-38, Submission of Electronic Funds Transfer Information with Offer), 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.

(x) Any other information or documentation required by the contract (e.g., evidence of shipment).

(2) An interim payment request under a cost-reimbursement contract for services constitutes a proper invoice for purposes of this subsection if it includes all of the information required by the contract.

(3) If the invoice does not comply with these requirements, the designated billing office must return it within 7 days after receipt (3 days on contracts for meat, meat food products, or fish; 5 days on contracts for perishable agricultural commodities, dairy products, edible fats or oils, and food products prepared from edible fats or oils), with the reasons why it is not a proper invoice. If such notice is not timely, then the designated billing office must adjust the due date for the purpose of determining an interest penalty, if any.

(4) Per the Accounts Payable office, failure to submit invoices to the IPP Website can result in delayed payment of your invoice.

In accordance with the requirements of the Debt Collection Improvement Act of 1996, all payments under this contract will be made by electronic funds transfer (EFT). The Contractor shall provide financial institution information to the Finance Office designated above in accordance with FAR 52.232-33 Payment by Electronic Funds Transfer.

10.6 GOVERNMENT FURNISHED PROPERTY

10.6.1 The Government will provide the following item(s) of Government property to the Contractor for use in the performance of this contract, if necessary. This property used and maintained by the Contractor in accordance with provisions of FAR Clause 52.245-1, Government Property (found in Section ##).

Item No

Property Description Property Value Qty. Location Date Available

1 Computer TBD 1 Upon Arrival 2 Telephone TBD 1 Upon Arrival 3 Desk/Chair TBD 1 Upon Arrival 4 PIV Card TBD 1 Upon Arrival

10.7 Government Furnished Information / Property and Services

10.7.1 Information: Government unique information related to this requirement, which is necessary for Contractor performance, made available to the Contractor. The COR will be the point of contact for identification of any required information to be supplied by the Government.

10.7.2 Joint Use by the Government and the Contractor: Except for the property and service listed in 10.6.1, the Government will provide, for joint use by the Government and the Contractor, all necessary equipment, supplies, and clinic space to perform the services under this contract.

10.7.3 Contractor Exclusive Use:

10.7.3.1 Personal Protective Equipment (PPE): The Government will furnish the Contractor with appropriate PPE other than specified in the contract. The Government will be responsible for any repair, cleaning, and inventory required for the PPE. This does not include any type of uniform or laboratory coat.

10.7.3.2 The Government will provide facility specific contractor identification badges for each contractor. For lost or destroyed badges, there is a minimum charge of $20.00.

10.7.3.3 Training: Facility specific orientation/training necessary for the Contractor to perform the required duties, e.g., IHS information technology (IT) systems and operational procedures.

Training provided ONLY if the subject matter is necessary to improve or enhance the quality of services or includes mandates made by the IHS Service Units/Health Centers while the providers are working under this contract. Training not provided for the purpose of continuing education, career development or individual development.

10.8 Contractor-Furnished Property

10.8.1 Except for the property specified in paragraph 10.6.1 as government furnished, the Contractor shall provide all uniforms and other personal medical instruments subject to the following:

10.8.2 Uniforms and Lab Coats: Uniforms and Lab Coats must conform to the requirements of the Indian Health Service Manual, Part 3, and Chapter 4 and meet the approval of the Chief Nurse Executive at each IHS facility.

10.8.3 Other personal medical instruments: "Other personal medical instruments" defined, as Contractor owned items include but not limited to stethoscope, scissors, as appropriate to the work unit. The Contractor must not use unsafe equipment or supplies at any time during performance of this contract. All Contractor furnished equipment and supplies shall be subject to inspection by the Government and must be approved by the COR prior to use by the Contractor. The Government reserves the right to prohibit the use of any materials, supplies, or equipment.

SECTION 11 - SPECIAL CONTRACT REQUIREMENTS

11.1 CONTRACTOR PERFORMANCE EVALUATION REPORT

11.1.1 During the life of this contract, the contractor's performance will be evaluated on an interim and final basis pursuant to FAR Subpart 42.15. Evaluation will become part of the contract file and will be used as past performance information in evaluating the Contractor's, and any significant subcontractors or affiliates, past performance on future contracts.

11.1.2 Contractor Performance Assessment Report System (CPARS) is an on-line reporting system https://www.cpars.gov/. The Contractor Performance Report is completed by the COR electronically and sent to the Contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report. After review by the Contracting Officer, the report becomes a permanent record of the Contractor's past performance.

11.2 SECURITY

a. To perform the work specified herein, contractor personnel will require access to sensitive data, regular access to HHS-controlled facilities, and/or access to HHS information systems. The Government has determined the position sensitivity under this effort to be Level 1.

b. To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the Contractor shall comply with Homeland Security Presidential Directive 12, Policy for a Common Identification Standard for Federal Employees and Contractors, and with the personal identity verification and investigation procedures obtained in:

(i) HHS Information Security Program Policy, http://www.hhs.gov/ocio/securityprivacy/

(ii) HHS Office of Security and Drug Testing, personnel Security/Suitability Handbook, http://www.hhs.gov/ocio/policy/hhs-ocio-2011-0003.html

(iii) Reserved

(iv) HHS HSPD-12 Implementation Policy (draft)

c. The minimum Government investigation for a non-critical sensitive position is a National Agency Check and Inquiries (with fingerprinting), which consists of searches of records covering specific areas of a person's background during the past five years. Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

d. Contractors should ensure that the employees whose names they submit have a reasonable chance for access…