SOW Dentist.pdf

Template: Statement of Work (SOW)

1. PROJECT TITLE: General Dentist

2. BACKGROUND/PURPOSE: The primary purpose of this contract is to hire a contractor to assist the department/ program in meeting their daily work objectives in providing quality health care services. Currently this department does not have the necessary manpower and resources available to them in being able to complete both their short-term and long-term assigned duties. As a result, a work backlog has developed, which adversely affects the department’s level of service being provided to the Indian community. The services will be provided under the Statutory Authority: As implemented by Public Law 103-332; 10 USC.2304 and 41 USC.253; FAR Part 37 –

Service Contracting and (For Medical Positions—FAR Part 37.4 – Non-personal Health

Care Services); HHSAR Part 337.

3. SCOPE: Provide general dental services to population of adults and children as well as perform necessary administrative tasks. The services provided affects the image of the

Service Unit and the dental care that patients receive.

4. APPLICABLE DOCUMENTS: The following documents are required from the contractor in order for the IHS to make a proper evaluation.

Resume, Standard Form (SF)-171 or Optional Form (OF)-612/OF-306 Applications for

Federal Employment

College transcripts; conferred degrees and certified training in this field

Native American candidates, submit BIA Form 4432-Certificate of Degree of Indian

Blood (CDIB)

A letter of reference from current or previous employers

Past Work Performance Statement, applicants must describe their present/previous experiences in this field

Salary Proposal: The rate the contractor is willing to work for

Medical/Technical Professionals, please include all Credentialing Documents and

Degrees conferred

Medical/Technical Professionals, if applicable, please include a copy of your current

Insurance certificate

Medical/Technical Professionals, please include a copy all Licenses and Certificates

Medical/Technical Professionals, please include a current Health Status Statement

5. TASKS: This position is primarily located at the Fort Belknap Service Unit in Harlem, MT. The provider will provide service at both the Little River Health Center in Harlem and the Eagle Child Health Center in Hays. The purpose of this position is to provide a full range of professional dental duties in connection with the treatment of greater-than-usual difficulty dental diseases or dental health problems requiring standard and advanced corrective, restorative, or preventive measures. On most occasions incumbent independently treats patients having dental health problems of greater than usual difficulty. Incumbent deals with dental health cases presenting patient-behavior and communication problems.

Makes clinical and radiographic examinations of the oral hard and soft tissues, and a diagnosis of pathological or irregular conditions that can be of greater than usual difficulty.

Reviews patient medical history and chart for evidence of disease or abnormalities which could adversely affected by dental treatment that can be of greater than usual difficulty.

Studies results of examination and determines types of services required and develops acceptable treatment plans that can be of greater than usual difficulty.

Performs endodontic, prosthodontic, periodontics, pedodontic, operative, oral surgery and preventive orthodontic that can be of greater than usual difficulty.

Performs removal of un-erupted and impacted teeth, residual root tips, localized foreign bodiesfrom the gingival tissues and alveolar sockets.

Performs prosthetic work involving complicating conditions such as lack of bone support for dentures, jaws which are irregularly formed,substantial changes in oral formation because of long years without teeth, and surgery on the bone and tissues in the supporting structure for the teeth.

Performs root canal therapy on the anterior teeth of both children and adults, and muco-gingival surgery. Treats rampant caries in children, acute cellulitis associated with dental pathology. and diseases of salivary glands and their ducts. Applies corrective treatment in cases of abnormal formation, where proper occlusion is difficult to attain.

Administers local anesthesia, often times on difficult patients.

Informs the patient about good dental health practices.

Provides dental care services to individuals eligible for services provided by the IHS in homes, schools, other community locations, and clinics in the Service Unit. Refers patients to appropriate contracted dental sources, such as other government facilities, or private practice.

Works with other health professionals on IPC (Improving Patient Care) objectives of the Fort Belknap Service Unit.

Meets all electronic health record completion time requirements.

Actively participates In quality management continuous performance improvement, staff development, risk management. infection control, GPRA measures. Health Promotion and Disease Prevention (HPDP), Meaningful Use. and safety activities.

Works closely with the Chief Dental Officer, Clinical Director, and

Administrative Officer to meet any objectives they may develop as a team.

6. DELIVERABLES AND DELIVERY SCHEDULE:

Two (2) Full-Time schedules at the Fort Belknap Serivce Unit and Hays Clinic; 8am to

5pm Monday through Friday.

7. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION: The IHS shall provide all necessary equipment and supplies. The Fort Belknap Service Unit will be responsible for getting the Contractor access and clearance to all pertinent computer services necessary to carry out his/her duties.

8. PLACE OF PERFORMANCE: Government site: Ft. Belknap Service Unit 699 Agency

Main St. Harlem, MT 59526. Travel may be required within 30min distance to satellite clinic in Hays MT.

9. SECURITY: Security Standards that are required for the position include: Privacy Act

Compliance: Federal Employee Standards of Ethical Conduct Compliance: Indian Health

Service Standards of Ethical Conduct: Child care National Agency Check and

Investigation (CNACI) Compliance: Federal Security Identification Badge Request: It is the responsibility for the department to provide the necessary clearances to IHS computer systems as well as other security requirements needed for the contractor to perform their services.

Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness

Training (CSAT). This training must be completed annually by all employees including all contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB)

Number 201, "Personal Identity Verification of Federal Employees and Contractors" and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel.

Access/clearance to all pertinent computer systems, including completing the Security

Checklist, Rules of Behavior form, Security training; and if necessary, a Business

Associate Agreement and/or Business Partner Interconnection Security Agreement

(BPISA), should be coordinated with the Service Unit.