SOW - Massage Therapy Final.docx

STATEMENT OF WORK – MASSAGE THERAPY SERVICES

I. General:

This Statement of Work describes the requirement for the provision of massage therapy services at Clinton Indian Health Center, Clinton, Oklahoma for patients of the Clinton Service Unit.

II. Background:

The Clinton Indian Health Center is a Joint Commission accredited clinic. Massage Therapy is medical modality that has been deemed necessary to augment our pain management services. Therefore, contracted massage therapy services are necessary to support and supplement health care within the Service Unit.

III. Scope:

Therapeutic services shall completed pursuant to provider consult/order and specified treatment plan that includes massage therapy. From this treatment plan, evaluate and provide therapeutic massage services as determined by evaluation and provide follow-up care as identified by treatment plan. This includes the medical treatment of disorders of the human body by the manipulation of soft tissue through the systematic external application of massage techniques, including touch, stroking, friction, vibration, percussion, kneading, stretching, compression, and joint movements within the normal physiologic range of motion. Adjunctive therapies such as the external application of water, heat, cold, topical preparations, and mechanical devices may be utilized to augment services. This scope shall also include the ability to collaborate with other healthcare professionals in the development and implementation of strength and conditioning exercises/stretches as identified by evaluation and part of treatment plan.

Services must be fully coordinated and integrated with the patient’s primary care provider and other healthcare professionals within the Service Unit with respect to services provided and professional relationships.

IV. Responsibilities:

a. Provide therapeutic massage therapy as outlined within Scope noted above.

b. Services shall be scheduled on 30 minute scheduling increments. On select occasions and pursuant to provider’s treatment plan, a longer treatment service may be completed but shall not exceed more than 60 minutes.

c. Communicate, in a timely fashion, to the referring primary care provider and other healthcare professionals all clinical information necessary for continuity of care and documentation of quality of performance.

d. Observe and assess patient’s clinical condition and drug allergy profile; recognizing, identifying and interpreting situation and immediately deciding proper action and therapeutic care plan.

e. Recommend proper therapeutic measures (exercise, stretches) for augmenting services.

f. Document all patient encounters in the patient’s electronic health record by close of business for each day.

g. Complete new employee orientation and all associated training requirements.

h. The Clinton Indian Health Center shall have the right to provide continual review of all patient encounters and ensure all required documentation is provided.

i. Failure, on the part of the Contractor, to provide care as identified may result in the suspension of contract for services.

j. Work is to be performed at the Clinton Indian Health Center. No payment will be rendered for services outside of the facility.

k. Provider high quality customer service to all patients, providers and coworkers that embody the service’s unit vision of “exceeding the need.”

V. Period of Performance: A base plus one option year.

VI. Contractor Qualification Requirements:

Contractor must have graduated from an approved massage training program.

VII. Special Terms and Conditions:

Contractor shall possess the following requirements:

a. Rubella immunity must be documented either by serologic test or proof of immunization

b. A yearly PPD is required for all persons who have had no previous positive tuberculin skin test

c. A series of three (3) Hepatitis B immunizations or serologic proof of past infection is required

d. Annual influenza vaccination

VIII. Schedule of Work:

Contractor shall provide one therapist providing an eight (8) hour shift twice a week as agreed upon between contractor and the Clinton Indian Health Center. The government reserves the right to increase the number of therapist and/or hours of service as mutually agreed upon by the Clinton Indian Health Center and Contractor.

IX. Contract Evaluation Contractor shall be evaluated yearly upon completion of each contract term. The government reserves the right to conduct evaluations more frequently if deemed necessary. Evaluation shall include patient/customer satisfaction, efficiency in processing pending referrals, efficiency in scheduling approved referrals and adherence to scope and contract term.

The PRC Supervisor inconjunction with contractor management shall conduct the evaluations of the contractor’s performance. The contractor shall advise the PRC Supervisor of any problem(s) encountered in connection with meeting the needs of patients served by the PRC Department.

X. Rates of Payment:

Contracted rates shall be established as identified within the attached quote for services and shall be invoiced on a totaled, completed service (per-day; 8 hours) hourly rate based invoice and shall be submitted as identified in section IX of this Statement of Work.

XI. Indemnity and Insurance:

The government assumes no responsibility of negligent acts of the Contractor. Therefore, the Contractor is responsible for personal insurance if the Contractor indicates that it is necessary. The Contractor will hold harmless and indemnify the government against any or all loss, cost, damage, claims, expense or liability whatsoever as a result from the performance of the Contractor. The Contractor will hold the Federal Government and its agents including the Clinical Director and the Governing Body immune from civil or professional liability for all acts related to quality care management and enforcement of this contract.

XII. Government Furnished Information, Property and Services:

All records of consultation, examination, surgeries/procedures and services of patients’ required in the performance of this contract will remain the property of and subject to the exclusive control of the Clinton Indian Health Center. The Clinton Indian Health Center will provide administrative support staff for scheduling and patient registration along with exam tables and associated linens for use by Contractor. The Contractor shall be responsible for providing all adjunctive and mechanical devices as required for the provision of services. Such Contractor furnished equipment shall be mutually agreed upon and shall be approved through the service unit’s biomedical and safety officer before use and may be subject to ongoing inspections as deemed necessary.

XIII. Invoicing Requirements

a. The Contractor shall be required to provide an original and two (2) copies of the invoice to Oklahoma City Area Indian Health Service, Division of Financial Management, 701 Market Center Drive, OKC, 73114.

b. Each invoice shall include the following information:

i. Contractor’s name and invoice date.

ii. Contract number or authorization for delivery of services.

iii. Description, price and quantity of services actually rendered.

iv. Name, title, phone number, and complete mailing address of official to whom payment is to be sent.

c. Invoice shall be submitted no later than ten (10) calendar days following last calendar day of the month.

XIV. Applicable Documents

Joint Commission http://jointcommission.org

Section 4087 of Public Law 101-630, Indian Child Protection and Family Violence Prevention Act

Health Insurance Portability and Accountability Act (HIPPA) of 1996 http://www.hhs.gov/ocr/hippa

Privacy Act of 1974 http://www.access.gpo.gov/nara/cfr/waisidx

Indian Health Service (IHS) Information Technology and Records Security and Safeguard Policies http://home.ihs.gov/ITSC-CIO/security/index.asp

Government Performance and Results Act (GPRA)

System for Award Management (SAM) http://www.sam.gov

XV. Definitions

Contracting Officer (CO) A Government employee authorized and warranted to issue contracts and to make subsequent modification(s). The CO has full authority to make determination on all changes and disputes regarding the contract.

Contractor – The individuals as well as organizations awarded a legal binding contract to provide colonoscopy services and professional consultation services.

Credentialing – The process of verifying provider licensure training and education.

Customer Evaluation – Written comments made to the CO regarding the contractor’s performance. This is one of the criteria used to monitor the contractor’s performance.

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

Past Performance Information – Information entered into National Institute of Health (NIH) database regarding contractor’s actions under this contract. 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 aspect 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.

Project Officer (PO) – A Government employee who assists the CO in the administration of task orders issued under the contract. The PO is primarily responsible for the day to day program management of ordering activity’s task orders.

Provider – Shall include medical physician (MD or DO), mid-level providers such as nurse practitioner or physician assistant, or chiropractor.

Massage Therapy SOW FY2022 Page 1