SOW Non PSC 9-27-22 - Radiology Technician.docx

Statement of Work (SOW)

1. PROJECT TITLE: FBSU RADIOLOGY STAFFING

2. BACKGROUND/PURPOSE: The Fort Belknap Service Unit (FBSU) is a health care center that serves the community of the Fort Belknap Indian Reservation. Currently this department does not have the necessary manpower and resources available to complete the short-term and long-term assignments.

3. SCOPE: The purpose is to provide Radiology Technicians for call-back services on weekends, weeknights, holidays, and additional days when coverage is required. CT and X-ray studies for diagnosis and treatment of patients. Clear and accurate studies are essential to enable the provider to evaluate and treat the patient's condition. Timely and accurate completion of the examinations requested by the provider is required for ongoing facility function. The examinations performed must be delivered to the primary care provider, returned for official reading by the radiologist and filed away with the diagnostic report. Also, the patient exam must be entered and completed in the Resource and Patient Management System RPMS and Picture Archiving and Communications System PACS computer systems for proper Physician’s Computer Company PCC and billing information. These duties are an integral part of the total patient care, continuity of patient care, patient care evaluation and research.

4. APPLICABLE DOCUMENTS: 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. Indian Health Manual, Chapter 21-Diagnostic Imaging Part 3- Professional Services.

5. TASKS: The contractor personnel shall have the necessary education, training, licensing, previous work experience, and competence in being able to provide the services within the department. The purpose of the services is to perform Diagnostic Radiologic exams including CT and X-Ray for outpatient clinics, inpatient wards, and the emergency department. The technologists shall report daily to the Imaging Supervisor or designee for a schedule of work to be performed. The contractor personnel shall:

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5.1. Perform radiologic examinations as scheduled for use in clinical diagnosis, patient screening, monitoring patient therapy and status, and other authorized purposes. Performs radiologic studies (Radiography and CT) for diagnosis to assist clinicians during emergency and routine exams utilizing highly specialized equipment. Independently perform a variety a routine diagnostic radiographic examinations. Routine exams performed are skull, facial, mastoids, sinuses, spine, pelvis, abdomen, chest, and extremities. Perform procedures requiring deviation from standard guidelines for positioning and for setting technical factors due to patient’s condition or other unusual circumstances (unconscious patient, paraplegic patient, seriously injured or otherwise physically and mentally unable to cooperate). Performs special (complicated) procedures on critically ill and injured patients for whom accuracy and efficiency of the diagnostic procedure are critical; recommends deviations from the standard for positioning and technique manipulation.

5.2. Assures that the requisition for examination is properly executed and the request has been made by the proper authority. Assures that patients are properly attired and prepared for requested examination. Positions patient and makes the required exposures for examinations.

5.3. Receives patients and explains examinations to be performed and methods to be used. Instructs patients on required examinations/preparations prior to appointment for examination, explaining procedures to patients in sufficiently understood lay terms so as to make the patient knowledgeable of what is expected in order to facilitate a superior examination at the time of imaging. Correlates clinical history, pertinent clinical data and other ancillary diagnostic examinations to obtain radiographic images of optimal value.

5.4. Maintain professional expertise to recognize anatomy of various structures within the abdomen and pelvic cavities. Review and evaluate the quality of the images taken. Shall able to recognize and correct errors in the quality of the image with very little or no supervision in his/her routine work and to discuss problems with the Physician or Radiologist.

5.5. Schedule patients for examinations, taking into consideration the complexity of reservation travel, special requirements of patients, and type of exam requested to allow for efficient use of limited time. Be cognizant of scheduling factors with consideration given for referral patients requiring transportation from various reservation sites. Evaluate requests for critical and/or emergency procedures and change the schedules to accommodate patients of a higher priority.

5.6. Maintain and update data base records of patients examined, examinations performed, and views taken. Maintain records of diagnostic interpretations in a systemic retrieval system so as to maintain confidentiality.

5.7. Protect the patient from direct or secondary radiation by using proper exposures, and proper coning to expose only the designated area. Follow radiation protection guidelines by wearing personnel dosimeter badges while working with and around radiation.

5.8. Ensure radiology equipment is properly maintained and repaired, that all related areas are kept in a clean, neat, and orderly condition. Monitor work area to insure that a safe environment is maintained. Adjust the physical layout or adjust procedures and technique in order to eliminate safety hazards or minimize the risk of injury to patients and personnel.

5.9. Keep x-ray equipment clean and be responsible for quality control activities which include but are not limited to making minor adjustments to equipment such as setting up wedges and when necessary changing transverse length adjusters.

5.10. Perform daily required calibration tests, and record appropriate equipment errors in the log. Recognize equipment malfunction(s), and notify Imaging Supervisor or designee immediately. Ddescribe problem(s) and communicate with Imaging Supervisor or designee and Service engineer as required. After repair of equipment, the contractor personnel verifies that service engineer performed post repair quality control tests that indicated that equipment is operating according the manufacturer's specifications and/or standards.

6. DELIVERABLES AND DELIVERY SCHEDULE: The contractor shall submit invoices with verified timesheets.

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

8. PLACE OF PERFORMANCE: The work will be performed at the Fort Belknap Hospital, 669 Agency Main Street, Harlem, MT 59526.

9. PERIOD OF PERFORMANCE: The period of performance will be 11/01/2022 through 10/31/2023.

10. SECURITY: 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 shall be completed annually by all contractor personnel reporting to FBSU. The Contractor shall 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 Partner Interconnection Security Agreement (BPISA), shall be coordinated with the Fort Belknap Service Unit.

11. BACKGROUND CHECKS / CLEARANCE: As directed by the Contracting Officer, the contractor personnel shall provide all requested information necessary to perform background checks. The contractor personnel shall comply with the requirement to obtain security investigations. The contractor personnel shall work with the IHS to ensure that the pre-employment screening process includes the appropriate investigation questionnaires and forms to be completed. All completed forms will be reviewed by the contractor personnel and forwarded to the Government personnel. IHS will immediately remove a Contractor from the position if at any time the investigation receives unfavorable adjudication, or, if other unfavorable information that would affect the investigation becomes known. A full investigation is required for personnel working 120 days or more in a covered position. A provisional investigation (fingerprint check only) is required for personnel working less than 120 days in a covered position.

11.1. Clearance: Upon presentation of a Candidate, the contractor shall provide the following information:

(a) Full Name

(b) Date of Birth

(c) Social Security Number (in accordance with policies regarding personally identifiable information)

(d) Contact Phone Number and Email Address

(e) Curriculum Vitae, include any previous IHS Tribal or Urban sites

(f) Release of information for signed by the Candidate