SOW - OrthoFINAL.docx

STATEMENT OF WORK – ORTHOPEDIC SERVICES

I. General:

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The mission of IHS is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level and assure that comprehensive, culturally acceptable personal and public health services are available and accessible to members of the 573 federally recognized Tribes across the United States.

II. Background:

The Clinton Service Unit is a Joint Commission accredited with facilities in Clinton, El Reno and Watonga, Oklahoma. To meet the mission, orthopedic care is a medical modality that has been deemed necessary to augment the services within the service unit. Therefore, contracted orthopedic services are necessary to support and supplement health care within the Service Unit.

III. Scope:

Provide diagnostic and treatment services including minor procedures as determined by evaluation and provide follow-up care as identified by treatment plan as outlined within Oklahoma statutes governing orthopedic care. This includes diagnostic procedures including orthopedic exams, range of motion exams, muscle strength testing; diagnostic imaging procedures including MRI, CT, x-ray, and ultrasounds; and treatment modalities including exercise and rehabilitation, casting, strength and conditioning, oral and injection based medication therapy, passive stretch (independently or in conjunction with cryotherapy substance), referred care for surgical intervention, augmentation for pain management strategies, and any other orthopedic related treatment strategy deemed medically necessary by patient’s primary care provider.

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

IV. Responsibilities:

a. Provide orthopedic care as outlined within scope noted above.

b. Provide a minimum of eighteen (18) patient encounters per 8 hours. Additional provider encounters shall be allowed and will be coordinated by specialty clinic manager.

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

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

e. Formulate proper diagnosis and develop plan of care for individual patients.

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

g. Document all patient encounters in the patient’s electronic health record within 24 hours of clinic completion.

h. The Clinton Service Unit 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.

V. Period of Performance: Approximately (1) base year plus (1) option year

VI. Contractor Qualification Requirements:

The Orthopedic physician shall possess a current, unrestricted medical license through the Oklahoma Medical Board.

VII. Special Terms and Conditions:

Contractor shall comply with the Stark Law.

Contractor shall possess the following requirements and provide before beginning services:

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. A yearly influenza vaccination

VIII. Schedule of Work:

Contractor shall provide 48 clinical hours each month as agreed upon between Contractor and the Clinton Service Unit. The government reserves the right to negotiate the addition/reduction of hours, location, etc. as mutually agreed upon by contractor.

IX. Indemnity and Insurance:

The government assumes no responsibility of negligent acts of the Contractor. Therefore, the Contractor is responsible for obtaining personal liability insurance coverage of at least $1,000,000 per occurrence/$3,000,000 aggregate. The Contractor shall 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 shall 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.

X. Government Furnished Information, Property and Services:

All records of consultation, examination, surgeries/procedures and services of patients’ required in the performance of this contract shall remain the property of and subject to the exclusive control of the Clinton Service Unit. The Clinton Service Unit shall provide materials, support staff and equipment necessary for the performance of this contract. The Contractor shall provide all services within the Clinton Service Unit facilities.

XI. 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, patient encounters/clinic, chart review and adherence to scope and contract term.

XII. 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.

ORTHOPEDIC SERVICES SOW

UPDATED FEBRUARY 2020

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