SOW Pediatric Physician.pdf

Statement of Work Pediatric Physician

Oklahoma City Area, Indian Health Service

1. 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 566 federally recognized Tribes across the United States.

2. SCOPE

IHS intends to award multiple blanket purchase agreements (BPA’s) for a period of performance of one base year and four optional years for pediatrician services. The care provided by the physicians shall be as comprehensive as the Indian Health Service supplied facilities; equipment and support services permit. The contractor shall provide qualified physicians to provide medical services for patients as required by this statement of work (SOW) and in accordance with the terms and conditions of this purchase order. Contract physicians shall provide services to eligible beneficiaries of the Indian Health Service who present themselves for treatment.

2.1 KEY PERSONNEL

The contract specialist will be the locum company’s main point of contact for all day-to-day operations under this blanket purchase agreement.

Contract Specialist: Judy Eaves, Judy.eaves@ihs.gov, 405-951-3856

The assigned accounts payable technician will be identified on all call outs; however should you need additional assistance contact the Accounts Payable Supervisor.

Accounts Payable Supervisor: Denise Karr, Denise.karr@ihs.gov, 405-951-3919

2.2 PERIOD OF PERFORMANCE

BASE YEAR December 1, 2021-November 30, 2022 OPTIONAL YEAR 1 December 1, 2022-November 30, 2023 OPTIONAL YEAR 2 December 1, 2023-November 30, 2024 OPTIONAL YEAR 3 December 1, 2024-November 30, 2025 OPTIONAL YEAR 4 December 1, 2025-November 30, 2026

2.3 PLACE OF PERFORMANCE

Claremore Indian Hospital 101 South Moore Ave Claremore, OK 74017

Lawton Indian Hospital 1515 Northeast Lawrie Tatum Rd Lawton, OK 73507

Anadarko Indian Health Center 115 Northeast Old Town Drive Anadarko, OK 73005

Carnegie Indian Health Center 214 East 4th

Carnegie, OK 73015

Clinton Indian Health Center 10321 N 2274 Road Clinton, OK 73601

El Reno Indian Health Center 1631 E Highway 66 El Reno, OK 73036

Haskell Health Center 2415 Massachusetts Street Lawrence, KS 66046

Pawnee Indian Health Center 1201 Heritage Circle Pawnee, OK 74058

Watonga Indian Health Center 204 West Main Street Watonga, OK 73772

Wewoka Indian Health Center Highway 270 and 56 Wewoka, OK 74884

2.4 WORK SCHEDULE

The Contractor shall provide on-site general pediatrician services and coordinate patient care with all appropriate departments.

Rates for Pediatrician Services

Item Schedule All-Inclusive Rate

1. Pediatrician Services $

December 1, 2021-November 30, 2022 (BASE YEAR)

2. Pediatrician Services $

December 1, 2022-November 30, 2023 (1ST OPTIONAL YEAR)

3. Pediatrician Services $

December 1, 2023-November 30, 2024 (2ND OPTIONAL YEAR)

4. Pediatrician Services $

December 1, 2024-November 30, 2025 (3RD OPTIONAL YEAR)

5. Pediatrician Services $

December 1, 2025-November 30, 2026 (4TH OPTIONAL YEAR)

Any changes to the preceding shall require mutual agreement of the contractor, clinical director and contract specialist.

The physician shall advise the clinical director or designated representative of any problem encountered in connection with meeting the patient care needs as required in the statement of work.

2.5 GOVERNMENT FURNISHED FACILITIES, EQUIPMENT, SUPPLIES, SPECIALTY & SUPPORT STAFF

The government will provide the facilities, supplies and the equipment and specialty/support staff. The on-call specialty staff may consist of staff in anesthesia, pediatrics, internal medicine, family practice and general surgery. Use of government furnished facility space, equipment, supplies, and personnel are for the provision of care and services set forth in this BPA only.

The Government will provide assistance, orientation and guidance in seeing patients as well as receiving supplies, utilizing and ordering laboratory, x-ray and pharmacy services.

2.6 BACKGROUND SECURITY CLEARANCE

All contractors shall undergo a fingerprint check and background investigation and shall be cleared prior to hire.

Contractor’s continued employment is contingent upon the outcome of a complete and favorable background investigation as determined by the sensitivity level of the position. If contractors are found not suitable, they shall be removed.

This is a designated position covered by Public Law 101-647, 101-630, Crime Control Act of 1990, and the Indian Child

Protection and Family Violence Prevention Act, requiring contact or control over Indian children. Contractors shall be required to complete, sign, and submit the Addendum to OF-306, Child Care & Indian Child Care Worker Position form.

Due to this requirement, persons hired for these positions shall not have been found guilty of or pleaded nolo contendere or guilty to certain crimes. Failure to comply with these statutes shall result in immediate removal.

In accordance with Indian Health Manual Part 3, Chapter 20 – Protecting Children from Sexual Abuse by Health Care

Providers, all IHS providers have a responsibility to report any incident or reasonable suspicion of sexual abuse of a child by a health care provider directly to the proper child protective and/or law enforcement authorities following legally required timelines in consultation with OGC, and to the OIG Hotline at 1-800-447-8477.

Reporting any incident or reasonable suspicion of sexual abuse of a child directly to their supervisor, the CEO, or alert the next supervisor in the chain of command if the first line supervisor is the one suspected of child sexual abuse, and the IHS Hotline at 301-443-0658 within the same day of the incident and documenting the report in the IHS Incident

Reporting System within five business days.

Additionally, compliance with this federal law requires all federal employees and contractors take annual policy training.

3. KEY DELIVERABLES

Contractor shall provide on-site physician services as follows:

A. The number of patients to be seen shall be no less than an estimated 16 per eight (8) hour work day.

B. The Contractor shall examine, diagnose, and develop treatment plans and recommendations for patients seen.

C. The Contractor shall recommend and refer paints to other Indian Health Service providers and PRC vendors within appropriate IHS guidelines.

D. The physician shall be proficient in electronically documenting services utilizing the appropriate electronic medical record system for patient encounters; complete all required administrative paperwork day of appointment to include electronic consults, co-signatures, completion of chart or Risk Management Reviews, unusual occurrences and peer review, as required. Proficiency in electronic documentation is the ability to complete all required administrative paperwork within 24-hours of patient visits.

E. The physician shall be responsible for actions necessary for The Joint Commission (TJC) standard compliance and administrative policies, as directed.

F. The Government will provide the facilities, office, equipment and supplies for use by the Contractor.

G. The Government will provide assistance and orientation and guidance in seeing patients as well as receiving supplies, utilizing and ordering laboratory, x-ray and pharmacy services.

3.1. DATA ENTRY COMPETENCY

a. Pediatricians shall be proficient in documentation in the IHS Electronic Health Record (EHR) and shall be responsible for entering appropriate data in the IHS EHR. The IHS personnel will provide appropriate training on the applicable system(s). The pediatrician shall be responsible for completing all required training for usage of required clinical packages prior to their first scheduled tour of duty.

b. Pediatricians shall possess the proficiency to accurately and appropriately utilize E-mail, and enter/retrieve patient data in any and all EHR clinical application packages pertinent to the services being performed, such as Health Summary, Vitals, OERR (CPRS), and Text Integration Utility (TIU).

c. Pediatricians shall complete and electronically sign their encounter orders and progress notes daily within the parameters or requirements set forth in the local medical center policy.

4. PROFESSIONAL QUALIFICATIONS

4.1 Verification of Credentials

To ensure that physicians providing services under this contract are properly licensed, and that the IHS is made aware of all disciplinary actions taken against each physician, the Contractor shall (at a minimum):

1. Verify through the Federation of State Medical Boards database, all active, inactive, and lapsed licenses that are held or have been held by physicians who provide services in IHS hospitals and clinics under this contract.

2. Inform the IHS of the status of all licenses for each physician who would provide services under this contract in IHS hospital and clinics, including all reasons for each inactive or lapsed license.

3. Obtain at least two (2) letters of reference from health care providers whom have knowledge of the applicant’s clinical practice skills. One letter shall be from the Chief of Staff, or Service at the hospital where the physician holds or last held staff privileges. If the physician has just completed a residency, one letter shall be from the residency program director or serve chief.

4. Shall provide all information immediately regarding performance and disciplinary actions that is collected on physicians who would be placed under this contract to the receiving IHS facility Clinical Director and contract specialist. This includes all information that is collected and compiled on such physicians at the time of initial hire by the Contractor, and/or information that is reported during periods that the Contractor is an agent of such physicians for a placement under this contract.

5. Certify that all information obtained on physicians whom they would assign to IHS hospital and clinics has been reviewed and verified by the Contractor. The Certification shall include a statement that the Contractor has found no reason to reject the physician’s application. The names of the contacts, their titles, telephone numbers, date of contacts and the name(s) of the Contractor’s representative(s) collecting and reviewing such information shall be recorded in writing and made available to the IHS by the contractor.

4.2 QUALIFICATION REQUIREMENTS

The Contractor shall provide physician(s) who meet the following minimum qualifications and requirements:

(1) Pediatric physicians shall have a permanent, current, full and unrestricted license to practice medicine in a state, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.

(2) Shall provide a copy of documentation of current and past insurance carriers during the past 15 years,

(3) Shall provide a copy of documentation of work history since graduation from professional school to present day in chronological order. Any time periods of gaps greater than 60 days since graduation from professional school, shall be explained and a person with contact information who can verify the gap.

(4) The physician(s) shall be board certified in or board eligible in internal medicine. This category may serve as a consultant(s) in Internal Medicine.

(5) Physician(s) provided by the Contractor shall apply and be accepted as Associate member of the On-Site Medical Staff.

(6) Successful completion of a residency program in an approved Internal Medicine Training Program.

(7) Shall provide a copy of documentation of physicians Basic Cardiac Life Support (BLS).

(8) Shall speak, understand, read and write English fluently and communicate with sufficient clarity to be understood by IHS personnel and patients.

(9) Shall be a United States Citizen.

(10) Shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to patients of the Native American communities.

(11) Shall maintain standards of personal hygiene and grooming such that his/her image as a physician is compatible with the expectations of the on-site supervisor.

In proving such service, the Contractor shall comply with the policies, procedures and by-laws of the on-site facility. The Contractor shall also be required to perform this service in compliance with applicable standards of The Joint Commission and Quality Improvement.

4.3 CREDENTIALS

Physicians shall be credentialed and have privileges as associate members of the medical staff. The physician shall be required to provide completed applications for Medical Staff appointments and privileges via the MD-App software package, as specified in the By-laws, for all providers to the Clinical Director and at least 30 (thirty) days prior to assignment for periods of coverage.

Credentialing activities shall require a minimum of thirty (30) calendar days to insure (1) that written or printed information is received at the Medical Staffing Office from the National Physicians Data Bank, (2) that three letters of reference for each sub-contractor are received in the Credentials Office and are recent within the last year, and (3) the credentialing package (application for appointment and request for privileges) is completed and received by the Medical

Executive Committee and OCA IHS Governing Board.

Upon physician selection or receipt of credentialing application (whichever is later) the locum company has ten business days to submit all credentialing and security documents otherwise, the Government reserves the right to move on to a different candidate.

4.4 IMMUNIZATIONS

Persons born after December 31, 1956, shall provide proof of immunity to Rubella and Measles prior to award of contract. Serological testing to confirm nurse practitioner’s immunity and/or immunizations shall be provided to the Government. Nurse practitioners requesting privileges shall submit documentation of a current (within the past 12 months) TB skin test or chest x-ray if the skin test was previously positive. Special considerations may be allowed to individuals, who are allergic to component of a vaccine, has history of severe reaction of a vaccine or who are currently pregnant.

Nurse practitioners requesting privileges shall submit documentation of a current (within the past 12 months) TB skin test or chest x-ray if the skin test was previously positive. Special considerations may be allowed to individuals, who are allergic to component of a vaccine, has history of severe reaction of a vaccine or who are currently pregnant.

Vaccinations are to be complete prior to assignment and will not be administered by the Government.

Nurse practitioners shall provide documented evidence of annual current season influenza vaccination, unless medically contraindicated.

All contractors shall receive two doses of COVID-19 vaccine in a two-dose series, or one dose of COVID-19 vaccine in a single-dose.

5. GOVERNMENT CONTRACT QUALITY ASSURANCE

Although a nonpersonal services requirement, the Government will evaluate the quality of professional and administrative services provided and record in the Contractor Performance Assessment Reporting System (CPARS).

Quality assurance methods will include both written and verbal feedback from the Contracting Officer’s

Representatives (COR), Project Managers, staff and patients. Should the Government be made aware of a critical or major nonconformance matter the contractor will be given the opportunity to remedy.

6. PROPER INVOICING PROCEDURES

Invoicing shall be submitted on a monthly basis only. In order to be paid in a timely manner, all invoices shall contain information as defined in Federal Acquisition Regulation 32.905, Payment Documentation and Process.