SOW_PHNCDTA_.pdf

STATEMENT OF WORK (SOW)

PUBLIC HEALTH NURSING Curriculum Development, Training, and Program Technical Assistance

(PHNCDTA)

Mission Statement The mission of the Indian Health Service is to raise the physical, mental, social, and spiritual health of American Indian and Alaska Natives (AI/AN) to the highest level. Public Health Nursing (PHN) within the Division of Nursing Services (DNS), Indian Health Service Headquarters (IHS/HQ) addresses improving the health of populations and individuals through prevention and health promotion to promote the healthcare systems focus on quality care, treatment, and promotion of life, while respecting the wellness and resilience of AI/AN people.

A. Background While the Indian Health Service (IHS) was previously the principal health care delivery system for AI/AN, there is now a less centralized and more diverse network of care provided by federal, Tribal, and Urban Indian health programs. The Indian health system denotes this larger network of programs and care delivery throughout Indian Country. The IHS/HQ PHN program is committed to providing training resources and technical assistance to ensure that health care providers are prepared to meet the health care needs of AI/AN patients and address the well-being of entire populations by supporting communities to make healthy choices. IHS/HQ PHN program is seeking a contractor to provide public health nursing in-person and web-based training; curriculum development; and technical assistance to support program sustainability, maintenance and capacity building.

The PHN program provides direct patient care services and manages community health initiatives for the AI/AN population, from developing population-based nursing interventions to preparing for and responding to public health disasters. The PHN Program provides health care services in the community which improve access to health care and expand service options. PHNs are licensed, professional nursing staff available to improve transitions of care by providing patients with support to promote knowledge and self-management of their condition as they transition from the hospital to home. PHN expertise in communicable disease assessment, outreach, investigation, and surveillance help to manage and prevent the spread of communicable diseases. PHNs conduct nurse home visiting services via referral.

PHNs perform a community assessment to identify high-risk populations and implement evidenced based interventions to address identified areas of need. This activity targets fragmentation in patient care services and improve care continuums. Interventions are monitored with data collection and evaluated for outcome.

Practical local access to comprehensive health care services is vital for the AI/AN population. AI/AN people born today have a life expectancy that is 5.5 years less than the US all races population (73 years to 78.5 years, respectively). They continue to die at higher rates than other Americans from diseases such as chronic liver disease and cirrhosis (some cases are result of chronic alcoholism, obesity, and exposure to Hepatitis B and C viruses), diabetes mellitus, unintentional injuries, assault/homicide, intentional self-harm/suicide, and chronic lower respiratory diseases. Health care services, accessible when and where they are needed, are essential to reduce and eliminate persistent health disparities that burden AI/AN people. Given the high rates of health disparities and related health consequences places critical importance on training PHNs to provide health care and preventive services, offer appropriate resources, and collaborate in a coordinated community response team regarding public and community health services.

B. Purpose

The IHS PHN Program intends to award a contract for PHN training and mentorship to support PHNs, Director of PHN Program (DPHNs), and newly hired BSN-prepared PHNs across the Indian health systems through the IHS HQ PHN Program. Under this contract, the contractor is responsible for the development, delivery and evaluation of in-person and web-based training related to culturally appropriate key aspects of public health nursing which is population-focused, with a multi-level approach to include patient care nursing services, and prevention and health promotion activities in a community-based practice. This is to include PHN roles and responsibilities for community assessment, program planning, and collaborating with community organizations to address health disparities; and, PHN direct patient care services to include conducting home visits to provide health education and support, providing vaccination and health screenings in community clinics, and responding to outbreaks of infectious diseases through contract tracing and education. Clinical skills lab to be developed to address competent clinical treatment of infectious diseases (such as sexually transmitted infections) to include antibiotic injections and laboratory draws in the field. In addition, mentorship technical assistance will be provided by the contractor and HQ PHN program to support the PHN Programs to implement the PHN training. The awardee will use expertise from within their organization to provide subject matter expertise, training, education, and technical assistance, and they will work collaboratively with the IHS HQ PHN Consultant and Area PHN Consultants to deliver these services.

The Contractor shall provide the personnel, materials, equipment and services necessary for the performance of the statement of work.

C. Scope The Division of Nursing Services, Indian Health Service, PHN Program has a need for services to include curriculum development, training, education, and technical assistance that will focus on public health nursing healthcare for AI/AN patient populations, their families, and communities. See Statement of Work below.

D. Period of Performance The period of performance shall be for a period of twelve months from 10/01/2025 – 09/30/2026, or from the effective date of the contract (EDOC).

E. Specific Tasks

Task 1. Kickoff Meeting The Contractor shall:

1.1. Meet with the Contracting Officer’s Representative (COR) and the HQ PHN Consultant (PHNC) via teleconference within 7 calendar days from the effective date of contract (EDOC). The purpose of this meeting is to review the statement of work, discuss and/or revise items to be delivered and delivery schedule, outline meeting responsibilities and reporting procedures, review HHS and IHS communication clearance processes, relevant background information and identify potential problem areas.

1.1.1. Develop and submit draft agenda to the COR and HQ PHNC, to include discussion of contract requirements, tasks, administrative arrangements and preliminary venue options.

1.1.2. Develop and submit final agenda following receipt of comments from COR.

1.2. Record meeting notes during the kickoff meeting.

1.3. Submit meeting notes to the COR and HQ PHNC for review and comment following the completion of Task 1.1.

1.4. Submit final revised kickoff meeting notes and minutes following receipt of comments from

COR.

Task 2. Scheduled Monthly Meetings The Contractor Shall:

2.1. Meet with the HQ PHNC on a scheduled monthly basis via video teleconferencing. The purpose of these meetings is to identify PHN program training topics, technical assistance needs, program development and operational needs, site visit planning, and other items, as needed. Each meeting will be held for 60 minutes.

2.2. Record meeting notes during each meeting.

2.3. Submit meeting notes and minutes after each meeting.

Task 3. Curriculum Development

3.1. Develop a PHN curricula to support PHNs and Directors of PHN Program (DPHNs) with training, education, and technical assistance through the HQ PHN Program.

3.1.1. Develop an 80-hour didactic training content related to PHN training course. This is to include 40-hour didactic training for PHN roles and responsibilities curriculum and 40-hour didactic training for PHN direct patient care services curriculum.

3.1.2. Ensure compliance with the standards defined by the American Public Health Association definition of public health nursing (Public Health Nursing - Uniting to Improve Public Health | ANA), the work of the Council of Public Health Nursing Organizations (CPHNO), the Association of Community Health Nurse Educators (ACHNE), Association of Public Health Nurses (APHN), American Public Health Association (APHA) - Public Health Nursing Section, and the Alliance of Nurses for Healthy Environments (ANHE).

3.1.3. The training curriculum must also include IHS PHN scope of practice which will be provided by HQ PHNC regarding IHS PHN promising practices for service to AI/AN in Indian communities.

3.1.4. The training curriculum must include aspects of culturally appropriate and responsive care for the AI/AN patient population.

3.1.5. All nursing courses/modules must offer continuing nursing education credits by American Nurses Credentialing Center (ANCC) Commission on Accreditation. The option must be available for the agency to award the developed educational curriculum, with full control of content, and award credit by the IHS Clinical Support Center.

https://www.nursingworld.org/practice-policy/workforce/public-health-nursing/ https://www.nursingworld.org/practice-policy/workforce/public-health-nursing/ http://www.cphno.org/ https://www.achne.org/ http://phnurse.org/ https://www.apha.org/ https://www.apha.org/ https://www.apha.org/apha-communities/member-sections/public-health-nursing https://envirn.org/ https://envirn.org/

3.1.6. The PHN roles and responsibilities curriculum must include the following content: community assessment, program planning, and collaborating with community organizations to address health disparities.

• This portion of the training curriculum must also include IHS PHN community assessment template and program planning which will be provided by HQ PHNC regarding IHS PHN promising practices for service to AI/AN in Indian communities.

3.1.7. The PHN direct patient care services curriculum must include the following content: conducting home visits to provide health education and support, providing vaccination and health screenings in community clinics, and responding to outbreaks of infectious diseases through contract tracing and education.

• This portion of the training curriculum must also include IHS PHN scope of practice which will be provided by HQ PHNC regarding IHS PHN promising practices for service to AI/AN in Indian communities.

3.2. Develop Clinical Skills Laboratory (CSL) Training curriculum to address competent treatment of infectious diseases (such as sexually transmitted infections) to include antibiotic injections and laboratory draws in the field.

3.2.1. Develop 16-hour clinical hands-on training curriculum.

3.2.2. The training curriculum must include IHS PHN policy/procedures on injections and laboratory draws in the field which will be provided by HQ PHNC regarding IHS PHN promising practices for services to AI/AN in Indian communities.

Task 4. Conduct Training for IHS PHN programs.

4.1. Conduct 80-hour PHN training.

4.1.1. Provide 80-hour didactic courses, in-person or virtual.

• The in-person trainings will be held in Albuquerque, NM.

• Must accommodate 40 participants as evidence by registration and attendance rosters.

4.1.2. Submits evaluation of each training session with overall summary report.

• Each summary report must include at a minimum: the number of attendees, list of attendees with contact information, IHS PHN Programs served, total number of CEs, and overall quality of training, successes, and areas for improvement.

4.2. Conduct Clinical Skills Laboratory (CSL) to address competent treatment of infectious diseases (such as sexually transmitted infections) to include antibiotic injections and laboratory draws in the field.

4.2.1. Consists of the 16-hour clinical in-person, hands-on course.

4.2.2. Provide two (2) 16-hour in-person CSL trainings.

4.2.3. The total number of participants for the CSL training must accommodate 20 participants per CSL session.

4.2.4. The contractor shall provide all needed supplies and equipment.

4.2.5. Submits evaluation of each training session with overall summary report.

• Each summary report must include at a minimum: number of attendees, list of attendees with contact information, IHS PHN programs served, total number of CEs, and overall quality of training, successes, and areas for improvement.

Task 5. Support of DPHN/PHN Program training (Virtual)

5.1. Provide support to two (2) IHS PHN programs by hosting monthly virtual meetings to recap and assess program progress in implementing the 80 hours of training and skills lab to enhance program development.

5.1.1. Schedule virtual meetings once a month to be held between the Contractor, HQ PHNC and the Director of PHN (DPHNs) to identify the following: programmatic and operational needs, policy and procedure support, recruitment and retention activities, and other needs, as identified by the Contractor, HQ PHNC, and the DPHNs.

5.1.2. Provide support and technical assistance to the DPHN and to include PHN program resources which will be provided by HQ PHNC for the following: PHN policy, procedures, and recruitment/retention.

5.1.3. Record meeting notes during each meeting.

5.1.4. Submit meeting notes and minutes to the HQ PHNC and COR.

Task 6. Site Visits (a 2-day site visit post PHN training at 2 PHN programs)

6.1. Conduct a two (2) day site visit with the HQ PHNC at two (2) PHN programs to assess the implementation of the PHN training, mentoring and guidance provided to the DPHN (supervisor).

6.1.1. Two (2) day site visit will be held at 2 IHS Federal PHN Programs.

Site determination will be based on the recommendation from HQ

PHNC.

6.1.2. Site visits should consist of an assessment of the implementation of the PHN training including CSL training, mentorship and guidance provided to the DPHN (supervisor).

6.1.3. Detailed information within the assessment post site visit should include the following: site specific details (e.g., location, PHN program, etc.), operational plans, goals, outcomes, and future planning as identified by the PHN program supervisor (DPHN).

Task 7. Evaluation Reports

7.1. Tabulate the information and produce post-meeting evaluation reports of all training events. The findings of the evaluation shall be presented to the HQ PHNC and COR with individual responses to questions listed in a separate appendix. Evaluation report shall include:

• One (1) page executive summary

• Overview of the training session (session goals and objectives, number of attendees)

• Summary description of attendees (demographics, role within the PHN Program, reason for attending the session)

• Satisfaction with the overall session and achievement of overarching session goals

• Recommendations for future sessions

• Evaluation methodology (including data sources, response rates, and analysis)

7.2. Collect and submit all data with every progress report. The HQ PHNC and COR shall inspect preliminary data and provide approval.

Task 8. Final Report

8.1. Complete a Final Report.

8.1.1. The report should be submitted to the COR and HQ PHNC.

8.1.2. The contractor shall provide a Final Report that includes but not limited to overall training and accomplishments, evaluation data, and a contractor self-evaluation report.

8.1.3. The final report must include the following: general information about the contract, training activities, number of in-person and virtual training courses held, number of individuals who received in-person and virtual training courses, total number of CEs offered, and narrative based on the trends and technical assistance conducted. Attachments to help speak about the work conducted can be attached to the report. The following summary items must be included in the final report:

• One (1) page executive summary

• Overview of the training sessions (total number of attendees)

• Summary description of attendees (demographics, role within the organization, reason for attending the session)

• Satisfaction with the overall session and achievement of overarching session goals

• Recommendations for future sessions

• Evaluation methodology (including data sources and analysis approach)

8.1.4. The HQ PHNC and COR shall inspect preliminary data and report.

F. Schedule of Deliverables All deliverables shall be submitted to the COR and shall be subject to HQ PHNC and COR review and approval. Unless otherwise specified all deliverables shall be submitted electronically.

The contractor shall ensure all products and services delivered under this contract are compliant with Section 508 in accordance with the Health and Human Services Acquisition Regulation (HHSAR). These Section 508 Standards were issued by the United States Access Board (https://www.access-board.gov/) and published in the Federal Register, on January 18, 2017, as the final rule (https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule). The final rule updates the Section 508 Standards along with accessibility guidelines for telecommunication products and equipment covered by section 255 of the Communications Act.

https://www.access-board.gov/ https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule

The Section 508 Standards applicable to this contract are:

Section 508 Standards and Guidelines (https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines)

• Web Content Accessibility Guidelines (WCAG) 2.0 o Success Criteria, Level A and AA

• Chapter 3: Functional Performance Criteria (FPC)

• Chapter 4: Hardware (If Applicable)

• Chapter 5: Software

• Chapter 6: Support Documentation and Services

Regardless of format, all digital content or communications materials produced as a deliverable under this contract must conform to applicable Section 508 standards to allow federal employees and members of the public with disabilities to access information that is comparable to information provided to persons without disabilities. The contractor is responsible for remediating all deliverables that do not comply with the applicable requirements as set forth below.

HHS guidance regarding accessibility of documents can be found at https://www.hhs.gov/web/section-

508/accessibility-checklists/index.html.

The HHS Section 508 Product Assessment Template (PAT) that is referenced above in 352.239-73 Electronic Information and Technology Accessibility Notice, Paragraph (c), has been replaced with the Voluntary Product Accessibility Template Version (VPAT) 2.1 or later, and is considered to meet HHS PAT requirement. The new form can be downloaded from https://www.itic.org/policy/accessibility/vpat.

NOTE: ICT vs. EIT Procurement documentation from HHS or other agencies may contain references to "EIT" (Electronic and Information Technology) and "ICT" (Information and Communications Technology). HHS considers these terms to be interchangeable, and "EIT" should always be interpreted to be "ICT" in any HHS procurement.

Sub-Task Description Format/Quantity Due Date

Task 1. Host Kickoff Meeting

1.1 Kickoff meeting agenda MS Word or Adobe

Acrobat PDF; email within 7 calendar days of the EDOC

1.2 Draft Kickoff meeting notes and minutes MS Word or Adobe

Acrobat PDF email

Three (3) business after kickoff meeting

1.3 Final kickoff meeting notes and minutes MS Word or Adobe

Acrobat PDF; email

Two (2) business days after receipt of comments from COR and HQ PHNC.

https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines https://www.hhs.gov/web/section-508/accessibility-checklists/index.html https://www.hhs.gov/web/section-508/accessibility-checklists/index.html https://www.itic.org/policy/accessibility/vpat

Task 2. Schedule Monthly Meetings

2.1 Draft meeting agendas MS Word or Adobe

Acrobat PDF (1); email

Five (5) business days prior to each scheduled meeting

2.2 Draft meeting minutes notes MS Word or Adobe

Acrobat PDF (1); email

Three (3) business days following the meeting

2.3 Submit final meeting minutes MS Word or Adobe

Acrobat PDF (1); email

Two (2) business days after receipt of comments from HQPHNC and COR

Task 3. Curriculum Development

3.1 Draft PHN roles and responsibilities

curriculum (course entirety including resources and other job aids)

Microsoft PowerPoint

Slides .PPTX; and or

MS Word or Adobe

Acrobat PDF (); email

Thirty (30) calendar days prior to launch of training to allow for comments from

COR and HQ PHNC

3.1a Final PHN roles and responsibilities curriculum (course entirety including resources and other job aids) that incorporates IHS feedback.

Microsoft PowerPoint

Slides .PPTX; and MS

Word or Adobe

Acrobat PDF; email

Fifteen (15) calendar days prior to date of training.

3.2 Draft Clinical Skills Laboratory (CSL)

Training curriculum, 16-hour course to address competent treatment of infectious diseases (such as sexually transmitted infections), to include antibiotic injections and laboratory draws in the field.

DOC or PDF (course entirety); email

Thirty (30) calendar days prior to launch of training to allow for comments from

COR and HQ PHNC

3.2a Final Clinical Skills Laboratory (CSL)

Training curriculum, 16-hour course to address competent treatment of infectious diseases (such as sexually transmitted infections), to include antibiotic injections and laboratory draws in the field.

Microsoft PowerPoint

Slides .PPTX; and MS

Word or Adobe

Acrobat PDF; email

Fifteen (15) calendar days prior to the date of training.

3.3 Draft PHN direct patient care services

curriculum

Microsoft PowerPoint

Slides .PPTX; and MS

Word or Adobe

Acrobat PDF; email

Thirty (30) calendar days prior to launch of training to allow for comments from

COR and HQ PHNC

3.3a Final PHN direct patient care services curriculum

Microsoft PowerPoint

Slides .PPTX; and MS

Word or Adobe

Acrobat PDF; email

Fifteen (15) calendar days prior to the date of training.

Task 4. Conduct Training for IHS Public Health Nursing programs, in-person or virtual.

4.1 Draft Training Plan and Schedule for the

PHN roles and responsibilities training.

Microsoft Excel .XLXS or MS Word or Adobe

Acrobat PDF

Ten (10) days prior to training.

4.1a Final Training Plan and Schedule that incorporates IHS feedback for the PHN roles and responsibilities training.

Microsoft Excel .XLXS or MS Word or Adobe

Acrobat PDF

Tree (3)) days from contract training.

4.1b Conduct one (1) 40-hour training, PHN roles and responsibilities.

The option here is virtual OR in-person

40-hour training.

If virtual: Online

Training format can be in MS Teams, Zoom, or another similar platform that is compatible with the

IHS Network.

Confirmation of training thirty (30) calendar days prior to in-person or virtual training scheduled date.

4.1c If in-person - Conduct one (1) 40-hour in-person training for 40 participants per training session, PHN roles and responsibilities.

If in-person: Training material Microsoft

PowerPoint Slides

.PPTX; and MS Word or Adobe Acrobat

PDF; email

Confirmation thirty

(30) calendar days prior to each in-person or virtual training.

4.1d Submits evaluation of each PHN training session with overall summary report

MS Word or Adobe

Acrobat PDF; email

Thirty (30) calendar days following each in-person or virtual training.

4.2 Clinical Skills Laboratory (CSL) Draft

Training Plan and Schedule

Microsoft Excel .XLXS or MS Word or Adobe

Acrobat PDF

Ten (10) days prior to training to HQ

PHNC

4.2a Clinical Skills Laboratory (CSL) Final

Training Plan and Schedule that incorporates IHS feedback.

Microsoft Excel .XLXS or MS Word or Adobe

Acrobat PDF

Three (3)) days from contract training to

HQ PHNC.

4.2b Conduct first Clinical Skills Laboratory

(CSL) Training, 16-hour in-person training to address competent treatment of infectious diseases to include antibiotic injections and laboratory draws in the field.

On site training.

Training material

Microsoft PowerPoint

Slides .PPTX; and MS

Word or Adobe

Acrobat PDF; email

Confirmation of training thirty (30) calendar days prior to training scheduled date.

4.2c Conduct second Clinical Skills

Laboratory (CSL) Training, 16-hour in-person training to address competent treatment of infectious diseases to include antibiotic injections and laboratory draws in the field.

On site training.

Training material

Microsoft PowerPoint

Slides .PPTX; and MS

Word or Adobe

Acrobat PDF; email

Confirmation of training thirty (30) calendar days prior to training scheduled date.

4.2d Submits evaluation of each CSL training session with overall summary report.

MS Word or Adobe

Acrobat PDF; email

Thirty (30) calendar days following each in-person training.

4.3 Draft Training Plan and Schedule for the

PHN direct patient care services.

Microsoft Excel .XLXS or MS Word or Adobe

Acrobat PDF

Ten (10) days prior to training.

4.3a Final Training Plan and Schedule that incorporates IHS feedback for the PHN direct patient care services.

Microsoft Excel .XLXS or MS Word or Adobe

Acrobat PDF

Three (3) days from contract training.

4.3b Conduct one (1) 40-hour training, PHN direct patient care services

The option here is virtual OR in-person

40-hour training.

If virtual: Online

Training format can be in MS Teams, Zoom, or another similar platform that is compatible with the

IHS Network.

Confirmation of training thirty (30) calendar days prior to in-person training scheduled date.

4.3c If in-person - Conduct one (1) 40-hour in-person training for 40 participants per training session, PHN direct patient care services

If in-person: Training material Microsoft

PowerPoint Slides

.PPTX; and MS Word or Adobe Acrobat

PDF; email

Confirmation thirty

(30) calendar days prior to each in-person training.

4.3d Submits evaluation of each training session with overall summary report.

MS Word or Adobe

Acrobat PDF; email

Thirty (30) calendar days following each in-person training.

Task 5. Technical Assistance of DPHN/PHN Program training (Virtual)

5.1 Provides support to two (2) IHS PHN

programs by hosting monthly virtual meetings to recap and assess program progress in implementing the 80 hours of training and skills lab to support program development. HQ PHNC will provide monthly agenda 1 week prior to the monthly virtual meeting.

Monthly virtual meetings: Online format can be in MS

Teams, Zoom, or another similar platform that is compatible with the

IHS Network.

Within one (1) month of completed training.

5.1.1 Schedule monthly meetings Online meeting

format can be in MS

Teams, Zoom, or another similar platform that is compatible with the

IHS Network.

To be set every month for duration of contract.

5.1.2 Record meeting minutes notes MS Word or Adobe

Acrobat PDF (1); email

Three (3) business days following each meeting.

5.1.3 Submit final meeting minutes MS Word or Adobe

Acrobat PDF (1); email

Two (2) business days after receipt of comments from COR and HQ PHNC.

Task 6. Two (2) PHN Program Site Visits

6.1 Participate in two (2) PHN Program site

visits with the HQ PHNC. The PHN

Program site visits will be scheduled as 2 days in duration and PHN program selection will be at the discretion of the

HQ PHNC. The contractor will participate in assessing the implementation of the PHN training and the mentoring and guidance provided by the DPHN (supervisor). PHN Program site visit Plan, Schedule and program assessment will be provided by the HQ

PHNC

The selection of the 2

PHN programs will be at the discretion of the HQ PHNC.

To be held within the last 2-3 months of the end of contract period.

6.1.2 Site visit summary report. MS Word or Adobe

Acrobat PDF; via email

Within seven (7) business days of the completion of each site visit. Submitted to the COR and HQ

PHNC.

Task 7. Final Report

7.1a Draft Final Report. MS Word or Adobe

Acrobat PDF; email

Fifteen (15) calendar days prior to the end of the contract period of performance. The

COR and HQ PHNC shall inspect preliminary data and provide approval within five (5) business days of receipt.

7.1b Final Report to incorporate IHS feedback.

MS Word or Adobe

Acrobat PDF; email

Five (5) business days prior to the last day of the contract

Period of

Performance