SOW Proficency Testing Services CAP.pdf

STATEMENT OF WORK

Lab Proficiency Testing Services

Crow Service Unit, Crow Agency, MT, Pryor, MT, & Lodge Grass, MT

A. BACKGROUND:

Crow Service Unit (CSU) is a PHS Indian Health Center that provides healthcare service to the Crow Indian Reservation, located in southeastern Montana. CSU consists of three (3) clinics, one in Crow Agency, MT, one in Pryor, MT, and one in Lodge Grass, MT. Each clinic has a clinical laboratory. The laboratories perform diagnostic testing of patient specimens as part of an overall assessment of patient health and affects clinical decisions for patient care. The laboratories require accreditation by the Center for Medicare and Medicaid Services (CMS) as it demonstrates compliance with CLIA (Clinical Laboratory Improvements Amendments) regulatory standards. This is required so the laboratories can accept human samples for diagnostic testing. Proficiency testing is needed to monitor the quality and accuracy of diagnostic testing at each site. The College of American Pathology (CAP) provides the proficiency testing services to evaluate and benchmark CSU laboratory performance. CAP also provides resources to keep the laboratories updated with the latest CMS regulatory requirements.

B. OBJECTIVE / DELIVERABLES:

The objective is to obtain College of American Pathology (CAP) proficiency tests and CMS regulatory updates for CSU’s three (3) laboratories located in Crow Agency, MT, Lodge Grass, MT, and Pryor, MT.

The deliverables are the results of proficiency tests, recommendations for continued quality improvements, and information regarding the latest CMS regulatory requirements.

C. SCOPE OF WORK:

Provide proficiency tests, continuing education, and competency assessment. The Contractor shall furnish all the necessary services and material required to provide the proficiency tests.

The Contractor shall provide services for the following:

A. Crow / Northern Cheyenne Hospital Laboratory, Crow Agency, MT

CLIA # 27D0409364

B. Pryor Clinic Health Station Laboratory, Pryor, MT

CLIA # 27D0959321

C. IHS Clinic Laboratory, Lodge Grass, MT

CLIA # 27D0665246

Requirements include:

Products for Proficiency Tests Technical telephone consulting available to Crow Service Unit Laboratory staff during normal business hours;

Provide CSU Staff with participant summaries, notification of proficiency tests results to

CMS.

Access to competency program.

D. PERIOD OF PERFORMANCE:

Period of Performance is a One (1) Base Year with Four (4) Optional Years.

E. STANDARD REQUIREMENTS:

Service must result in CSU laboratories meeting CLIA standards as mandated by Department of Health and Human Services.

F. WORKFORCE REQUIREMENTS:

Contractor must have the required expertise to provide the proficiency testing services.

G. ASSUMPTIONS:

1. Access to Buildings:

If required, it shall be the Contractor's responsibility, through the Contracting Officer’s Representative (COR) or their designee, to obtain access to buildings and facilities and arrange for them to be opened and closed.

Crow Service Unit Contact Information:

Michael Cary, Laboratory Manager (406) 638-3384 michael.cary@ihs.gov

2. Permits:

The Contractor shall, without additional expense to the Government, obtain all appointments, licenses, and permits required to perform the work. The Contractor shall comply with all applicable federal, state, and local laws. If required, evidence of permits and licenses shall be provided to the Contracting Officer or the COR before work commences.

3. Contractor Furnished Items:

The Contractor shall provide all the labor and necessary resources to perform the requirements of this contract.

H. GENERAL QUALITY ASSURANCE:

Contractor shall provide service that meets or exceeds CMS requirements, and coordinate service with Michael Cary, Laboratory Manager.

I. INVOICE SUBMISSION AND PAYMENT:

The Contractor shall email its invoice to Michael Cary, Laboratory Manager, Crow Service Unit, Crow Agency, MT at michael.cary@ihs.gov; with a courtesy copy to the Crow Service Unit Financial Management Office lori.oldbear@ihs.gov and Purchasing Agent prudence.yellowowl@ihs.gov . The Contractor shall include the following information on each invoice:

1.) Contractors name, address and telephone number as provided in the System for Award Management (SAM) database;

2.) Taxpayer Identification Number (Employer Identification Number) 3.) Data Universal Numbering System (DUNS) number, to ensure payment is made to the correct bank account;

4.) Purchase Order number;

5.) Invoice number and date;

6.) Description, quantity, unit of measure, and unit price;

7.) Dates of Delivery; and 8.) Remit to address.