SOW Revised.pdf

STATEMENT OF WORK

ONSITE MOBILE DIAGNOSTIC SERVICES

Subject:

The Federal Bureau of Prisons, Field Acquisition Office in Grand Prairie, Texas intends to make a single award of a firm fixed requirements contract for the provision of onsite mobile diagnostic testing services: Magnetic Resonance Imaging (MRI) Services, (closed unit) - contrast and non-contrast; Computerized Tomography Services (CT) - contrast and non-contrast; and Ultrasound

Services (General, Vascular, and Echocardiogram) for the inmate population at FCI Otisville.

Services are to be performed onsite at the Federal Correctional Institution (FCI) located in

Otisville, New York. FCI Otisville consist of a Federal Correctional Institution, Satellite Camp and Administrative Unit. Additional information regarding the Federal Bureau of Prisons and its facilities is located at: www.bop.gov.

Place of Performance:

The diagnostic testing services will be performed in the mobile unit provided by the contractor performing the testing. The unit will be parked in a secured area within the confines of FCI

Otisville located at Two Mile Drive, Otisville, NY 10963.

Schedule:

The contractor will normally conduct visits/clinics for the inmate population at a minimum of six

(6) times per year on a date determined in advance and agreeable to both parties. The clinics will be an estimated eight (8) hours per visit. The clinics will normally be scheduled between the hours of 7:30 am and 4:00 pm, Monday through Friday, excluding federal holidays. The contractor will be notified in advance of the requested date of service, services needed, and the number of inmates scheduled for each clinic. It is anticipated that an average clinic will consist of 10 to

15 patients per clinic with a yearly estimate of 65 CT scans, 35 CT scans with contrast, 35

MRI scans, 10 MRI scans with contrast, 85 general ultrasounds, 7 vascular ultrasounds, and 22 echocardiograms ultrasounds. The schedule is subject to change based on the variable needs of the institution and the unpredictable nature of the correctional environment. Upon agreement, any changes must be coordinated with the Health Services Administrator or his/her designee.

Due to the nature of the correctional setting, delays in performance of work may be experienced.

Such delays may include but are not limited to inclement weather, electrical or mechanical problems, or other security matters. When contract employees report to the institution but are unable to perform services due to such delays, the contractor will be paid for one visit/clinic.

Normally, any remaining clinic for that day will be suspended and the contractor will be free to leave and the contractor will not be paid for the remaining unperformed sessions. However, if the institution requests that the contractor remain at the institution for eventual performance, the contractor shall be paid for such clinic. In the event of any absence, the contractor shall provide replacement coverage. If the contractor fails to provide coverage, the Government may seek contractual remedy.

Equipment and Supplies:

All expendable supplies and/or contrast media, to include injection system for contrast, will be supplied by the contractor unless otherwise agreed upon in advance with FCI Otisville. The equipment will be maintained by the contractor and must remain in good working condition.

The contractor will provide copies of documentation showing the equipment has been serviced and maintained according to manufacturer recommendations, and that problematic areas have been addressed and corrected. This documentation must be provided to the Health Services

Administrator or his/her designee prior to the beginning of services and yearly thereafter. All supplies intended for use inside the secure perimeter by the contractor will be listed on an inventory sheet and approved by FCI Otisville in advance. If the contractor requires special equipment, he or she must make a request in writing to the Health Services Administrator.

Note: All medical records remain the property of FCI Otisville. (In accordance with the

Privacy Act of 1974). FCI Otisville will provide a 480 Volt AC, 5 Wire Russellstoll

Receptacle outlet for the trailer hookup.

Scope of Service:

The contractor shall be responsible for:

Providing verification of credentials (education, current licensor/status of competency, continuing medical education, peer references, and acceptable findings in National Practitioners

Data Bank Inquiry), and proof of malpractice insurance. Additionally, the contractor should be

CPR certified. With regards to the performance of IV contrast, the contractor shall be appropriately certified/licensed to perform this function within any U.S. State or Territory. The contractor shall initiate all IV contrast applications. However, should the contractor not be able to initiate IV access in the patient, the medical staff of FCI Otisville reserve the right to initiate the IV access and to document it accordingly. The medical staff of FCI Otisville will not operate the auto injectors or directly be administering the IV contrast to any patient. The contractor is also responsible for ensuring all their employees have been offered the Hepatitis B vaccine.

1. Evaluation of patients as referred by Health Services Staff.

2. Performing MRI of brain.

3. Performing MRI of various internal body organs as requested by the health care providers at this institution.

4. Performing MRI of different jobs, such as elbow, knee, hip, ankle, etc.

5. Performing MRI of cervical, thoracic, and lumbar spine in multiple views as requested by health care providers for this institution.

6. Performing CT of the brain.

7. Performing CT of various internal body organs as requested by the health care providers at this institution.

8. Performing abdominal, vascular ultrasound, echocardiology, and various internal and external body organs.

9. Providing professional interpretations and written reports.

10. Reports must be in typewritten or computerized format. Reports must be received within 72 hours of service.

11. Multiple views of one organ or joint is considered one exam.

12. The contractor will be responsible for the cost of professional interpretations of MRIs, CTs, and Ultrasounds regardless of the number of exams. Normally there will be up to ten services per clinic for MRI only. However, additional MRIs may be required per clinic.

13. MRI and CT examination apply to without contrast (dye media) and with contrast.

14. The contractor will be responsible for equipment transportation, delivery and set up, tractors and drivers, complete maintenance/service coverage on all equipment, applications training and staffing insurance, site planning and consultation, marketing support, ect. The only expense borne by the USP is the expense of electrical/telephone modifications and any supplies agreed upon in advance.

Education and Qualifications:

The contractor will provide FCI Otisville with staff that possesses the knowledge, skills, and abilities to provide high quality diagnostic testing and associated services. In addition a current and valid license of all contractor staff will be provided to the Health Services Administrator prior to the beginning of these services. License will be updated and provided to the Health Services Administrator prior to the expiration date. No contractor staff will be authorized to perform diagnostic testing services without prior provision of current licensing documentation.

All procedures will be performed by a registered radiology technologist and interpreted by a Board

Certified Radiologist. The contractor must provide photocopies of documents evidencing the ability to meet the qualifications to perform the required services (license, diplomas, certificates, etc.)

Method of Instruction:

Instruction will be verbal and/or written referrals from the Bureau of Prisons Health Services Staff.

The contractor will be responsible for providing onsite mobile diagnostic testing services for the inmate population, to include Magnetic Resonance Imaging (MRI), Computerized Tomography

(CT), Ultrasound Services, and Ultrasound Services. All of these services will include interpretations, faxing, and supplies. Services will be performed in accordance with standards and methods generally accepted in the diagnostic field, and in compliance with all Federal and

State policy and regulations, as well as adherent to all standards and regulations associated with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and American

Correctional Association Foundation/Core Standards for Adult Correctional Institutions. The contractor’s performance shall be monitored by the HSA. The contractor must have the ability to work with an inmate population from a variety of cultural, regional, racial, and ethnic backgrounds.

The contractor will provide legible written reports within five working days after the diagnostic testing has been performed. The reports will either be scanned through e-mail or faxed to the

Clinical Director and Health Services Administrator. We require a phone call from the radiologist and/or cardiologist for any serious abnormal reading. All reports need to be typed with appropriate letterhead of the radiologist and for specialists reading the studies. There should be typed signature blocks.

Inmate Management:

The provision of services under this proposed contract will require frequent and unsupervised contact with inmates. The contractor will not be responsible for the management of inmates except to ensure that those inmates involved in activities within the contractors scope of work shall abide by all rules, in effect, to ensure the safety and well-being of all participants.

Institution Security:

The contract employee will be required to sign in and out of the institution for accountability purposes. A badge will be issued and worn at all time for proper identification.

The contractor agrees to adhere to all regulations prescribed by the institution for safety, custody, and conduct of inmates. The contractor shall attend an orientation program prior to assuming institution involvement. Initial orientation is two hours with a one hour yearly refresher. Reimbursement to the contractor for the time spent in the institution orientation or other specific security related training will be at the contract rate, prorated hourly. The contractor may, at any time, be removed from the institution at the discretion of the CEO. The contractor is to constantly be aware of security and maintain a professional relationship with inmates at all times.

Any violation of the institution rules and regulations are to be brought immediately to the attention of any Government employee employed at the institution. The contractor will be required to provide documentation to the COR, or designee, of any infractions of institutional rules and regulations by inmates for proper action.

Failure to comply with security rules, regulations, or procedures of FCI Otisville may result in cancellation of the contract. Contract workers may not be allowed access in to the institution to begin performance until all security clearances have been obtained.

Restrictions on Contract Workers:

The Contractor shall not supervise inmates, supervise Bureau of Prisons staff, participate in inmate accountability, requisition, sign for, or pick up supplies, formulate policy or procedures, or attend meetings, staff recalls or staff functions.

Attire:

The contractor is expected to wear professional clothing while on duty (scrub uniforms are approved). The attire shall be appropriate for a correctional environment in which the contract employee will be performing.