SOW Temp Services for PA or NP.docx

Statement of Work

PHYSICIAN ASSISTANT/NURSE PRACTITIONER

BACKGROUND:

The Bureau of Prisons, FCC Petersburg, intends to make a single award of a firm fixed price task order to a qualified entity to provide temporary Mid-Level practitioner services (120 days) to (2) two Physician Assistants/Nurse Practitioners for Federal offenders held in custody of the Department of Justice, Federal Bureau of Prisons, at the Federal Correctional Complex (FCC), 1060 River Rd, Petersburg, VA 23860.

ATTIRE:

The contractor is expected to wear professional clothing while on duty. The attire worn shall also be appropriate for the correctional environment in which the contract employee will be performing.

WORK SCHEDULE:

The work schedule will normally consist of eight (8) one-hour sessions per week. Specific days and hours will be subject to mutual agreement between the Health Services Administrator (HSA) and the Contractor. Services will normally be performed between 7:30 a.m. and 4:00 p.m. Monday through Friday excluding Federal Holidays. The schedule services will include a thirty-minute unpaid lunch break. A session is defined as one-hour duration. Planned days off or planned sick days (appointments) shall be coordinated through the HSA or Contractor Officer Representative (COR). The contractor and HSA will develop the schedule.

Due to the nature of the correctional setting, delays in performance of work maybe experienced. Such delays may include but not limited to inclement weather, electrical or mechanical problems, or other security matters. When contract employees report to the institution but are not able perform a service due to delays, the contractor will be paid one session. Normally, any remaining sessions for that day will be suspended and the contractor will be free to leave, and the contractor will not be paid for remaining unperformed sessions. However, if the institution requests that the contractor remain at the institution, the contractor shall provide coverage. If the contractor fails to provide coverage, the Government may seek contractual remedy.

SERVICES TO BE PERFORMED:

Prospective Contractors are advised of the following:

This service is a contractual arrangement and not personnel appointment.

Payment is based on an end product or the accomplishment of specific result.

This service does not constitute an employer/employee relationship; and The Contractor will not subject to Government supervision, except for security related matters.

However, accomplishment of the required services will be monitored by Government staff to ensure contract compliance.

The Contractor is responsible for the provision of services as listed below:

a. Works collaboratively with the staff physician(s) and consulting physician(s) in planning, instituting, evaluating and revising program plans; assists in determining conditions, resources and policies essential to delivery of the health care services.

b. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional, or mental problems.

c. Incumbent manages the daily operation of the clinic and conducts daily sick call, which may also include securing health and developmental history from the patient, recording findings and making critical evaluations.

d. Provides a wide range of emergency services, in the absence of the physician, including primary care for trauma and life-saving procedures.

e. Performs minor surgical procedures such as: incision and drainage; suturing of lacerations; removal of cysts; and removal/repair of ingrown toenails; after consultation with the physician.

f. Prescribes medications and treatment for illnesses. Prior to dispensing, must call attention to any synergistic, antagonistic and cumulative effects of the medications prescribed.

g. Serves as the primary provider for routine requests for evaluation of new complaints, for routine recurring visits for chronic illnesses, and emergencies when clinically indicated.

h. Establishes diagnostic impressions and requests appropriate diagnostic tests (e.g., laboratory, x-ray, visual acuity and electrocardiogram) and ability to interpret results and selected laboratory findings to include the following:

Clinical Laboratory - urinalysis, complete blood counts, staining and examination of smears for bacteria, blood glucose, audio hearing tests.

Radiology - preliminary interpretation of radiographs to identify gross abnormalities such as fractures, etc.

Optometry - screening for distance and near vision by use of charts and visual screening machines.

Electrocardiograph Operations - operates electro cardio graphic machine and has basic concepts of interpretation of the tracing to detect abnormalities.

Dental - able to perform screening dental examinations, charting and recognizing gross abnormalities of the gum and teeth by means of percussion and palpation and interpretation of dental radiographs.

Mental Health - capable of screening for gross mood change, disoriented patterns of behavior, or speech. Takes brief psychiatric, drug, and alcohol abuse history. General knowledge to identify a particular mental disorder such as depression or anxiety and provides emergency treatment and care.

i. Evaluates total health care needs of patients and develops plans to meet these needs. Makes decisions concerning medical care needs of the patient with the supervising physician. Assists the supervisory physician(S) in management of chronic health problems and assists the physician{s) in performing more exhaustive diagnosis and treatments. Teaches and demonstrates the application of good health practices to patients.

j. Will assist and work collaboratively with the physician in management of selected complex medical problems. Makes decisions concerning medical care needs of the patient with the physician, as well as decisions regarding special needs. May assist the physician in performing more exhaustive diagnosis and treatment.

k. Enters pertinent clinical information in medical records and must ensure data is current and legible.

The above information provides a generalized description of some of the activities involved in the scope of work. The contractor must be able to adapt to newly establish policies and guidelines i.e. Accreditation Association for Ambulatory Health Care (AAAHC), Bureau of Prisons (BOP), American Correctional Association (ACA), etc., and help provide support to implement procedures accordingly.

WORK EXPERIENCE/QUALIFICATIONS AND ACADEMIC REQUIREMENTS:

The contractor PA must be a graduated of an accredited Physician Assist Educational Program.

The contractor PA must have completed two years of documented work experience as a PA.

Contractor must show proof of practical experience, education, and licensure. The contractor must be CPR certified. Failure to provide such proof may result in elimination from award.

SUPPLIES AND MATERIALS:

All supplies and materials will be provided by the Federal Correctional Complex.

HEALTH REQUIREMENTS:

The contractor shall ensure the PA is free of communicable diseases. Any individual who subsequently develops a medical condition which might reasonably be expected to place other workers, inmates, or the public at risk shall immediately be removed from affected activities.

In any such case, the contractor shall be responsible, at no additional cost to the institution, for securing the services of any replacement personnel required to perform this contract.

METHODS OF PERFORMANCE:

The services to be provided are professional in nature, and will be commensurate with AAAHC standards of care. The methods utilized will meet medical practices established in the local community. These services, although not directly supervised, will be reviewed periodically by the HSA at FCC Petersburg. The performance of these services will be monitored by the COR.

The HSA will retain professional responsibility for all patients referred to Health Service Department.

OTHER REQUIREMENTS:

The contract employee may be required to submit to testing for or provide evidence acceptable to the Clinical Director of recent testing for tuberculosis or other communicable diseases.

Failure to submit to testing or provide acceptable evidence of recent testing for immunity to selected communicable diseases shall be grounds for denying access to inmates. The contract employee shall immediately inform, in writing to the COR and Contract Administrative Officer, and adverse action taken by any regulatory body involving qualifications. This includes, but is not limited to, suspensions, restrictions on licensor.

POINT OF CONTACT:

Contractor shall provide a Point of Contact (POC) who shall be responsible for the delivery of services under this contract. The POC shall have the full authority to act on behalf of the contractor. The contractor shall designate this individual in writing to the Contracting Officer prior to the start date of the contract. An alternate POC may be appointed; however, the contractor must identify those times when the alternate shall be the primary POC.

PATIENT MANAGEMENT:

The contractor will be responsible for following directives and complying with the Bureau of Prisons' Health Services Manual, FCC Petersburg institutional mandates and the Health Service Department's policies in the management of all patient encounters.

Patients shall be accorded impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, or religion.

INMATE MANAGEMENT:

Provision of services will require frequent and unsupervised contact with inmates. The contract employee shall not be responsible for the management of inmate, other than to ensure inmates involved within the contractor's scope of work abide by all rules to ensure their safety and well-being. The successful contractor shall attend the Institution Familiarization Orientation program prior to assuming institution involvement.

Reimbursement to the contractor for the time spent in the initiation orientation or other specific security related training will be at the contractor rate, prorated hourly. The contractor may be, at any time, 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 the inmate 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 Health Services Administrator, of any infractions of institutional rules and regulations by inmates for improper disciplinary action. The Contractor and/ or their employees will report extraordinary problems immediately and follow up with a written statement of the event.

INVOICE:

The contractor shall provide a monthly billing statement to FCC Petersburg Accounting Department which accurately reflects days worked, number of sessions and the total amount due for the previous month's services. Payment terms as specified in FAR 52.212-4(g), the due date for making an invoice payment by the designated payment office shall be the 30th day after the designated services performed by the contractor. The contractor can however offer discount payment for prompt payments as specified in block 12 on the SF-1449 form of this solicitation.

Half sessions will not be authorized for payment. If the contractor is a self-employed individual, he/she must provide a means of electronic payment to include bank routing and account number. If the resulting contract is made to an individual(s) who is not incorporated, the provision of these services has been determined to meet certain criteria for creating common law employee relationship. Therefore, the BOP is responsible for the payment of FICA TAXES.

To ensure proper preparation of payment vouchers, all hours worked must be documented by the contractor, showing the hours worked during each visit. Documentation will be provided on a "Log of Consultants Visit" form with each entry being signed by the Contractor.