SOW - Wewoka Nephrology.docx

STATEMENT OF WORK

NEPHROLOGY CLINIC

I. STATEMENT OF WORK:

The nephrology clinic shall operate as a physician referral-based clinic serving the Wewoka Service Unit area. The contractor shall serve as a Nephrologist Consultant to the Wewoka Service Unit. The contractor shall also be available on clinic days for telephone consultation with outlying IHS clinics and physicians in the Wewoka Service Unit area.

Services shall include:

A. Provide nephrology services to patients on-site at the Wewoka Indian Health Center, Wewoka, Oklahoma for the number of hours stated during specific time.

B. Number of patients to be seen and when services are needed shall be determined by the Wewoka Indian Health Center Clinical Director.

C. The contractor shall examine, diagnose, and develop treatment plans and recommendations for patients seen.

D. The contractor shall recommend and refer patients to other Indian Health Service providers and CHS vendors within appropriate IHS guidelines.

E. The contractor shall document services, education and treatment of patients in the adopted template for nephrology on the Electronic Health Record (EHR).

F. The contractor shall utilize the Electronic Health Record (EHR) notification system, to communicate with nursing and medical providers at the Wewoka Indian Health Center. The notification system is set up to provide a continuity of care for the patients.

G. The contractor shall be responsible for actions necessary for The Joint Commission standard compliance and administrative policies as directed.

H. The government shall provide the facilities, office, equipment and supplies for use by the contractor.

I. The contractor shall provide consultative reports to be done at the time of the examinations in the EHR, furnished by the government.

J. The government shall provide assistance, orientation and standard procedures in seeing patients as well as receiving supplies, utilizing and ordering laboratory, diagnostic exams, and pharmacy services.

K. The contractor shall order medications utilizing the EHR in accordance with the Wewoka Indian Health Center Formulary and its restrictions thereof.

L. Contractor shall conduct group teaching sessions for patients and in-service education for staff as needed.

II. PROFESSIONAL QUALIFICATIONS:

A. The contractor shall meet the following minimum qualifications and requirements:

1. Current unrestricted license to practice medicine in the United States.

2. The contractor is responsible for obtaining the amount of professional liability insurance coverage of a least $1,000,000 per occurrence/$3,000,000 aggregate.

3. Physician(s) shall have completed a residency program in an approved Nephrology Residence or Board Certified in Nephrology. This category may serve as consultants in Nephrology.

4. Physician(s) provided by the contractor shall apply and be accepted as Associate members of the medical staff, Wewoka Indian Health Center.

B. Evidence of one, two, and three above shall be provided to the contracting officer prior to award of contract, however, it is recommended that credentials (copies) accompany the Request for Quotations in order to shorten evaluation time.

C. In providing such service, Contractor shall comply with policies, procedures and by-laws of the Wewoka Indian Health Center. Contractor shall also be required to perform this service in compliance with applicable standards of the Joint Commission and of quality of care.

III. INDEMNITY AND INSURANCE

The government assumes no responsibility for negligent acts of the contractor, therefore, the contractor is responsible for obtaining that amount of professional liability insurance coverage of at least $1,000,000 per occurrence/$3,000,000 aggregate. The contractor shall keep harmless and indemnify the government against any or all loss, cost, damage, and expense or liability whatsoever as a result from the performance of the contractor.

Contractor shall hold the Federal Government and its agents including Clinical Director and the governing body immune from civil or professional liability for all acts related to quality care management and enforcement of this contract.

IV. GOVERNMENT FURNISHED FACILITIES, EQUIPMENT, AND SUPPLIES:

The government shall provide the facilities of the Wewoka IHS Health Center, examination room, for use by the contractor in the provision of nephrology services.

V. PERIOD OF PERFORMANCE & WORK SCHEDULE

A. Period of performance shall be for approximately one year with four (4) option years.

B. The contractor shall provide a minimum of four nephrology clinics per month in the Wewoka Indian Health Center outpatient department. Any changes to the preceding shall require mutual agreement of the contractor and the contracting officer.

VI. REPORTING REQUIREMENTS

A. Reporting requirements shall include recording of all pertinent patient care information required in performance of Nephrology services as set forth in the medical by-laws of the Wewoka Indian Health Center.

VII. Invoices: An original invoice shall be submitted monthly and/or quarterly depending on how the PO is set up, to the Oklahoma City Area Indian Health Service, Attn: Finance, 701 Market Drive, Oklahoma City, OK 73114.

Invoice shall include:

1. Contractor’s name, title, phone number, mailing address

2. Invoice date

3. Purchase Order Number

4. Description of Services

5. Quantity of Services Rendered

6. Cost

7. Payment terms

8. Email a copy of the invoice to the COR at Casey.Kelley@IHS.GOV and to Accounts Payable Gary.Girty@IHS.Gov

VIII. REFERENCE MATERIAL/OTHER FACTORS:

Contractor shall be required to possess familiarity and abide by the current policies, by-laws, and regulations of clinical and medical staff of the Wewoka Indian Health Center.

Contracting Officer’s Representative:

Casey Kelley Wewoka Indian Health Center 36640 Hwy 270, barking-water Road Wewoka, OK 74884 405-257-7516 Casey.kelley@ihs.gov

Signature COR Date