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Statement of Work Mobile Magnetic Resonance Imaging (MRI) Services Federal Medical Center (FMC) Fort Worth, Texas

Subject

The Federal Bureau of Prisons, Field Acquisition Office in Grand Prairie, Texas intends to make a single award for the provision of Mobile MRI services for the inmate population at the Federal Medical Center Carswell (FMC), located in Fort Worth, Texas. General information regarding the Federal Bureau of Prisons (FBOP) and its facilities can be found at www.bop.gov.

Place of Performance

FMC Carswell J Street, Building 3000 Fort Worth, TX 76127

Schedule

The contractor will be required to perform services twice monthly at FMC Carswell. Services will be performed between the hours of 7:30 a.m. and 3:30 p.m., Monday through Friday, excluding Federal holidays. A session is defined as one (1) MRI per inmate, to include multiple views of one (1) organ or body part. Each month, there will be a requirement of an estimated twenty (20) sessions to perform on two specified days. An estimated ten (10) sessions will be performed on each of the two days per month. Specific days and hours will be subject to mutual agreement between the Contracting Officer’s Representative (COR) and the contractor. The contractor will be notified in advance of the requested dates of service, types of service, and the number of inmates to be examined. The number of inmates will be determined by the Health Services staff and will vary from session to session. These services/sessions may be adjusted to meet the needs of the Health Services Department as determined by the Health Services Administrator (HSA).

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. Time spent processing in and out of FMC Carswell should be considered when submitting your quote. In the event it becomes necessary for the Government to cancel a scheduled trip visit, the FMC will provide the contractor with a 48-hour written or verbal notice prior to cancelling a trip visit. When advance notice is given, the government will not be subject to payment for cancelled services.

Supplies

All expendable supplies and/or contrast media will be supplied by the contractor unless otherwise agreed upon in advance with the FMC. A suitable pad, electrical power supply and phone line for the mobile unit will be supplied by the FMC. All supplies intended for use inside the secure perimeter by the contractor will be listed on an inventory sheet and approved by the FMC in advance. If the contractor requires special equipment, the request must be submitted in writing to the HSA. Note: All medical records remain the property of the FMC (in accordance with the Privacy Act of 1974).

http://www.bop.gov/

Scope of Service

The contractor shall be responsible for:

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 the FMC.

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 the health care providers at the FMC.

6. Providing professional interpretations and written reports.

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

8. Multiple views of one organ or join tare considered one exam.

9. The contractor will be responsible for the cost of professional interpretations of MRI's.

Normally, there will be up to ten exams per session for MRI’s only. However, additional MRI's may be conducted per session.

10. MRI examinations apply to both with contrast and without contrast (dye media).

11. 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. The contractor is responsible for ensuring all their employees have been offered the Hepatitis B and Flu vaccines.

12. Annually Provide FMC Carswell proof of staff vaccination for Flu and Hepatitis B or signed refusal from the employee stating specifically why they are refusing the vaccinations.

13. Must meet all applicable Joint Commission Standards and requirements including the

National Patient Safety Goals and if found to be out of compliance with any Joint Commission standard / requirement, including the National Patient Safety Goals, the contractor agrees to make immediate corrections.

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, etc. The only expense borne by the FMC is the expense of the electrical/telephone modifications and any supply agreed upon in advance.

Attire

The contractor is expected to wear professional attire at all times. The attire worn shall be appropriate for the correctional environment in which the contract employee will be performing.

Jeans (of any color), T-shirts, sandals, open-toe shoes, tank tops, and sweatpants/sweatshirts are not considered appropriate professional attire.

Method of Performance

Verbal and/or written referrals will be received from Bureau of Prisons Health Services staff.

The Services are professional in nature and will be commensurate with the Joint Commission standards of care. The methods utilized will meet medical practices established in the local community. These services, although not directly supervised, will be monitored by the COR.

The Contractors performance will be evaluated in accordance with FAR Part 42. Contract monitoring reports will be prepared by the COR and maintained in the contract file. The Government reserves the right to suspend, limit or revoke the Contractor's privileges at the facility due to violations of security procedures. Over-reads are part of the evaluation process as it is related to quality and patient safety. The contractor agrees to provide 20 over-reads on a quarterly basis. The over-reads must be performed by an independent Joint Commission Accredited organization.

Institution Security

The contractor agrees to adhere to all regulations prescribed by the institution policy tor safety, custody, and conduct of inmates. The contractor shall attend an orientation program prior to assuming institution involvement. Failure to comply with security rules, regulations, or procedures of the FMC may result in cancellation of this contract. All contract personnel providing services will complete a background investigation in accordance with BOP Program Statement 3000.03, Human Resources Management Manual. Additionally, requirements will be met as outlined in the solicitation/contract entitled "Contract Security/Investigation Requirements.''

Special Qualifications Requirements

The contract staff must be registered and/or licensed with appropriate Boards of Medicine (i.e., ultrasound and MRI technicians, etc.) as required by the State of Texas to provide requested services in the Statement of Work. If required, the contractor must be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). FMC Carswell is accredited by JCAHO; therefore, the contractor must provide the credentials for any physicians interpreting radiology studies and the MRI technicians who perform the studies. The credentials must be source verified. All MD's must be board certified in their respective specialty.

Credentials must be provided for any physicians interpreting radiology studies. Peer Reviews and Over Reads must be provided to FMC Carswell as part of the credentialing process. All reports need to be typed with appropriate letterhead of the Radiologist and Specialists reading the studies. There should be typed signature blocks. All specialists reading studies (including Radiologist and/or Cardiologist) must be board certified. Phone notifications are required from the Radiologist and/or Cardiologist for any serious abnormal reading. In addition, the personnel operating the equipment on the MRI units must be licensed. All providers reading the MRIs must be credentialed and privileged by FMC Carswell prior to reading any MRIs for the institution. Providers who read the MRIs agree to provide all necessary documents upon request by FMC Carswell staff to ensure their timely credentialing and privileging. Should the providers who read the MRIs change at any point, the contractor agrees to promptly notify FMC Carswell and provide all documents necessary to credential and privilege the providers before they read MRIs for FMC Carswell. The contractor must provide a copy of their insurance certifications, in accordance with FAR 52 23 7-7. All contractors must submit with their quotes;

a resume, photocopies of documents evidencing education and training.

Point of Contact

If the contract is awarded to a company rather than an individual, then the contractor shall provide a Point of Contact (POC) who shall be responsible for delivery of services under this contract. The contractor shall designate this individual in writing to the contracting officer prior to the start date of the contract.

Inmate Management

Provision of services will require frequent and unsupervised contact with inmates. The contractor shall not be responsible for the management of inmates, other than to ensure inmates involved within the contract's scope of work abide by all rules to ensure their safety and wellbeing. The contractor is to be aware of security and maintain a professional relationship with inmates at all times. Any violation of institution rules and regulations are to be brought immediately to the attention of any Government employee at the FMC.

Invoice/Payment Terms

The contractor shall provide a monthly billing statement to the FMC's Accounting Department which accurately reflects days worked, number of sessions and the total amount due for services.

The Contractor must provide a means for electronic payment to include bank routing and account number. Payment terms as specified in FAR52.212-4(g). The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903 and prompt payment regulations at 5 CFR Part 1315). The Contractor can, however, offer discount payment terms for prompt payments as specified in block 12 on the SF-1449 form of this solicitation.

Contract Security

The following security measures will be applied to all contract employees who will be working under the terms of the contract:

National Crime Information Center (NCIC) Check Name Check Fingerprint Check (FD-258) Completed OF306, Declaration for Federal Employment Appropriate Resume or Optional Application Completion of the Contract Pre-employment Form Release of Information Urinalysis test for detection of drugs and marijuana usage

This service is a contractual arrangement and not a personnel appointment. Payment is based on the provision of an end product or the accomplishment of a specific result; The service does not constitute an employer/employee relationship and the Contractor will not be subject to Government supervision, except for security related matters. However, Contractor performance will be closely monitored.

Medical Liability

This contract is a nonpersonal health care services contract as defined in the Federal Acquisition Regulations (FAR) 37.101, under which the Contractor is an independent Contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered.

The Contractor must indemnify the Government for any liability producing act or omission by the Contractor, its employees and agents occurring during contract performance. The Contractor shall maintain medical liability insurance, in a coverage amount which is not less than the amount normally prevailing within the local community for the medical specialty concerned.

Contractor is required to ensure that its subcontracts for provisions of health care services, contain the requirements of the clause at FAR 52.237-7, including the maintenance of medical liability insurance.

System of Records

In accordance with FAR 52.224-1 and 52.224-2, the Contractor will occasionally use, disseminate, and/or handle inmate's records that will contain confidential medical and/or criminal history. All medical records will be handled in accordance with the Bureau of Prisons' Health Services Manual (6000.3) medical records policies, as amended. All criminal records will be viewed only by the guard on duty or his/her immediate supervisor and only for duty-related purposes. Information concerning the medical or criminal history of an inmate may only be released by the Executive Assistant of the FMC in accordance with the Privacy Act of 1974.

Contract Pricing

The contract rates for these services shall be on a per session basis. A session is defined as one

(1) MRI per inmate, to include multiple views of one (1) organ or body part. The contract rates shall include all charges for providing MRI services. Services are required to be provided in accordance with the Statement of Work.