SRSU_CT_Radiology_PWS.docx

1. General Information

1.1 Background

Standing Rock Indian Health Service Hospital requires qualified Diagnostic CT/Radiologic Technologist services to support the continuous operation of its Radiology Department. The department provides computed tomography (CT), digital radiography (DR), and related stationary and mobile imaging services for hospital and clinic patients.

Continuity of CT and radiology services is vital. Contractor performance shall be as comprehensive as the Government-furnished facilities, equipment, systems, and support services permit.

1.2 Objective

The objective is to obtain safe, timely, professional, and diagnostically useful CT and radiographic services without interruption during the period of performance. The Contractor shall furnish qualified personnel and manage those personnel to achieve the outcomes and standards stated in this PWS.

1.3 Scope

The Contractor shall perform standard and complex CT and radiologic examinations during scheduled day, evening, night, weekend, and holiday shifts, including on-call services when included in the approved schedule. Services may use stationary or mobile equipment and shall be performed only upon an authorized health care provider order and in accordance with facility policies and established clinical protocols.

1.4 Non-Personal Services

This is a non-personal services requirement. The Contractor retains responsibility for recruiting, assigning, supervising, scheduling, counseling, and otherwise managing Contractor personnel. Government personnel may provide clinical direction, facility orientation, access control, procedure-specific guidance, and acceptance oversight necessary for patient care and regulatory compliance, but shall not perform routine employer functions for Contractor personnel.

2. Place, Period, and Operating Environment

2.1 Place of Performance

Standing Rock Indian Health Service Hospital, Fort Yates, North Dakota 58538, including the Radiology Department and other hospital or clinic locations where stationary or mobile imaging services are required.

2.2 Period of Performance

September 1, 2026 through December 31, 2026.

2.3 Hours of Operation and Schedule

The hospital and Radiology Department operate 24 hours per day. The primary tour of duty shall be based on a Government-approved schedule and may include days, evenings, nights, weekends, holidays, variable shifts, and split shifts. Shifts are anticipated to be 12 hours but may vary based on permanent federal staffing patterns and operational need.

2.4 Staffing Quantity and Estimated Hours

The Contractor shall provide sufficient qualified personnel to cover all approved shifts within the ordered quantity. See Schedule of Items for estimated quantities. The staffing patterns are to augment existing federal clinical staff and operations. This entails complying with existing shift design, staffing workflow, and hours. In is anticipated that the government with request contract staff to do a minimum one (1) month blocks, but requests may be variable including but not limited to 2 weeks on, 2 weeks off, or shorter re-occurring blocks to complement the existing staff. The number (3) of staff requested is not limited by FTE, but it is anticipated that the government may request four (4) CT Rad Tech.

2.5 Government Coverage Adjustments

The Government may revise or reduce scheduled Contractor coverage when a federal FTE is added or when satisfactory departmental coverage is otherwise available, subject to the contract terms, applicable notice requirements, and any required contract modification or termination action.

3. Required Performance Outcomes

4. Performance Requirements

4.1 Staffing Coverage and Continuity

Provide sufficient qualified personnel to cover every Government-approved shift and on-call period.

Submit and maintain a staffing schedule before the applicable schedule period begins. Identify assigned personnel, shift dates and times, and on-call responsibilities.

Ensure each substitute or replacement meets all qualification, credential, training, and access requirements before beginning duty.

Notify the Government point of contact promptly when an absence or coverage risk arises and provide a qualified replacement before the affected shift or on-call period begins.

Coordinate schedule changes with the Radiology Director, or designee. Government approval of a schedule change does not transfer personnel-management responsibility to the Government.

Maintain continuity during evenings, nights, weekends, holidays, and after-hours periods, including indirect clinical consultation by telephone when Government supervisors are not onsite.

4.2 Clinical CT and Radiographic Services

Verify the authorized provider order, patient identity, requested examination, and relevant clinical information before imaging.

Use knowledge of anatomy, physiology, patient positioning, radiographic technique, CT protocols, and the clinical course of disease to perform standard and complex examinations.

Operate CT, DR, and available stationary or mobile equipment in accordance with manufacturer guidance, facility procedures, technique charts, programmed techniques, and protocols.

Modify positioning, technique, protocol, exposure factors, and other procedural elements when necessary to accommodate patient condition, injury, illness, disability, equipment variables, or contrast media, consistent with established clinical practice and facility policy.

Evaluate images for diagnostic quality, including positioning, technical factors, density, detail, contrast, legal identification, and use of protective devices.

Consult the Chief Technologist, Radiology Director, radiologist, or designee when image quality, protocol selection, equipment performance, or patient condition requires additional guidance.

Repeat examinations only when clinically necessary and authorized under facility procedures; minimize preventable repeat images attributable to positioning, technique, identification, or protocol error.

4.3 Patient and Radiation Safety

Prevent unnecessary radiation exposure to patients, self, and others by using the minimum appropriate exposure settings, limiting beam size, using available lead shields and protective devices, and operating from behind a protective screen/console or while wearing protective clothing as required.

Apply facility procedures for contrast media, infection prevention, patient movement, and assistance with transfers or lifting.

Immediately report patient-safety events, radiation-safety events, contrast reactions, wrong-patient or wrong-procedure concerns, and equipment malfunctions through facility channels and to the Government point of contact.

Stop or defer a procedure when patient condition, equipment condition, or missing clinical information makes continued performance unsafe, and obtain appropriate clinical direction.

4.4 Patient Records, PACS, and Image Routing

Keep complete and accurate patient records for each examination in the Government-furnished patient record system and related radiology systems.

Ensure correct legal identification and examination metadata are associated with each image and record.

Approve and deliver completed digital images to the archive and forward them to the radiologist within the timeframe prescribed by facility policy and clinical urgency.

Protect patient information and system credentials and use Government systems only for official business.

Correct documentation or routing deficiencies promptly and in accordance with facility procedures.

4.5 Professional Conduct and Compliance

Adhere to accepted professional standards and ethics and to applicable laws, regulations, and organizational policies.

Comply with applicable Centers for Medicare & Medicaid Services requirements, the Health Insurance Portability and Accountability Act (HIPAA), the Privacy Act of 1974, and IHS information-technology, records-security, privacy, and safeguard policies.

Treat patients, family members, Government staff, and other personnel with dignity, courtesy, and respect. Communicate clearly and avoid disruptive, discriminatory, retaliatory, abusive, or unsafe conduct.

Complete all mandatory health, safety, privacy, security, and facility training before access is granted and keep required training current.

Use Government work areas, equipment, internet, telephone, library, copy, fax, and other support resources only for official contract performance.

4.6 Administrative and Invoice Support

Submit an invoice supported by a record of tour-of-duty hours actually worked and approved by the Radiology Director, Supervisor, or designee.

Ensure invoice hours, names, dates, shifts, and supporting records agree with the approved schedule and time records.

Correct rejected or incomplete invoice documentation promptly.

Provide performance, credential, schedule, and corrective-action records requested by the Contracting Officer or authorized Government representative.

5. Contractor Personnel Qualifications The Contractor shall ensure each individual assigned to perform services meets the following requirements before the first shift and continuously throughout performance. The Government may verify documents before granting or continuing clinical and system access.

6. Contractor Management and Quality Control Designate a Contractor point of contact with authority to coordinate schedules, qualifications, replacements, invoices, and corrective actions.

Maintain a simple internal quality-control process sufficient to verify credentials, schedule coverage, clinical performance, image/documentation quality, and timely correction of deficiencies.

Review performance trends, including preventable repeat images, documentation corrections, incidents, complaints, late arrivals, and coverage gaps, and take action before they affect continuity or patient care.

Provide a written corrective-action plan when requested by the Contracting Officer. The plan shall identify the cause, immediate correction, prevention steps, responsible person, and completion date.

Ensure Government clinical guidance is communicated to assigned personnel without transferring Contractor supervision or employer responsibilities to Government staff.

7. Government-Furnished Property, Facilities, and Services Clinical work areas and access to areas available to civil service and commissioned personnel in similar positions, as required to perform assigned duties.

Facility CT, DR, mobile imaging, PACS, and related clinical equipment and protective devices available for Government radiology operations.

Office space for viewing images in PACS to verify image quality.

Administrative and ancillary support available to IHS personnel, including copy and fax machines, medical library, internet, and telephone service, for official business only.

Required forms, documents, computer systems, and software used for documentation in the IHS patient record system.

Applicable facility policies, standard operating procedures, technique charts, programmed techniques, CT protocols, manuals, and clinical references.

8. Contractor-Furnished Items and Services The Government does not anticipate a need for Contractor-furnished clinical equipment. The Contractor shall furnish its own personnel-management and administrative resources necessary to recruit, schedule, credential, insure, and manage Contractor personnel, together with any personal items not normally provided by the facility.

9. Deliverables

10. Government Surveillance, Inspection, and Acceptance The Radiology Director or designated Quality Assurance Evaluator (QAE) will monitor performance using the accompanying QASP and facility records.

Surveillance may include review of sampled examinations, PACS and patient-record entries, repeat/reject information, incident and complaint records, credentials and training status, schedules, on-call logs, time records, and invoices.

The QAE documents observations and recommends acceptance; the Contracting Officer retains authority to determine contractual acceptance, require corrective action, modify surveillance, apply contract remedies, or take other contract-administration action.

Approval of an invoice or time record does not waive the Government right to address latent defects, patient-safety concerns, privacy/security violations, falsified records, or recurring performance failures.

The Government may increase surveillance when performance is unacceptable and return to routine surveillance after sustained correction.

11. Physical Demands and Work Environment Work requires long periods of standing and walking, bending, carrying moderately heavy items, and assisting others with patient transfers from carts to imaging tables. Work areas are generally well lit and temperature controlled. Personnel shall follow special safety precautions used to reduce radiation exposure, including minimum appropriate exposure settings, protective screens/consoles, and protective clothing or devices.

12. Performance Requirements Summary

Standing Rock IHS Hospital | Page 1 of 2