SRSU_SDPI_PWS_06182025.pdf

Standing Rock Service Unit Performance Work

Statement Special Diabetes Program for Indians (SDPI) Community-Directed

Grant

A. General:

The performance based work statement describes the requirements for diabetes treatment and prevention services for the Standing Rock Sioux Tribe, firm-fixed price service contract for services and activities to support the mission, objectives, and goals in the Standing Rock Service Unit (SRSU)’s SDPI grant project narrative.

B. Background:

The Indian Health Service (IHS), an agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The Indian Health Service provides a comprehensive health service delivery system for approximately 1.9 million American Indians and Alaska Natives who belong to 567 federally recognized tribes, in 35 states. The Indian Health Service Headquarters is located in Rockville, MD and then divided into twelve physical areas: Alaska, Albuquerque, Bemidji, Billings, California, Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland and Tucson.

The Great Plains Area Office (GPAO) works in conjunction with its 19 Indian Health Service Units and Tribal managed Services Units to provide health care to approximately 122,000 Native Americans located in North Dakota, South Dakota, Nebraska and Iowa. The Area Office's service units include seven hospitals, eight health centers, and several smaller health stations and satellite clinics.

Our facility, the Standing Rock Service Unit (SRSU), falls under the GPAO.

Standing Rock Service Unit (SRSU) is a critical access hospital and provides medical care for approximately 10,000 tribal members living on the SRST Reservation. Serving a rural area, many of our patients travel 100 miles round tribe to receive care. The SRSU was built in the 1960’s to provide an expanded level of health care services specifically designed to meet the needs of the SRSU population. SRSU operates three health stations and one satellite health clinic which offer basic ambulatory services at Cannonball, Bullhead, McLaughlin, and Wakpala communities. Combined services include: Emergency Room Department, Pharmacy, Public Health Nursing, Radiology Services, Inpatient Care, Laboratory, Dental, Purchased Referred Care, Dieticians, Eye Care, as well as a variety of contracted services via telemedicine or non-personal services contracting with the federal government.

The Standing Rock Service Unit was awarded the SDPI grant in 2016. With the support of the Standing Rock Sioux Tribe, SRSU is the primary applicant for the SDPI grant for the upcoming 2023-2027 five year grant cycle.

C. Objective:

1. Provide diabetes treatment and prevention services for the Standing Rock Sioux Tribe as listed in the Special Diabetes Program for Indians (SDPI) grant Notice of Award (NOA) and grant cycle Project Narrative

2. Allow the Government to evaluate the quality of professional and administrative services provided; 3- Require contractor to adhere to the policies and procedures of the IHS and SRSU.

D. Period of Performance:

Base plus 4 Option Years

• Base Year: Contract award date through December 2025

• Option Year 1: January 1, 2026 through December 2026

• Option Year 2: January 1, 2027 through December 2027

• Option Year 3: January 1, 2028 through December 2028

• Option Year 4: January 1, 2029 through December 2029

Base Year $736,767.00 + $491,178.00 yearly x 4 years = $2,701,479.00

E. Scope:

To provide diabetes treatment and prevention services as listed in the grant cycle project narrative. Contractor must be located within a 60-mile radius of Fort Yates, ND.

F. Duties shall encompass:

1. The contractor will provide off and on-site community-based services and collaborate with the SRSU to provide diabetes treatment and prevention services as listed in the grant cycle project narrative. Current project narrative duties include: diabetes-related education to reduce diabetes risk and complications, physical education, childhood screenings to determine a child's Body Mass Index and blood pressure measurements to identify at risk children and refer to IHS for further evaluation.

2. Adult community health screenings to measure random blood glucose and blood pressure to identify at risk adults and refer to IHS for further evaluation

3. Provide community physical activity events at a minimum of 8 per year, or as listed in the project narrative, for the Standing Rock community to increase participation in physical activity among Standing Rock Sioux Tribe community members.

4. Fitness staff will provide physical activity education, fitness center assessments, and personalized fitness plans for people attending the Standing Rock Sioux Tribe's Fitness Center to reduce obesity measurements, improve diabetes control, increase physical activity knowledge, and promote participation.

5. The contractor will comply with HHS grant guidelines, SDPI grant reporting requirements, and primary grantee direction as indicated in the SDPI NOA.

6. The contractor will furnish sufficient and qualified personnel to ensure services provided and described within the SOW follow current diabetes care and prevention guidelines when implementing SDPI activities and services listed within the project narrative.

7. The contractor will submit a monthly report to the primary grantee by the 10th day of every month indicating Project Narrative services and activities scheduled, completed, and outstanding for the previous month. Report shall include number of participants or individuals screened for events and/or activities, number of fitness center assessments completed, and number of fitness center attendees for the month.

8. The contractor will ensure that all staff receive yearly competency testing on blood glucose, blood pressure, height, and weight measurements by qualified personnel.

Staff must have current Basic Life Support Certification. Staff also must complete annual HIPAA, Environment of Care, and other assigned training per Standing Rock Service Unit IHS.

9. Monthly finance reconciliation including funds utilized for salaries, utilities, events, indirect costs, and purchases will be provided in a written report to the SRSU SDPI Project Director by the 10th of every month.

G. Government Responsibility:

1. The SRSU will monitor activities and services provided with SDPI grant funds.

This process will be monitored by the Contracting Officer, Standing Rock Service Unit CEO, Great Plains Area Diabetes Consultant, and technical monitor to ensure compliance with the contract, IHS regulations, HHS grant policy, and SDPI NOA.

2. The SRSU will coordinate events with the Standing Rock Diabetes Program as indicated in the NOA.

H. Contractor Responsibility:

1. Contractor is responsible for reporting all taxes from wages earned under this contract to the appropriate State and Federal Agencies, provided the awardee is an individual.

2. Contractor is responsible for his/her own reliable transportation in the performance of the contract.

3. Contractor is responsible for Fringe Benefits and other benefits such as health, retirement, etc. for his/her employees, if other than self.

4. Contractor is responsible for maintaining satisfactory standards of competence, conduct, appearance and integrity. The quality of work performance of the contractor shall be subject to review.

5. Contractor is responsible for notifying the designated supervisor/director if he/she will be late, ill or unable to work for other reasons.

6. Contractor earns no leave and is compensated only for hours actually worked at the agreed compensatory rate.

7. Contractor is responsible for signing-in and signing-out of immediate work area, utilizing in-house system of accountability.

I. Performance Standards/Requirements

Performance Evaluation:

If the contractors fails to perform required services at the acceptable quality level, payment may be withheld and/or reduced until the contractor makes corrections.

In the event that the contractor is failing to perform any required services, the COR will provide written notice of such to the Contracting Specialist and CCO and the contractor. The contracting office will issue the contractor a Contract Discrepancy Report (CDR). The contractor shall have seven (7) calendar days to provide the contracting office with their response to the CDR. Upon evaluation of the contractor's response to the CDR for tasks surveilled, the contractor's payment for the month in which the performance is in question occurred will be calculated as outlined below.

J. Contractor Payment:

If the contractor fails to perform required services at the acceptable quality level, payment may be withheld and/or reduced until contractor makes corrections.

a. Invoice Submission and Payment:

The Contractor shall submit a signed and approved invoice by the SRSU SDPI Project Director to request advance payment on at least a monthly basis.

The Contractor shall submit an original invoice to:

Attn: Accounts Payable Great Plains Area Indian Health Service Division of Financial Management 115 4th Avenue Southeast Room 309 Federal Building Aberdeen, South Dakota 57401

The Contractor shall submit a copy of the invoice to:

Ft. Yates PHS Indian Hospital Attn: SRSU SDPI Project Director & Kelly Thomas, COR 010 N. River RD, PO Box J Ft. Yates, ND 58538

The Contractor shall include the following information on each invoice in accordance with the Prompt Payment Act (5 CFR Part 1315.9(b)):

1. Contractor's name;

2. Invoice number and date;

3. Entire award number or other authorization number for delivery of goods or services;

4. Description (including dates of service), price, and quantity of goods and services rendered;

5. Shipping and payment terms;

6. DUNS number and Taxpayer Identifying Number (TIN); and

7. Contact name (where practicable), title and telephone number.

Payment shall be made by the Great Plains Area Financial Management Branch, Room 309 Federal Building, Aberdeen, South Dakota 57401.

b. Contracting Officer Representative Designation:

The Contracting Officer Representative (COR) designated for this Project: Rudy Arpan, COR The COR is responsible for:

1. Monitoring the contractors technical progress;

2. Interpreting the statement of work;

3. Technical evaluation as required;

4. Technical inspections and acceptance required by this contract; and,

5. Assisting the contractor in the resolution of technical problems encountered during performance of this contract.

c. Compensation:

The contractor shall be paid a fixed flat rate. No differential pay for government holidays, compensation time, and night differential. There will be no compensation for call back or overtime.

K. Contractor Performance Evaluation Report:

During the life of this contract, contractor performance will be evaluated on a quarterly basis and final basis pursuant to FAR requirements. These evaluations shall become a part of the contract file and shall be used as past performance information in evaluating the contractor's, and any subcontractor's, or affiliates, past performance on future contracts. Contractor performance Assessment Report System (CPARS) is an on-line reporting system https://www.cpars.gov. The Contractor Performance Report is completed by the COR electronically and sent to the contractor for review and approval at the end of each performance period as an interim report and at the end of the contract performance as a final report.

After review of the Contracting Officer, the report becomes a permanent record of the contractor's past performance.

L. Security/Background Investigation:

To perform the work specified herein, contractor personnel will require access to sensitive data, and/or access to HHS information systems. The government has determined the position sensitivity under this effort to be Level 1.

To gain access to the sensitive data, HHS-controlled facilities, and/or HHS information systems, the contractor shall comply with Homeland Security Presidential Directive 12, Policy for a common identification standard for federal employees and contractors, and with the personal identity verification and investigation procedures obtained in:

• HHS Information Security Program Policy:

https://www.hhs.gov/about/agencies/asa/ocio/cybersecurity/information-security-privacy-program/index.html

• HHS Office of Security and Drug Testing, personnel Security Suitability

Handbook, https://www.hhs.gov/sites/default/files/asa/ohr/manual/files/98_1.doc

• HHS HSPD -12 Implementation Policy (draft)

The minimum government investigation for a non-critical sensitive positon is a National Agency Check and Inquires (with fingerprinting), which consists of searches of records covering specific areas of a person's background during the past five years.

http://www.cpars.gov/ https://www.hhs.gov/about/agencies/asa/ocio/cybersecurity/information-security-privacy-program/index.html https://www.hhs.gov/about/agencies/asa/ocio/cybersecurity/information-security-privacy-program/index.html https://www.hhs.gov/sites/default/files/asa/ohr/manual/files/98_1.doc

Those inquiries are sent to current and past employers, schools attended, references, and local law enforcement authorities. More restricted positions, above non-sensitive, require more extensive documentation and investigation.

The security applies to all sub-contracts and/or sub-contractors associated and/or created from this contract.

Required security clearance forms for credentialing and security clearance will be provided to the contractor after award.

M. References:

Statues, Acts, Laws, and/or Regulations generally applicable to IHS security and functions, include, but are not limited to:

• Health Information Technology for Economic and Clinical Health Act

• Federal Information Security Management Act (FISMA), part of the E-

Government Act of 2002 (Public Law 107-347, Title II)

• 0MB Circular A-130 and Appendix Ill, Security of Federal Automated Information Resources

• 0MB Circular A-11, Preparing, Submitting and Executing the Budget

• Presidential Decision Directive 63 (POD 63)

• NIST Special Publications - 800 Series

• Health Insurance Portability and Accountability Act (HIPPA)

• Indian Healthcare Improvement Act (HCIA) - Public Law 94-437

• Crime Control Act 1990- Public Law 101-647

• Indian Child Protection and Family Violence Prevention Act - Public Law 101-

• Privacy Act of 1974

• Section 508 of the Rehabilitation Act of 1073

• Courtesy and Respect in the Workplace Policy

N. Business Agreement:

Pursuant to 45 C.F.R 164.502(e) the Indian Health Services, as a covered entity, Is required to enter into an agreement with a "business associate", as defined in 45 C.F.R 1 60.103, under which the business associate must agree to appropriately safeguard Protected Hearth Information (PHI) that will use and disclose when performing functions, activities or services pursuant to its contract with IHS. Therefore, a business associate agreement shall be attached to this contract and executed upon award of this contract. See attached Business Associate Agreement.