Statement of Work.pdf

Professional Physician Services Scope of Work (SOW)

1 INTRODUCTION:

It is the intent of the Phoenix Area Indian Health Service to acquire non-personal professional medical services as described herein for the Phoenix Indian Medical Center (PIMC) located in Phoenix, Arizona.

All responses to this solicitation shall contain a complete profile and current work history of the candidate(s) presented, including licensure and certifications.

Selected candidates shall undergo the Indian Health Service-mandated security clearance requirement before commencing services at the PIMC. The security pre-clearance requirement must be adhered to;

the process includes a fingerprint check and a screen check of the physician through the office of the inspector general's exclusion list at http://exclusions.oig.hhs.gov/. Documented evidence of the clearances shall be provided to the Contracting Officer at: Phoenix Area Indian Health Service, 40 North Central Avenue, Phoenix, AZ 85004.

2 SCHEDULES/LOCATION/SHIFTS/QUALIFICATIONS/CERTIFICATIONS:

Schedule: The Contractor is requested to provide PATHOLOGY PHYSICIAN SERVICES for a 12-month base period and four (4) 12-month option periods. Shift times and schedules are subject to change based on the medical needs of the patient populace and hospital/clinic operations.

All services shall be performed at the PIMC located in Phoenix, Arizona.

Pathology Physician:

SHIFT: Weekdays, 8 to 10 hour shifts, 0800 to 1630, may vary depending on the requirements of the department

LOCATION: Phoenix Indian Medical Center

QUALIFICATION/CERTIFICATION – PATHOLOGY PHYSICIAN:

Contractor shall provide staff physicians with experience in these areas. Physicians must have completed a Pathology residency (Anatomic and Clinical Pathology). Physicians must have an active and unrestricted license to practice medicine in the state of Arizona or one of the other 49 states in the USA, or the District of Columbia, or the Commonwealth of Puerto Rico. Current certification is required in BLS (Basic Life Support) and ACLS (Advanced Cardiac Life Support).

The contractor shall submit a candidate for a full-time position and a separate candidate for a part-time position.

EXPERIENCE:

The Contractor shall provide physicians who are American Board of Pathology (ABMS) Board Certified/Board Eligible Pathology Physicians.

STATEMENT OF WORK (SOW):

Pathology Physician: The Contractor shall provide anatomic and clinical pathology services for the Phoenix Indian Medical Center (PIMC) Pathology Department:

1) American Board of Pathology Board Certified/Board Eligible Physicians shall perform the following:

a. The Contractor shall provide onsite surgical coverage on a rotating basis, up to 365 days or nights per annum.

b. The contractor physician(s) shall comply with all PIMC policies and procedures. The physician(s) shall prepare and complete, in a timely fashion, the medical and other required records for all parties he/she in any way provides care for the hospital or health care facility (Service Unit Medical By-Laws). During the performance of their duties, the contractor(s) shall provide for the consistent performance of patient care processes in accordance with the CMS Conditions of Participation and EMTALA, and the Joint Commission. The physician(s) shall also adhere to the Comprehensive Accreditation Manuals for Hospitals, The Laboratory Standards and Ambulatory Care Standards as they represent the scope of services of this contract. The Indian Health Service is moving toward a 100% use of the electronic health record (EHR). The contract provider(s) shall use the system for documentation. At that time, PIMC will provide training to all providers on the use of the EHR and other electronic records systems specific to the pathology department and laboratory.

c. Contract Physician(s) work closely with other health professional including referring Physicians, Histopathology Technicians, Pathology Technicians, Cytotechnologists, Pathologists, and lab personnel.

d. All contract physician(s) shall be formally granted clinical privileges in Pathology by the PIMC Governing Body or Executive Committee prior to assuming clinical responsibilities.

e. Performance and Deliverables: Period of performance will be TBD through TBD.

f. Supervision: The contract physician(s) shall provide guidance and instruction to

Histopathology Technicians, Pathology Technicians, Cytotechnologists, and lab personnel during each shift worked. The contract physician shall perform his/her professional work independently of Government supervision. However, matters of an administrative and non-technical nature will be referred to the Chief of Pathology and his/her designee. For the purposes of this order, the Chief of Pathology is designated as the “Supervisor”.

g. Schedule: The contractor shall record time and attendance which shall be verified by the supervisor and/or his/her designee.

h. Contractor shall ensure that proposed providers cooperate with and assist the Government in conduction of any necessary background checks.

3 CONDITIONS FOR REMOVAL/REPLACEMENT OF PHYSICIAN(S):

As mutually agreed between the Contracting Officer and the Contractor, there may be grounds for removal and/or replacement of a Physician.

The Contractor’s employee shall be removed from an IHS facility if services are not performed in accordance with the terms and conditions of the award and/or applicable FSS.

4 PRICING SCHEDULE:

The unit price paid to the Contractor shall be considered as payment in full for services provided under this award. In no way, unless directed by the IHS, shall any provider attempt to bill or collect from any IHS patient or from any alternate resource for which the patient may be eligible any monies for services provided under this award.

[pricing schedule]

Hourly fixed rate shall be inclusive of all other fees (holiday, nights, and weekends), including travel expenses, per diem, lodging, all city, state, federal, and local taxes, and all miscellaneous costs associated with the provision of services. The government will pay one flat rate. Call-back hours will be priced separately. On Call services not provided onsite will not be reimbursed separately.

Contractor shall be paid only for actual time services are performed under the terms of the contract at the hourly fixed rate (one flat rate). There is no provision for holidays, nights, and weekends except for call-back services. *30-minute lunch breaks are included in the shift hours and will not be paid by the Government.

5 CONTRACTOR REQUIREMENTS:

For Medical & Professional Contractors, the contractor shall comply with all IHS facility infection control and safety procedures, and standards. During the performance of this contract, the Contractor shall provide for the consistent performance of patient care process according to the standards of The Joint Commission (TJC) and/or Centers for Medicare Services (CMS) who supplies accreditation to the Phoenix Area Indian Health Service hospitals and health centers. These standards shall include:

The Comprehensive Accreditation Manual for Critical Access Hospitals, and the Laboratory Standards as they represent the scope of services of this contract.

For Medical & Professional Contractors, the contractor shall complete in a timely fashion, the medical and other required records for patients he/she admits or in any way provides treatment. Chart notes are to be completed on the day services are rendered. The contractor shall abide by the Service Unit Medical By-laws, rules, and regulations and meet all credentialing requirements in accordance with the Service Unit Medical Staff By-laws.

Upon award, the selected physician(s) shall undergo Indian Health Service (IHS) mandated security clearance for work on-site for the PIMC. The security pre-clearance requirement must be adhered to;

the process includes a fingerprint check and a screen check through the Office of the Inspector General's exclusion list at http://exclusions.oig.hhs.gov/. Documented evidence of the clearances shall be provided to the Chief Contracting Officer at the Phoenix Area Indian Health Service, 40 North Central Avenue, Phoenix, AZ 85004.

6 MAJOR DUTIES REQUIRED BY THE POSITIONS:

Skill and knowledge of established concepts, principles and practices related to health care assignments and additional training or experience in clinical and anatomic pathology.

Fully responsible for daily routine surgical specimens. Reports are completed within forty- eight (48) hours, unless special stains, deeper cuts or consultations are needed. A preliminary written report is completed within forty-eight (48) hours for difficult and unusual specimens and then the case must be submitted for consultation. The gross description must be clear. concise and must contain adequate information regarding the type, size, and/or weight of the specimens, as well as the measurements, appearance, and extent of lesions. The gross and microscopic descriptions must support the final diagnosis, the grade of the tumor, and its extent.

Assists the Chief Pathology in reviewing quality control (QC). College of American Pathologist (CAP) workload proficiency surveys and preventative maintenance of the clinical and anatomic Pathology Laboratory.

In conjunction with the Chief. is responsible for monitoring programs for quality assurance and infection surveillance and participates in departmental meetings.

Keeps abreast of the most recent developments in pathology methods and techniques; evaluates their adaptability to the specific needs of the work.

Responsible for consultation, upon request, with members of the medical staff concerning pathologic cases; the accurate and appropriate interpretation of tissue, cytology, and laboratory reports, and the recommendations of test procedures most likely to solve diagnostic problems.

Expert knowledge in medical evaluations, diagnosis, treatment, and follow-up of patients with suspected illnesses and/or rare conditions and recognize/diagnose rare and difficult to identify pathological disease.

Expert knowledge and ability to apply new scientific and/or technological procedures in the evaluation of complex patient diagnosis.

Knowledge of human behavior during stressful situations in order to exercise emotional control, tact, patience and reliability in carrying out patient care.

Knowledge of the availability and use of resources designated as referral laboratory testing or referred pathology services or tests.

Knowledge of quality assurance and evaluation process to improve care and facilitate monitoring and program planning.

Knowledge of health record aspects of patient care and ability to accurately and completely document related clinical data.

Ability to provide guidance and leadership to other healthcare providers.

A license to practice in the United States is required. Compliance with Indian Health Service – Service Unit Medical Staff/Governing Body By-laws, Rules and Regulations and compliance with requirements for credentialing/privileging as an active member of the medical staff.

Skill in diplomacy and tact while working in stressful situations.

Skill in working with people from a wide variety of backgrounds and different cultures.

7 CONTRACTOR CREDENTIALS:

The contractor shall provide a list of qualified candidates and the following documents per candidate:

a) Current Resume or C.V

b) OMB NO 0917-0028, Addendum to Declaration of Federal Employment (OF-306)

c) Transcripts from terminal degree program; conferred degrees and certified training in the field.

d) Two (2) letter of reference from current or previous employers.

e) Past Work Performance Statement, applicants must describe their present/previous experiences in this field.

f) Credentialing documents and degree conferred.

g) Copy of active unrestricted License to Practice Medicine.

h) License Certification Statement

i) Current Health Status Report.

j) Certificate of Immunization.

k) Child Care Form, Addendum OMB Approved Form-2012

8 SUPERVISORY CONTROLS

The Chief or Supervisor of the Department, or designee, provides primarily administrative supervision.

The supervising physician sets overall healthcare objectives and specifies resources available. The supervising physician provides clinical supervision on a 24-hour media and tour of duty coverage. The supervising physician reviews work performance on a periodic basis in order to evaluate proficiency in providing health care, discuss deficiencies and problems encountered, outline and/or approve new or changed practices to be employed, and provide consultation on specific cases and related problems.

Work that involves out-of-the-ordinary diagnostic decisions or treatment is discussed with the supervisor or supervising emergency department physician, who keeps aware of the condition of such patients and all aspects of the treatment regimen. Work performance is reviewed for conformance to IHS policy, procedures, and accepted professional practices and the Quality Assurance Improvement Program of the Medical staff of the Service Unit.

Within established guidelines, contractor(s) exercise latitude in planning and carrying out health care assignments and in undertaking new procedures, practices and approaches to extend both services provided and increase individual proficiency. Overall work performance is reviewed jointly by the clinical director/supervising physician for effectiveness in meeting requirements for healthcare services.

9 SECURITY CLEARANCES:

The contractor shall ensure their employees have been properly screened prior to presenting to PIMC for employment under this contract. The contractor shall inform their employees to obtain Fingerprint cards or electronically submit their fingerprints through the PIMC Human Resources Department and complete the appropriate background investigation form, which will be submitted for processing. No performance under this contract shall be allowed until the contractor’s employee is cleared through the PIMC Human Resources Department and issued a badge.

10 CREDENTIALING AND PRIVILEGING:

The contractor will participate in the credentialing and privileging process in accordance with existing procedures. Contractor shall provide no services before obtaining approval by the Government Medical Executive and Governing Board. The Contractor will be provided copies of current requirements and updates as they are published. Privileges will require renewal at least every one to two years in accordance with government credentialing, the privileging policy, and TJC requirements.

11 DELIVERABLES:

A. The Contractor is required to provide a copy of each Contractor’s employee profile to the COR prior to providing services at the PIMC.

B. Timesheet shall be submitted to the Chief or Supervisor of the Department or designee. The timesheets shall be reviewed for accuracy and certified by signature as accurate and acceptable for payment, then forwarded to the receiving official for further processing of receipt of services through

PRISM.

12 CONTRACTOR OFFICER REPRESENTATIVE (COR):

The Contracting Officer will designate in writing a COR who shall be responsible for:

1 Monitoring the Contractor’s technical progress, including the surveillance and assessment of performance and recommending to the Contracting Officer, changes in requirements;

2 Interpreting scope of work;

3 Performing technical evaluations required;

4 Performing technical inspections and acceptances required by this contract;

5 Monitoring funds available for obligation under this contract;

6 The resolution of technical problems encountered during performance of this contract;

In no event is the COR empowered to change any of the terms and conditions of the contract.

Changes in the scope of work, contract price, quantity, and quality or delivery schedule shall be made only by the Contracting Officer by a properly exercised modification.

The designation of a COR does not authorize or provide a legal right to change any kind of contractual terms regardless of the Contractor’s apparent difficulties in fulfilling contract requirements.

CONTRACTING OFFICER (CO) RESPONSIBILITIES:

The Contracting Officer is the only person delegated the authority to negotiate changes in terms, conditions, or amounts cited in this contract.

13 PERFORMANCE CONDITIONS:

A. The COR will submit schedules of required coverage a minimum of 15 calendar days prior to the first day of coverage requested.

B. In the event the Contractor’s employee is unable to render service on a previously agreed schedule, the Contractor shall provide a minimum seventy-two (72) hour notification to the COR. The Contractor shall then make a full, good-faith effort to provide coverage with a replacement.

C. Both parties recognize that on occasion there shall be a need to fill coverage requests with less than a 15-day notice. In such an emergency scheduling situation, the Contractor shall make a full, good-faith effort to accommodate the emergency request. If the Contractor is unable to meet the emergency scheduling request, they shall immediately notify the COR and those involved in scheduling.