STATEMENT OF WORK LPN.pdf

Combined Synopsis/Solicitation RFQ # 246-24-Q-0065

STATEMENT OF WORK

LICENSED PRACTICAL NURSE

1. GENERAL

The Indian Health Service (IHS), a federal agency within the Department of Health and Human Services, is responsible for providing federal health services to American Indians and Alaska Natives. The mission of IHS is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level and assure that comprehensive, culturally acceptable personal and public health services are available and accessible to members of the 566 federally recognized Tribes across the United States.

2. SCOPE

To meet the Agency’s mission, the IHS requires contractor support to assist the facilities in the placement of contract medical staff into temporary assignments in the IHS clinics and hospitals in the Oklahoma City Area (OCA). IHS intends to award multiple blanket purchase agreements (BPA’s) for a period of performance of one base year plus four option years for licensed practical nurse (LPN) services. The care provided by the licensed practical nurse shall be as comprehensive as the Indian Health Service supplied facilities; equipment and support services permit. The contractor shall provide qualified LPNs to provide medical services for patients as required by this statement of work (SOW) and in accordance with the terms and conditions of this BPA. Contract LPNs shall provide services to eligible beneficiaries of the Indian Health Service who present themselves for treatment.

2.1 KEY PERSONNEL

The contract specialist will be the vendor’s main point of contact for all day-to-day operations under this blanket purchase agreement.

Contract Specialist: Judy Eaves, Judy.eaves@ihs.gov, 405-951-3856

The assigned accounts payable technician will be identified on all call outs; however should you need additional assistance contact the Accounts Payable Supervisor.

Accounts Payable Supervisor: Denise Karr, Denise.karr@ihs.gov, 405-951-3919

2.2 PERIOD OF PERFORMANCE

BASE YEAR: June 16, 2024-June 15, 2025 OPTION YEAR I: June 16, 2025-June 15, 2026 OPTION YEAR II: June 16, 2026-June 15, 2027 OPTION YEAR III: June 16, 2027-June 15, 2028 OPTION YEAR IV: June 16, 2028-June 15, 2029

2.3 PLACE OF PERFORMANCE

Claremore Indian Hospital 101 South Moore Ave Claremore, OK 74017

Lawton Indian Hospital 1515 Northeast Lawrie Tatum Rd

Lawton, OK 73507

Anadarko Indian Health Center 115 Northeast Old Town Drive Anadarko, OK 73005

Carnegie Indian Health Center 214 East 4th Carnegie, OK 73015

Clinton Indian Health Center 10321 N 2274 Road Clinton, OK 73601

El Reno Indian Health Center 1631 E Highway 66 El Reno, OK 73036

Haskell Health Center 2415 Massachusetts Street Lawrence, KS 66046

Pawnee Indian Health Center 1201 Heritage Circle Pawnee, OK 74058

Watonga Indian Health Center 204 West Main Street Watonga, OK 73772

Wewoka Indian Health Center Highway 270 and 56 Wewoka, OK 74884

2.4 WORK SCHEDULE

Contractor shall provide nursing services and coordinate patient care with all appropriate departments.

The IHS will maintain a sign-in/sign-out log at each IHS clinic site. Nurses shall sign-in upon arrival at the respective facility and sign-out when leaving for the day. The log shall provide for individual name, date, hour of arrival and hour of departure.

The nurse shall be available to cover both day and night, 8 and 12 hr. shifts Sunday-Saturday, weekends and holidays included.

On a rare occasion and as patient load demands, a nurse may be required to provide coverage at another facility within the same Service Unit. The Lawton Service Unit is comprised of the Lawton Indian Hospital, Anadarko and Carnegie Indian Health Centers. The Clinton Service Unit is comprised of Clinton, Watonga and El Reno Indian Health Centers.

8 HOUR SHIFTS, VARIOUS DEPARTMENTS

Nurse shall be available to cover 8 hour shifts for Monday-Friday schedules and the occasional Saturday Clinic coverage.

8 Hour Shifts

Item Schedule All-Inclusive Hourly Rate

a. Day Shifts

b. Night Shifts

c. Overtime

d. Holiday Shifts

CLINTON SERVICE UNIT COMMUNITY OUTREACH DEPARTMENT

Community Outreach nurse services shall operate in an ambulatory care capacity based primarily at the Clinton Indian Health Center for 8-hour shifts. Approximately 20% of job duties shall include travel to community outreach vaccination events in the following locations: Watonga, El Reno, Seiling, Elk City, Oklahoma City, Woodward, Canton, Concho, Kingfisher and Hammon.

Nurse will have use of a government vehicle for travel to/from outreach events and will be compensated for travel time.

Nurse shall be available to cover for Monday-Friday schedules and the occasional Saturday Clinic coverage.

COMMUNITY OUTREACH DEPARTMENT

e. Day Shifts

f. Overtime

g. Holiday Shifts

12 HOUR SHIFTS, VARIOUS DEPARTMENTS

Nurse shall be available to cover 12 hour shifts in various departments.

12 hour Shifts

h. Day Shifts

i. Night Shifts

j. Overtime

k. Holiday Shifts

Any changes to the preceding shall require mutual agreement of the Contractor, Chief Nursing Executive and Contract Specialist.

The Contractor shall provide written documentation from a qualified health care provider for absences of three (3) or more consecutive days, due to illness, stating:

1. The cause of the current illness/incapacitation AND

2. Indicating the contractor as contagious or non-contagious.

2.5 GOVERNMENT FURNISHED FACILITIES, EQUIPMENT, SUPPLIES, SPECIALTY &

SUPPORT STAFF

The government will provide the facilities, supplies and the equipment and specialty/support staff.

The on-call specialty staff may consist of staff in anesthesia, pediatrics, internal medicine, family practice and general surgery. Use of government furnished facility space, equipment, supplies, and personnel are for the provision of care and services set forth in this BPA only.

The Government will provide assistance, orientation and guidance in seeing patients as well as receiving supplies, utilizing and ordering laboratory, x-ray and pharmacy services.

2.6 BACKGROUND SECURITY CLEARANCE

All contractors shall undergo a fingerprint check and background investigation and shall be cleared prior to hire. Contractor’s continued employment is contingent upon the outcome of a complete and favorable background investigation as determined by the sensitivity level of the position. If contractors are found not suitable, they shall be removed.

This is a designated position covered by Public Law 101-647, 101-630, Crime Control Act of 1990, and the Indian Child Protection and Family Violence Prevention Act, requiring contact or control over Indian children. Contractors shall be required to complete, sign, and submit the Addendum to OF-306, Child Care & Indian Child Care Worker Position form. Due to this requirement, persons hired for these positions shall not have been found guilty of or pleaded nolo contendere or guilty to certain crimes. Failure to comply with these statutes shall result in immediate removal.

In accordance with Indian Health Manual Part 3, Chapter 20 – Protecting Children from Sexual Abuse by Health Care Providers, all IHS providers have a responsibility to report any incident or reasonable suspicion of sexual abuse of a child by a health care provider directly to the proper child protective and/or law enforcement authorities following legally required timelines in consultation with OGC, and to the OIG Hotline at 1-800-447-8477.

Reporting any incident or reasonable suspicion of sexual abuse of a child directly to their supervisor, the CEO, or alert the next supervisor in the chain of command if the first line supervisor is the one suspected of child sexual abuse, and the IHS Hotline at 301-443-0658 within the same day of the incident and documenting the report in the IHS Incident Reporting System within five business days.

Additionally, compliance with this federal law requires all federal employees and contractors take annual policy training.

2.7 INDEMNIFICATION

It is expressly agreed and understood that this is a nonpersonal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than $1,000,000 per specialty per occurrence, $3,000,000 aggregate.

The Government assumes no responsibility for negligent acts of either the contractor or his/her employees; therefore, the contactor is responsible for obtaining professional liability insurance.

The contractor shall hold harmless and indemnify the government against any or all loss, cost damage, claims, expense or liability whatsoever resulting from performance of this blanket purchase agreement.

Contractor shall hold the Federal Government and its agents for the Oklahoma Area Indian Health Service and the government body immune from civil or professional liability for all acts related to quality care management and enforcement of this blanket purchase agreement.

3. KEY DELIVERABLES

The contractor shall provide LPN’s for the Oklahoma City Area Indian Health Service (OCAIHS) Federal sites. These services are to be provided Monday through Friday, occasionally some weekends for the Health Centers and Sunday- Saturday 8 and 12 hour day and/or night shifts for the Hospitals. Licensed practical nurses shall provide the following services:

A. Performs direct patient care, vital signs, scheduling, greeting patients and visitors, courteously, answering inquiries or requests, and directing them to the appropriate staff, room or department. LPN shall screen for health measures, obtain medication from Pharmacy and administer to patient within their scope of practice. Immunizations for pediatric and adult patients, preparing the patient for the Provider visit and managing the Providers scheduled patient load on a daily basis.

B. Obtains medical records for appointment prior to patients’ arrival. Checks the charts for completeness and places the necessary forms in the chart; updates the patient’s medical history if it is out of date, i.e. patient allergies, etc. Files reports in the patient’s chart and enter electronic information into Electronic Health Record.

C. Ensures that a Consent for treatment has been obtained from the patient prior to any invasive procedure

D. Interviews patients and obtains sufficient information necessary to determine primary need.

Provides assistance or makes referrals if necessary to appropriate personnel when matter is outside of employee’s scope of assignment. Assures that patients are properly checked/logged into the clinic and patient forms are initiated using the automated system utilized by the facility.

E. Nurse shall follow standing orders to provide electronic order entry for patient visit. Directs patient to testing areas, i.e. laboratory, x-ray, etc., as previously ordered by physician.

F. Reviews documents such as consultations, referrals and reports and forward to the appropriate physician or nurse.

G. Monitors the clinic flow of patients for those who become increasingly ill, agitated or who have been waiting for a long period of time.

H. Checks patients out in EHR/RPMS; ensures contact information is obtained when needed and that there is a Release of Medical Information form for patients being referred to outside facilities as per protocol.

I. Routes correspondence appropriately to the patient via mail, fax, computer according to HIPPA regulations in regard to pre appointment letters, cancellations and no show letters.

J. Arranges for various clinic appointments utilizing the EHR/RPMS/GUI appointment system.

K. Assists patients in contacting patient care services, i.e. Benefits Coordinator, Contract Health, etc.

L. Coordinates clinic scheduling, ensures that appropriate time slots are provided for each of the specialty clinics.

M. Provision of all Nursing duties as provided for in the LPN scope of practice

N. Participates in clinic staff meetings, in-service and educational programs

O. Provides proper and adequate services for patient care in accordance with standard of nursing practices and shall be equal in quality to services normally performed for the general public in a Joint Commission of Accreditation for Healthcare Organization accredited facility.

P. Performs other duties as assigned.

Q. Shall see patients on an as-needed basis in other departments.

3.1 DATA ENTRY COMPENTENCY

a. LPN’s shall be proficient in documentation in the IHS Electronic Health Record (EHR) and shall be responsible for entering appropriate data in the IHS EHR. The government will provide appropriate training on all applicable system(s). The LPN’s shall be responsible for completing all required training for usage of required clinical packages prior to their first scheduled tour of duty.

b. LPN’s shall possess the proficiency to accurately and appropriately utilize E-mail, and enter/retrieve patient data in any and all EHR clinical application packages pertinent to the services being performed, such as Health Summary, Vitals, OERR (CPRS), and Text Integration Utility

(TIU).

c. LPN’s shall complete and electronically sign their encounter orders and progress notes daily within the parameters or requirements set forth in the local medical center policy.

d. All medical records entries shall be complete and signed by the attending physician. Signatures shall be legible, with the name printed clearly below the signature to make certain signatures can be read. Receiving Reports for time periods worked SHALL NOT BE COMPLETED until Medical Records has reviewed chart entries and certifying he/she has completed all required information and signatures are completed.

e. Before departing the contract, the locum company shall report to the Contracting Officer that all medical record entries have been completed. If medical records are not complete, the last invoice will not be paid until the registered nurse has completed the medical records entries.

4. PROFESSIONAL QUALIFICATIONS

Nurses shall have a Practical Nursing Diploma from a Vo-Tech school.

All nurses shall possess a current, valid, unrestricted LPN license within the Continental United States throughout the term of this contract.

Nurses shall possess a valid state driver’s license throughout the duration of this contract.

Nurses shall have the physical ability to perform assigned tasks, are able to lift fifty (50) pounds and are able to stand and walk for extended periods of time.

4.1 IMMUNIZATIONS

LPN’s shall provide the following immunization documentation (vaccinations are to be complete prior to assignment and will not be administered by the Government):

• Immunity to Rubella, Mumps, Measles

• Influenza vaccine (Annually)

• Immunity to Hepatitis A and B (A signed delineation of the Hepatitis B vaccination series will be accepted)

• History of chicken pox disease or positive titer

• Tetanus Diphtheria (Td) within the last 5 years

• Documentation of receiving a TB skin test (PPD) within the past 12 months with documentation of follow-up for a positive test.

5. GOVERNMENT CONTRACT PERFORMANCE REVIEW

The Contractor shall meet standards as listed in the Federal Code of Conduct. The Government reserves the right to examine and or re-examine any Contractor who fails to meet the criteria.

Substantiated reports dealing with patient safety, infection control, or other procedure that adversely affects patient outcome constitutes a breach of contract.

Although a nonpersonal services requirement, the Government will evaluate the quality of professional and administrative services provided and record in the Contractor Performance Assessment Reporting System (CPARS).

Quality assurance methods will include both written and verbal feedback from the Contracting Officer’s Representatives (COR), Project Managers, staff and patients. Technical and Quality oversight will be provided by the Department Manager/House Supervisor. Should the Government be made aware of a critical or major nonconformance matter the contractor will be given the opportunity to remedy.

The Contractor shall immediately report to the Contracting Officer Representative (COR) any information or circumstances that may violate any statute, policy, or procedure.

6. PROPER INVOICING PROCEDURES

Invoicing shall be submitted on a monthly basis only. In order to be paid in a timely manner, all invoices shall contain information as defined in Federal Acquisition Regulation 32.905, Payment Documentation and Process.

WAGE DETERMINATIONS APPLY:

2015-5313 2015-5315 2015-5317 2015-5327