Statment of Work Phone Services.pdf

STATEMENT OF WORK (SOW)

1.0 TITLE

Nurse Triage Line- After hour’s phone service

2.0 BACKGROUND

Mashpee Wampanoag Health Service Unit is a full service clinic that provides Primary Care, Dental Services and Behavioral Health Services.

3.0 OBJECTIVE

The contractor shall provide after-hours telephone triage and assessment services for the Mashpee Wampanoag Health Service Unit's outpatient clinic located at: 483B Great Neck road South, Mashpee, MA 02649

4.0 SCOPE

1. The contractor shall provide after-hours telephone answering services for the Mashpee

Wampanoag Health Service Unit's outpatient clinic located at: 4838 Great Neck road South, Mashpee, MA 02649. The contractor shall:

2. Provide after-hours non-emergency remote Nurse Advice line and triage and non-emergent medical triage.

3. Provide services from 4:30 pm until 8:00 am, Monday through Friday; during unexpected closure; and for 24 hours a day on weekends and holidays.

4. Accept a community service database consisting medical and related service that are available to patients with in the relevant community,should we elect to create such.

5. Accept all calls that come from the Service Unit's answering service or directly from the Service Unit.

6. Ensure all data and Protected Health Information (PHI) is secure and remains confidential in compliance with all applicable federal, state and local laws, rules and regulations including the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and modified by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 in the performance of their obligation.

7. Agree to enter into a Business Associate Agreement (BAA) to ensure compliance with

HIPAA. PHI will only be released to the Service Unit facility or client's physician or clinic physician that forwarded the triage calls to the contractor for assisting with further treatment and patient medical records.

8. Provide monthly listings of all calls received which will identify the caller name, call time and date, call type and advisement given. All encounters with the client will be faxed to the Service unit following every call.

9. Provide non-emergency calls in English.

10. Provider on-call schedules for physician in order to perform routine or additional paging to meet patient needs.

11. Provide the option for the Service Unit on-call physician to be paged, and this is to be included in the per call fee. The paging would provide patient assistance if the triage nurse cannot handle the call or if the patient is insistent upon speaking with their provider. Other paging may include when a patient requires prescription refills.

12. Shall provide the option to purchase educational materials for distribution to the patients describing their service based on the contractor selected.

13. Shall provide monthly invoices outlining the monthly minimum due along with all overages from the previous month's additional services (i.e. paging, exceed maximum call allowance per month).

14. To fulfill this service a blanket purchase order (BPA) is requested to cover the recurring costs of a varying amount of calls per month. No year of service will be permitted to exceed $12,000.00 under a BPA established by this agreement.

5.0 CONTRACT REQUIREMENTS/ AND PERSONNEL QUALIFICATIONS

N/A

6.0 TYPE OF ORDER

Firm fixed price

7.0 PERIOD OF PERFORMANCE

Base Period Plus Four Option Periods

8.0 PLACE OF PERFORMANCE

483 B Great Neck Rd. South Mashpee MA 02346.

8.0 REPORT(S)/DELIVERABLES AND DELIVERY SCHEDULE

DELIVERABLE DELIVERABLE DESCRIPTION / FORMAT

REQUIREMENTS DUE DATE

#1 (Task 4.1)

Access to after hour non-emergency phone services

30 days after award

9.0 PAYMENT

Please provide quarterly invoices