Draft_Physician_PWS_-_West_Point.docx

SECTION C - STATEMENT OF WORK

C.1 Background The United States Mint at West Point is a component of the United States Department of the Treasury. It provides a wide array of coins and manufacturing services. The United States Mint West Point makes commemorative coins as authorized by Congress.

C.2 Purpose The purpose of this requirement is to provide the United States Mint West Point with a comprehensive occupational health physician. The physician will be expected to operate within the authorities granted for Occupational Health Programs under Executive Order 12196; 29 USC 668 and 673.

C.3 Work Hours . The physician shall work at the United States Mint West Point Clinic three (3) days per week, eight (8) hours per day for a total of thirty-two (32) hours per week. Days of the week or hours of service may be changed to provide services for three (3) production shifts, holidays or other contingencies. The physician shall be available by telephone for consultation five (5) days per week. Additional hours may be added at the request of the Contracting Officer. When the physician is not on duty, United States Mint West Point personnel will receive services at the United States Military Academy clinic.

C.4 Qualifications

C.4.1 Licensing: The physician shall be currently licensed to practice in the State of New York and shall maintain licensing for the duration of the contract. The United States Mint West Point prefers board certification in Occupational Medicine. However, offerors who are not board certified, but who have qualifying training and experience in occupational health and medicine will be considered.

C.4.2 General Experience: The physician shall have documented and verifiable experience in occupational health medicine for a minimum of five (5) years. The physician shall have experience in an industrial environment, including familiarity with the hazards of metal forming operations, chemical exposures, manual material handling, and a variety of high-speed machinery and similar industrial equipment. The physician must be proficient in use of the Electrocardiogram machine (EKG). The physician must also be able to interpret EKG test results and other tests provided in the dispensary or referred out by the dispensary. The physician must be able to suture. If medical treatment beyond the capability of the facility is required, the physician shall refer the employee to outside care.

C.4.3 Workers Compensation and Disability Claims Experience: The physician shall have documented and verifiable experience in the review and analysis of workers compensation and disability claims; and have engaged in such activities for a minimum of three (3) years. The physician shall serve as the United States Mint West Point representative in obtaining and/or assessing medical information from physicians to reconcile Office of Worker’s Compensation Program (OWCP) cases. The physician shall have the expertise to recognize employee limitations and/or inability to perform specific duties.

C.4.4 Occupational Safety and Health Administration (OSHA) Experience: The physician shall have documented and verifiable experience in tracking occupational injuries and illnesses in accordance with the OSHA Recordkeeping Standard (29 CFR 1904).

C.4.5 Audio Testing Experience: The physician shall have familiarity with the interpretation of audiograms, particularly as they relate to OSHA Recordkeeping. The physician shall be available to attend an audiometric training course sponsored by the Council for Accreditation in Occupational Hearing Conservation (CAOHC) in order to conduct audiometric testing. This course will be paid for by the Mint. The Government prefers that the physician be a Certified Hearing Conservationist. If not, training will be provided.

C.4.6 Office Environment Knowledge: The physician shall have extensive (?) experience in administrative office environments regarding work station ergonomics and preventative measures to reduce repetitive motion injuries.

C.4.7 Medical Surveillance Experience: The physician shall be experienced in determining the scope and requirements for medical surveillance programs for employees exposed to various contaminates or stressors such as noise or use of respiratory protection.

C.4.8 English Proficiency: The physician shall be fluent in the English language.

C.5 Required Documents

C.5.1 Resume: The physician shall submit a resume which includes qualifications, experience and education.

C.5.2 Letters of Recommendation: The physician shall submit at least three (3) letters of recommendation from clients, associates, peers, health professionals, etc. attesting to the physician’s performance and qualifications in the occupational field. The letters shall be dated within the last five (5) years.

C.5.3 Licenses: The physician shall submit a copy of all licenses and certificates and their expiration dates relating to the performance of this requirement.

C.5.4 Insurance: The physician shall submit evidence of liability insurance.

C.5.5 Alternate Physician: The physician shall submit information regarding the alternate physician which includes the information required in C.5.1, 2, 3, and 4.

C.6 Duties and Responsibilities

C.6.1 General: The physician shall provide professional occupational health services to approximately two hundred (200) employees. All services shall include administrative duties and preparation required to perform the duties. The services to be provided shall meet or exceed the minimum standards recommended by the United States Department of Health and Human Services, as listed in An Administrative Guide for Federal Occupational Health Units as amended. The guide is herein incorporated by reference with the same force and effect as if given in full text and shall be incorporated into any subsequent contact by reference.

C.6.2 First Aid and Emergency Medical Services Employees: The physician shall administer first aid and emergency medical services as required to all employees who are injured on the job. The physician shall treat the following work related injuries at the United States Mint West Point: sprains and strains, low back pain, contusions, abrasions (scrapes), lacerations (cuts), suture & removal of sutures, foreign body removal from skin / eye, first and second-degree chemical and electrical burns. The physician shall inform each injured employee of their rights in accordance with the Federal Employees Compensation Act (FECA) and provide them with the necessary forms for treatment, as appropriate.

Employees with injuries and illnesses incurred in the performance of duty will receive definitive and follow-up care; either through the United States Mint West Point or through a referral to private specialists in accordance with the OWCP and United States Mint rules and regulations.

Visitors: The physician shall provide first aid and emergency treatment to visitors experiencing injury and/or illness while on United States Mint West Point premises.

In cases where the necessary emergency first aid treatment is outside the capability of the physician, he/she shall assist in obtaining emergency help from a nearby local hospital emergency room.

C.6.3 Occupational Treatment: The physician shall provide medical treatment within the capability of the facility to employees who have an occupational illness, if the employee so elects. The physician shall clearly identify in the record all medications provided to an employee. The physician shall inform the employee of their rights in accordance with FECA. The physician shall maintain an awareness of the status of occupational injuries or illness which result in total or partial disability which interfere significantly with job performance. The physician shall contact the treating physicians of employees when necessary.

C.6.4 Examinations: The physician shall provide an estimated one hundred (100) pre-employment physical examinations annually. The examinations shall be designed to ensure that the candidate can meet the daily physical demands of the positions in question. The physician shall also provide a basic program of examinations for job reassignment, annual and semi-annual medical surveillance programs, periodic exams, employability and assessment / follow up of occupational injuries and illnesses and exit exams. The physician shall use these exams to evaluate and render opinions regarding fitness-for duty as needed. As a part of this requirement, the physician shall maintain familiarity with current employee constraints, chronic medical problems and ongoing job-related disabilities.

C.6.5 Tests: The physician shall conduct tests to include audiograms, blood pressure, blood sugar, routine and specialized medical history and diagnostic tests in accordance with specific requirements for Occupational Safety and Medical Surveillance (OSMS) exams. The physician shall provide special tests for employees enrolled in the Medical Surveillance Program. Testing shall be in accordance with OSHA guidelines or National Institutes for Occupational Safety and Health (NIOSH) recommendations. Annual testing shall be arranged during the birth month of the enrolled employee by the physician. The physician shall interpret test results and apply the results of his/her interpretation.

C.6.6 Immunizations: The physician shall maintain an effective immunization program, and make recommendations / suggestions on current and or future immunization programs. The physician shall provide immunizations based on age, health, and job criteria including hepatitis B, influenza, and tetanus/diphtheria.

C.6.7 Prevention: The physician shall promote and provide prevention-oriented clinical assessments, health screenings, and immunizations, as part of a wellness initiative.

C.6.8 Medical Surveillance: The physician shall develop medical surveillance programs for employees engaged in work activities for which such programs are necessary or desirable to protect employees from adverse health effects that might result from exposure to hazardous chemicals or other stressors such as noise, use of respiratory protective equipment and service on hazardous material response. The physician shall specify the screening tests such as spirometry, x-rays and laboratory analyses necessary for him /her to make judgment as to the suitability of the employee to serve in the capacity for which the employee is chosen.

C.6.9 Safety: The physician shall assist and support all United States Mint West Point safety programs as stated in the United States Mint directives. Support and assistance shall include, but not be limited to, developing and conducting training and drills, and filling out forms (i.e, the Mint’s Automated External Defibrillator / CPR program).

C.6.10 Consultations: The physician shall be available for consultations including, but not limited to, management, training, education, evaluation of unusual event exposures, Americans with Disabilities Act, worker’s compensation or disability case review and medical fit-for-duty. The physician shall also provide employee counseling post (return-to-duty) occupational injury/illness consultation, assistance, and medical evaluation that normally do not require additional clinical tests.

C.6.11 Referrals: The physician shall provide referrals for employees. Referrals for work and non-work related health problems may be made to the individual’s private physician or other specialists. Whenever an employee does not have a personal physician, the physician can provide a list of specialists, provided that the physician does not possess a direct or indirect interest, financial or otherwise with regard to the referral (with the appropriate private insurance taken into consideration). The physician shall not provide private medical service to Mint employees.

It is the responsibility of the physician to continue a favorable relationship with the medical profession in the community. The physician shall conduct him / herself in such a way as to ensure that neither he / she, not the United States Mint by implication or otherwise, has any intent to interfere in the private relationship between any patient and his / her physician, and that neither the physician nor the United States Mint shall engage in any definitive medical care which is of proper interest between the private physician and his / her patient. The physician shall promote the understanding that the concern of the United States Mint is similar to that of any private enterprise employer who has an interest in employee’s health at work.

C.6.12 Training: The physician shall provide up to six (6) educational health sessions each year for United States Mint West Point employees and provide them with literature relating to a variety of health topics. The physician shall also provide individual education relating to an employee’s ailment, and health risk appraisals which provide health information specific to each individual for awareness and goal setting purposes.

C.6.13 Health and Safety Guidance: The physician shall provide recommendations on an as-needed basis to the staff at the United States Mint West Point, including but not limited to, the following areas of concern:

-Preventive Health Programs:

Physical examinations, immunization programs, diabetic screening, audio screening, vision scanning and cardiac profiles -Occupational Health Concerns Worker’s Compensation Claims review / examination, hearing protection, toxic exposure, heat exposure, slips/trips/falls, back injuries, repetitive motion and ergonomics -Employee Assistance Programs Smoking cessation and drug and alcohol abuse programs -Health and Dispensary Operations Pharmaceutical needs, therapeutic needs, supply needs, proper location of equipment, communication and transportation needs

C.6.14 Reports: The physician shall maintain a documented and verifiable Monthly Activity Report for his / her work performed at the United States Mint West Point (patients seen, treatments given, dates and hours worked, etc.). The Monthly Activity Report shall be submitted with the monthly invoice for payment. The physician shall create an annual report that provides statistics, documents, achievements, and identifies positive and negative health trends and injuries, and opportunities for improvement. The physician shall document and maintain employee injury and wellness data using Safety and Health Information Management Systems (SHIMS).

C.6.15 Employee Health Records: All medical information collected and records maintained under this agreement are subject to the Privacy Act of 1974, 93-579 (5 USC 552) et.seq. (the Privacy Act). Accordingly, the physician shall not disclose information or records unless disclosure is consistent with the Privacy Act, i.e., no record or information from such records will be disclosed in individually identifiable form unless (1) the subject individual consents in writing to the disclosure, (2) the disclosure comes within one of the Privacy Act exceptions to the prohibition against unconsented disclosures, or (3) the disclosure is permitted by one of the routine uses listed in the system notice.

The physician shall maintain complete, legible and comprehensive medical records for each employee treated or examined. The Privacy Act clearly defines rigid requirements for the handling of federal employee health records. Within the first week of contract operations, the physician shall become sufficiently familiar with requirements of the Privacy Act, along with implementing policies, to ensure that the Mint meets its responsibilities under the act. The physician will also be familiar and keep updated on all Health Insurance and Portability and Accountability Act (HIPAA) guidelines. Traditional practices, in general, shall be followed in that the physician shall treat all employee health records as medically confidential and shall maintain the required security for them. Privacy requirements must be given high priority by the physician at all times beginning from the first day of contract operations. All records shall be kept confidential and maintained in accordance with Office of Personnel Management (OPM) regulations (5 CFR parts 293 and 297), the OPM employee Medical File system notice (OPM/GOVT-10) and subsequent amendments and the Mint’s Systems Records Notices.

Information from the records may be furnished to an employee’s medical doctor, medical facility or dentist upon receipt of a signed request from the employee authorizing such release. Accident reports and records of compensable or potentially compensable illness or injury incurred on the job are the property of the Office of Worker’s Compensation Program (OWCP) and may be released only to a representative of that office. The release of this information must be in the form of a transcript or other designated form signed by the Plant Manager or her authorized representative. Unless the employee’s signed release is presented, this transcript shall contain no information other than that pertaining to the specific condition under the investigation and no questions shall be answered about the employee which do not relate to this condition.

C.6.16 Communications with Management United States Mint West Point management includes the Plant Manager, Deputy Plant Manager, Human Resources Manager and Safety Manager. The physician shall serve as a consultant to United States Mint West Point management on all matters regarding occupational medicine. The physician shall make recommendations to United States Mint management regarding compensation claims and non-occupational medical problems which affect employees’ fitness to work. The physician shall evaluate employees’ medical and emotional health and advise management regarding limited /light duty, rehabilitation treatment, or give recommendations for specialized medical evaluation.

The physician shall participate in monthly teleconferences with the Administrative Resource Center (ARC), Plant Management, Safety, Equal Employment Opportunity (EEO), and Human Resources to review work related injury / illness cases and non-work-related medical cases that require temporary or permanent accommodations. The physician shall also participate in other fact-finding efforts that lead to new United States Mint medical directives.

Subpoenas: The physician shall notify the Plant Manager and Office of Chief Counsel promptly whenever a subpoena is served and accepted by the physician. An employee’s OWCP record may be subpoenaed by a court of competent jurisdiction in accordance with applicable law.

C.6.17 Legal Responsibilities: The physician shall assume all legal and professional responsibilities and liabilities attendant to providing health services at the Mint. The physician shall assume responsibility and liability for damage to equipment and facilities provided by the United States Mint caused by other than normal operating use.

C.6.18 Information Technology: The physician shall work with web-based computer systems, SHIMS (supplied by the United States Mint), as well as Microsoft Office Suite software.

C.6.19 Laws and Regulations: The physician shall obey, abide by and comply with all federal, state, and local laws, as applicable to this requirement, including but not limited to all OSHA health and safety standards. The physician must also be thoroughly familiar with all Government regulations and directives which are pertinent to the operation of Federal Employee Health Programs specifically those regulations of Federal Employees’ Worker’s Compensation, applicable directives of the Office of Personnel Management for medical suitability assessment for federal service, and U.S. Department of Labor requirements applicable to biohazard waste products. The physician shall be familiar with applicable labor management agreements.

C.6.20 Site Familiarity: The physician shall learn the plant layout and become familiar with and understand the physical requirements of assigned Mint tasks. It is equally critical that the physician becomes familiar with the unique coin production equipment at the Mint and the type of injuries which may be associated with its operation.

C.6.21 Private Practice: The physician shall not be required to relinquish any private practice except to the extent to perform this contract.

C.7 Alternate Physician The physician shall provide an alternate physician any day he / she cannot be on-site to provide the services required under this contract. The alternate physician shall replace the physician if he / she is out for thirty (30) consecutive days, whether for “excused absence(s)” or “unexcused absence(s)”. The alternate physician shall meet the same qualification requirements set forth for the physician. The physician is responsible for ensuring the alternate physician complies with all the terms and conditions of the contract and at the fixed rate established in the contract.

C.8 Government Furnished Property The United States Mint West Point will provide the physician with the necessary office and examination areas, furniture, medical equipment and supplies to operate and perform under this contract. The physician shall advise the United States Mint West Point as to the requirements for the needed items listed above.

C.9 Security Clearance The United States Mint has strict security clearance requirements for all persons working under this contract. A credit and criminal background check is required. Upon clearance, an appropriate badge for the physician shall be issued for daily access to the United States Mint West Point.